Shazia Asim

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The violation notice from the most recent inspection, dated 10/16/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The provider did not request a search of the child abuse and neglect registry or the sex offender registry from one state for Caregiver #2, who has been employed for more than five month and three weeks and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years by end of 30th day for new household members.

“The provider did not request a search of the child abuse and neglect registry from one state for Household Member #2, who has been a household member for approximately 6 months.”

Rule 22.1-289.036-B-4.

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Caregiver #1 completed the Health and Safety update course on 1/14/2025 and needed to complete an updated 1/2026. Caregiver #4 completed the Health and Safety update course on 1/14/2025 and needed to complete an updated 1/2026.”

Rule 8VAC20-790-250-F.

The current form approved by the Virginia Department of Health or a physician’s form shall be used to record The results of the required physical examination and include the date of the physical examination and must be signed by a licensed physician’s OR designee, or an official of a local health department.

“The provider did not have a current form for child #2 and was past due by approximately 2 months and 20 days and was not signed and dated.”

Rule 8VAC20-800-110-A.

The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening and must be completed within the last 30 days.

“Caregiver #2 completed their tuberculosis screening 1 month and 4 days before being hired. Caregiver #3 completed their tuberculosis screening 2 months and 2 weeks before being hired.”

Rule 8VAC20-800-170-B.

Repeat Violation Children’s records are required to contain place of employment.

“The record for Child #1 was missing the place of employment for both parents. The child was present during the inspection and had been in care for a approximately 5 months and three weeks.”

Rule 8VAC20-800-60-B.

Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

“The provider had 2026 emergency evacuation and shelter-in-place drills only and did not have the 2025 drill records.”

Rule 8VAC20-800-830-D.

The physical examination prior to attendance shall have been conducted within three months prior to attendance for children age seven months through 18 months;

“The physical examination for child #1 was completed 4 months prior to attendance and the child was 8 months old.”

Rule 8VAC20-800-100-B.

Information contained in a child’s record shall be privileged and confidential.

“The provider posted the supplemental page of the inspection dated 3/24/2025. This page is considered confidential.”

Rule 8VAC20-800-50-C.

Repeat Violation Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“The record for Child #1 was missing the written authorization for emergency medical care. The child was present during the inspection and had been in care for approximately 9 months.”

Rule 8VAC20-800-60-B.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“There were no physical exam records available for Child #5, who had been in care for two months and two weeks..”

Rule 8VAC20-800-100-A.

Children’s records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“The record for Child #5 was missing the written authorization for emergency medical care. The child was present during the inspection and had been in care for two months and two weeks.”

Rule 8VAC20-800-60-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for child #5, who was in care during the inspection and had been in care for two months and two weeks.”

Rule 8VAC20-800-90-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #3, 20 months old, last documented immunization was over 8 months ago.”

Rule 8VAC20-800-90-C.

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course Caregiver 1 (took the course 9/28/2023) and Caregiver 2 (took the course 9/27/2023) both took the department’s health and safety update course in September 2023 and need to take the health and safety update course for this year..”

Rule 8VAC20-790-250-F.

8VAC20-800-110-B

“Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Child #2 had a physical examination in the file, but it was not on the current form approved by the Virginia Department of Health or a physician’s form and it was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

22.1-289.035-B-2

“Based on review of caregiver records, the provider did not obtain the fingerprint results prior to the first day of employment. Evidence: 1. Caregiver #2 was hired on 2/02/2024 and the provider received the fingerprint results on 2/07/2024.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on review of the assistant’s records, the assistant’s record did not contain all required information. Evidence: 1. Caregiver #2 (start date 2/02/2024) did not have record that two or more references were checked prior to employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-60-B

“Based on review of two children’s records, two records did not contain all required information. Evidence: 1. Child #1’s file (start date 1/16/2024) was missing one parent’s place of employment, work address and work telephone number and one emergency contact name, address and phone number. 2. Child #2’s file (start date 3/04/2024) was missing the child’s immunization record.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent’s written acknowledgment of the receipt of the information regarding the provisions of the family day home’s emergency preparedness and response plan. Evidence: 1. Child #1’s file (start date 1/16/2024) and Child #2’s file (start date 3/04/2024) was missing the parent’s written acknowledgement of the receipt of the information regarding the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-B.

8VAC20-800-90-A

“Based on review of children’s records, the provider did not obtain documentation that one child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #2’s file (start date 3/04/2024) was missing the child’s immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-A

“Repeat Violation Based on review, the provider did not obtain before a child attended the family day home, documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health. Evidence: 1. Child #1’s file (start date7/20/2023) had an immunization record, but it was not signed by a physician to document the child has been adequately immunized.”

Rule 8VAC20-800-90-A.

22.1-289.011-F

“Based on observation and interview, the required violation notice and summary documents were not posted from the last inspection. Evidence: 1. The provider had the acknowledgment of inspection posted from the 5/22/2023 inspection, but the violation notice and summary were not posted.”

Rule 22.1-289.011-F.

8VAC20-800-60-B

“Repeat Violation Based on review, three children’s records did not contain all required information. Evidence: 1. Child #1’s file (start date 10/03/2022) was missing one parents work address and work phone number. 2. Child #5’s file (start date 7/20/2023) was missing one emergency contact address.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-E

“Based on observation and interview, soiled diapers and wipes were not disposed of in a leak proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. The trashcan the provider stated she uses to dispose of diapers was not foot operated. The lid on the trashcan had a swinging lid.”

Rule 8VAC20-800-690-E.

8VAC20-800-90-A

“Repeat Violation Based on review, the provider did not obtain before a child attended the family day home, documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health. Evidence: 1. The provider had an immunization record for child #5 (start date 8/18/2023), but it was not signed by a physician to document the child has been adequately immunized.”

Rule 8VAC20-800-90-A.

22.1-289.058

“Based on interview, the provider did not have a carbon monoxide detector. Evidence: 1. The provider stated they did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-240-A

“Based on observation, furnishings of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. One of the provider’s cribs had paint peeling on both rails.”

Rule 8VAC20-800-240-A.

8VAC20-800-500-C

“Based on observation, the provider had stationary outdoor playground equipment that was not placed at least six feet from the perimeter of other play structures or obstacles. Evidence: 1. The provider’s playground equipment was approximately 4 feet from the fence and 2 feet from a slide.”

Rule 8VAC20-800-500-C.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-770

“Based on observation, the provider did not have a portable battery operated weather band radio. Evidence: 1. The provider had a battery operated radio, but it was not a weather band radio.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Based on observation, the provider did not post all required telephone numbers. Evidence: 1. The provider did not have the responsible person (who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.) for emergency backup care posted with their name and number.”

Rule 8VAC20-800-790.

8VAC20-800-90-A

“Based on review, the provider did not obtain before a child attended the family day home, documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health. Evidence: 1. The provider had an immunization record for child #2, but it was not signed by a physician to document the child has been adequately immunized.”

Rule 8VAC20-800-90-A.

8VAC20-800-900-B

“Based on observation, the provider allowed a child to drink a bottle while lying down. Evidence: 1. The provider laid a child down in the crib and gave the child a bottle.”

Rule 8VAC20-800-900-B.