Shweta Anand

8VAC20-800-170-A

“The provider is required to obtain, at the time of hire and prior to any contact with children, a current Report of Tuberculosis Screening form published by the Virginia Department of Health (or an equivalent form) documenting the absence of communicable tuberculosis. There was no documentation of a tuberculosis screening for Caregiver 2, who has been caring for children for the past two months, according to Caregiver 1.”

8VAC20-800-140-B-1

“Substitute providers must have completed a high school program or met the admission requirements for an accredited college or university. The record for Caregiver 1 did not contain documentation verifying that they met the required educational qualifications for serving as a substitute provider.”

8VAC20-800-130

“Caregivers shall be able to speak, read, and write in English as necessary to carry out assigned job responsibilities, and communicate effectively with emergency responders. When asked how long they had worked at the family day home, Caregiver 2 stated that they do not speak English.”

8VAC20-800-90-C

“The family day home is required to obtain updated immunization documentation every six months for children under two years of age. Child 2: The most recent immunization documentation was obtained when the child was nine months old. The child is now over two years old. Child 3: The most recent immunization documentation was obtained when the child was nine months old. The child is now twenty-three months old. Child 4: The most recent immunization documentation was obtained when the child was seven months old. The child is now over two years old.”

8VAC20-800-70-A

“REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Children 1, 2, 3, and 4 were not provided in writing the following required information: the provider's termination policy and the daily schedule.”

8VAC20-800-120-B

“Assistants' and substitute providers' records shall contain required information. Caregiver 2's record did not contain a date of hire or verification of age.”

8VAC20-800-690-D

“The diapering surface shall be non absorbent. The diapering pad and cover were both made of absorbent material.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean and safe condition. Peeling and chipping paint was observed on the rails of three cribs.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. One shelter-in-place drill was conducted in 2025.”

8VAC20-800-120-C

“Substitute providers' records are required to include documentation of arrival and departure times, as specified in 8VAC20-800-140 D. On May 21, 2026, Caregiver 1 served as the substitute provider while the primary provider was absent from the home. There was no documentation of Caregiver 1?s arrival or departure time for that date.”

8VAC20-800-60-B

“REPEAT VIOLATION Children's records are required to contain the child's date of first attendance. Child 3's record did not contain the child's first day of attendance.”

8VAC20-800-60-A

“The provider is required to maintain an up-to-date record for each enrolled child at the family day home. Child 5 and Child 6 were present on the date of inspection; however, their records could not be produced.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. During the review of the May 12, 2026 attendance sheet, seven children were listed, but eight were present, indicating the record was incomplete.”

22.1-289.057-A

“REPEAT VIOLATION Each licensed child day program shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority for lead. The licensee did not have documentation of a testing plan or documentation that water tests have been conducted.”

8VAC20-800-60-B

“Children's records shall contain all required information. Child 3's record did not contain the name to correspond with one of the listed emergency contact address and phone number. Child 4's record did not contain the address for either parent's place of employment.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing all required information. Child 3's record did not contain documentation that parent's were informed of the family day home's daily schedule or termination policy.”

8VAC20-800-120-B

“Caregiver records are to contain all required information. Caregiver 3's record did not have the date of hire documented.”

8VAC20-770-40-D-5

“The provider must obtain a central registry background check for all persons living in the home within 30 days of a person becoming 14 years old. A central registry request for Household Member 2 was requested 119 days after they turned 14.”

22.1-289.057-A

“Family day home providers are required develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher's lounge sinks, nurse's office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption by January 1, 2025. No plan to test the family day home's water has been developed or submitted for approval.”

22.1-289.035-B-1

“Caregivers must provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. The sworn disclosure for Caregiver 3 is not dated. Its completion, prior to hire,. cannot be confirmed.”

8VAC20-800-60-B

“Children's records shall contain all required information. Child 2's record did not contain documentation that the child's identity was verified.”

8VAC20-800-50-C

“REPEAT VIOLATION Information contained in a child's record shall be privileged and confidential. The provider shall not distribute or release information in a child's record to any unauthorized person without the written consent of the child's parent. The supplemental page of the previous licensing inspection was posted in a publicly accessible place within the family day home. The page contains confidential information about children in care.”

8VAC20-800-170-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 form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Caregiver 3 was permitted to work for seven days prior to submitting a negative Tuberculosis screening.”

8VAC20-800-700-B

“The parent's written authorization for medication shall expire or be renewed after 10 working days. Medication authorizations can extend past 10 days if the parent authorization is accompanied by a physician's written authorization. Child 3's medication authorization was authorized for the dates 8/13/2024 through 2/13/2025, but did not contain an additional authorization from the child's physician.”

8VAC20-800-730-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Two medications were stored in a child's cubby in an area accessible to children.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Child 2 and 4's record did not contain documentation of a physical examination.”

8VAC20-800-120-C

“Substitute providers' records shall also contain documentation of the time of arrivals and departures. On the date of inspection Caregiver 2 was acting in the capacity of a substitute in the absence of the provider. No record documenting the time of arrival was available for review.”

8VAC20-800-50-C

“Information contained in a child's record shall be privileged and confidential. The provider shall not distribute or release information in a child's record to any unauthorized person without the written consent of the child's parent. The supplemental page from the two previous licensing inspections were posted in the facility. The supplemental page contains confidential information about children in care are state that they are not to be posted.”

8VAC20-800-60-B

“REPEAT VIOLATION Children's records shall be maintained with all required information. Child 6's record did not contain the name, address, and phone number of two emergency contacts. The one listed emergency contact is the child's parent or the child's medical insurance carrier and policy number.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing the all required information. Child 6's record did not contain documentation that they have been informed of: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; Schedule of fees and payment plans; Check in and check out procedures; Whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 63.2-1809.1 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 his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately; Requirement for paid caregivers to report suspected child abuse or neglect according to ? 63.2-1509 of the Code of Virginia;Custodial parent's right to be admitted to the family day home any time the child is in care as required by ? 63.2-1813 of the Code of Virginia; General daily schedule that is appropriate for the age of the enrolling child; Policies for the provision of food; Presence of a pet or animal in the home; Discipline policies including acceptable and unacceptable discipline measures; The name of the adult assistant or substitute provider; Provisions of the family day home's emergency preparedness and response plan; and Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003.”

8VAC20-800-80-B

“The provider shall verify the identity and age of a child by documenting that they have viewed an approved document verifying age and identity within 7 days of enrollment. Child 1, 4, and 5's record did not contain documentation that the child's age and identity were verified.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain 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 regulations. Child 4's record did not contain documentation of immunization.”

8VAC20-800-210-A

“REPEAT VIOLATION 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 3's record did not contain documentation of annual training.”

8VAC20-800-500-F

“Trampolines shall not be used during the hours children are in care. A small trampoline was observed in the backyard in the play area used by children.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diaper changes. One child's hands were not washed after receiving a diaper change.”

8VAC20-800-570-A

“The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed. 1. Children from birth through 15 months of age count as four points each; 2. Children from 16 months through 23 months of age count as three points each; 3. Children from two through four years of age count as two points each. Upon the inspector's arrival, Caregiver 3 was observed talking on the phone in the front yard. Caregiver 3 entered the family day home at the same time as the inspector, where Caregiver 2 was observed caring for 9 children alone (26 points).”

8VAC20-800-60-B

“The provider is required to document that children's emergency contact information has been reviewed annually. Children 1, 2, and 3's record have not been reviewed annually.”

8VAC20-800-90-C

“The provider is required to obtain documentation of additional immunizations every six months for children under the age of two. The following children's records did not contain the required updated immunizations: Child 1, Child 2, and Child 3.”

8VAC20-800-210-A

“REPEAT VIOLATION Based on record review and provider statement, staff have not completed sixteen hours of training annually in areas relevant to their job responsibilities. Evidence: Staff 1, 2, 3 records do not contain documentation of annual training. Staff 1 stated that no annual training has been completed.”

8VAC20-800-830-A

“Based on a review of documentation, the provider did not ensure emergency evacuation procedures were practiced monthly. Evidence: The last documented emergency evacuation drill was on 09/15/2023.”

8VAC20-800-330-A

“Based on observation and statement, the provider did not ensure a landline telephone was available and operable during the inspection. Evidence: There was no landline telephone available. The provider confirmed there was no landline telephone.”

8VAC20-800-240-A

“REPEAT VIOLATION Based on observation, the provider did not ensure areas outside the family day home were maintained in a safe condition. Evidence: The top plank on the climbing wall on the play structure has a crack exposing a screw head. The crack is splintering and wide enough to pose a finger entrapment hazard.”

8VAC20-770-60-C-2

“Based on record review, one staff member di not have the results of a central registry background check within 30 days of employment. Evidence: Staff 4\'s record does not contain the results of a central registry check. He listed hire date was more than 30 days prior to the date of inspection.”

22.1-289.036-A

“Based on record review, all adult household members did not have a criminal record check conducted within the preceding five years. Evidence: Household Member 1's most recent criminal record check was conducted on 3/10/2018”

8VAC20-800-210-A

“Based on record review and provider statement, staff have not completed sixteen hours of training annually in areas relevant to their job responsibilities. Evidence: Staff 1, 2, 3, and 5's records do not contain documentation of annual training. Staff 5 stated that no annual training has been completed.”

22.1-289.035-A

“Based on record review, staff were allowed continued employment without a national criminal record check having been conducted within the preceding five years. Evidence: 1. Staff 3's most recent criminal record check was conducted on 2/21/2018. 2. Staff 5's most recent criminal record check was conducted on 2/21/2018.”

8VAC20-800-430-C

“Based on observation, children over the age of two had access to stairs with three or more risers. Evidence: Children were observed playing outside with access to the stairs leading up to the deck.”

8VAC20-800-240-A

“Based on observation, areas outside the family day home were not maintained in a safe condition. Evidence: The top plank on the climbing wall on the play structure has a crack exposing a screw head. The crack is splintering and wide enough to pose a finger entrapment hazard.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1. Child 2's record does not contain documentation that the child's identity was verified. 2. Child 5's record does not contain an annual update of information from the child's parents.”

8VAC20-800-120-B

“Based on record review, staff records did not contain all required information. Evidence: 1. Staff 1's record did not contain the documentation of two or more references. 2. Staff 2's record did not contain the date of employment and the documentation of two or more references. 3. Staff 3's record did not contain the date of employment or documentation of education. 4. Staff 4's record did not contain all required background checks.”

8VAC20-800-210-A

“Based on record review and provider statement, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Adults 1, 2, 3, and 4's records did not contain documentation that they have received a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child every six months for children under two years of age. Evidence: Child 1's most recent immunizations were validated on 1/13/2022. The child was under the age of two on the date of inspection.”

8VAC20-800-70-A

“Based on record review, parents were not provided in writing information about the family day home's policies. Evidence: Child 6's record did not contain documentation that the parents have been informed, in writing, of the center's policies and procedures.”

8VAC20-800-830-B

“Based on record review, shelter-in-place procedures shall were not practiced a minimum of twice per year. Evidence: There was no documentation that any shelter in place procedures were practiced within the preceding twelve months.”

8VAC20-800-60-B

“Based on record review, children's record did not contain all required information. Evidence: 1. Child 5's record did not contain the contact name, address, and phone number of two emergency contacts; only one was listed. 2. Child 6's record did not contain documentation that the child's proof of identity has been viewed or the contact name, address, and phone number of two emergency contacts; only one was listed.”

8VAC20-800-120-B

“Based on record review, caregiver records did not contain all required information. Evidence: Adult 3, and 4's records did not contain documentation that two or more references were checked.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The most recent review of the emergency plan was conducted on 10/10/2019.”

8VAC20-770-60-C-2

“Based on record review, the provider did not deny employment to staff who did not have a central registry finding within 30 days of employment. Evidence: There were not central registry background check results for Staff 2 and Staff 3.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: There was no documentation of a a physical examination by or under the direction of a physician for Child 1. Child 1's date of enrollment is documented as 1/3/2022.”

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: There was not an evacuation drill documented for 12/2021.”

8VAC20-820-120-E-2

“Based on observation, the findings from the most recent licensing inspection were not posted in the facility. Evidence: No inspection notice was observed in the facility on the date of inspection.”

8VAC20-800-320-A

“Based on observation small electrical appliances were not unplugged unless being used by the caregiver or with children under close supervision. Evidence: On the counter in the kitchenette off of the child care area there was an electric kettle that was plugged in and extremely hot to the touch. The door of the kitchenette was open and the area was accessible to children in care.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Staff 3's most recent Tuberculosis screening was conducted on 2/11/2019.”

8VAC20-800-60-B

“Based on record review, 3 of 3 children's records reviewed did not contain all required information. Evidence: 1. Child 1's record did not contain the child's health insurance policy number, the phone number for 1 of the 2 required emergency contacts, no documentation that proof of the child's age and identity have been verified, a record of immunization, or a physical conducted by a physician. 2. Child 2, and 3's record did not contain verification that proof of the child's identity had been viewed.”

8VAC20-800-120-B

“Based on record review, caegiver records did not contain all required information. Evidence: 1. Staff 1's record did not contain all required background checks. 2. Staff 2's record did not contain verification of age, job title, date of employment, emergency contact information, all required background checks, education, or reference checks. 3. Staff 3's record did not contain a current Tuberculosis screening, documentation that references were checked, or documentation of education. 4. Staff 4's record did not contain all required background checks, or documentation of education.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain 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 regulations. Evidence: There was no documentation of immunization present in the record for Child 1.”

22VAC40-111-140-B-4

“Based on Review of required documentation it was determined that a current First Aid certification was not maintained for provider. Evidence: During inspection provider's First Aid certification was expired.”

22VAC40-111-180-A

“Based on Review of required documentation it was determined subsequent tuberculosis (TB) screenings were not maintained for caregivers and household members. Evidence: During inspection the TB screenings for Caregiver 1 and Household member 1 were out of date.”

22VAC40-111-140-B-3

“Based on review of required documentation it was determined that a current CPR certification was not maintained for provider. Evidence: During inspection provider's CPR certification was expired.”