Elena Cerro

8VAC20-800-60-B

“The child's record shall contain the following information. 2 out of 5 children's records reviewed were missing items in the file. Child 1 and 2 were missing the emergency medical authorization as well as proof of ID. Child 2 was also missing the liability insurance information.”

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. One child out of 5 children's files reviewed is missing the physical examination and has been in care for more than 30 days.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Tuberculosis screening and such screening must be repeated every two years from the date of the first screening. A household member needs a subsequent TB screening done, this is a repeat violation. Household member 1 The assistant needs a subsequent TB screening. Staff 2”

8VAC20-800-180-A

“Each caregiver must have a subsequent TB screening done evert two years. A household member TB screening was last done 4/19/22 and has not been updated.”

8VAC20-800-60-B

“A child's records shall have two emergency contacts. The review of 4 children's record, resulted in two records, Child 1 and 3, missing the second emergency contact.”

8VAC20-800-690-L

“Based on the review of the physical plant, the caregiver failed to empty a potty chair promptly. Evidence: A potty char was located in the hallway and the potty chair had not been emptied after use.”

8VAC20-800-40-A

“Based on observation during the inspection and interview with the provider, the provider failed to ensure that she did not exceed the capacity of her license. Evidence: When the inspector arrived at 10:20 the provider stated that she had 12 children in care. Based on the physical plant inspection, 10 children were playing in the playroom and two younger children were asleep in the crib room. when the physical plant was inspected another child was found in a room usually not used for sleeping. The provider confirmed she had 13 children in care.”

8VAC20-800-210-A

“Repeat Violation Based on interview with the provider, the provider and assistants have failed to get training hours in areas relevant to job responsibilities. Evidence: The provider and assistants have not taken any training hours since the provisional license was issued.”

8VAC20-800-730-D

“Based on the physical plant review, the provider failed to store medication for household members in a locked place. Evidence: Medication for the provider was found on the kitchen hutch, accessible to children and not in a locked place.”

8VAC20-800-50-E

“Based on the review of records, one file was not accessible to the inspector during the inspection. Evidence: The provider had a drop in child in care, the child was previously in the providers care and her file is stored in the attic and could not be accessed during the inspection.”

8VAC20-770-60-C-2

“Repeat Violation, 2nd repeat. Based on the review of the staff records, one staff, staff 2 is missing the Central registry check. Evidence: The staff has been employed since March 2023 and this was first cited on 4/5/23 and again on 11/9/2023. The staff still does not have a check in the file.”

8VAC20-800-140-D

“Based on the review of paperwork, the substitute provider did not keep a time sheet indicating when he was working at the childcare as a substitute. Evidence: The provider is out of the country and another household member is the substitute, The household member failed to record the times he is working at the daycare.”

8VAC20-800-920

“The provider failed to have a weekly menu posted. Evidence: According to interviews with the assistants and substitute provider the parents are told at the end of every day what the children have eaten. Menus are not given to the parents for a week at a time.”

8VAC20-800-60-B

“Repeat violation Based on the review of two children's records, the provider is missing some of the information to make the child's file complete. Evidence: 2 children's files reviewed, information missing from last inspection has not been corrected at this time. One child is missing the immunization record and the physical. The second child is missing the emergency contact addresses.”

8VAC20-800-880

“Based on the observation during the inspection the children did not get all of the components required to meet the USDA's standards for a lunch. Evidence: During the inspection the children did not have any vegetables as part of their lunch.”

22.1-289.011-F

“Based on the physical plant inspection, the provider failed to post the most recent violation notice and inspection summary in a place where the paperwork could be reviewed by parents. Evidence: The most recent inspection summary and violation notice was taped to the refrigerator in the providers kitchen and area where parents do not come.”

8VAC20-800-730-D

“The provider failed to have medications stored in a locked space. Evidence: Albuterol for the provider, children's Claritin and Children's Tylenol is stored on a shelf in the kitchen accessible to children.”

8VAC20-800-690-D

“Based on the review of the diaper changing pad, the pad is absorbent. Evidence: The pad used for changing diapers are covered with a terry cloth cover making it impossible to sanitize after each diaper change.”

8VAC20-800-210-A

“Repeat Violation. Based on the review of the staff files, the provider has not taken any training in the last 14 months. Evidence: Review of the training records for the provider does not show any trainings attended.”

8VAC20-800-730-A

“Based on the review of the physical plant, medications for children and household members are stored in the same place. Evidence: The providers albuterol and children's Tylenol and children's Claritin were found stored on an open shelf of a kitchen cabinet.”

8VAC20-800-50-A

“Based on the review of records, the substitute provider failed to take daily attendance. Evidence: At the inspection, attendance records could not be located for the month of December and no attendance was taken for January 4th and 5th as well as January 8th and 9th.”

8VAC20-800-700-A

“Based on interview with the substitute provider, over the counter medication is being administered as needed without authorization from parents. Evidence: During the inspection, children's Claritin and Children's Tylenol was found on site without any child's name on the container. According to the substitute provider the provider gives this medication to the children after contacting the parents. When asked if they have authorization, the substitute provider showed the decision to administer medication form. No authorization forms on file for either medications.”

8VAC20-770-40-D-4

“Repeat Violation Based on the review of the household members files, one household member is missing a subsequent central registry check. Evidence: Household member 1 is missing a central registry search, his last search was over 5 vears old. This was cited on 11/9/23 and the provider failed to submit the request for a search within 7 days after the citation. The request for a central registry search was sent on 12/13/23.”

8VAC20-800-60-B

“Based on the review of 4 children's records the provider failed to get some information to make the child's file complete. Evidence: Reviewed of 4 children's records, Child1, is missing the physical examination and immunization records. Child 4 is missing addresses for the emergency contacts.”

8VAC20-770-60-C-2

“Repeat Violation Based on the review of staff records, the provider failed to get some background checks required for staff. Evidence: The two assistants are missing the central registry check. Staff 2, was missing the check at the last inspection, DOH 3/1/23. Staff 3 is missing the check and has been working at the providers more than 30 days. DOH 4/21/23”

8VAC20-770-40-D-4

“Based on the review of household members records, the provider failed to get subsequent background checks for some household members. Evidence: Based on the review of records, household member 1,2,3 and 5 are missing the subsequent child protective service check.”

8VAC20-800-210-A

“Based on the review of training records and conversation with the provider, she failed to get 16 hours of training in the last licensing period. Evidence: According to the provider she has been taking English classes but no classes related to caring for children.”

8VAC20-800-690-D

“Based on observation during the inspection, the diapering surface is not non absorbent. Evidence: The diaper pad has several small holes that makes the pad absorbent when sanitized.”

22.1-289.036-B-2

“Based on the review of household member records, the provider failed to get subsequent records . Evidence: Four out of five household members have criminal records checks that are more than 5 years old. Household member 1,3 and 5.”

8VAC20-770-60-C-2

“Based on the review of staff records, the provider failed to get the central registry check for one staff. Evidence: The provider has n assistant that has been at the home for month, no record of the central registry check having been completed in the last month.”

8VAC20-800-730-D

“Based on the inspection of the physical plant, the provider failed to have her own and household members medication in a locked place. Evidence: The provider stores household medication on a shelf in the kitchen, the children have a play space with table and chairs at the other end of the kitchen. The medications are stored approximately 3.5 feet above the ground.”

8VAC20-800-830-A

“Based on the providers records and interview with the provider, the provider failed to conduct monthly emergency evacuation drills. Evidence: No emergency drills were conducted for Dec, Jan, Feb and March.”

8VAC20-800-920

“Based on the inspection of the physical plant, the provider failed to post the menu. Evidence: No menu was posted in the daycare area.”

22.1-289.035-B-2

“Based on the review of staff files, the provider failed to get criminal records checks conducted before the first day of employment. Evidence: The provider has two new assistants, one started on 4/3/23 and the other assistant has been with the provider for a month, according to the provider. Both are missing the fingerprints check that must be done before the first day.”

8VAC20-800-50-A

“Based on the review of the providers record keeping, attendance records could not be located. Evidence: The provider did not have attendance records for the children in care. An attendance sheet with Thursday filled in and August written on the top was located.”

8VAC20-800-130

“Based on the inspection, the assistants can not communicate with the inspector about procedures and the standards. Evidence: Based on interview with the provider and attempted conversation with the two assistants, the assistants can not communicate or understand English.”

8VAC20-800-680-B

“Based on observation during the inspection, a caregiver failed to wash an infants hands after diapering. Evidence: After the assistant changed the child's diaper the child was placed on the floor to play. The inspector reminded the assistant that both the assistant and the child needed to wash hand after the diaper change. The provider came to the room and translated for the assistant.”

8VAC20-800-690-E

“Based on observation during the inspection, the provider did not have a step on trash can available and when one was made available it was not used. Evidence: The providers step on trashcan for diapering was in storage and was found by the provider during the inspection and placed in the child care area. The assistant changed a diaper and did not place it in the trashcan, but on the shelf next to the diaper changing table. The shelf is used for diaper storage. The diaper was wrapped in a plastic bag.”

8VAC20-770-60-B

“Based on the review of staff records, the provider failed to get a completed sworn disclosure statement for an assistant. Evidence: The assistant filled out the sworn disclosure statement but did not sign the form.”

8VAC20-800-960-E

“The provider failed to have bottles labeled with child's name and date. Evidence: The provider has bottles on the counter in the kitchen, none of the bottles are labeled with name and date. One bottle is breastmilk brought from home, the rest are made by the provider as needed.”

8VAC20-770-40-C-1-c

“Based on the review of the provider paperwork, the provider failed to have background checks for a household member. Evidence: A family member moved in to the home September 1st, 2022. The provider does not have any background checks on record for the household member. Household member #3.”

8VAC20-800-60-B

“Based on the review of the children's records, the provider failed to have some items required to make the records complete. Evidence: Based on the review of 3 children's files the following items are missing: Child 1 is missing the physical Child 3 is missing the first page of the physical and a second emergency contact.”

8VAC20-800-460-D

“Based on the review of records, records for the dog and cats present at the home were not accessible. Evidence: A current rabies vaccination certificate could not be viewed during the inspection. The inspector requested that the providers household members, who owns the animals, would email the certificate but it was not received as of 11/15/22.”