Fabiola Bruch

22.1-289.011-F

“REPEAT VIOLATION SYSTEMIC DEFICIENCY 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 March 24, 2026, were not posted in a conspicuous place on the premises.'”

8VAC20-800-250-E

“REPEAT VIOLATION Latex gloves, balloons, and empty plastic bags large enough for a child’s head to fit inside shall be inaccessible to children under five years of age. In the bathroom, there was a box of gloves within reach of children and there were five children in care under the age of five.”

8VAC20-800-280

“REPEAT VIOLATION Potentially poisonous substances, materials and supplies shall be stored in areas inaccessible to children. The door to the garage from the area where the care is provided, was unlocked and accessible to the children. In the garage, there were various poisonous substances on shelves and within reach of children.”

8VAC20-790-390-A

“Children’s hands shall be washed with soap and running water of disposable wipes before and after eating meals or snacks. Four of the five children in care were observed to not wash their hands after they ate lunch.”

8VAC20-790-250-F

“Caregivers who work directly with children, shall annually attend at least 16 hours of training to include the department’s health and safety update course. The provider did not complete the department’s health and safety update during the 2025-2026 training year.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down or riding in vehicles. Three children, ages two to three years old, were walking around and/or playing while eating during lunch time.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check by the end of the 30th day for new household members. Household Member #3, who had been residing in the home for six months, did not have a completed national criminal history check.”

22.1-289.036-B-3

“The provider must request a search of the central registry by the end of the 30th day for new household members. Household Member #3, who had been residing in the home for six months, did not have a request for a search of the central registry.”

8VAC20-790-180-B

“REPEAT VIOLATION The vendor shall maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. At the time of the inspection, only one of the five children present were listed on the attendance sheet.”

8VAC20-790-430-A-3

“REPEAT VIOLATION Lockdown procedures shall be practiced at least annually. There was no documentation that lockdown procedures had been practiced within the last year.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The provider did not have documentation of immunizations for Child #2, who had been attending for one week.”

8VAC20-800-170-A

“The provider shall obtain from each adult household member prior to coming in contact with children a current Report of Tuberculosis Screening. Household Member #3, who had been residing in the home for six months, did not have a current Report of Tuberculosis Screening.”

8VAC20-800-250-E

“Latex gloves, balloons, and empty plastic bags large enough for a child’s head to fit inside shall be inaccessible to children under five years of age. In the bathroom, there was a box of gloves within reach of children and there were four children in care under the age of five.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies shall be stored in areas inaccessible to children. In the bathroom, there was air freshener and sanitizing wipes within reach of the children. The door to the garage from the area where care is provided, was unlocked and accessible to the children. In the garage, there were various poisonous substances within reach of children.”

22.1-289.011-F

“REPEAT VIOLATION 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 10/17/2025, were not posted in a conspicuous place on the premises.”

22.1-289.036-B-1

“The provider is required to obtain a completed sworn statement by the end of the 30th day for new household members. Household Member #3, who had been residing in the home for six months, did not have a completed sworn statement.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. Lockdown procedures had not been practiced within the last year and a half since the program had opened.”

8VAC20-790-180-B

“REPEAT VIOLATION 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 The attendance record did not include arrival and departure times for October 16, 2025 and arrival times for the day of the inspection.”

8VAC20-800-830-B

“REPEAT VIOLATION Shelter-in-place procedures shall be practiced a minimum of twice per year. Within the year and a half that the program has been opened, shelter-in-place has not been practiced.”

8VAC20-770-60-B

“REPEAT VIOLATION SYSTEMIC VIOLATION A child’s record shall contain all of the required information. The record for Child #2, enrolled for one year, was missing the following required components: address and telephone number of each custodial parent’s place of employment; and an address of both designated persons to contact in case of an emergency and the parents cannot be reached. The record for Child #4, enrolled for more than one month, was missing the following required components: name, address and phone number of one custodial parent’s place of employment, phone number of the second custodial parent’s place of employment and the telephone number of the child’s physician.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information to ensure that the information is correct and obtain the parent’s signed acknowledgement of the review. The annual review of emergency contact information for Child #2 was past due by six weeks and had not been completed. The annual review of emergency contact information for Child #5 was past due by one month and had not been completed.”

8VAC20-800-80-A

“REPEAT VIOLATION Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the child’s parents verification of the identity and age of the child. Child #4, enrolled for six weeks, did not have documentation of identity and age verification.”

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within the range of 105-120 degrees. The water in the bathroom sink was 127 degrees.”

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 04/28/2025, were not posted in a conspicuous place on the premises.”

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 an update to the emergency plan. The emergency plan review was seven months past due.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually. The provider did not complete sixteen clock hours of training for the 2024-2025 training year.”

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. Lockdown procedures had not been practiced within the last year and a half since the program had opened.”

8VAC20-790-180-B

“REPEAT VIOLATION 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 The attendance record did not include arrival and departure times for October 16, 2025 and arrival times for the day of the inspection.”

8VAC20-800-830-B

“REPEAT VIOLATION Shelter-in-place procedures shall be practiced a minimum of twice per year. Within the year and a half that the program has been opened, shelter-in-place has not been practiced.”

8VAC20-770-60-B

“REPEAT VIOLATION SYSTEMIC VIOLATION A child’s record shall contain all of the required information. The record for Child #2, enrolled for one year, was missing the following required components: address and telephone number of each custodial parent’s place of employment; and an address of both designated persons to contact in case of an emergency and the parents cannot be reached. The record for Child #4, enrolled for more than one month, was missing the following required components: name, address and phone number of one custodial parent’s place of employment, phone number of the second custodial parent’s place of employment and the telephone number of the child’s physician.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information to ensure that the information is correct and obtain the parent’s signed acknowledgement of the review. The annual review of emergency contact information for Child #2 was past due by six weeks and had not been completed. The annual review of emergency contact information for Child #5 was past due by one month and had not been completed.”

8VAC20-800-80-A

“REPEAT VIOLATION Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the child’s parents verification of the identity and age of the child. Child #4, enrolled for six weeks, did not have documentation of identity and age verification.”

8VAC20-800-350-E

“Hot water at taps available to children shall be maintained within the range of 105-120 degrees. The water in the bathroom sink was 127 degrees.”

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 04/28/2025, were not posted in a conspicuous place on the premises.”

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 an update to the emergency plan. The emergency plan review was seven months past due.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually. The provider did not complete sixteen clock hours of training for the 2024-2025 training year.”

8VAC20-800-180-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. The vendor did not have a record of the arrival and departure of the children.”

8VAC20-800-60-B

“Children's records are required to contain all of the required information. The record for Child #1 was missing the telephone number of the child’s physician, name, address and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached and the names of persons other than custodial parents who are authorized to pick up. The record for Child #2 was missing telephone number for one parent, name, address and telephone number for each custodial parent’s place of employment, address and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached and the names of persons other than custodial parents who are authorized to pick up.”

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed before eating. Child #1 did not wash hands before eating .”

8VAC20-800-80-A

“Within seven days 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 identity and age of the child. Child #1, who had been in attendance for two months, did not have documentation that the provider had provided verification of identity and age of the child.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Shelter-in-place had not been practiced within the last year.”

8VAC20-800-180-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. The vendor did not have a record of the arrival and departure of the children.”

8VAC20-800-60-B

“Children's records are required to contain all of the required information. The record for Child #1 was missing the telephone number of the child’s physician, name, address and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached and the names of persons other than custodial parents who are authorized to pick up. The record for Child #2 was missing telephone number for one parent, name, address and telephone number for each custodial parent’s place of employment, address and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached and the names of persons other than custodial parents who are authorized to pick up.”

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed before eating. Child #1 did not wash hands before eating .”

8VAC20-800-80-A

“Within seven days 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 identity and age of the child. Child #1, who had been in attendance for two months, did not have documentation that the provider had provided verification of identity and age of the child.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Shelter-in-place had not been practiced within the last year.”

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 05/08/2024, was not posted in a conspicuous place on the premises.”

8VAC20-800-60-B

“Children's records are required to contain parental employment phone numbers, first and last day of attendance, and name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached The record for Child #1 was missing the employment phone number for one parent, two emergency contacts and first day of attendance. The child was present during the inspection. The record for Child #2 was missing two emergency contacts. The child was present during the inspection and had been in attendance for one day.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Two cans of air freshener were on the back of the toilet of the bathroom that the children use.”

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 05/08/2024, was not posted in a conspicuous place on the premises.”

8VAC20-800-60-B

“Children's records are required to contain parental employment phone numbers, first and last day of attendance, and name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached The record for Child #1 was missing the employment phone number for one parent, two emergency contacts and first day of attendance. The child was present during the inspection. The record for Child #2 was missing two emergency contacts. The child was present during the inspection and had been in attendance for one day.”

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Two cans of air freshener were on the back of the toilet of the bathroom that the children use.”

8VAC20-800-100-A

“Based on review of records, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child’s first day of attendance or within 30 days after the first day. Evidence: 1. Child #1?s first day of attendance was 06/12/2024. There was no documentation of a physical examination on file for Child #1.”

8VAC20-800-770

“Based on review of non-medical emergency supplies, the provider failed to ensure that there was a working portable battery-operated weather band radio available. Evidence: There was not a battery operated radio in the home.”

8VAC20-800-790

“Based on observation, the provider failed to post the required telephone numbers. Evidence: 1. There was not a posting of telephone number for 911 or local dial number for police, fire, and emergency medical responders;the regional poison control center; and the responsible person for emergency back-up care. 2. The provider verified that the telephone numbers were not posted.”