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Minu Thapa

Inspection · 2025-02-25

Date
2025-02-25
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
8VAC20-800 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 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated and completed on 02/25/2025, as a part of the licensure period.

The on-site inspection began at 12:45 pm and ended at 1:20 pm. The inspector reviewed compliance in the areas listed above.

There were 4 children present and the provider; the point total was 14. The inspector reviewed 2 children?s records and 3 caregiver/household members records on-site.

This inspection included document review and tour of the facility.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were 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 5 business days from today, which will be the close of business on 03/05/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: Contacted Fairfax Water and emailed VDH.
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH.

The program did not have evidence of submitting test results to VDH. The provider stated that no test has been coonducted.
Plan of Correction: Reached out to Fairfax Water for water testing. Awaiting their further instruction.
Standard 8VAC20-800-180-A
The provider shall obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years.

The Tb screening for Caregiver #2 was overdue for two months.
Plan of Correction: Caregiver #2 is out of the country. I will make ensure she gets Tb screening before returning to work.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing with the Provisions of the family day home's emergency preparedness and response plan.

The record for Child #1 did not contain acknowledgement that the parents received the Provisions of the Emergency Plan.
Plan of Correction: Provisions of the Emergency Plan for Child #1 has been signed.
Standard 8VAC20-800-830-B
Shelter-in-place procedures shall be practiced a minimum of twice per year.

A second shelter-in-place drill was not practiced for the year 2024.
Plan of Correction: In 2025, I will make sure to conduct shelter-in-place twice.
View original record on Virginia Department of Social Services