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Meena Kandel

Inspection · 2025-04-28

Date
2025-04-28
Complaint Related
No
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
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.
8VAC20-820 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 4/28/2025. The on-site inspection began at 11:20 AM and ended at 1:30 PM. The inspector reviewed compliance in the areas listed above. There were 9children present and 3 caregivers; the point total was (#). The inspector reviewed 4 children?s records and 3 caregiver/household member(s) records. This inspection included document review, a tour of the family day home, 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

10
Standard 8VAC20-800-200-C
REPEAT VIOLATION
Documentation of orientation shall be signed and dated by the provider and caregiver.

Caregiver #3s record did not contain documentation that the provider had completed orientation training with the caregiver.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Caregiver #1 completed 11 training hours in 2024. Caregiver #2 did not complete any training during 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-C
Information contained in a child's record shall be privileged and confidential.

The Supplemental Page from the most recent inspection, containing children and staff information, was observed posted at the family day home.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-A
Cots being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover.

Child #1 was observed napping without a top cover.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-G
Children under two years of age shall not use pillows.

Child #3 (20 months) was observed napping on a cot with a with a pillow.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-590-A
Infants shall be placed on their backs when sleeping or napping.

Child #6 (15 months) and child #7 (10 months) were observed being laid to sleep on their stomachs when placed in their cribs for nap.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after each diaper change.

Child #5 was observed having a diaper change. The child was placed directly into an activity chair after the diaper change. The childs hands were not washed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-690-D
The diaper surface shall be cleaned and sanitized after each use.

The diaper changing surface was not cleaned and sanitized after child #5 received a diaper change.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

The provider has not documented a review of the emergency preparedness plan since 5/29/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child's full name and the date.

Three infant bottles were observed stored in the providers refrigerator that was not labeled with a childs name or todays date.
Plan of Correction: Not available online. Contact Inspector for more information.