Sadia Javed

8VAC20-800-180-A

“The provider shall obtain for each adult household member a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. An updated TB screening for Household Member #2 was not completed and was overdue by three weeks.”

8VAC20-800-90-C

“REPEAT VIOLATION Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1 and Child #2 immunization records were missing the required 12 month immunization updates.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent: Verification of the identity and age of the child. Child #1 enrolled and attending for 10 months did not have evidence of proof of identity verification in their record. Child #6 enrolled and attending for four weeks did not have evidence of proof of identity verification in their record.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing the following information: Policies for the administration of medications; Whether or not there is liability insurance in force on the family day home operation as required by ? 22.1-289.050 of the Code of Virginia; Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; Requirement for the parent to inform the family day home within 24 hours or the next business day after their child or any member of the immediate household has developed any reportable communicable disease: There was no evidence in Child #6's record that the provider had provided the parent with written notification of policies for the administration of medications; whether or not there is liability insurance in force on the family day home operation; requirement for the family day home to notify the parent when the child becomes ill; requirement for the parent to inform the family day home within 24 hours or the next business day after their child or any member of the immediate household has developed any reportable communicable disease. There was no evidence in Child #2's record that the provider had provided the parent with written notification of policies for the administration of medications”

8VAC20-800-60-B

“A child's record shall contain the following information: Child's full name, sex, address, and birth date; Emergency contact information including: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; First and last dates of attendance; Written authorization for emergency medical care should an emergency occur and the parent cannot be located. Child #6's record did not have evidence of the child's full name, sex, address, birth date, first date of attendance, and written authorization for emergency medical care. The addresses for both of Child #3's emergency contacts were missing.”

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. Child #6 enrolled and attending for four weeks did not have evidence an up-to-date record.”

8VAC20-790-250-F

“REPEAT VIOLATION Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Caregiver #1 health and safety annual update training is 2 years past due. Caregiver #2 health and safety annual update training is seven weeks past due. This was cited January 6, 2026, for Caregiver #1. The plan of correction was not followed.”

22.1-289.035-B-3

“The provider is required to have employees undergo a background check of the central registry every five years. Caregiver #3 central registry results were seven months past due. Provider acknowledged the background check was not completed.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, fragrance sprays shall be stored away and inaccessible to children. A container of Febreze spray with warning labels, ?Keep out of reach of children,? were on the changing table, within reach of children.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department's health and safety update course. Staff #1and Staff #2 health and safety annual update training is16 months past due.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was no evidence of shelter in place drills being conducted in 2025. Provider acknowledged drills were not conducted.”

8VAC20-800-960-E

“REPEAT VIOLATION Bottles shall be refrigerated and labeled with the child's full name and the date. Child #5 bottles were observed in the refrigerator unlabeled.”

8VAC20-800-120-B

“REPEAT VIOLATION Assistants' and substitute providers' records shall contain the following: For assistants and substitute providers who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #2 employed for 13 years did not have any references onsite. Staff #3 employed for 18 months only had one reference completed. Staff #4 employed for two years only had one reference completed. Staff #5 employed for three months only had one reference completed. Name address and telephone number of a person to be notified in an emergency. Staff #2, Staff #3, Staff #4, and Staff #5 did not have evidence of emergency contacts on file.”

8VAC20-800-90-C

“REPEAT VIOLATION Documentation of additional immunizations is required once every six months for children under the age of two years. Child #4 immunization records were missing required updates. Provider acknowledged not receiving updated immunizations.”

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. The provider only has a cordless phone and was unable to locate the phone during the inspection.”

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. Findings from the most recent inspection dated 8/5/2025, were not posted.”

8VAC20-800-120-B

“For assistants who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment. There were on references on site for Staff #4 who has been employed for over 6 months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 21 months old, last documented immunization expired over 8 months ago. 'Child #2, 22 months old, last documented immunization expired over 1 month ago. 'Child #7, 21 months old, last documented immunization expired over 20 days ago.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1, #2, #3, #4, #5, #6, and #7. This same standard was cited at the previous inspection conducted on 01/16/2025.”

8VAC20-800-60-B

“Children's records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The record for Child #2 was missing Page 2 of the Child's Record. The child was present during the inspection and had been in care for 17 months.”

8VAC20-800-780-B

“Annually, the Provider shall review with the parent the emergency contact information to ensure that the information is correct, and obtain the parent's signed acknowledgment of the review. Child #2's last review of their emergency information was conducted 17 months ago.”

8VAC20-800-120-B

“For assistants who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment. There were on references on site for Staff #4 who has been employed for over 6 months.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 21 months old, last documented immunization expired over 8 months ago. 'Child #2, 22 months old, last documented immunization expired over 1 month ago. 'Child #7, 21 months old, last documented immunization expired over 20 days ago.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1, #2, #3, #4, #5, #6, and #7. This same standard was cited at the previous inspection conducted on 01/16/2025.”

8VAC20-800-60-B

“Children's records are required to contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The record for Child #2 was missing Page 2 of the Child's Record. The child was present during the inspection and had been in care for 17 months.”

8VAC20-800-780-B

“Annually, the Provider shall review with the parent the emergency contact information to ensure that the information is correct, and obtain the parent's signed acknowledgment of the review. Child #2's last review of their emergency information was conducted 17 months ago.”

8VAC20-790-250-B

“Staff are to complete the VDOE sponsored online orientation course within 90 days. Staff #2 and Staff #3 have not completed the course. It has been more than 90 days since the Provider has become a subsidy vendor.”

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 the department s health and safety update course. Staff #3 did not complete the annual subsidy health and safety update training for 2024.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. This information was not available for Child #2 who has been in care for 11 months.”

8VAC20-800-60-B

“Children's records are required to contain the following: the address for each emergency contact listed; the name and policy number of the child's medical insurance; and written authorization for emergency medical care. The record for Child #1 was missing 1 address for an emergency contact. Child #1 was present during the inspection and had been in care for one year. The record for Child #2 was missing 1 address for an emergency contact, the medical policy information, and a written authorization for emergency medical care. Child #2 was present during the inspection and had been in care for 11 months.”

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.”

8VAC20-800-100-A

“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 was no physical exam records available for Child #3, who had been in care for over 2 years.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

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 and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Staff #2 and Staff #3, both have provided care for children for more than 2 years without having a documented orientation on file.”

8VAC20-800-90-A

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #1, 15 months old, last documented immunization was over 8 months ago. Child #2, 16 months old, last documented immunization was over 10 months ago.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

8VAC20-790-250-B

“Staff are to complete the VDOE sponsored online orientation course within 90 days. Staff #2 and Staff #3 have not completed the course. It has been more than 90 days since the Provider has become a subsidy vendor.”

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 the department s health and safety update course. Staff #3 did not complete the annual subsidy health and safety update training for 2024.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs. This information was not available for Child #2 who has been in care for 11 months.”

8VAC20-800-60-B

“Children's records are required to contain the following: the address for each emergency contact listed; the name and policy number of the child's medical insurance; and written authorization for emergency medical care. The record for Child #1 was missing 1 address for an emergency contact. Child #1 was present during the inspection and had been in care for one year. The record for Child #2 was missing 1 address for an emergency contact, the medical policy information, and a written authorization for emergency medical care. Child #2 was present during the inspection and had been in care for 11 months.”

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.”

8VAC20-800-100-A

“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 was no physical exam records available for Child #3, who had been in care for over 2 years.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

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 and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Staff #2 and Staff #3, both have provided care for children for more than 2 years without having a documented orientation on file.”

8VAC20-800-90-A

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #1, 15 months old, last documented immunization was over 8 months ago. Child #2, 16 months old, last documented immunization was over 10 months ago.”

8VAC20-800-70-B

“Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration. There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).”

22.1-289.035-B-2

“Based on records review and interview, the provider did not obtain fingerprint check results for Caregiver #1 prior to employment. Evidence: Caregiver #1(start date 7/1/2024) was missing fingerprint results or proof of request.”

8VAC20-800-750-A

“Based on observation and interview, the provider did not ensure when topical skin products such as sunscreen, diaper ointment and insect repellent are used, the product was labeled with the child’s name. Evidence: The provider confirmed that 2 insect repellent’s, Burt’s bees baby diaper cream, medicated protecting powder and shea butter were not labeled.”

8VAC20-800-940-B

“Based on observation and interview, the provider did have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: The provider confirmed that the thermometer does not work, and the battery needed to be replaced.”

8VAC20-800-960-E

“Based on observation and interview, the provider did not ensure bottles were labeled with the child’s full name and the date. Evidence: The provider confirmed they did not know if the Organic chocolate milk bottle in the refrigerator belonged to a child in care.”

8VAC20-800-690-D

“Based on observation, caregiver #1 did not ensure the diapering surface was cleaned and sanitized after each use. Evidence: Caregiver #1 did not clean and sanitize the diapering surface between Child #5 and Child #7.”

8VAC20-800-680-A

“Based on observation, Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver #1 was observed not washing their hands with liquid soap and warm running water after changing the diaper of child #7”

8VAC20-800-430-A

“Based on observation, the provider did not ensure children under two years of age do not have access to stairs. Evidence There is no wall mounted gate at the bottom of the staircase, leading to the main home area.”

8VAC20-800-340-C

“Based on observation and interview, the provider did not ensure the bathroom contained paper towels. Evidence: The provider confirmed that there were no paper towels in the dispenser.”

8VAC20-800-280

“Based on observation and interview, the provider did not ensure potentially poisonous substances, materials and supplies were inaccessible to children. Evidence: 1. A bottle of Drano Liquid drain cleaner was located on the floor next to the sink in the children’s bathroom. 2. A large bottle of hand sanitizer was located on the shelf in the children play area. 3. A bottle of Febreze air freshener was located on the changing table during diaper changing.”

8VAC20-800-170-A

“Based on records review and interview, the provider did not obtain a Tuberculosis Screening from each adult household member prior to coming into contact with children. Evidence: Household member #1 is missing tuberculosis screening results.”

8VAC20-800-690-E

“Based on observation, the caregiver did not ensure that soiled disposable diapers and wipes were 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: The provider confirmed the foot operated garbage pail in the diaper changing area is broken. Caregiver #1 used their hand to open the garbage pail, instead of using the foot petal.”

8VAC20-800-60-B

“Based on the review of children's records the provider failed to get some of the information to make the record for one child complete. Evidence: Based on the review of 4 children's records, one child, child 4 is missing the following: Emergency contact addresses, Immunization records, proof of ID, first day of attendance and second emergency contact.”

8VAC20-800-940-B

“Based on the physical plant inspection, the provider failed to have a thermometer in the fridge. Evidence: The provider does not have a refrigerator thermometer.”

8VAC20-800-790

“Based on the review of the posted paperwork, the provider failed to post emergency numbers. Evidence: The number for poison control and 911 is not posted in a place near the telephone.”

8VAC20-800-750-B

“Based on the physical plant review the provider failed to store a product out of reach of children. Evidence: A bottle of bug spray was located in a child's cubby right inside the door, a foot off the ground, accessible to the children.”

8VAC20-800-60-B

“Based on the review of the children's, the provider failed to get proof of ID for two children in care. Evidence: Based on the review of 5 children's files, Child 2 and Child 4 were missing proof of ID.”