Uzma Ashar

8VAC20-800-650-E

The provider shall notify the parent immediately when the child has a head injury or any serious injury that requires emergency medical or dental treatment. On April 24, 2026, Child #4 (3 years old) fell off a child sized couch, hitting their face and causing their nose to bleed. The provider did not immediately notify the parent of the injury. Complaint related: No

8VAC20-800-840-B

An injury or accident sustained by a child while at the family day home shall be recorded and include the required information. The injury record from April 24, 2026, for Child #4 (3 years old) did not include the date and time when parents were notified, the caregiver and parent signatures or two caregiver signatures; and documentation on how the parent was notified. Complaint related: No

8VAC20-800-50-C

Information contained in a child's record shall be privileged and confidential. The supplemental page from the most recent inspection on 10/21/2025 containing confidential information was posted on the parent bulletin board.

8VAC20-800-60-B

An up-to-date record for each child enrolled shall be maintained by the provider with the required information. The record for Child #4 (enrolled over 5 months) was missing the home address of each parent; the name, address and telephone number for each parent?s place of employment; and the addresses of two emergency contacts.

8VAC20-800-80-C

The provider shall document in the child's record that they verified the child's proof of identity. The record for Child #4 (enrolled over 5 months) did not contain documentation that the provider verified the child?s proof of identity.

8VAC20-800-90-C

Documentation of additional immunizations is required once every six months for children under the age of two years. Child #1, 15 months old, last documented immunization was over 7 months ago and overdue by 1 month.

8VAC20-800-180-A

A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 was not done and overdue by 1 week. An updated TB screening for Household Member #2 was not done and overdue by over 2 weeks.

8VAC20-800-320-A

Small electrical appliances shall be unplugged unless being used by the caregiver. The kitchen contained a blender that was plugged in and not in use.

8VAC20-800-830-C

The provider shall maintain documentation of emergency evacuation drills that includes the required information. The last documented date of an emergency evacuation drill was on 2/14/25. The provider stated one had been completed for March but had not been documented.