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Sushma Pandey Bista

Inspection · 2025-10-16

Date
2025-10-16
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
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

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on October 16, 2025, as a part of the licensure period. The on-site inspection began at 10:25am and ended at 11:25am. The inspector reviewed compliance in the areas listed above. There were eight children present and two caregivers; the point total was 17. The inspector reviewed six children?s records and three caregiver/household member(s) 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 8VAC20-800-140-D
A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

The substitute provider did not record and sign the time of arrivals and departures for each day that they worked.
Plan of Correction: The substitute provider will complete the department's model form to document the arrival and departure times of the days worked.
Standard 8VAC20-800-60-B
Children's records shall contain the policy number of the medical insurance.

The record for Child #4 did not contain the policy number of the medical insurance.
Plan of Correction: The provider will obtain the policy number of Child #4's medical insurance today and document the record.
Standard 8VAC20-800-90-C
Repeat Violation

The family day home shall obtain documentation of additional immunizations for the child who is not exempt from the immunization requirements once every six months for children under the age of two.

Immunization records for Child #4, 18 months old, did not contain additional immunizations once every six months. Documentation of the last immunization was taken when Child #4 was 10 months old and nine months ago.
Plan of Correction: The provider will contact the parent of Child #4 to obtain current immunization records and document the record. Moving forward, the provider will check the records monthly to ensure up to date immunization records for children.
Standard 8VAC20-800-920
When meals or snacks are provided by the family day home, them menu for the current one-week period shall be dated.

The menu for the current one-week period was not dated.
Plan of Correction: The menu was dated for the current week at the time of the inspection. Moving forward, the provider will date the menu each week.
View original record on Virginia Department of Social Services