Fabiola Salinas

8VAC20-800-780-B

“*REPEAT VIOLATION* Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Records for children #2, #4, #5, #6, #7 and #8 did not have a parent's signed acknowledgment of the review. Children #2 and #4 have been in care over one year and seven months. Children #5, #6, #7 and #8 have been in care over one year and one month.”

8VAC20-800-280

“*REPEAT VIOLATION* Potentially poisonous substances shall be stored in an area inaccessible to children The door to the laundry room was unlocked. The following substances were observed on the floor of the laundry room: at least three gallons of bleach, fabric softener, and disinfecting (Lysol) wipes.”

8VAC20-800-750-D

“When topical skin products are used, the product shall not be used beyond the expiration date of the product. Diaper creams were observed in the diapering area with the following expiration dates: February 2019, October 2023, March 2024, and June 2024.”

8VAC20-800-60-B

“*REPEAT VIOLATION* A child's record shall contain the required documentation. The record for child #1 did not have documentation of addresses for two designated persons to contact in case of an emergency. The record for children #2, #9, and #10 did not have documentation of the signed acknowledgment of the medication policy for the FDH. The record for child #4 did not have documentation that the original proof of the child's identity had been reviewed. The record did not contain documentation for authorization for emergency care.”

8VAC20-800-750-A

“When topical skin products are used, the product shall be labeled with child's name. Three out of four diaper cream products in the diapering area were not labeled with the child's name.”

8VAC20-800-60-A

“*REPEAT VIOLATION* The provider shall maintain an up-to-date record at the family day home for each enrolled child. On the date of inspection, there was no record for Child #3.”

8VAC20-820-120-E-3

“Certain documents related to the terms of the license are required to be posted on the premises of each facility. The Notice of Intent received by the provider on April 8, 2025 was not posted.”

8VAC20-800-690-L

“*REPEAT VIOLATION* Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. A toilet chair that was used by a child was emptied and rinsed but not cleaned and sanitized.”

8VAC20-800-570-A

“*REPEAT VIOLATION* The provider shall ensure that a caregiver does not exceed 16 points. At the time of entrance, the assistant caregiver was alone with nine children for a total of 20 points.”

8VAC20-800-680-A

“*REPEAT VIOLATION* Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #2 was observed changing the diaper of an infant. They did not wash their hands after diapering the child.”

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The diapering surface was not cleaned and sanitized after Caregiver #2 changed the diaper of Child #5.”

8VAC20-800-50-A

“*REPEAT VIOLATION* The family day home shall keep a written record of children in attendance each day. At the time of inspection, ten children were in care but only eight children were included in the attendance list as present.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, or playing. Child #5 was observed drinking milk from a sippy cup while walking around in the infants area.”

8VAC20-800-680-B

“*REPEAT VIOLATION* Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering; and before eating. Child #5's diaper was changed by Caregiver #2 and the child's hands were not washed with liquid soap and running water. Child #1 arrived to the fdh from home and was offered breakfast. Child #1 began to eat their breakfast without washing their hands first.”

8VAC20-800-340-C

“The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels. There was no paper towels available in the bathroom.”

8VAC20-800-180-A

“*REPEAT VIOLATION* The provider shall obtain for each caregiver a current Report of Tuberculosis (Tb) Screening form every two years. The Tb screening form in the record for Caregiver #3 was overdue by seven months.”

8VAC20-800-60-B

“An up to date record for each child enrolled shall be maintained by the provider. The record for Child #1, who has been in care for six months, did not contain the name address and phone number of a second emergency contact.”

8VAC20-800-780-B

“*REPEAT VIOLATION* Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. The annual review of the information was overdue for 13 months in Child #3's record and by one month in Child #4's record.”

22.1-289.035-B-1

“*REPEAT VIOLATION* The provider is required to obtain a sworn statement or affirmation every five years for all caregivers. A sworn statement for Caregiver #3 was overdue for two months.”

8VAC20-800-200-A

“*REPEAT VIOLATION* The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. There was no documentation of Caregiver #3 having received orientation training. Caregiver #3 has been caring for children for two years and a half.”

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. There is no documentation in the record for Caregiver #3, who has been caring for children for two years and a half, of having completed the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-250-D-2

“All caregivers shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care. There is no first aid certification in the record for Caregiver #3 who has been caring for children for two years and a half.”

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. The attendance record for the days 01/07/25 through 01/14/25 did not document the departure of children.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. There is no CPR certification in the record for Caregiver #3 who has been caring for children for two years and a half.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, annually attend the department's health and safety update course. There is no documentation in the record for Caregiver #3, of having completed the 2024 health and safety update course.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-800-570-A

“*REPEAT VIOLATION* The provider shall ensure that a caregiver does not exceed 16 points. At the time of entrance, Caregiver #2 was by herself caring for eight children, which totaled 20 points. The Provider has just arrived to the fdh at the same time as the inspector. The Provider stated that she was dropping off two children at school.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after assisting a child with toileting. Caregiver #1 was observed assisting Child #2 and Child # 8 with toileting. Caregiver #1 did not wash their hands after assisting each child.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after toileting. Child #2 and Child #8 hands were not washed after toileting.”

22.1-289.036-B-1

“*REPEAT VIOLATION* The provider is required to obtain a completed sworn statement every five years for all household members. A sworn statement for Household Member #1 was overdue for six days.”

22.1-289.035-B-1

“*REPEAT VIOLATION* The provider is required to obtain a completed sworn statement every five years for all caregivers. A sworn statement for Caregiver #3 was overdue for six days.”

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 12/04/2024, were not posted in a conspicuous place on the premises.”

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 was no physical exam records available for Child #2, who was in care during the inspection and had been in care for 16 months. The physical exam in the record for Child #3 was dated nine months after the first date of attendance.”

8VAC20-800-60-A

“*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. There were no records for Child #5, Child #6 and Child #7. The Provider stated that these children attend the fdh for before and after school care.”

8VAC20-800-170-A

“*REPEAT VIOLATION* 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 2, who has been caring for children for 45 days.”

22.1-289.058

“Child day programs shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector at the fdh.”

8VAC20-800-200-A

“*REPEAT VIOLATION* The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. There was no documentation of Caregiver #2 and Caregiver #3 having received orientation. Caregiver #2 has been caring for children for 45 days and Caregiver #3 for two years and a half.”

8VAC20-800-940-A

“*REPEAT VIOLATION* Temperatures shall be maintained at or below 0?F in the freezer compartments. The thermometer in the freezer compartment showed a temperature of 15?F.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. One unused electric outlet did not have a protective cover.”

8VAC20-800-560-A

“*REPEAT VIOLATION* A caregiver shall provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness of and responsibility for each child in care, including being near enough to intervene if needed. At the time of entrance, Caregiver #2 was by herself caring for eight children. Caregiver #2 was sitting next to the tables area overseeing six children while they were completing worksheets. However, two toddlers, Child #3 and Child #4, were by themselves in an area that is not within sight of were Caregiver #2 was placed.”

8VAC20-800-690-L

“Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. A toilet chair was used by both Child #2 and Child #8 . The chair was emptied but not cleaned and sanitized after each use.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. A second shelter-in-place emergency drill was not completed for the year 2024.”

8VAC20-800-50-A

“*REPEAT VIOLATION* The family day home shall keep a written record of children in attendance each day. At the time of entrance, 9:40 am, the attendance record for the day had not been completed. There were eight children present at that moment. Last time attendance was recorded was two days ago.”

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. There is no documentation in the record for Caregiver #3, who has been caring for children for two years and a half, of having completed the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-250-D-2

“All caregivers shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care. There is no first aid certification in the record for Caregiver #3 who has been caring for children for two years and a half.”

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. The attendance record for the days 01/07/25 through 01/14/25 did not document the departure of children.”

8VAC20-790-250-D-1

“All caregivers shall have within 90 days of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. There is no CPR certification in the record for Caregiver #3 who has been caring for children for two years and a half.”

8VAC20-790-250-F

“Caregivers who work directly with children shall, annually attend the department's health and safety update course. There is no documentation in the record for Caregiver #3, of having completed the 2024 health and safety update course.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-800-570-A

“*REPEAT VIOLATION* The provider shall ensure that a caregiver does not exceed 16 points. At the time of entrance, Caregiver #2 was by herself caring for eight children, which totaled 20 points. The Provider has just arrived to the fdh at the same time as the inspector. The Provider stated that she was dropping off two children at school.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after assisting a child with toileting. Caregiver #1 was observed assisting Child #2 and Child # 8 with toileting. Caregiver #1 did not wash their hands after assisting each child.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after toileting. Child #2 and Child #8 hands were not washed after toileting.”

22.1-289.036-B-1

“*REPEAT VIOLATION* The provider is required to obtain a completed sworn statement every five years for all household members. A sworn statement for Household Member #1 was overdue for six days.”

22.1-289.035-B-1

“*REPEAT VIOLATION* The provider is required to obtain a completed sworn statement every five years for all caregivers. A sworn statement for Caregiver #3 was overdue for six days.”

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 12/04/2024, were not posted in a conspicuous place on the premises.”

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 was no physical exam records available for Child #2, who was in care during the inspection and had been in care for 16 months. The physical exam in the record for Child #3 was dated nine months after the first date of attendance.”

8VAC20-800-60-A

“*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. There were no records for Child #5, Child #6 and Child #7. The Provider stated that these children attend the fdh for before and after school care.”

8VAC20-800-170-A

“*REPEAT VIOLATION* 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 2, who has been caring for children for 45 days.”

22.1-289.058

“Child day programs shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector at the fdh.”

8VAC20-800-200-A

“*REPEAT VIOLATION* The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. There was no documentation of Caregiver #2 and Caregiver #3 having received orientation. Caregiver #2 has been caring for children for 45 days and Caregiver #3 for two years and a half.”

8VAC20-800-940-A

“*REPEAT VIOLATION* Temperatures shall be maintained at or below 0?F in the freezer compartments. The thermometer in the freezer compartment showed a temperature of 15?F.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. One unused electric outlet did not have a protective cover.”

8VAC20-800-560-A

“*REPEAT VIOLATION* A caregiver shall provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness of and responsibility for each child in care, including being near enough to intervene if needed. At the time of entrance, Caregiver #2 was by herself caring for eight children. Caregiver #2 was sitting next to the tables area overseeing six children while they were completing worksheets. However, two toddlers, Child #3 and Child #4, were by themselves in an area that is not within sight of were Caregiver #2 was placed.”

8VAC20-800-690-L

“Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. A toilet chair was used by both Child #2 and Child #8 . The chair was emptied but not cleaned and sanitized after each use.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. A second shelter-in-place emergency drill was not completed for the year 2024.”

8VAC20-800-50-A

“*REPEAT VIOLATION* The family day home shall keep a written record of children in attendance each day. At the time of entrance, 9:40 am, the attendance record for the day had not been completed. There were eight children present at that moment. Last time attendance was recorded was two days ago.”

8VAC20-800-920

“*REPEAT VIOLATION* When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu posted was dated for October 2024.”

8VAC20-800-940-A

“Temperatures shall be maintained at or below 0?F in the freezer compartments. The thermometer in the freezer compartment showed a temperature of 18?F.”

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 09/23/2024, were not posted in a conspicuous place on the premises.”

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 was no physical exam records available for Child #1, who was in care during the inspection and had been in care for eight months.”

8VAC20-800-50-A

“*REPEAT VIOLATION* *SYSTEMIC DEFICIENCY* The family day home shall keep a written record of children in attendance each day. At approximately 11:30 am, the attendance record for the day has not been completed. There were eight children in attendance at that moment.”

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #2, who was in care during the inspection and had been in care for eight months.”

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #1, who was in care during the inspection and had been in care for eight months.”

8VAC20-800-170-A

“*REPEAT VIOLATION* 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 2, who has been caring for children for two days.”

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. On one wall of the care area there was an area that showed mold. The area was on the higher part of the wall.”

8VAC20-800-280

“*REPEAT VIOLATION* Potentially poisonous substances, shall be stored away in areas inaccessible to children. Poisonous substances were observed on different areas of the fdh as follows: *The door to the laundry room, which is adjacent to the care area, was unlocked. Inside the laundry room, on the floor, there was laundry detergent, carpet shampoo solution, fabric softener, three gallons of bleach. * A small can of paint was observed on a table of the infants area, next to the changing table. * A bag of salt pellets was observed on the floor, next to the fridge, under a toy chair.”

8VAC20-800-570-A

“*REPEAT VIOLATION* The provider shall ensure that a caregiver does not exceed 16 points. At the time of entrance, the provider was by herself caring for eight children, which totaled 20 points. A second caregiver arrived 20 minutes after.”

8VAC20-800-730-D

“*REPEAT VIOLATION* Medication, including refrigerated medication shall be kept in a locked place using a safe locking method that prevents access by children. Two syringes with medication were stored in ziploc bags on the fridge door. No locking method was being used to prevent access by children.”

8VAC20-800-570-A Complaint related: Yes

“Based on interview, the Provider did not ensure that a caregiver does not exceed points maximus while supervising children. Evidence: 1) Parent states that on the date of the incident, 10/26/2023, only one caregiver was present with a large group of children. 2) The Provider states that only one caregiver was present while the Provider and a second caregiver were out picking up children from school.”

8VAC20-800-460-E Complaint related: Yes

“Based on interview, the Provider did not ensure that children are safe when exposed to animals. Evidence: 1) An incident that occurred on 08/26/2023 was reported by the parent of Child #2 (3 yrs) in which the child received a scar on their face resulting from the Provider's dog jumping on the child. 2) The Provider stated that the dog had followed one caregiver and Child #2 got close to him and the dog scratched her.”

8VAC20-800-840-A Complaint related: Yes

“Based on record review and interview, the Provider did not document in the child's record an injury or accident sustained by a child while at the family day home that requires first aid or emergency medical or dental treatment as required. Evidence: 1) On the date of inspection, an injury report for the incident on 10/26/2023 was not available for review in Child #1's record. An injury report for the incident with Child #2 was also not available for review. 2) The Provider stated that they informed the parents via text message but a formal injury report was not completed to include in the record.”

8VAC20-800-560-B Complaint related: Yes

“Based on interview, caregivers did not ensure to actively supervise each child during outdoor play to minimize the risk of injury to a child. Evidence: 1) The parent of Child #1 stated during interview that on 10/26/23, their child (11 mos) received a noticeable bump on the forehead while the children were outside during playtime. According to the parent, the caregiver did not see the incident and did not have information for the parent on how it happened. 2) Upon interview, the Provider stated that they think a ball hit the child because of what other children told them. 3) The parent states that caregivers have been observed in previous times being on their phones while kids are playing.”

8VAC20-800-730-C

“When medication is stored in a refrigerator used for food, the medications shall be stored together in a container or in a clearly defined area away from food. Two over-the-counter medication were observed in a plastic Ziploc bag in the refrigerator's door among food.”

8VAC20-800-560-A

“A caregiver shall be physically present on site and provide direct care and supervision of each child at all times. Direct care and supervision of each child includes awareness of and responsibility for each child in care, including being near enough to intervene if needed. At the time of entrance, six children were playing on the care area and were observed to be by themselves with no caregiver present to supervise. When asked, the children stated that the provider was upstairs. About approximately a minute later, the provider came downstairs to the care area.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, and disinfectants, shall be stored away in areas inaccessible to children. The following substances were observed in areas that were accessible to children: * One spray bottle labeled as "bleach" was observed on a table on the outside area were the children play and sometimes have lunch. * Various containers with laundry detergent and bleach were observed inside of the laundry room which door was unlocked.”

8VAC20-800-180-A

“*REPEAT VIOLATION* The provider shall obtain for each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening. The Tb screening form in the record for Household Member #1 (dated 11/30/2021) was overdue by one year and nine months.”

8VAC20-800-170-A

“*REPEAT VIOLATION* The provider shall obtain from each adult household member a current Report of Tuberculosis (Tb) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. The records for Household Member #2 and Household Member #3 did not contain a Tb screening.”

8VAC20-800-750-B

“When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, the product does not need to be kept locked, but shall be inaccessible to children. One bottle of sunscreen was observed inside a box in a low shelf of the diaper changing table, making it accessible to children.”

8VAC20-800-920

“*REPEAT VIOLATION* When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated. The menu available for review was not dated for the current one-week period. It was dated 02/19-23/2024.”

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. Two over-the-counter medication bottles were observed in the refrigerator, stored in a Ziploc bag, with no locking method to prevent access by children.”

8VAC20-800-50-A

“*REPEAT VIOLATION* The family day home shall keep a written record of children in attendance each day. The attendance record for the day was not completed. The last completed attendance available for review was completed two weeks ago on 09/10/2024.”

8VAC20-800-180-A

“*REPEAT VIOLATION* Based on record review, the provider did not ensure to obtain from each adult household member the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Household Member #1 was dated 11/30/2021.”

8VAC20-800-920

“*REPEAT VIOLATION* Based on documentation review, the menu for the current one-week period did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period. It was dated 02/19-23/2024.”

8VAC20-800-780-B

“*REPEAT VIOLATION* Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent record review of the emergency information in the record was dated as follows for each child: Child #1 - 01/11/2023; Child #4 - 01/2023; Child #5 - 01/01/2023; Child #6 - 07/11/2023; Child #11 - 01/01/2023; Child #12 - 01/01/2023; Child #13 - 07/11/2022.”

8VAC20-800-170-A

“*REPEAT VIOLATION* Based on record review, the provider did not obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The records for Household Member #2 and Household Member #3 did not contain a Tb screening.”

8VAC20-790-250-B

“Based on record review, one out of four caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within 90 calendar days of employment. Evidence: 1) The records for Caregiver #3 (start date 06/01/2023) did not contain documentation of having completed the Virginia Preservice Training.”

8VAC20-790-250-D-2

“Based on record review, one out of four caregivers did not have a current certification in first aid appropriate to the ages of children in care. Evidence: 1) The record for Caregiver #3 (start date 06/01/2023) did not contain documentation of having a current certification in first aid.”

8VAC20-790-250-D-1

“Based on record review, one out of four caregivers did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The record for Caregiver #3 (start date 06/01/2023) did not contain documentation of having a current certification in CPR.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire and and each adult household member prior to coming into contact with children a current Report of Tuberculosis (Tb) Screening. Evidence: 1) There was no Tb screening available for review for Caregiver #4 (start date 07/01/2024). 2) The records for Household member #4 and Household Member #5 did not contain a Tb screening. The provider had stated that they had been living in the home since September 2023.”

8VAC20-800-180-A

“Based on record review, the provider did not ensure to obtain from each adult household member the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Household Member #1 was dated 11/30/2021.”

22.1-289.036-B-1

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement by the end of the 30th day for new household members. Evidence: 1) The records for Household member #4 and Household Member #5 did not contain a completed Sworn Statement. The provider had stated that they had been living in the home since September 2023.”

22.1-289.035-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results every five years. Evidence: 1) The Central Registry search results in the record for Caregiver #3 was dated 02/12/2018.”

8VAC20-800-120-A

“Based on record review and interview, the provider did not maintain a record for each caregiver. Evidence: 1) On the date of inspection, a record for Caregiver #4 (start date 07/01/2024) was not available for review. The provider stated that she had not prepared a record for Caregiver #4 with all required documentation.”

8VAC20-800-50-A

“*REPEAT VIOLATION* Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) At the time of entrance on 07/15/2024, the attendance for the day had not been documented. The most recent attendance documented was for 06/26/2024. 2) At the time of entrance on 07/31/2024, the attendance for the day had not been documented. The most recent attendance recorded was for 07/30. 3) The attendance sheet was inaccurate. There were 12 children listed on the attendance sheet but 19 children were present. Child #11, 14, 15, 16, 17, 18, 19 were not included in the list.”

22.1-289.035-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results every five years. Evidence: 1) The Central Registry search results in the record for Caregiver #3 was dated 02/12/2018.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not ensure to obtain a fingerprint-based criminal history check determination letter prior to first day of employment for caregivers and every five years subsequently. Evidence: 1) On the date of inspection, there was no criminal history check determination letter available for review for Caregiver #4 (start date 07/01/2024). 2) The criminal history check determination letter in the record for Caregiver #2 was dated 06/10/2019.”

8VAC20-800-760-A

“Based on review of the emergency supplies, the emergency kit did not contain all required components. Evidence: 1) On the date of inspection, the first aid kit did not contain antiseptic cleaning solution or pads.”

22.1-289.035-B-1

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement prior to first day of employment for caregivers. Evidence: 1) On the date of inspection, there was no Sworn statement available for review for Caregiver #4 (start date 07/01/2024).”

8VAC20-800-920

“*REPEAT VIOLATION* Based on documentation review, the menu for the current one-week period did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period. It was dated 02/19-23/2024.”

8VAC20-800-570-A

“* REPEAT VIOLATION * Based on observation, the Provider did not ensure that a caregiver does not exceed points maximus while supervising children. Evidence: 1) On 07/31/2024, Caregiver #2 was observed supervising 18 children (3 of them were household members) for a total of 38 points. The Provider had left the FDH and called Caregiver #4 to come downstairs to assist but it took about 5 minutes. Even with two Caregivers present, they were over points maximus. 2) On 07/31/2024, Caregiver #2 and Caregiver #3 took 13 children (36 points) out to play on the outside area. Once outside, Caregiver #2 went back inside for several minutes, leaving Caregiver #4 supervising all children (36 points) outside.”

8VAC20-800-780-B

“Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent record review of the emergency information in the record for Child #1 was dated 01/01/2023 and for Child #4 was dated 2023.”

8VAC20-800-200-A

“Based on record review, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: 1) On the date of inspection, there was no documentation available to review to demonstrate that Caregiver #3 (start date 06/01/2023) and Caregiver #4 (start date 07/01/2024) had completed orientation training as required.”

22.1-289.036-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results by the end of the 30th day for new household members. Evidence: 1) The records for Household member #4 and Household Member #5 did not contain Central Registry search results. The provider had stated that they had been living in the home since September 2023.”

8VAC20-800-40-A

“* REPEAT VIOLATION * SYSTEMIC DEFICIENCY* Based on observation, the provider exceeded the maximum licensed capacity of the home. Evidence: The provider is licensed for 12 children. During the visit on 07/31/2024, there were 19 children in care.”

8VAC20-790-250-B

“Based on record review, one out of four caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within 90 calendar days of employment. Evidence: 1) The records for Caregiver #3 (start date 06/01/2023) did not contain documentation of having completed the Virginia Preservice Training.”

8VAC20-790-250-D-2

“Based on record review, one out of four caregivers did not have a current certification in first aid appropriate to the ages of children in care. Evidence: 1) The record for Caregiver #3 (start date 06/01/2023) did not contain documentation of having a current certification in first aid.”

8VAC20-790-250-D-1

“Based on record review, one out of four caregivers did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The record for Caregiver #3 (start date 06/01/2023) did not contain documentation of having a current certification in CPR.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire and and each adult household member prior to coming into contact with children a current Report of Tuberculosis (Tb) Screening. Evidence: 1) There was no Tb screening available for review for Caregiver #4 (start date 07/01/2024). 2) The records for Household member #4 and Household Member #5 did not contain a Tb screening. The provider had stated that they had been living in the home since September 2023.”

8VAC20-800-180-A

“Based on record review, the provider did not ensure to obtain from each adult household member the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Household Member #1 was dated 11/30/2021.”

22.1-289.036-B-1

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement by the end of the 30th day for new household members. Evidence: 1) The records for Household member #4 and Household Member #5 did not contain a completed Sworn Statement. The provider had stated that they had been living in the home since September 2023.”

22.1-289.035-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results every five years. Evidence: 1) The Central Registry search results in the record for Caregiver #3 was dated 02/12/2018.”

8VAC20-800-120-A

“Based on record review and interview, the provider did not maintain a record for each caregiver. Evidence: 1) On the date of inspection, a record for Caregiver #4 (start date 07/01/2024) was not available for review. The provider stated that she had not prepared a record for Caregiver #4 with all required documentation.”

8VAC20-800-50-A

“*REPEAT VIOLATION* Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) At the time of entrance on 07/15/2024, the attendance for the day had not been documented. The most recent attendance documented was for 06/26/2024. 2) At the time of entrance on 07/31/2024, the attendance for the day had not been documented. The most recent attendance recorded was for 07/30. 3) The attendance sheet was inaccurate. There were 12 children listed on the attendance sheet but 19 children were present. Child #11, 14, 15, 16, 17, 18, 19 were not included in the list.”

22.1-289.035-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results every five years. Evidence: 1) The Central Registry search results in the record for Caregiver #3 was dated 02/12/2018.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not ensure to obtain a fingerprint-based criminal history check determination letter prior to first day of employment for caregivers and every five years subsequently. Evidence: 1) On the date of inspection, there was no criminal history check determination letter available for review for Caregiver #4 (start date 07/01/2024). 2) The criminal history check determination letter in the record for Caregiver #2 was dated 06/10/2019.”

8VAC20-800-760-A

“Based on review of the emergency supplies, the emergency kit did not contain all required components. Evidence: 1) On the date of inspection, the first aid kit did not contain antiseptic cleaning solution or pads.”

22.1-289.035-B-1

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement prior to first day of employment for caregivers. Evidence: 1) On the date of inspection, there was no Sworn statement available for review for Caregiver #4 (start date 07/01/2024).”

8VAC20-800-920

“*REPEAT VIOLATION* Based on documentation review, the menu for the current one-week period did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period. It was dated 02/19-23/2024.”

8VAC20-800-570-A

“* REPEAT VIOLATION * Based on observation, the Provider did not ensure that a caregiver does not exceed points maximus while supervising children. Evidence: 1) On 07/31/2024, Caregiver #2 was observed supervising 18 children (3 of them were household members) for a total of 38 points. The Provider had left the FDH and called Caregiver #4 to come downstairs to assist but it took about 5 minutes. Even with two Caregivers present, they were over points maximus. 2) On 07/31/2024, Caregiver #2 and Caregiver #3 took 13 children (36 points) out to play on the outside area. Once outside, Caregiver #2 went back inside for several minutes, leaving Caregiver #4 supervising all children (36 points) outside.”

8VAC20-800-780-B

“Based on record review, the provider did not ensure to annually review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and to obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent record review of the emergency information in the record for Child #1 was dated 01/01/2023 and for Child #4 was dated 2023.”

8VAC20-800-200-A

“Based on record review, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: 1) On the date of inspection, there was no documentation available to review to demonstrate that Caregiver #3 (start date 06/01/2023) and Caregiver #4 (start date 07/01/2024) had completed orientation training as required.”

22.1-289.036-B-3

“Based on record review and interview, the provider did not ensure to obtain that Central Registry search results by the end of the 30th day for new household members. Evidence: 1) The records for Household member #4 and Household Member #5 did not contain Central Registry search results. The provider had stated that they had been living in the home since September 2023.”

8VAC20-800-40-A

“* REPEAT VIOLATION * SYSTEMIC DEFICIENCY* Based on observation, the provider exceeded the maximum licensed capacity of the home. Evidence: The provider is licensed for 12 children. During the visit on 07/31/2024, there were 19 children in care.”

8VAC20-800-570-A Complaint related: Yes

“*REPEAT VIOLATION* Based on interview, the Provider did not ensure that a caregiver does not exceed points maximus while supervising children. Evidence: 1) Complainant observed when the Assistant went upstairs and left the Provider caring for 13 children totaling 26 points. 2) The Provider stated that the Assistant went upstairs to prepare lunch.”

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 following: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Name and policy number of the child's medical insurance; Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; Proof of the child's age and identity; First date of attendance.”

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 most recently issued license (08/04/23 - 08/04/24) was not posted. The license that was posted was dated 02/04/2023 - 08/03/2023. 2) The findings of the most recent inspection of the facility (07/11/2023) were not posted. The inspection Summary posted was dated 03/28/2023.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period. 2) The menu did not list substituted food - The menu posted listed the afternoon snack as: tortilla chips, apples and water. The afternoon snack provided consisted of animal crackers and water. This substitution was not listed on the menu.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. evidence: 1) The approved capacity of the current license is 12 children. On the date of inspection, there were 13 children under care.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, there was no attendance record for the day available for review.”

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 following: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Name and policy number of the child's medical insurance; Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; Proof of the child's age and identity; First date of attendance.”

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 most recently issued license (08/04/23 - 08/04/24) was not posted. The license that was posted was dated 02/04/2023 - 08/03/2023. 2) The findings of the most recent inspection of the facility (07/11/2023) were not posted. The inspection Summary posted was dated 03/28/2023.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period. 2) The menu did not list substituted food - The menu posted listed the afternoon snack as: tortilla chips, apples and water. The afternoon snack provided consisted of animal crackers and water. This substitution was not listed on the menu.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. evidence: 1) The approved capacity of the current license is 12 children. On the date of inspection, there were 13 children under care.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, there was no attendance record for the day available for review.”

8VAC20-770-40-D-4-a

“Based on record review, it was determined that the provider did not ensure that Central Registry search results are obtained every five years for household members. Evidence: 1) The most recent Central Registry search request results available in the record for Household member #1 were dated 02/12/2018.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2023 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of May and June 2023.”

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider did not ensure that the emergency preparedness plan is reviewed at least annually and the review is documented in writing. Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 03/07/2022.”

8VAC20-770-40-D-4-a

“Based on record review, it was determined that the provider did not ensure that Central Registry search results are obtained every five years for household members. Evidence: 1) The most recent Central Registry search request results available in the record for Household member #1 were dated 02/12/2018.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2023 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of May and June 2023.”

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider did not ensure that the emergency preparedness plan is reviewed at least annually and the review is documented in writing. Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 03/07/2022.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one Caregiver. Evidence: 1) On the date of inspection, the results of a criminal history check was not available for review for Caregiver #3 (start date 03/27/2023). The provider stated that a fingerprint-based criminal history check for Caregiver #3 had not been requested.”

8VAC20-770-60-B

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement prior to first day of employment. Evidence: 1) On the date of inspection, a completed Sworn Statement was not available for review for Caregiver #3 (start date 03/27/2023) . The provider stated that Caregiver #3 had not completed a Sworn Statement.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home for the current one-week period did not meet all requirements: Evidence: 1) The menu posted did not have listed the substitutions for the day. The menu listed as lunch for the day: ground beef, mixed veggies, noodles, fruit and milk. On the date of inspection, the inspector observed that the children were eating chicken nuggets, potato tots, broccolli and mandarin oranges.”

8VAC20-800-120-A

“Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1) On the date of inspection, a record for Caregiver #3 was not available for review.”

8VAC20-800-70-A

“Based on record review, the provider did not ensure to provide parents in writing the following all required information before the child's first day of attendance. Evidence: 1) The record for Child #1 did not contain the Policies for the administration of medication and the Provisions of the family day home's emergency preparedness and response plan.”

8VAC20-800-170-A

“Based on record review and interview with the provider, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb)Screening. Evidence: 1) On the date of inspection, a Tb screening report for Caregiver #3 (start date 03/27/2023) was not available for review. The provider stated that they don't have a Tb screening report for Caregiver #3.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #1 (start date 03/03/2023) did not contain an immunization report.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one Caregiver. Evidence: 1) On the date of inspection, the results of a criminal history check was not available for review for Caregiver #3 (start date 03/27/2023). The provider stated that a fingerprint-based criminal history check for Caregiver #3 had not been requested.”

8VAC20-770-60-B

“Based on record review and interview, the provider did not ensure to obtain a completed Sworn Statement prior to first day of employment. Evidence: 1) On the date of inspection, a completed Sworn Statement was not available for review for Caregiver #3 (start date 03/27/2023) . The provider stated that Caregiver #3 had not completed a Sworn Statement.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home for the current one-week period did not meet all requirements: Evidence: 1) The menu posted did not have listed the substitutions for the day. The menu listed as lunch for the day: ground beef, mixed veggies, noodles, fruit and milk. On the date of inspection, the inspector observed that the children were eating chicken nuggets, potato tots, broccolli and mandarin oranges.”

8VAC20-800-120-A

“Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1) On the date of inspection, a record for Caregiver #3 was not available for review.”

8VAC20-800-70-A

“Based on record review, the provider did not ensure to provide parents in writing the following all required information before the child's first day of attendance. Evidence: 1) The record for Child #1 did not contain the Policies for the administration of medication and the Provisions of the family day home's emergency preparedness and response plan.”

8VAC20-800-170-A

“Based on record review and interview with the provider, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb)Screening. Evidence: 1) On the date of inspection, a Tb screening report for Caregiver #3 (start date 03/27/2023) was not available for review. The provider stated that they don't have a Tb screening report for Caregiver #3.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home. Evidence: 1) The record for Child #1 (start date 03/03/2023) did not contain an immunization report.”

8VAC20-790-270-C

“Based on observation and interview with the provider, hazardous substances kept in substitute containers, were not clearly labeled. Evidence: 1) When hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. - On the date of inspection, the inspector observed two spray bottles with no labeling to identify their contents. 2) The provider indicated that one bottle spray contained Lysol cleaner and the second bottle contained a vinegar/soap/water mixture.”

8VAC20-790-390-A

“Based on observation, children's hands were not washed with soap and running water or disposable wipes after eating meals. Evidence: 1) The inspector observed the children while eating lunch. Once lunch was finished, the provider took the children out to play without washing their hands first.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home for the current one-week period did not meet all requirements. Evidence: 1) The menu posted was not dated for the current one-week period. 2) The menu did not have listed the substitutions for the day.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. evidence: 1) The approved capacity of the current license is 12 children. On the date of inspection, there were 14 children under care. At one point, there were 15 children under care.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, there was no attendance record for the day and the week available for review.”

8VAC20-800-60-A

“Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1) On the date of inspection, there were no records for Child #3, Child #8 and Child #14.”

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, certificates in the record for Staff #2 documented having completed only 5 of the required 16 hours of annual training.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored away in areas inaccessible to children. Evidence: 1) Cleaning agents (Lysol cleaner, Lysol spray, Lysol wipes, spray bottle with vinegar, soap and water mixture) were stored in a cloth organizer hanging on the wall. These cleaning agents were within children's reach. 2) A bottle of Clorox bleach was observed outside, sitting on the floor next to the glass sliding door that gives access to the backyard. 3) Paint cans and yard equipment were observed inside the shed located in the play area on the backyard. The door to this shed did not have a locking mechanism.”

8VAC20-800-500-B

“Based on observation, the highest climbing platform on outdoor climbing equipment or top of a slide did not meet all requirements. *The highest climbing rung or platform on outdoor climbing equipment or top of a slide shall not exceed six feet for school age children and four feet for preschool children. Evidence: 1) The play structure in the backyard of the family day home has two platforms at different heights. On 01/24/2023 the lower platform measured 55.5 inches (4.5 ft) and the higher platform measured 83 inches (6.91 ft). On the visit of 01/11/2023, the inspector observed children between the ages of 23 months and 4 years playing on this structure.”

8VAC20-800-500-D

“Based on observation, outdoor play equipment did not meet all requirements: Ropes, loops, or any hanging apparatus that might entrap, close, or tighten upon a child shall not be used. Evidence: 1) The play structure in the backyard of the family day home has a net and a loose rope intended for the children to climb to the lower platform. Children in care were observed using this net/rope to climb.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1) On the date of inspection, there were two caregivers supervising the children (7 months to 4 years). The total points was 37. The fdh was 5 points over.”

8VAC20-800-530-F

“Based on observation, soft bedding was used around infants. Evidence: 1) On the date of inspection, four children sleeping in cribs were observed using blankets. Two of these children were infants. (Child # 5 - 10 mos and Child #13 - 11 mos)”

8VAC20-800-520-A

“Based on observation, cribs were provided for children older than 12 months of age. Evidence: 1) On the date of inspection, two of four children sleeping in cribs were older than 12 months of age and did not present any developmental issue/reason to not be ready to sleep on a cot or rest mat. (Child #11- 17 months and Child #6 - 2 years)”

8VAC20-820-120-E-2

“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 (08/29/2022) were not posted as required.”

8VAC20-790-270-C

“Based on observation and interview with the provider, hazardous substances kept in substitute containers, were not clearly labeled. Evidence: 1) When hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. - On the date of inspection, the inspector observed two spray bottles with no labeling to identify their contents. 2) The provider indicated that one bottle spray contained Lysol cleaner and the second bottle contained a vinegar/soap/water mixture.”

8VAC20-790-390-A

“Based on observation, children's hands were not washed with soap and running water or disposable wipes after eating meals. Evidence: 1) The inspector observed the children while eating lunch. Once lunch was finished, the provider took the children out to play without washing their hands first.”

8VAC20-800-920

“Based on documentation review, the menu for meals and snacks provided by the family day home for the current one-week period did not meet all requirements. Evidence: 1) The menu posted was not dated for the current one-week period. 2) The menu did not have listed the substitutions for the day.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. evidence: 1) The approved capacity of the current license is 12 children. On the date of inspection, there were 14 children under care. At one point, there were 15 children under care.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep a written record of children in attendance each day. Evidence: 1) On the date of inspection, there was no attendance record for the day and the week available for review.”

8VAC20-800-60-A

“Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1) On the date of inspection, there were no records for Child #3, Child #8 and Child #14.”

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, certificates in the record for Staff #2 documented having completed only 5 of the required 16 hours of annual training.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored away in areas inaccessible to children. Evidence: 1) Cleaning agents (Lysol cleaner, Lysol spray, Lysol wipes, spray bottle with vinegar, soap and water mixture) were stored in a cloth organizer hanging on the wall. These cleaning agents were within children's reach. 2) A bottle of Clorox bleach was observed outside, sitting on the floor next to the glass sliding door that gives access to the backyard. 3) Paint cans and yard equipment were observed inside the shed located in the play area on the backyard. The door to this shed did not have a locking mechanism.”

8VAC20-800-500-B

“Based on observation, the highest climbing platform on outdoor climbing equipment or top of a slide did not meet all requirements. *The highest climbing rung or platform on outdoor climbing equipment or top of a slide shall not exceed six feet for school age children and four feet for preschool children. Evidence: 1) The play structure in the backyard of the family day home has two platforms at different heights. On 01/24/2023 the lower platform measured 55.5 inches (4.5 ft) and the higher platform measured 83 inches (6.91 ft). On the visit of 01/11/2023, the inspector observed children between the ages of 23 months and 4 years playing on this structure.”

8VAC20-800-500-D

“Based on observation, outdoor play equipment did not meet all requirements: Ropes, loops, or any hanging apparatus that might entrap, close, or tighten upon a child shall not be used. Evidence: 1) The play structure in the backyard of the family day home has a net and a loose rope intended for the children to climb to the lower platform. Children in care were observed using this net/rope to climb.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1) On the date of inspection, there were two caregivers supervising the children (7 months to 4 years). The total points was 37. The fdh was 5 points over.”

8VAC20-800-530-F

“Based on observation, soft bedding was used around infants. Evidence: 1) On the date of inspection, four children sleeping in cribs were observed using blankets. Two of these children were infants. (Child # 5 - 10 mos and Child #13 - 11 mos)”

8VAC20-800-520-A

“Based on observation, cribs were provided for children older than 12 months of age. Evidence: 1) On the date of inspection, two of four children sleeping in cribs were older than 12 months of age and did not present any developmental issue/reason to not be ready to sleep on a cot or rest mat. (Child #11- 17 months and Child #6 - 2 years)”

8VAC20-820-120-E-2

“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 (08/29/2022) were not posted as required.”

8VAC20-790-180-B

“Based on documentation review, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available. 2) The attendance records available for review for the following dates, did not document the departure of each child: week of 07/04 to 07/08, week of 06/27 to 07/01.”

8VAC20-820-120-E-2

“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 (01/06/2022) were not posted.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1) Although Staff #1 was observed using Lysol disinfecting wipes on the diapering surface after changing the diaper of a child, this does not comply with the requirement of cleaning and sanitizing as per the definitions of "cleaned" and "sanitized" covered in 8VAC20-800-10.”

8VAC20-800-680-B

“Based on observation, caregivers did not wash children's hands with liquid soap and warm running water when required. Evidence: 1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and let her go play without washing the child's hands first. 2) Staff #2 was observed feeding a bottle of milk to Child #5. Staff #2 did not wash the child's hands before feeding her the milk.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water when required. Evidence: 1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and went on to perform other duties without washing her hands first. 2) Staff #2 was observed heating up a bottle of milk. Staff 2 did not wash her hands before handling the milk bottle. When ready, Staff #2 was observed feeding the bottle to Child #5. Staff #did not wash her hands before feeding Child #5.”

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: 1) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #5.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1) One electrical outlet located next to the mirror in the central rug area did not have a protective cover.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1) The following was observed in the backyard: a) Tripping hazards: exposed roots, uneven ground, and holes in the ground resulting from water drainage. b) Exposed nails in wood planks that were removed from the fence. c) The door to a closet next to the house was unlocked. Inside there were products like: insect killer, mortar mix, all purpose cleaner, garden tools and rotten wood in wood pallets that are laying on the ground.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the address of one custodial parent's place of employment and the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached. 2) The record for Child #2 did not contain the telephone number of one custodial parent's place of employment. 3) The record for Child #3 did not contain the name, address and telephone number of one custodial parent's place of employment; the address and telephone number of the child's physician; the policy number of the child's medical insurance; and name, address and telephone number of two designated persons (other than the parents) to contact in case of an emergency if the parent cannot be reached. 4) The record for Child #4 did not contain the telephone number of one custodial parent's place of employment. 5) The record for Child #5 did not contain the telephone number of both custodial parents' place of employment.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available.”

8VAC20-800-30-A

“Based on observation, the provider did not ensure to comply with the terms of the current license issued by the department. Evidence: 1) On the date of inspection, 13 children were in care in the family day home. The current license limits the maximum number of children who may be in care at any time to 12 children.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1) The physical examination in the record for Child #4 (start date 11/29/2021) was dated 07/21/2022.”

8VAC20-800-940-A

“Based on observation, temperature was not maintained at or below 0?F in the freezer compartment. Evidence: 1) On the date of inspection, the thermometer in the freezer compartment read approximately 5 degrees.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of July 2022.”

8VAC20-800-770

“Based on review of emergency supplies, a working battery-operated flashlight was not available to caregivers. Evidence: 1) On the date of inspection, the flashlight available for review was not working.”

8VAC20-800-60-A

“Based on record review and interview with the provider, the provider did not maintain a record for each child at the family day home. Evidence: 1) On the date of inspection, there were no records for Child #6 and Child #7 who were in care in the family day home. 2) The provider stated that she had no records for Child #6 and Child #7.”

8VAC20-790-180-B

“Based on documentation review, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available. 2) The attendance records available for review for the following dates, did not document the departure of each child: week of 07/04 to 07/08, week of 06/27 to 07/01.”

8VAC20-820-120-E-2

“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 (01/06/2022) were not posted.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1) Although Staff #1 was observed using Lysol disinfecting wipes on the diapering surface after changing the diaper of a child, this does not comply with the requirement of cleaning and sanitizing as per the definitions of "cleaned" and "sanitized" covered in 8VAC20-800-10.”

8VAC20-800-680-B

“Based on observation, caregivers did not wash children's hands with liquid soap and warm running water when required. Evidence: 1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and let her go play without washing the child's hands first. 2) Staff #2 was observed feeding a bottle of milk to Child #5. Staff #2 did not wash the child's hands before feeding her the milk.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water when required. Evidence: 1) Staff #1 was observed changing the diaper of Child #2. After Staff #1 finished, put Child #2 on the floor and went on to perform other duties without washing her hands first. 2) Staff #2 was observed heating up a bottle of milk. Staff 2 did not wash her hands before handling the milk bottle. When ready, Staff #2 was observed feeding the bottle to Child #5. Staff #did not wash her hands before feeding Child #5.”

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: 1) The safety straps in a Bumbo floor seat were not buckled in while being used by Child #5.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1) One electrical outlet located next to the mirror in the central rug area did not have a protective cover.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1) The following was observed in the backyard: a) Tripping hazards: exposed roots, uneven ground, and holes in the ground resulting from water drainage. b) Exposed nails in wood planks that were removed from the fence. c) The door to a closet next to the house was unlocked. Inside there were products like: insect killer, mortar mix, all purpose cleaner, garden tools and rotten wood in wood pallets that are laying on the ground.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the address of one custodial parent's place of employment and the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached. 2) The record for Child #2 did not contain the telephone number of one custodial parent's place of employment. 3) The record for Child #3 did not contain the name, address and telephone number of one custodial parent's place of employment; the address and telephone number of the child's physician; the policy number of the child's medical insurance; and name, address and telephone number of two designated persons (other than the parents) to contact in case of an emergency if the parent cannot be reached. 4) The record for Child #4 did not contain the telephone number of one custodial parent's place of employment. 5) The record for Child #5 did not contain the telephone number of both custodial parents' place of employment.”

8VAC20-800-50-A

“Based on documentation review, the family day home did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, an attendance record for the day was not available for review. Attendance records for the prior weeks were also not available.”

8VAC20-800-30-A

“Based on observation, the provider did not ensure to comply with the terms of the current license issued by the department. Evidence: 1) On the date of inspection, 13 children were in care in the family day home. The current license limits the maximum number of children who may be in care at any time to 12 children.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1) The physical examination in the record for Child #4 (start date 11/29/2021) was dated 07/21/2022.”

8VAC20-800-940-A

“Based on observation, temperature was not maintained at or below 0?F in the freezer compartment. Evidence: 1) On the date of inspection, the thermometer in the freezer compartment read approximately 5 degrees.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of July 2022.”

8VAC20-800-770

“Based on review of emergency supplies, a working battery-operated flashlight was not available to caregivers. Evidence: 1) On the date of inspection, the flashlight available for review was not working.”

8VAC20-800-60-A

“Based on record review and interview with the provider, the provider did not maintain a record for each child at the family day home. Evidence: 1) On the date of inspection, there were no records for Child #6 and Child #7 who were in care in the family day home. 2) The provider stated that she had no records for Child #6 and Child #7.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (Tb) Screening form, every two years from the date of the first screening. Evidence: 1) The most recent Tb screening report for Staff #2 was dated 10/29/2019.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #1 (dob 11/29/2019) was dated 05/29/2020.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia. Evidence: 1) The record for Child #2 (start date 11/04/2021) did not contain an immunization report as required.”

8VAC20-800-80-A

“Based on record review, the provider did not obtain from the parent, within seven business days of the child's first day of attendance at the family day home, verification of the identity and age of the child. Evidence: 1) The record for Child #2 (start date 11/04/2021) and Child #3 (start date 11/04/2021) did not contain information that the provider obtained documentation to verify the identity and age of the children.”

8VAC20-800-60-B

“Based on record review and interview with the provider, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached. 2) The records for Child #2 and Child #3 did not contain complete required information of two designated persons to contact in case of an emergency if the parent cannot be reached, as follows: the first designated emergency contact was one the parents and the second contact provided was missing a complete address.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1) The record for Child #3 (start date 11/04/2021) did not contain the results of a physical examination.”

8VAC20-800-800-B

“Based on documentation review, the provider did not review the emergency preparedness plan (EPP) at least annually, update the plan as needed and document in writing each review and update to the emergency plan. evidence: 1) The most recent review documented in the EPP provided was dated 08/04/2016.”

8VAC20-800-780-B

“Based on record review, the provider did not review, annually, with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency contact information in the record for Child #1 was dated 02/27/2020.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for staff. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #1 were dated 07/15/2016.”

8VAC20-770-40-D-4-a

“Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for household members 18 years or older. Evidence: 1) The most recent Central Registry search request results available in the record for HM #1 were dated 07/25/2016.”

8VAC20-820-120-E-2

“Based on document review and interview with the provider, certain documents related to the terms of the license were not posted on the premises of the facility, as required. Evidence: 1) The findings of the most recent inspection of the facility on 08/10/2021 were not posted. The provider could not locate a copy of the inspection report for 08/10/2021.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (Tb) Screening form, every two years from the date of the first screening. Evidence: 1) The most recent Tb screening report for Staff #2 was dated 10/29/2019.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #1 (dob 11/29/2019) was dated 05/29/2020.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia. Evidence: 1) The record for Child #2 (start date 11/04/2021) did not contain an immunization report as required.”

8VAC20-800-80-A

“Based on record review, the provider did not obtain from the parent, within seven business days of the child's first day of attendance at the family day home, verification of the identity and age of the child. Evidence: 1) The record for Child #2 (start date 11/04/2021) and Child #3 (start date 11/04/2021) did not contain information that the provider obtained documentation to verify the identity and age of the children.”

8VAC20-800-60-B

“Based on record review and interview with the provider, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached. 2) The records for Child #2 and Child #3 did not contain complete required information of two designated persons to contact in case of an emergency if the parent cannot be reached, as follows: the first designated emergency contact was one the parents and the second contact provided was missing a complete address.”

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1) The record for Child #3 (start date 11/04/2021) did not contain the results of a physical examination.”

8VAC20-800-800-B

“Based on documentation review, the provider did not review the emergency preparedness plan (EPP) at least annually, update the plan as needed and document in writing each review and update to the emergency plan. evidence: 1) The most recent review documented in the EPP provided was dated 08/04/2016.”

8VAC20-800-780-B

“Based on record review, the provider did not review, annually, with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency contact information in the record for Child #1 was dated 02/27/2020.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for staff. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #1 were dated 07/15/2016.”

8VAC20-770-40-D-4-a

“Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for household members 18 years or older. Evidence: 1) The most recent Central Registry search request results available in the record for HM #1 were dated 07/25/2016.”

8VAC20-820-120-E-2

“Based on document review and interview with the provider, certain documents related to the terms of the license were not posted on the premises of the facility, as required. Evidence: 1) The findings of the most recent inspection of the facility on 08/10/2021 were not posted. The provider could not locate a copy of the inspection report for 08/10/2021.”