Carlos Avila

8VAC20-800-60-B

“A child's record shall contain the following information: name address and number of 2 emergency contacts, and medical insurance policy numbers. 1) Child 3 did not have documentation of an address for their second emergency contact. 2) Child 2 did not have documentation of medical insurance policy number.”

8VAC20-800-920

“When meals and snacks are provided, the menu for the current one-week period shall: be dated, and list substituted foods. The menu posted had Mozzarella sticks, ravioli, and spinach, but the children at rice, meatballs, mushrooms, and corn.”

8VAC20-800-80-A

“Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent: verification of the age and identity of the child. Child 1 and 3 did not have documentation of verification of proof of identity.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. The provider's last documented lockdown drill was in January 2024.”

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. The main level bathroom had an unlocked medicine cabinet with a bottle of children's liquid Tylenol.”

22.1-289.036-A

“The applicant for licensure did not have documentation of a subsequent central registry check, 5 years after the first check. Provider did not have documentation of a subsequent central registry check. The last documented check was on 7/8/2020.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates. The main level bathroom had an unlocked cabinet, under the sink, with Lysol spray, and scrubbing bubbles, both marked to keep out of reach of children.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. The provider's last documented lockdown drill was in January 2024.”

8VAC20-800-730-D

“Medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. The main level bathroom had an unlocked medicine cabinet with a bottle of children's liquid Tylenol.”

22.1-289.036-A

“The applicant for licensure did not have documentation of a subsequent central registry check, 5 years after the first check. Provider did not have documentation of a subsequent central registry check. The last documented check was on 7/8/2020.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates. The main level bathroom had an unlocked cabinet, under the sink, with Lysol spray, and scrubbing bubbles, both marked to keep out of reach of children.”

22.1-289.057-A

“Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher's lounge sinks, nurse's office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption. The provider did not create or submit a plan for testing their water for lead to the Virginia Department of Health by 1/1/2025.”

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's last documented review of the emergency preparedness plan was dated 1/27/2024.”

22.1-289.057-A

“Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher's lounge sinks, nurse's office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption. The provider did not create or submit a plan for testing their water for lead to the Virginia Department of Health by 1/1/2025.”

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's last documented review of the emergency preparedness plan was dated 1/27/2024.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: observed a first aid kit on shelf near the kitchen area and found that there were multiple packets of antacids, aspirin, and acetaminophen inside.”

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit was complete and contained the required minimum items. Evidence: observed that the first aid kit was missing a second triangular bandage.”

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of children's physical examinations prior to a child's attendance or within 30 days after the first day of attendance. Evidence: reviewed 6 children's records and found that Child 1 did not have documentation of a physical examination.”

8VAC20-800-210-A

“Based on review, the provider did not ensure that they completed 16 hours of annual ongoing training. Evidence: reviewed the provider's records and found that they only completed 7.5 hours of annual ongoing training during 2022-2023 and 7 annual clock hours from 2023-2024.”

8VAC20-800-280

“Based on observation, the provider did not ensure that hazardous materials were kept inaccessible to children. Evidence: observed that there was a bottle of bleach water accessible to children on a shelf/cabinet near the kitchen area.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: observed a first aid kit on shelf near the kitchen area and found that there were multiple packets of antacids, aspirin, and acetaminophen inside.”

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit was complete and contained the required minimum items. Evidence: observed that the first aid kit was missing a second triangular bandage.”

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of children's physical examinations prior to a child's attendance or within 30 days after the first day of attendance. Evidence: reviewed 6 children's records and found that Child 1 did not have documentation of a physical examination.”

8VAC20-800-210-A

“Based on review, the provider did not ensure that they completed 16 hours of annual ongoing training. Evidence: reviewed the provider's records and found that they only completed 7.5 hours of annual ongoing training during 2022-2023 and 7 annual clock hours from 2023-2024.”

8VAC20-800-280

“Based on observation, the provider did not ensure that hazardous materials were kept inaccessible to children. Evidence: observed that there was a bottle of bleach water accessible to children on a shelf/cabinet near the kitchen area.”

8VAC20-800-780-B

“Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #2's last annual emergency contact review was on 1/31/2022. 2. Child #3's last annual emergency contact review was on 7/18/2022. 3. Child #4's last annual emergency contact review was on 7/11/2021.”

8VAC20-800-320-A

“Based on observation and interview, small electrical appliances were not unplugged when not in use. Evidence: The home's toaster oven was not unplugged and was not in use at the time of the inspection.”

8VAC20-800-980-A

“Based on record review, not all children's record contained general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: Child #1's record did not contain general written permission for walking.”

8VAC20-800-920

“Based on observation, menus were not dated. Evidence: The menu posted in the home was not dated.”

8VAC20-800-690-E

“Based on observation of the diapering area, the foot-operated receptacle used to dispose of soiled diapers is not hands-free. Evidence: The foot petal on the foot-operated trash can was broken, preventing the trashcan lid from opening on its own.”

8VAC20-800-530-A

“Based on observation, cots when being used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: At the time of the inspection, three cots used for napping were observed not having bottom covers.”

8VAC20-800-780-B

“Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #2's last annual emergency contact review was on 1/31/2022. 2. Child #3's last annual emergency contact review was on 7/18/2022. 3. Child #4's last annual emergency contact review was on 7/11/2021.”

8VAC20-800-320-A

“Based on observation and interview, small electrical appliances were not unplugged when not in use. Evidence: The home's toaster oven was not unplugged and was not in use at the time of the inspection.”

8VAC20-800-980-A

“Based on record review, not all children's record contained general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: Child #1's record did not contain general written permission for walking.”

8VAC20-800-920

“Based on observation, menus were not dated. Evidence: The menu posted in the home was not dated.”

8VAC20-800-690-E

“Based on observation of the diapering area, the foot-operated receptacle used to dispose of soiled diapers is not hands-free. Evidence: The foot petal on the foot-operated trash can was broken, preventing the trashcan lid from opening on its own.”

8VAC20-800-530-A

“Based on observation, cots when being used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: At the time of the inspection, three cots used for napping were observed not having bottom covers.”