Subhadra Parajuli

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 Caregiver #3 were not completed and were both overdue by three weeks.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for children #2 and #4 did not have a parent’s signature for an annual review of the emergency contact information. The annual review for Child #2 was overdue by three months. The annual review for Child #4 was overdue by two months.”

8VAC20-790-250-F

“Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department's health and safety update course. The annual training in the record for Caregiver #1, #2, and #3 did not contain documentation of the completion of the department's health and safety update course for 2026. This training is past due seven months for each caregiver.”

8VAC20-800-60-B

“Children's records are required to contain results of a health examination. The record for Child #4 was missing the results of a health examination. The provider confirmed that the Child #4 had completed a physical examination but the results were not saved in their record.”

8VAC20-800-290

“Sharp kitchen utensils and other sharp objects shall be inaccessible to children. Sharp knives were observed in an unsecured kitchen drawer, accessible to children.”

8VAC20-800-280

“Potentially poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were observed in an unsecured cabinet under the kitchen sink, accessible to children. Four cosmetic products, lotion, cologne, hand sanitizer (label states to keep out of reach of children), and a shower cleaner were observed in two bathrooms, accessible to children. Caregiver #2 confirmed that both bathrooms are used by the children.”

8VAC20-800-250-A

“Hanging items, including appliance cords, shall be out of reach of children under five years of age. At the time of the inspection, there were cords for a telephone and mounted camera within reach of Child #1, 2, 3, 4, and 5, who are all under five years of age.”

8VAC20-800-170-A

“The provider shall must obtain from each adult household member prior to coming into contact with the children, a current Report of Tuberculosis Screening (TB) documenting the absence of TB in a communicable form. There was no TB screening documenting the absence of TB for Household Members #1, #2, and #3, who have been residing in the family day home for over 30 days.”

8VAC20-800-150-D-2

“An assistant who is left alone with children in care shall have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Caregiver #2 does not have current certification in first aid from an approved organization.”

8VAC20-800-150-D-1

“An assistant who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Caregiver #2 does not have current certification in CPR from an approved organization.”

8VAC20-800-140-B-4

“Providers and substitute providers shall have a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Caregiver #1 and #3 do not have a current first aid certification obtained through an approved organization.”

8VAC20-800-140-B-3

“Providers and substitute providers shall have a current certification in cardiopulmonary resuscitation (CPR) and first aid, as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Caregiver #1 and #3 did not have a current CPR certification obtained through an approved organization at the time of the inspection.”

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. The provider did not obtain documentation of a physical examination for Child #6. Child #6 has been enrolled for over nine months.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. Caregiver #2 confirmed that a lockdown drill was not completed for 2025.”

22.1-289.036-B-3

“REPEAT VIOLATION Household members 14 years of age and older must obtain the results of a central registry search by the end of the 30th day of residence. Household Member #3 did not have central registry results during the inspection and has been residing in the home for over 30 days.”

22.1-289.036-B-1

“REPEAT VIOLATION The provider is required to obtain a completed sworn statement or affirmation disclosing whether household members age 18 years or older have ever been convicted of or is the subject of any pending criminal charges for any offense within or outside the Commonwealth and whether or not they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. At the time of inspection, there was no sworn statement completed for Household Member #3, who has lived in the family day home for 30 days.”

22.1-289.036-B-2

“REPEAT VIOLATION Providers must obtain a completed national criminal background fingerprint check within the 30-days of a new house hold members arrival. Household Member #3's fingerprint check was completed 39 days after the household member began residing in the home”

22.1-289.036-B-3

“Providers must submit a central registry request by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a central registry search requested.”

22.1-289.036-B-1

“Providers must obtain a completed sworn statement by the end of the 30th day for new household members. Household member #4 and #5 who had been living in the residence for six months, did not have a sworn statement completed.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a completed national criminal background check.”

22.1-289.036-B-3

“Providers must submit a central registry request by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a central registry search requested.”

22.1-289.036-B-1

“Providers must obtain a completed sworn statement by the end of the 30th day for new household members. Household member #4 and #5 who had been living in the residence for six months, did not have a sworn statement completed.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check by the end of the 30th day for new household members. Household members #4 and #5, who had been living in the residence for six months, did not have a completed national criminal background check.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. 'Child #4, 20 months old, last documented immunization was over seven months ago.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. 'Child #4, 20 months old, last documented immunization was over seven months ago.”

8VAC20-800-790

“Based on observation and interview, the responsible person for emergency backup was not posted in a visible area close to the telephone. Evidence: 1. The telephone number for the responsible person for emergency backup was not posted. 2. The provider acknowledged the telephone number of the responsible person was not posted as required.”

8VAC20-800-790

“Based on observation and interview, the responsible person for emergency backup was not posted in a visible area close to the telephone. Evidence: 1. The telephone number for the responsible person for emergency backup was not posted. 2. The provider acknowledged the telephone number of the responsible person was not posted as required.”

8VAC20-800-770

“Based on observation, it was determined the battery-operated weather band radio was not working properly. Evidence: 1. The battery-operated weather band radio would not operate even when new batteries were installed.”

22.1-289.035-A

“Based on record review, the provider did not obtain documentation for a 5-year repeat background check. Evidence: The record for caregiver #2 did not have documentation of an updated central registry check (expired on 1/5/2023). This is a repeat violation.”

8VAC20-800-790

“Based on observation, the provider failed to post 911 or local dial number for the police, fire and emergency medical responders in a visible area close to the telephone. Evidence: The 911 or local dial number for the police, fire, and emergency medical responders was not posted near the telephone.”