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Ms. Kamala Siwakoti

Inspection · 2025-10-23

Date
2025-10-23
Complaint Related
No
Licensing Inspector
Sharon Allen
(540) 272-2941
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on 10/23/2025. The on-site inspection began at 1:15 p.m. and ended at 2:15 p.m. The inspector reviewed compliance in the areas listed above. There were two children present and one caregiver; the point total was four. The inspector reviewed two children?s records and three caregiver/household members records on-site.

This inspection included:
? document review
? tour of the facility
? interviews
? observations

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/10/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.011-F
Required documents shall be posted in a conspicuous place on the licensed premises.

The most recent inspection report was not posted in a conspicuous place in the family day home as required.
Plan of Correction: Will be posted on bulletin board.
Standard 22.1-289.036-B-1
The provider is required to obtain a completed sworn statement for adults prior to moving into the family day home.

Household Member A, who has been living in the family day home for more than six months did not have documentation of completing a Sworn Statement or Affirmation form.
Plan of Correction: Done and in file.
Standard 22.1-289.036-B-2
Adults living in the family day home are required to obtain a completed national criminal background check within 30 days of residing in the family day home.

Household Member A, who has been living in the family day home for more than six months did not have documentation of a determination letter based on fingerprinting from a national criminal background check.
Plan of Correction: Fingerprint submitted 10/28/25 pending results.
Standard 22.1-289.036-B-3
Adults living in the family day home are required to obtain a completed central registry check within 30 days of residing in the family day home.

Household Member A, who has been living in the family day home for more than six months did not have documentation of a completed Virginia central registry check.
Plan of Correction: VA Background check done and received.
Standard 22.1-289.036-B-4
The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years for new adult household members within the first 30 days of residing in the home.

The record for Household Member A who has lived in the home for more than 6 months, did not have documentation of requesting a central registry check or sex offender check from the state the household member reportedly resided within the last five years.
Plan of Correction: VA Background check has been submitted and received clear. Out of state sex offender check has been submitted and received clear. Oregon has been submitted and pending. Texas has been submitted and pending.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and each adult household member prior to coming into contact with children.

There was no tuberculosis screening for Household Member A who has resided in the home for over six months.
Plan of Correction: Household submitted TB on 10/29/2025 and pending results.