Meena Kandel

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The last documented review of the providers emergency plan is dated 5/4/2025.”

Rule 8VAC20-800-800-B.

Small electrical appliances shall be unplugged unless being used by the caregiver or with children under close supervision.

“An unused and unsupervised crockpot was observed on high temperature setting in the providers basement kitchenette.”

Rule 8VAC20-800-320-A.

REPEAT VIOLATION Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after each diaper change.

“Child #2 was observed having a diaper change. The child was placed on the floor after the diaper change. The childs hands were not washed.”

Rule 8VAC20-800-680-B.

Within seven business days of each child’s first day of attendance at the family day home, the provider shall obtain documentation of the child’s age and identity from the parents.

“Child #2 (date of enrollment: 3/6/2025) record does not contain documentation that the provider has verified the child’s age and identity.”

Rule 8VAC20-800-80-A.

REPEAT VIOLATION Bottles shall be labeled with each child’s full name and date.

“A bottle for child #1 was observed in the providers refrigerator. The bottle did not contain a date.”

Rule 8VAC20-800-960-E.

REPEAT VIOLATION Documentation of orientation shall be signed and dated by the provider and caregiver.

“Caregiver #3s record did not contain documentation that the provider had completed orientation training with the caregiver.”

Rule 8VAC20-800-200-C.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 completed 11 training hours in 2024. Caregiver #2 did not complete any training during 2024.”

Rule 8VAC20-800-210-A.

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

“The Supplemental Page from the most recent inspection, containing children and staff information, was observed posted at the family day home.”

Rule 8VAC20-800-50-C.

Cots being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover.

“Child #1 was observed napping without a top cover.”

Rule 8VAC20-800-530-A.

Children under two years of age shall not use pillows.

“Child #3 (20 months) was observed napping on a cot with a with a pillow.”

Rule 8VAC20-800-530-G.

Infants shall be placed on their backs when sleeping or napping.

“Child #6 (15 months) and child #7 (10 months) were observed being laid to sleep on their stomachs when placed in their cribs for nap.”

Rule 8VAC20-800-590-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after each diaper change.

“Child #5 was observed having a diaper change. The child was placed directly into an activity chair after the diaper change. The childs hands were not washed.”

Rule 8VAC20-800-680-B.

The diaper surface shall be cleaned and sanitized after each use.

“The diaper changing surface was not cleaned and sanitized after child #5 received a diaper change.”

Rule 8VAC20-800-690-D.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The provider has not documented a review of the emergency preparedness plan since 5/29/2023.”

Rule 8VAC20-800-800-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date.

“Three infant bottles were observed stored in the providers refrigerator that was not labeled with a childs name or todays date.”

Rule 8VAC20-800-960-E.

Caregiver records shall contain all required information.

“Caregiver #2s record did not contain a date of hire, documentation of an emergency contact and verification of the individuals age and identity.”

Rule 8VAC20-800-120-B.

Documentation of orientation shall be signed and dated by the provider and caregiver.

“Caregiver #2s record did not contain documentation that the provider had completed orientation training with the caregiver.”

Rule 8VAC20-800-200-C.

When family day homes provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“The children were observed eating rice and a noddle soup. The children were not served a fruit and a vegetable.”

Rule 8VAC20-800-880.

When meals or snacks are provided by the family day home, there shall be a menu for the current one-week period.

“There was no food menu available. The provider confirmed that they do not use a menu.”

Rule 8VAC20-800-920.

8VAC20-800-840-A

“Based on interview, the provider did not record an injury or accident sustained by a child while at the family day home. Evidence: The provider stated that a child had scratched themselves after pulling their mittens off in the crib. The provider confirmed that they did not complete an incident/injury report to document that injury.”

Rule 8VAC20-800-840-A. From a complaint.

8VAC20-770-60-B

“Based on record review and interview, the provider did not obtain a sworn disclosure statement for each employee. Evidence: Caregiver #2s record does not contain a completed sworn disclosure statement. The provider confirmed a sworn disclosure statement has not been completed.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on record review, assistant caregiver records did not contain all required information. Evidence: Caregiver #2s record does not contain verification of the caregivers age and identity, two reference checks or an emergency contact to be reached in case of an emergency.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on record review, the provider did not orientate each assistant caregiver. Evidence: Caregiver #2s record does not contain documentation of orientation training.”

Rule 8VAC20-800-200-A.

8VAC20-800-60-B

“Repeat Violation. Based on record review, childrens records did not contain all required information. Evidence: 1. Child #3s record does not contain the child’s first date of attendance or the address of their second emergency contact. 2. Child #4s record does not contain a second emergency contact. 3. Child #5s record does not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregivers did not follow handwashing requirements. Evidence: Caregiver #2 was observed changing child #4s diaper. The caregiver did not wash their own hands after the diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, handwashing requirements were not met. Evidence: Child #4 was observed having their diaper changed. The child did not have their hands washed by a caregiver after the diaper change.”

Rule 8VAC20-800-680-B.

8VAC20-800-80-A

“Based on record review, the provider did not obtain verification of each child’s age and identity within the first seven days of attendance. Evidence: 1. Child #4 (date on enrollment: 1/22/2024) record does not contain documentation that the child’s age and identity has been verified. 2. Child #5 (date on enrollment: 1/8/024) record does not contain documentation that the child’s age and identity has been verified.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that each child has been adequately immunized. Evidence: Child #4s record does not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-90-C

“Based on record review, the family day home has not obtained additional immunizations every six months for each child under the age of two years. Evidence: Child #6 (14 months) are from when the child was 4 months old.”

Rule 8VAC20-800-90-C.

22.1-289.036-B-2

“Based on interview, each caregiver and/or adult household member has not submitted to fingerprinting. Evidence: Caregiver #1, household member #1, household member #2, household member #3, household member #4 and household member #5 have not submitted to fingerprinting.”

Rule 22.1-289.036-B-2.

8VAC20-800-60-B

“Based on record review, childrens records did not contain all required information. Evidence: 1. Child #1s record does not contain verification that the family has been provided with the providers emergency preparedness plan and liability insurance declaration. 2. Child #2s record does not contain an address for one of their emergency contacts, the families medical insurance policy number, and verification that the family has been provided with the providers emergency preparedness plan and liability insurance declaration.”

Rule 8VAC20-800-60-B.