Minu Thapa

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 and Household Member #1 was not completed and was overdue by over two months.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing with the Provisions of the family day home's emergency preparedness and response plan. The record for Child #1 did not contain acknowledgement that the parents received the Provisions of the Emergency Plan.”

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. The provider stated that no test has been coonducted.”

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.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years. The Tb screening for Caregiver #2 was overdue for two months.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. A second shelter-in-place drill was not practiced for the year 2024.”

8VAC20-800-800-B

“Based upon documentation review, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review of the Emergency Preparedness Plan documented by the provider was dated 02/16/2021.”

8VAC20-800-180-A

“Based on record review, the provider did not ensure that caregivers obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) A current Tb screening was due for Staff #2. The Tb screening form in the record for Staff #2 was dated 11/20/2020.”

8VAC20-800-50-A

“Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 5 children were in care in the fdh. The attendance record did not have any children documented as present.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure that Central Registry search results were obtained by the end of the 30th day of employment, and new search results are obtained every five years. Evidence: 1) The record for Staff #3 (start date 03/11/2022) did not contain the results of a Central Registry search. 2) Central Registry results in the record for Staff #2 were dated 03/09/2016. New search results were due in 2021.”

8VAC20-800-920

“Based on interview with the provider and documentation review, the menu for the current one-week period did not list substituted food. Evidence: 1) On the date of inspection, the provider stated that breakfast for the day was banana and a boiled egg, and for lunch, they would have brown rice, lentils soup, chicken nuggets, vegetables and fruits. 2) Upon review of the posted menu, the breakfast and lunch just described did not match with what was listed on the menu. (Listed: Breakfast: cheerios, milk, banana. Lunch: mac & cheese, boneless chicken, carrots, milk, apple)”

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1.The most recent review of the Emergency Preparedness Plan documented by the provider was dated 02/16/2021.”

8VAC20-800-50-C

“Based on observation, the provider did not keep children's records confidential. Evidence: 1) The "Supplemental Page" of the previous licensing inspection containing confidential information about children in care was posted on the family day home's information area.”

8VAC20-800-830-B

“Based on documentation review and interview with the provider, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the 2021 emergency drills log provided for review, had a shelter-in-place drill documented for the month of February 2021, however, a second shelter-in-place drill for the year 2021 was not documented. 2) The provider stated that they did not conduct a second drill for the year.”

8VAC20-800-60-B

“Based on record review, 1 out of 2 children's records reviewed did not contain all required information. Evidence: 1) The record for Child #2 did not contain the first date of attendance.”

8VAC20-800-80-C

“Based on record review, the provider did not document in the child's record the method of verification of the child's age and identity. Evidence: 1) The record for Child #1 did not contain documentation of having verified the child's age and identity.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: 1) Upon inspection of the backyard play area, the following was observed: * Loose pieces of wooden trellis that separated a garden area from the play area, had sharp corners that could snag skin. * The wooden fence had rotten/broken pieces on the bottom of some areas. * Plastic equipment (slides, toy cars, play house) looked in need of deep cleaning.”

8VAC20-800-250-E

“Based on observation, plastic bags large enough for a child's head to fit inside were accessible to children under five years of age. Evidence: 1) Plastic bags were observed on a shelf next to the diapering area. The shelf was at a height accessible to children in care.”

8VAC20-820-120-E-1

“Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the license certificate posted was dated with an expiration date of 03/31/2019. The most recently issued license should read an expiration date of 03/31/2023.”