Raj Sinsunwal

22.1-289.011-F

“Repeat Violation The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection report was not posted. (Acknowledgment form only)”

Rule 22.1-289.011-F.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection paperwork was not posted (11/24/2025)”

Rule 22.1-289.011-F.

8VAC20-790-190-B-12

“Repeat Violation A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #3 had a diagnosed food allergy, with no written allergy action plan available.”

Rule 8VAC20-790-190-B-12.

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Caregiver A and B’s repeated screening results were overdue by 11 days.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver B had completed 7.5 of the 16 required annual training hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated and given to parents or posted or placed in an area accessible to parents. The menu was not posted.”

Rule 8VAC20-800-920.

8VAC20-790-180-B

“Repeat Violation The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“Repeat Violation A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction;”

Rule 8VAC20-790-190-B-12.

22.1-289.035-B-1

“The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment. There was no sworn statement for Caregiver B, who worked 4 days in November 2025. Caregiver B worked alone with children.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver B, who worked 4 days in November 2025, did not have a completed national criminal background check. Caregiver B worked alone with children.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee’s first day of employment. Caregiver B, who worked 4 days in November 2025, did not have a central registry search requested. Caregiver B worked alone with children.”

Rule 22.1-289.035-B-3.

8VAC20-800-120-A

“The provider shall maintain a record for each caregiver. There was no record for caregiver B.”

Rule 8VAC20-800-120-A.

8VAC20-800-220-A

“Repeat Violation To safely perform medication administration practices listed in 8VAC20-800-710 whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed a training program for this purpose developed by or approved by the Board of Nursing. The provider’s Decision to Administer Medication policy states they will administer medication; however, the provider has not completed a training program for this purpose, and cannot administer medications.”

Rule 8VAC20-800-220-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain written acknowledgment of receipt of policies and procedures. Children #2,3,4 records contained; Documentation of an inaccurate medication policy, The policy state the provider would administer medication; however, the provider is not current in Medication Administration Training (MAT certification), and therefore may not administer medications.

“Children #2,4 No declaration of liability insurance coverage.”

Rule 8VAC20-800-70-B.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Child #1’s annual update was overdue by 11 days.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Emergency evacuation drills have not been conducted monthly since July 2025.”

Rule 8VAC20-800-830-A.

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance for 5/6/25 was not written as it occurred. The attendance sheet was completed at LI arrival, for a child that was already present and asleep.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2’s record documented a diagnosed food allergy. There was no written allergy action plan on file.”

Rule 8VAC20-790-190-B-12.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection documentation (11/7/2024) was not posted. The documentation posted was dated 10/2022.”

Rule 22.1-289.011-F.

8VAC20-800-220-A

“To safely perform medication administration practices listed in 8VAC20-800-710 whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed a training program for this purpose developed by or approved by the Board of Nursing. The provider’s Decision to Administer Medication policy states they will administer medication; however, the provider has not completed a training program for this purpose, and cannot administer medications.”

Rule 8VAC20-800-220-A.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided in writing the following information; policy for administration of medication and whether or not there is liability insurance. Child #2’s record contained; 1.Documentation of an inaccurate medication policy, The policy state the provider would administer medication; however, the provider is not current in Medication Administration Training (MAT certification), and therefore may not administer medications. 2. No declaration liability insurance coverage is completed.”

Rule 8VAC20-800-70-A.

8VAC20-800-730-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. One medication was observed sitting on the dining room table, not stored in a locked place.”

Rule 8VAC20-800-730-D.

Caregivers shall attend training to include the department’s health and safety update course.

“The required annual course was not completed in 2023 by care giver A.”

Rule 8VAC20-790-250-F.

The provider shall obtain a central registry search for residents.

“The results of a Central Registry Search were not available for a caregiver and a household member.”

Rule 22.1-289.035-B-3.

Child day programs in buildings built before 2015 that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“There was no Carbon Monoxide detector in use.”

Rule 22.1-289.058.

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. The record for child #1 was overdue for an update by 18 days.”

Rule 8VAC20-800-60-A.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The emergency preparedness plan was overdue for the annual update by 6 months.”

Rule 8VAC20-800-800-B.

Based on record review, staff and household members did not have all required background checks were updated in the preceding five years.

“Evidence: Staff #1?s sworn disclosure statement was dated 08/18/18, criminal history based fingerprint results were dated 10/01/18 and central registry search results were dated 10/05/18. Household member #1?s sworn disclosure statement was dated 08/18/18, criminal history based fingerprint results were dated 10/01/18 and central registry search results were dated 9/12/18.”

Rule 22.1-289.036-C.

Based on record review, all staff and household member’s TB results were not updated at least every 2 years from the most recent screening.

“Evidence: Staff #1 and household member #1 have a tuberculosis test result last dated 04/15/22.”

Rule 8VAC20-800-180-A.

Based on observation, potentially poisonous substances, materials, and supplies were stored in areas accessible to children.

“Evidence: Two large cleaning products were stored on the bathroom floor accessible to children. Standard: Previous Inspection Summary not posted. Evidence: Based on observation, the previous inspection dated 09/25/23. IMIMMUNIZATIONSFORCHILDREN 8VAC20-800-90 A-C MUNIZATIONSFORCHILDREN8VA C20-800-90 A-C”

Rule 8VAC20-800-280.

Based on observation and interview, child older than 12 months of age was sleeping in a crib.

“Evidence: Child # 2 (21 months) was sleeping in a crib.”

Rule 8VAC20-800-520-A.

Based on observation, children with were observed sleeping with pillows.

“Evidence: Two children (under 2 years old) were observed sleeping with pillows.”

Rule 8VAC20-800-530-F.

Based on observation and interview, children under two years of age were using pillows or filled comforters.

“Evidence: Child #1 and Child #2 were using pillows and filled comforters while sleeping.”

Rule 8VAC20-800-530-G.

Based on record review, the provider did not obtain updated immunization records once every six months for children under the age of two years.

“Evidence: Child #1?s (most recent immunizations were dated April 2023 (Start date 12/8/22).”

Rule 8VAC20-800-90-C.

Based on record review and interview, meals are provided by the family day home provider and there was no menu posted.

“Evidence: Staff #1 stated they serve food. A menu was not posted for parents to review.”

Rule 8VAC20-800-920.

Repeat Violation

“Based on record review, the child’s record did not have all required information. Evidence: Child 1 is missing a phone number and address for second emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review, emergency information in the child’s record was not reviewed annually.

“Evidence: Child 1’s record was last updated 9/13/2022.”

Rule 8VAC20-800-780-B.

Based on the record review, the provider did not ensure all required information was included in the file.

“Evidence: Child 1 is missing a phone number and address for second emergency contact. Child 2 is missing a start date.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not maintain all required information in the child’s record.

“Evidence: Child 1 does not have parent work phone numbers, address for 1 emergency contact and is missing a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not ensure all tuberculosis screenings were repeated every two years from the date of the most screening.

“Evidence: Caregiver 1 has a tuberculosis screening which was completed on April 23, 2018. Household member 1 has a tuberculosis screening was completed on April 23, 2018.”

Rule 8VAC20-800-180-A.

Based on record review, the child’s record did not contain all the required information.

“Evidence: Child 1 is missing second contact information and file was not reviewed annually to ensure all information is up to date.”

Rule 8VAC20-800-60-B.

Based on record review, the emergency procedures were not practiced monthly.

“Evidence: There is no documentation of drill being conducted in January, February and March 2022.”

Rule 8VAC20-800-830-A.

Based on interview and record review, the provider has not practiced the shelter-in-place procedures at a minimum of twice per year.

“Evidence: The provider stated they have not practiced the shelter-in-place procedures. No shelter-in -place was documented on their emergency drill record form.”

Rule 8VAC20-800-830-B.

Based on record review, the provider did not ensure child records contain all required information.

“Evidence: Child 1 is missing parent work phone numbers, a second emergency contact, and proof of identity.”

Rule 8VAC20-800-60-B.