Alicia Villagra

8VAC20-800-100-A

“Repeat Violation The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #1, #2, and #4, who had been in care for over 90 days.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The immunization record for Child #2 was received over one month after the child started attending.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. The record for Child #3 (enrolled over 2 years) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 5 months.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering. Caregiver #2 did not wash Child #2?s hands after a diaper change.”

8VAC20-800-280

“Repeat Violation Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were located on a low shelf on the countertop within reach of children.”

8VAC20-800-100-A

“Repeat Violation The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #2, in care for 11 months.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly. The provider confirmed the fire drill for January was not conducted.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. There was no record of a lockdown procedure being conducted.”

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. During the inspection, 7 children were present but only 6 children were signed in. Child #1 had arrived an hour and a half prior to the inspection and not recorded on the daily attendance record.”

8VAC20-800-200-C

“Documentation of orientation for assistants shall be signed and dated by the provider and substitute provider or by the provider and assistant. Caregiver #2 (employed over 1 year), Caregiver #3 (employed over 18 years), and Caregiver #4 (employed over 1 year) did not have documentation of orientation.”

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination for pets. The provider did not have documentation of rabies vaccination for 2 cats in the home.”

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan that included the required information. The provider did not have documentation of an emergency preparedness and response plan available.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/5/2025, were not posted in a conspicuous place on the premises.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by over 2 weeks. An updated TB screening for Caregiver #3 was not completed and was overdue by 12 days.”

8VAC20-800-60-B

“A child’s record shall contain the required information. The record for Child #4 (2 years old), did not contain the name, home address, and telephone number of each parent; the name, address, and telephone number of each custodial parent’s place of employment; the first date of attendance; and the names and addresses of previously attended schools.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #2, in care for over 2 years, and Child #3, in care for over 5 months.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. There was no record of a lockdown procedure being conducted.”

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. During the inspection, 7 children were present but only 6 children were signed in. Child #1 had arrived an hour and a half prior to the inspection and not recorded on the daily attendance record.”

8VAC20-800-200-C

“Documentation of orientation for assistants shall be signed and dated by the provider and substitute provider or by the provider and assistant. Caregiver #2 (employed over 1 year), Caregiver #3 (employed over 18 years), and Caregiver #4 (employed over 1 year) did not have documentation of orientation.”

8VAC20-800-460-D

“The provider shall maintain documentation of the current rabies vaccination for pets. The provider did not have documentation of rabies vaccination for 2 cats in the home.”

8VAC20-800-800-A

“The family day home shall have a written emergency preparedness and response plan that included the required information. The provider did not have documentation of an emergency preparedness and response plan available.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/5/2025, were not posted in a conspicuous place on the premises.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by over 2 weeks. An updated TB screening for Caregiver #3 was not completed and was overdue by 12 days.”

8VAC20-800-60-B

“A child’s record shall contain the required information. The record for Child #4 (2 years old), did not contain the name, home address, and telephone number of each parent; the name, address, and telephone number of each custodial parent’s place of employment; the first date of attendance; and the names and addresses of previously attended schools.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #2, in care for over 2 years, and Child #3, in care for over 5 months.”

8VAC20-790-250-D-2

“Within 90 days of employment, all caregivers are required to have current certification in First Aid. Caregiver #3, employed for over 5 months, did not have current certification in First Aid.”

8VAC20-790-250-D-1

“Within 90 days of employment, all caregivers are required to have current certification in CPR. Caregiver #3, employed for over 5 months, did not have current certification in CPR.”

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver #3 provided care for children for over five months without receiving orientation.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #3, who had been employed for over five months, did not have a completed national criminal background check.”

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the caregiver's first day of employment. The central registry request for Caregiver #3, who had been employed for over five months, was requested 33 days after employment.”

8VAC20-800-540-A

“Infant carrier seats shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Child #1, 4 months old, was observed unbuckled and asleep in a car seat, which was placed inside of a crib.”

8VAC20-800-120-B

“REPEAT VIOLATION Providers must maintain a record for each caregiver that contains the required information. The record for Caregiver #2 did not contain verification of age and documentation of the required education and training. The record for Caregiver #3 did not contain verification of age, the name, address, and telephone number of a person to be notified in an emergency, documentation that two or more references were checked before employment, documentation of the required education and training, and documentation of a tuberculosis screening.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver #3, who has been caring for children for over five months.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were in an unlocked lower cabinet under the sink in the main room with children present.”

8VAC20-790-250-D-2

“Within 90 days of employment, all caregivers are required to have current certification in First Aid. Caregiver #3, employed for over 5 months, did not have current certification in First Aid.”

8VAC20-790-250-D-1

“Within 90 days of employment, all caregivers are required to have current certification in CPR. Caregiver #3, employed for over 5 months, did not have current certification in CPR.”

8VAC20-800-200-A

“The provider must orient assistants by the end of their first week of assuming job responsibilities. Caregiver #3 provided care for children for over five months without receiving orientation.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver #3, who had been employed for over five months, did not have a completed national criminal background check.”

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the caregiver's first day of employment. The central registry request for Caregiver #3, who had been employed for over five months, was requested 33 days after employment.”

8VAC20-800-540-A

“Infant carrier seats shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Child #1, 4 months old, was observed unbuckled and asleep in a car seat, which was placed inside of a crib.”

8VAC20-800-120-B

“REPEAT VIOLATION Providers must maintain a record for each caregiver that contains the required information. The record for Caregiver #2 did not contain verification of age and documentation of the required education and training. The record for Caregiver #3 did not contain verification of age, the name, address, and telephone number of a person to be notified in an emergency, documentation that two or more references were checked before employment, documentation of the required education and training, and documentation of a tuberculosis screening.”

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver #3, who has been caring for children for over five months.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning chemicals were in an unlocked lower cabinet under the sink in the main room with children present.”

8VAC20-790-430-A-3

“REPEAT VIOLATION Based on documentation review, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: On the date of inspection, the emergency drills provided did not have a lockdown drill. Provider stated they have not done one.”

8VAC20-790-180-B

“Based on document review, the vendor did not maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: -On the day of inspection, 8/7/24, the attendance record already listed the departure time of each child in care. -The arrival and departure times of 12 children were already documented for 8/8/24 and 8/9/24.”

8VAC20-800-840-A

“Based on interview, the provider did not ensure to record child injuries or accidents sustained by a child while at the family day home. Evidence: The provider stated they tell the parent at pick-up time about injuries but does not record in the child’s record injuries or accidents.”

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance. Evidence: Child #5 (date of enrollment 7/12/23) does not have a physical examination on file.”

8VAC20-800-120-A

“Based on observation and interview, the provider did not maintain a record for each caregiver. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help and then a minute later assistant #1 returned. The provider stated the person who she had called to help and who arrived was assistant #1?s daughter. The provider does not have any record or the requirements for assistant #2.”

8VAC20-800-120-B

“Based on file review, the provider did not maintain the required information for assistants. Evidence: -The documentation for assistant #1 did not include verification of age, date of employment, or an emergency contact.”

8VAC20-800-50-A

“Based on document review, the provider did not keep a written record of children in attendance each day. Evidence: -The attendance record for 8/7/24 listed 11 children. Child #6 and Child #7 were signed in on the attendance record but were absent. Child #12 was in attendance but was not signed in.”

8VAC20-800-50-B

“Based on record review and interview, the provider did not maintain all the required records in the home. Evidence: -Documentation for annual training was not available at the time of inspection. -Documentation for substitute provider information was not available at the time of inspection. -Rabies information for cats was not available at the time of inspection.”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, the provider did not obtain the required information for children’s records. Evidence: The record for Child #5 (date of enrollment 7/12/23) did not have the name, address, and telephone number of each parent’s place of employment.”

8VAC20-800-80-C

“Based on record review, the provider did not document the required information for proof of age and identity. Evidence: -Child #1 (date of enrollment 12/26/23) did not have documentation for the date proof of age and identity was viewed and by who. -Child #2 (date of enrollment 7/22/24) did not have documentation for the date proof of age and identity was viewed and by who. -Child #5 (date of enrollment 7/12/23) did not have documentation for the date proof of age and identity was viewed and by who.”

8VAC20-800-570-A

“Based on observation and interview, the provider exceeded the 16 point maximum. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help, and then a minute later assistant #1 returned.”

22.1-289.011-F

“REPEAT VIOLATION Based on observation, the provider did not have the most recent violation notice and inspection summary posted. Evidence: The most recent violation notice and inspection summary (date of last inspection 2/6/24) was not posted.”

8VAC20-790-430-A-3

“REPEAT VIOLATION Based on documentation review, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: On the date of inspection, the emergency drills provided did not have a lockdown drill. Provider stated they have not done one.”

8VAC20-790-180-B

“Based on document review, the vendor did not maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: -On the day of inspection, 8/7/24, the attendance record already listed the departure time of each child in care. -The arrival and departure times of 12 children were already documented for 8/8/24 and 8/9/24.”

8VAC20-800-840-A

“Based on interview, the provider did not ensure to record child injuries or accidents sustained by a child while at the family day home. Evidence: The provider stated they tell the parent at pick-up time about injuries but does not record in the child’s record injuries or accidents.”

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance. Evidence: Child #5 (date of enrollment 7/12/23) does not have a physical examination on file.”

8VAC20-800-120-A

“Based on observation and interview, the provider did not maintain a record for each caregiver. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help and then a minute later assistant #1 returned. The provider stated the person who she had called to help and who arrived was assistant #1?s daughter. The provider does not have any record or the requirements for assistant #2.”

8VAC20-800-120-B

“Based on file review, the provider did not maintain the required information for assistants. Evidence: -The documentation for assistant #1 did not include verification of age, date of employment, or an emergency contact.”

8VAC20-800-50-A

“Based on document review, the provider did not keep a written record of children in attendance each day. Evidence: -The attendance record for 8/7/24 listed 11 children. Child #6 and Child #7 were signed in on the attendance record but were absent. Child #12 was in attendance but was not signed in.”

8VAC20-800-50-B

“Based on record review and interview, the provider did not maintain all the required records in the home. Evidence: -Documentation for annual training was not available at the time of inspection. -Documentation for substitute provider information was not available at the time of inspection. -Rabies information for cats was not available at the time of inspection.”

8VAC20-800-60-B

“REPEAT VIOLATION Based on record review, the provider did not obtain the required information for children’s records. Evidence: The record for Child #5 (date of enrollment 7/12/23) did not have the name, address, and telephone number of each parent’s place of employment.”

8VAC20-800-80-C

“Based on record review, the provider did not document the required information for proof of age and identity. Evidence: -Child #1 (date of enrollment 12/26/23) did not have documentation for the date proof of age and identity was viewed and by who. -Child #2 (date of enrollment 7/22/24) did not have documentation for the date proof of age and identity was viewed and by who. -Child #5 (date of enrollment 7/12/23) did not have documentation for the date proof of age and identity was viewed and by who.”

8VAC20-800-570-A

“Based on observation and interview, the provider exceeded the 16 point maximum. Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help, and then a minute later assistant #1 returned.”

22.1-289.011-F

“REPEAT VIOLATION Based on observation, the provider did not have the most recent violation notice and inspection summary posted. Evidence: The most recent violation notice and inspection summary (date of last inspection 2/6/24) was not posted.”

22.1-289.011-F

“Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (08/2023) were not posted.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2024 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of January 2024.”

8VAC20-800-280

“*REPEAT VIOLATION* Based on observation, potentially poisonous substances and supplies, were not stored away in areas inaccessible to children. Evidence: 1) On the date of inspection, the following items were observed in the cabinet under the sink in the bathroom of the care area. The cabinet was unlocked. - a bottle of bubbles solution, a bottle of glass cleaning solution (Windex) 2) The following items were observed on shelves that were not high enough for them to be inaccessible to children: one bottle of hand sanitizer, a container of Clorox wipes and a can of Lysol spray.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the phone number of one custodial parent's place of employment 2) The record for Child #3 did not contain the name, office address and telephone number of the child's physician. 3) The records for Child #1 and Child #3 did not contain the first date of attendance. 4) The record for Child #3 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately, and proof of the child's age and identity.”

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of required information. Evidence: 1) The record for Child #2 did not contain a written acknowledgement of having received required information regarding the family day home.”

22.1-289.035-B-4

“Based on record review, the provider did not ensure did not ensure that out-of-state Central Registry search results are obtained every five years for employees. Evidence: 1) The most recent out-of-state Central Registry search request results available in the record for Caregiver #2 were dated 04/13/2018.”

8VAC20-800-100-A

“Based on record review, the provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 12/26/2023) did not contain the results of a physical examination.”

8VAC20-790-250-D-2

“Based on record review, the vendor did not ensure that all caregivers have current certification in first aid appropriate to the ages of children in care. Evidence: 1) The first aid certification in the record for Caregiver #2 was dated 09/29/2021. (exp 09/29/2023)”

8VAC20-790-250-D-1

“Based on record review, the vendor did not ensure that all caregivers have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The CPR certification in the record for Caregiver #2 was dated 09/29/2021. (exp 09/29/2023)”

8VAC20-790-430-A-3

“Based on documentation review, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: 1) 1) On the date of inspection, the 2023 emergency drills log provided for review, did not have a lockdown drill documented for the month of December 2023.”