Lata Bhagia

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire, prior to coming into contact with children, a current Report of Tuberculosis Screening. Caregiver #2 tuberculosis results were dated for two weeks after employment and working with children.”

8VAC20-800-920

“REPEAT VIOLATION When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The posted menu was dated for the previous week.”

8VAC20-800-890

“REPEAT VIOLATION When food is brought from home, the following shall apply: The container shall be clearly labeled in a way that identifies the owner. Nine of the ten children's water bottles were observed on the table unlabeled.”

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 #2, who is currently working, did not have a completed national criminal background check until eight weeks after employment.”

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. The sworn statement for Caregiver #2, who is currently working, was dated two weeks after their first day of employment.”

22.1-289.036-B-4

“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 sex offender registry and child abuse and neglect registry from one state for Caregiver #2, who has been employed for four months and was working with children at the time of the inspection.”

8VAC20-800-60-B

“A child's record shall contain the following information: Name, address and telephone number of each custodial parent's place of employment. Child #5 is missing one parent's employment address.”

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 #1 and Caregiver #2 did not complete the required 16hrs of annual training. Provider acknowledged 16hrs of training were not completed.”

22.1-289.035-B-3

“Provider is required to request the results of a central registry check for staff and household members age 14 years & up. Caregiver #1 and Household Member #1 central registry checks expired six months ago.”

8VAC20-800-920

“REPEAT VIOLATION When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The posted menu for the current week was not dated.”

8VAC20-800-830-D

“Records of emergency evacuation and shelter-in-place drills shall be maintained for one year. No record was available documenting an emergency evacuation drill being conducted in December 2025.”

8VAC20-800-890

“When food is brought from home, the following shall apply: The container shall be clearly labeled in a way that identifies the owner. Four of the six children's water bottles on the table were unlabeled.”

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. The annual review in the record for Child #3 was overdue by almost three months.”

8VAC20-800-800-B

“*REPEAT VIOLATION* The provider shall review the emergency plan at least annually, update the plan as needed, and document in writing each review and update to the emergency plan. The emergency plan review was overdue by seven years and nine months.”

8VAC20-800-920

“The menu for the current one-week period shall be dated. The menu was not dated as required.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (Tb) Screening form every two years. The Tb screening in the record for Caregiver #2 was overdue for three months.”

8VAC20-800-280

“*REPEAT VIOLATION* Potentially poisonous substances, materials and supplies such as cleaning agents, shall be stored in areas inaccessible to children. Cleaning products were observed in an unlocked cabinet under the care area's kitchen sink.”

8VAC20-800-60-B

“The provider must keep an up-to-date record for each child enrolled. The record for Child #1 was missing the parent's work phone number and work address.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored in areas inaccessible to children. The following materials were observed: cans of paint inside a closet in a back room, one fire retardant spray can in a closet in the hallway. The doors to both closets were unlocked.”

8VAC20-800-200-A

“*REPEAT VIOLATION* The provider shall orient each caregiver by the end of their first week of assuming job responsibilities. The record for Caregiver #4, who has been caring for children for two weeks, did not have documentation of having received orientation by the provider.”

8VAC20-800-250-E

“Empty plastic bags shall be inaccessible to children under five years of age. Empty plastic bags were stored in a cubbies storage unit that children had access to.”

8VAC20-800-800-B

“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 most recent review of the emergency plan was dated 10/23/2017. A review of the emergency plan was overdue for seven years.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years, prior to the employee's first day of employment. Caregiver #5, employed for one week, did not have documentation of requesting a central registry check and sex offender registry check from one state.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-800-320-B

“Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. One unused electric outlet in the bonus room next to the care area did not have a protective cover.”

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children, a current Report of Tuberculosis Screening form. The record for Caregiver #4, who has been caring for children for two weeks, did not contain documentation of a current Report of Tuberculosis Screening form.”

8VAC20-800-60-B

“*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. The record for Child #2, who has been in care for 18 months, did not contain the name and policy number of the child's medical insurance.”

8VAC20-800-120-B

“*REPEAT VIOLATION* Providers must maintain an up to date record for each caregiver. The records for Caregiver #4 and Caregiver #5 were missing the following information: employment date; address; verification of age; and the name, address and telephone number of a person to be notified in an emergency; and and documentation of the education and training. The record for Caregiver #3 did not contain documentation that a second reference as to character and reputation as well as competency was checked before employment.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. The record review for Child #2, was overdue by two years.”

8VAC20-800-60-B

“Based on record review and interview, the provider did not obtain documentation of an annual review of the child’s emergency contact information. Evidence: Child #1?s (start date 6/12/2023) documentation of the review of the emergency contact information was expired. The document was last signed 6/9/2023.”

8VAC20-800-120-B

“Based on record review and interview, the provider did not maintain the required information for caregivers' records. Evidence: 1.Caregiver #1 and caregiver #2?s record did not contain job title, date of employment, name address and telephone number of a person to be notified in an emergency, documentation of two or more references and documentation of the education and training.”

22.1-289.011-F

“Based on observation and interview, the provider did not ensure certain documents related to the terms of the license were posted on the premises. Evidence: The provider confirmed during the interview, the findings of the most recent inspection of the home were not posted. The inspection report posted was dated 3/23/23.”

8VAC20-800-330-A

“Based on observation and interview, the provider did not ensure a landline telephone, was available during the family day home’s hours of operation. Evidence: The provider confirmed during the interview, that there was no landline telephone, only a cordless and cell phone.”

22.1-289.035-B-2

“Based on record review, the provider did not ensure all caregivers and household members had the required background checks. Evidence: 1.The provider confirmed during the interview, their fingerprints (dated 7/18/2019), caregiver #1(dated 6/3/2019) and household member #1(dated 8/28/2019) had expired fingerprint results. 2. Caregiver #2 did not have fingerprint results on record during the inspection and no proof of request was obtained.”

8VAC20-800-210-A

“Based on record review and interview, the provider did not ensure the caregivers obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The provider confirmed during the interview that the provider, caregiver #1 and caregiver #2 did not have a minimum of sixteen clock hours of training. The provider, caregiver #1 and caregiver #2 did not have any trainings on file during the inspection.”

8VAC20-800-200-A

“Based on record review and interview, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: The provider confirmed during the interview, that the provider could not provide documentation that caregiver #1 and caregiver #2 had orientation by the end of their first week of employment, during the inspection.”

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain for each adult household member, a current report of a Tuberculosis Screening every two years from the date of the first screening. Evidence: Household member #1?s Tuberculosis Screening result was dated 4/11/2022.”

8VAC20-800-120-D

“Based on record review and interview, the provider did not obtain documentation of a tuberculosis screening for themself. Evidence: The provider confirmed during the interview, their tuberculosis screening result dated 7/15/2022 was expired.”

8VAC20-800-180-A

“Based on the review of staff files, the provider failed to get an updated TB screening for an assistant. Evidence: Reviewed 2 staff files during the inspection. staff 1 is missing a subsequent TB screening. The last TB test was conducted on 12/2/18.”

8VAC20-770-60-C-2

“Based on the review of staff records, the provider does not have the required background check for one caregiver. Evidence: A caregiver, caregiver 1, is missing the CPS check in her file. The subsequent CPS check has not been submitted, no record of the most recent records check.”

8VAC20-800-180-A

“Based on the review of household member records, the provider failed to update a TB screening. Evidence. The household members TB test was last done on 2/2/20, and is over two years old.”