Sunita Malvea

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. The physical in the record for Child #1 was obtained 47 days after the child's first day of attendance.”

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 from the date of the first screening. The TB screening in the record for Caregiver #2 was obtained 2 months after the date required to be updated. The TB screening in the record for Caregiver #3 was obtained 4 months after the date required to be updated.”

8VAC20-800-230-A

“The provider shall maintain written documentation of each caregiver's annual training. Documentation of annual training for 2025 for Caregiver #1, 2, and 3 was not available for review during inspection.”

8VAC20-800-60-B

“The provider shall maintain and keep a separate record for each child which shall contain all required information. The record for Child #1 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

8VAC20-800-180-A

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

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. The provider did not take written attendance on December 2-3, 2024.”

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. The record for child #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #3 had been in care for over a year.”

8VAC20-800-90-A

“Based on record review, 2 of 3 children's records reviewed did not contain documentation the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia before the child's first day. Evidence: 1. Child #1 began attending the family day home on 03/01/2023. The immunizations in the record for Child #1 were dated 03/09/2023. 2. Child #2 began attending the family day home on 04/07/2023. The immunizations in the record for Child #2 were dated 04/28/2023.”

8VAC20-800-120-B

“Based on record review, 1 of 2 caregiver records reviewed did not contain all required components. Evidence: 1. The record for Caregiver #1 did not contain the date of employment. 2. References obtained did not contain a date.”

8VAC20-800-510-C

“Based on observation, cots were not at least 12 inches from each other. Evidence: Children were observed sleeping in cots that were less than 12 inches from each other.”