Carmen Stewart Cruz

8VAC20-800-100-A

“Based on review of one children’s records, the provider did not obtain documentation of the child’s physical prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of Child #1, enrolled 09/13/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 10/30/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 11/11/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.”

8VAC20-790-430-A-3

“Based on review of the emergency drill log and interview, the provider did not ensure lockdown procedures were practiced at least annually. Evidence: The 2022 emergency response drill log did not have documentation of a lockdown drill. The provider stated a lockdown drill for the 2022 calendar year had not been conducted”

8VAC20-800-270-A

“Based on observation and interview, the provider did not ensure firearms of every type and purpose were stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. Evidence: 1. An unloaded firearm was observed in an unlocked bin on the top shelf of a closet in a bedroom. The bedroom door was locked, however the firearm was not locked in an approved container. 2. The provider acknowledged the firearm was not locked.”

8VAC20-800-210-A

“Based on review of two caregiver records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 and caregiver #2, both had 14 hours of annual training between the period of 02/11/2021 through 02/10/2022 when 16 hours was required. 2. The provider stated that caregiver #1 and caregiver #2 had not completed all 16 hours of annual training.”

8VAC20-800-90-A

“Based on review of four children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home. Evidence: The record of child #4, enrolled 09/13/2022, did not contain documentation of immunizations exceeding the first day of attendance”

8VAC20-800-100-A

“Based on review of four children’s records, the provider did not obtain documentation of one child’s physical prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of Child #4, enrolled 09/13/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-800-830-B

“Based on review of the emergency drill log and interview, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year. Evidence: The 2022 emergency evacuation log had one shelter in place drill documented on 02/21/2022 when a minimum of two shelter in place drills is required per year. The provider stated she had only conducted the one shelter in place drill for the 2022 calendar year”

8VAC20-800-270-B

“Based on observation and interview, the provider did not ensure ammunition was stored in a locked container, compartment, or cabinet during the family day home's hours of operation. Evidence: 1. A box of ammunition was observed being kept unlocked in a case on the top shelf of a closet in a bedroom. The bedroom door was locked however the ammunition was not locked. 2. The provider acknowledged the ammunition was not locked.”

8VAC20-790-250-F

“Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually. Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 10/30/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 11/11/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.”

8VAC20-790-430-A-3

“Based on review of the emergency drill log and interview, the provider did not ensure lockdown procedures were practiced at least annually. Evidence: The 2022 emergency response drill log did not have documentation of a lockdown drill. The provider stated a lockdown drill for the 2022 calendar year had not been conducted”

8VAC20-800-270-A

“Based on observation and interview, the provider did not ensure firearms of every type and purpose were stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition. Evidence: 1. An unloaded firearm was observed in an unlocked bin on the top shelf of a closet in a bedroom. The bedroom door was locked, however the firearm was not locked in an approved container. 2. The provider acknowledged the firearm was not locked.”

8VAC20-800-210-A

“Based on review of two caregiver records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 and caregiver #2, both had 14 hours of annual training between the period of 02/11/2021 through 02/10/2022 when 16 hours was required. 2. The provider stated that caregiver #1 and caregiver #2 had not completed all 16 hours of annual training.”

8VAC20-800-90-A

“Based on review of four children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home. Evidence: The record of child #4, enrolled 09/13/2022, did not contain documentation of immunizations exceeding the first day of attendance”

8VAC20-800-100-A

“Based on review of four children’s records, the provider did not obtain documentation of one child’s physical prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of Child #4, enrolled 09/13/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-800-830-B

“Based on review of the emergency drill log and interview, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year. Evidence: The 2022 emergency evacuation log had one shelter in place drill documented on 02/21/2022 when a minimum of two shelter in place drills is required per year. The provider stated she had only conducted the one shelter in place drill for the 2022 calendar year”

8VAC20-800-270-B

“Based on observation and interview, the provider did not ensure ammunition was stored in a locked container, compartment, or cabinet during the family day home's hours of operation. Evidence: 1. A box of ammunition was observed being kept unlocked in a case on the top shelf of a closet in a bedroom. The bedroom door was locked however the ammunition was not locked. 2. The provider acknowledged the ammunition was not locked.”

22VAC40-111-290

“Based on observation and interview, the provider did not ensure sharp kitchen utensils were inaccessible to children in care. Evidence: 1. A knife block with knives was observed on the kitchen counter. Children have access to the kitchen and a child was observed at the table in the kitchen at the time of the inspection. 2. The provider acknowledged the knives in the knife block on the kitchen counter.”

22VAC40-111-770

“Based on observation and interview, the provider did not maintain a working portable battery-operated weather band radio and extra batteries that were available to caregivers at all times. Evidence: 1. The battery-operated radio did not work. 2. The provider stated she did not have additional batteries for the radio.”

22VAC40-111-800-B

“Based on review and interview, the provider did not document in writing each review and update to the emergency plan at least annually as required. Evidence: 1. The last documented update/ review of the emergency plan was dated 11/11/2018, exceeding the annual requirement. 2. The provider stated the emergency plan had not been reviewed or updated in the past year.”

22VAC40-111-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver and adult household member a current report of tuberculosis screening every two years from the date of the first screening. Evidence: 1. The most recent documentation of tuberculosis screening for caregiver #1 was dated 12/28/2017, exceeding the requirement to obtain every two years. 2. The most recent documentation of tuberculosis screening for caregiver #2 was dated 08/04/2017, exceeding the requirement to obtain every two years.”

22VAC40-111-210-A

“Based on review of two caregivers records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 had documentation of 2.5 hours of annual training for the period of 02/11/2020 through 2/10/2021 when 16 hours was required. 2. Caregiver #2 did not have documentation of 16 hours of training for the period of 02/11/2020 through 02/10/2021 when 16 hours was required. 3. The provider stated caregiver #1 and caregiver #2 did not complete the required 16 hours of training.”

22VAC40-111-280

“Based on observation, the provider did not ensure potentially poisonous substances, materials and supplies such as, but not limited to cleaning agents, disinfectants and deodorizers were stored away away from food in areas inaccessible to children. Evidence: 1. An unlocked child safety latch was observed on a cabinet below the kitchen sink. The provider opened the cabinet where dry food goods were being stored along with cleaning products. 2. The closet used for children's belonging was not locked and had sanitizers / disinfectant spays on a low shelf accessible to children in care.”