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Anju Thapa

Inspection · 2025-12-11

Date
2025-12-11
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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
8VAC20-820 THE LICENSE.
8VAC20-790 Special Services
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 12/11/2025, as a part of the licensure period. The on-site inspection began at 12:12pm and ended at 1:31pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 caregivers; the point total was 27. The inspector reviewed 5 children?s records and 2 caregiver records on-site. This inspection included: document review, tour of the facility, interviews, and 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.

Violations

4
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Caregiver #2's completed national criminal background check was received one month after the first day of employment.
Plan of Correction: The provider will make sure to receive the results of a national background check before an employee's first day of employment.
Standard 8VAC20-800-170-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Caregiver #2's TB was dated 1 year, seven months prior to the date of employment and has been employed for three months.
Plan of Correction: I will make sure the first TB screening is within 30 days of first day of employment.
Standard 8VAC20-800-60-B
Children's records are required to contain the address of two designated persons to
contact in case of an emergency if the parent cannot be reached and the name of the child's medical insurance.

The record for Child #1 (in care for almost one month) was missing the address of the second emergency contact.
The record for Child #4 (in care for over two years) was missing the medical insurance name.
Plan of Correction: I will get the information from the parents.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #2, 21 months old, last documented immunization was over 12 months ago.
Plan of Correction: I will ask the parents for an updated immunization record.
View original record on Virginia Department of Social Services