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Sarita Dhakal

Inspection · 2026-03-05

Date
2026-03-05
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
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.
Yes

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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

During the inspection, the inspector reviewed the areas listed above. 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 monitoring inspection was initiated and completed on 3/5/2026, as a part of the licensure period. The on-site inspection began at 2:05 pm and ended at 3:37 pm. The inspector reviewed compliance in the areas listed above. There were five children present and two caregivers; the point total was 12. The inspector reviewed five children?s records and two caregiver's records on-site. This inspection included: document review, tour of the facility, interviews, and observations.

A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI.

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 business days from today, which will be the close of business on 3/13/26. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-790-180-B
The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

The attendance sheet for the current week was missing arrival and departure times for children who attended yesterday and today, March 4-5, 2026.
Plan of Correction: Corrected - The attendance record was updated for March 4-5 and will be complete going forward.
Standard 8VAC20-790-250-F
Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course.

Caregiver #1 and #2 did not have documentation that showed completion of the department's health and safety update training course for 2025.
Plan of Correction: The annual health and safety update training will be completed by both caregivers with documentation kept on file by the end of the month.
Standard 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.

Child #2, who has been enrolled more than 30 days, did not have documentation of a physical examination.
Plan of Correction: Corrected - Physical examination documentation was obtained for Child #2.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record at the family day home for each enrolled child.

There was no record for Child #4 who was enrolled and attending the program on the day of the inspection.
Plan of Correction: Corrected - Record obtained for Child #4.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

The files for Child #3 and Child #5 did not contain signed acknowledgement of an annual review of emergency contact information. Child #3's was signed by not dated and Child #5's was last acknowledged over 14 months ago.
Plan of Correction: Corrected - The annual review of emergency contact information has now been completed and documented for Child #3 and #5.