Gissela Medina Maldonado

8VAC20-800-100-A

“Based on review, 4 of 13 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) prior to a child's first day of attendance. Evidence - 1. On the date of inspection (01/09/2024), the following children did not have the documentation of a physical examination available for review: Child #6 (start date - 11/15/2023), Child #11 (start date - 04/17/2023), Child 12 (start date - 04/17/2023), and Child #13 (start date - 11/13/2023). 2. The Provider confirmed that all listed children were still currently enrolled.”

8VAC20-800-60-B

“Based on review, 2 of 13 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (01/09/2024), only 1 of 2 emergency contacts was listed for Child #5. 2. The child's record was not available for review for Child #13. Provider stated that she is still awaiting its return from the child's parent.”

8VAC20-800-90-A

“Based on review, 1 of 13 children files indicated that the Provider did not obtain documentation that each child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before the child attends the Family Day Home (FDH). Evidence - 1. On the date of inspection (01/09/2024), documentation of the child's immunizations was not available for review for Child #5. 2. The start date for Child #5 was listed as 12/11/2023. Child #5 was in attendance on the date of inspection.”

8VAC20-800-90-C

“Based on review, 1 of 13 children files reviewed indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for any child under the age of two years. Evidence - 1. On the date of inspection (01/09/2024), the current immunization documentation on file for Child #10 was dated - 03/01/2023. 2. On the date of inspection, based on documentation on file, Child #10 was under the age of two years.”

8VAC20-800-100-A

“Based on review, 4 of 13 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) prior to a child's first day of attendance. Evidence - 1. On the date of inspection (01/09/2024), the following children did not have the documentation of a physical examination available for review: Child #6 (start date - 11/15/2023), Child #11 (start date - 04/17/2023), Child 12 (start date - 04/17/2023), and Child #13 (start date - 11/13/2023). 2. The Provider confirmed that all listed children were still currently enrolled.”

8VAC20-800-60-B

“Based on review, 2 of 13 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (01/09/2024), only 1 of 2 emergency contacts was listed for Child #5. 2. The child's record was not available for review for Child #13. Provider stated that she is still awaiting its return from the child's parent.”

8VAC20-800-90-A

“Based on review, 1 of 13 children files indicated that the Provider did not obtain documentation that each child had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before the child attends the Family Day Home (FDH). Evidence - 1. On the date of inspection (01/09/2024), documentation of the child's immunizations was not available for review for Child #5. 2. The start date for Child #5 was listed as 12/11/2023. Child #5 was in attendance on the date of inspection.”

8VAC20-800-90-C

“Based on review, 1 of 13 children files reviewed indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for any child under the age of two years. Evidence - 1. On the date of inspection (01/09/2024), the current immunization documentation on file for Child #10 was dated - 03/01/2023. 2. On the date of inspection, based on documentation on file, Child #10 was under the age of two years.”

8VAC20-790-430-A-3

“Based on review and interview, lockdown procedures were not practiced at least annually. Evidence - 1. On the date of inspection (07/07/2023), a lockdown drill was not recorded on the posted drill log. 2. The Provider stated (during an interview conducted on the date of inspection) that a lockdown drill has not been conducted within the past year.”

8VAC20-790-250-B

“Based on review, 1 of 2 staff files indicated that within the first 90 days of employment a caregiver did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education (10 hours). Evidence - 1. On the date of inspection (07/07/2023), a certificate of completion for the VA Preservice Training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

8VAC20-800-210-A

“Based on review and interview, 1 of 2 staff files indicated that a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities was not obtained. Evidence - 1. On the date of inspection (07/07/2023), a total of 8 hours of annual training was documented for Staff #1. 2. Staff #1 stated (during an interview conducted on the date of inspection) that she did not realize that the overall total of annual training hours needed was 16.”

8VAC20-800-90-C

“Based on review, 1 of 11 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (07/07/2023), an immunization page for Child #5 was dated - 01/05/2023. 2. Based on information on file, Child #5 was under the age of two years on the date of inspection.”

8VAC20-800-60-B

“Based on review, 3 of 11 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 emergency contact phone numbers was listed for Child #7, Child #8, and Child #9. 2. The insurance policy number was not available for the named medical insurance policy for Child #7, Child #8, and Child #9.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff files indicated that not all of the required documentation was on file. Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

8VAC20-800-100-A

“Based on review, 3 of 11 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (07/07/2023), the following children did not have documentation of a physical examination on file: Child #1, Child #2, and Child #11. 2. Their start dates were: Child #1 - 02/28/2022; Child #2 - 02/28/2022; and Child #11 - 04/17/2023.”

8VAC20-800-830-B

“Based on review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence - 1. Based on the posted drill log, no shelter-in-place drills were practiced within the past year. 2. The Provider confirmed this observation on the date of inspection.”

8VAC20-800-830-A

“Based on review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children were in care. Evidence - 1. Based on the posted drill log, the last documented fire drill was conducted in March 2023. 2. The Provider confirmed this observation on the date of inspection.”

8VAC20-770-60-B

“Based on review and interview, 1 of 2 staff files indicated that an employee of a family day home (FDH) was employed prior to the FDH having the person's completed sworn statement or affirmation (SDS). Evidence - 1. On the date of inspection (07/07/2023), the SDS of Staff #2 was signed and dated - 06/03/2023. 2. The Provider stated (during an interview conducted on the date of inspection) and documented that the start date for Staff #2 was 03/04/2023.”

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

“Based on review, 1 of 2 staff files, and 2 of 2 household records indicated that all of the required background checks were not available for review. Evidence - 1. On the date of inspection 07/07/2023) a sworn statement or affirmation (SDS) was not available for review for Household Member #1, and Household Member #2. Both have moved into the home since the last inspection. 2. A search of the central registry ( CPS ) for Household Member #1 was not available for review.”

22.1-289.036-B-2

“Based on review, 2 of 2 household records indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file. Evidence - 1. On the date of inspection (07/07/2023), a FPCs for both Household Member #1, and Household Member #2 did not identify with the current address of the FDH. 2. This FPC for HM #1 was dated - 12/14/2022, and the FPC for HM #2 was dated - 05/23/2023.”

22.1-289.035-B-2

“Based on review, 1 of 2 staff files indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file. Evidence - 1. On the date of inspection (07/07/2023), a FPC for Staff #2 did not identify with the current address of the FDH. 2. This FPC was dated - 06/05/2023”

8VAC20-790-430-A-3

“Based on review and interview, lockdown procedures were not practiced at least annually. Evidence - 1. On the date of inspection (07/07/2023), a lockdown drill was not recorded on the posted drill log. 2. The Provider stated (during an interview conducted on the date of inspection) that a lockdown drill has not been conducted within the past year.”

8VAC20-790-250-B

“Based on review, 1 of 2 staff files indicated that within the first 90 days of employment a caregiver did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education (10 hours). Evidence - 1. On the date of inspection (07/07/2023), a certificate of completion for the VA Preservice Training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

8VAC20-800-210-A

“Based on review and interview, 1 of 2 staff files indicated that a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities was not obtained. Evidence - 1. On the date of inspection (07/07/2023), a total of 8 hours of annual training was documented for Staff #1. 2. Staff #1 stated (during an interview conducted on the date of inspection) that she did not realize that the overall total of annual training hours needed was 16.”

8VAC20-800-90-C

“Based on review, 1 of 11 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (07/07/2023), an immunization page for Child #5 was dated - 01/05/2023. 2. Based on information on file, Child #5 was under the age of two years on the date of inspection.”

8VAC20-800-60-B

“Based on review, 3 of 11 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 emergency contact phone numbers was listed for Child #7, Child #8, and Child #9. 2. The insurance policy number was not available for the named medical insurance policy for Child #7, Child #8, and Child #9.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff files indicated that not all of the required documentation was on file. Evidence - 1. On the date of inspection (07/07/2023), 1 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/04/2023.”

8VAC20-800-100-A

“Based on review, 3 of 11 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (07/07/2023), the following children did not have documentation of a physical examination on file: Child #1, Child #2, and Child #11. 2. Their start dates were: Child #1 - 02/28/2022; Child #2 - 02/28/2022; and Child #11 - 04/17/2023.”

8VAC20-800-830-B

“Based on review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence - 1. Based on the posted drill log, no shelter-in-place drills were practiced within the past year. 2. The Provider confirmed this observation on the date of inspection.”

8VAC20-800-830-A

“Based on review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children were in care. Evidence - 1. Based on the posted drill log, the last documented fire drill was conducted in March 2023. 2. The Provider confirmed this observation on the date of inspection.”

8VAC20-770-60-B

“Based on review and interview, 1 of 2 staff files indicated that an employee of a family day home (FDH) was employed prior to the FDH having the person's completed sworn statement or affirmation (SDS). Evidence - 1. On the date of inspection (07/07/2023), the SDS of Staff #2 was signed and dated - 06/03/2023. 2. The Provider stated (during an interview conducted on the date of inspection) and documented that the start date for Staff #2 was 03/04/2023.”

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

“Based on review, 1 of 2 staff files, and 2 of 2 household records indicated that all of the required background checks were not available for review. Evidence - 1. On the date of inspection 07/07/2023) a sworn statement or affirmation (SDS) was not available for review for Household Member #1, and Household Member #2. Both have moved into the home since the last inspection. 2. A search of the central registry ( CPS ) for Household Member #1 was not available for review.”

22.1-289.036-B-2

“Based on review, 2 of 2 household records indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file. Evidence - 1. On the date of inspection (07/07/2023), a FPCs for both Household Member #1, and Household Member #2 did not identify with the current address of the FDH. 2. This FPC for HM #1 was dated - 12/14/2022, and the FPC for HM #2 was dated - 05/23/2023.”

22.1-289.035-B-2

“Based on review, 1 of 2 staff files indicated that the licensed family day home (FDH) did not have a correct fingerprinting check (FPC) on file. Evidence - 1. On the date of inspection (07/07/2023), a FPC for Staff #2 did not identify with the current address of the FDH. 2. This FPC was dated - 06/05/2023”

8VAC20-790-250-F

“Based on review and interview, 1 of 2 staff files indicated that the department's health and safety update course was not conducted within the past year. Evidence - 1. On the date of inspection (01/13/2023), a certificate of completion for the department's health and safety update course for Staff #1 was not available for review. 2. Staff #1 stated (during an interview conducted on the date of inspection) that this course had not been completed for this past year. 3. Staff #2 has yet to reach a full year of employment.”

8VAC20-820-120-E-1

“Based on observation and interview, the most recently issued license was not posted at the Family Day Home (FDH). Evidence - 1. While on site, it was determined that the current license for the FDH was not posted. 2. The most recent inspection reports were posted.”

8VAC20-800-570-A

“Based on observation and interview, the Provider did not ensure that a caregiver did not exceed 16 points within their Family Day Home (FDH). Evidence - 1. On the date of inspection (01/13/2023), at approximately 9:30 am, upon arrival at the FDH, there were a total of 8 children (7 children in care with 1 resident child) with 1 caregiver. 2. Staff #2 was alone with these children; totaling 20 points until the Provider arrived 5 minutes later. 3. Once the Provider arrived, the Licensing Inspector was let into the home. A count of the number of children and the number of points were tallied at that time. 4. The Provider stated that she needed to take a family member to the doctor.”

8VAC20-800-210-A

“Based on review, 1 of 2 staff files indicated that a minimum of 16 clock hours of annual training was not obtained. Evidence - 1. On the date of inspection (01/13/2023) documentation of 16 hours of annual training was not available for review for Staff #1. 2. This finding was confirmed by the Provider on the date of inspection.”

8VAC20-800-170-A

“Based on review and interview, 1 of 2 household records indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening (TB). Evidence - 1. On the date of inspection (01/13/2023), initial TB documentation for Household Member #1 was not available for review. 2. Based on interview, Household Member #1 moved in to the home on 10/13/2022.”

8VAC20-800-90-C

“Based on review, 1 of 10 children files indicated that the Family Day Home did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (01/13/2023), an immunization page for Child #5 was dated - 01/31/2022. 2. Based on the information on file, Child #5 was under the age of 2 years on the date of inspection.”

8VAC20-800-90-A

“Based on review, 1 of 10 children files indicated that the provider did not obtain documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations, before a child may attend the Family Day Home (FDH). Evidence - 1. On the date of inspection (01/13/2023), the following child did not have their immunization record available for review: Child #4. 2. The start date for Child #4 was listed as 01/13/2022.”

8VAC20-800-80-B

“Based on review, written documentation that the proof of identification for each child was verified was not available. Evidence - 1. On the date of inspection (01/13/2023), written documentation that the proof of identification was verified was not available for the following children: Child #8, Child #9, and Child #10. 2. This finding was confirmed by the Provider on the date of inspection.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff files reviewed indicated that not all of the required documentation was on file for both staff. Evidence - 1. On the date of inspection, 0 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022.”

8VAC20-800-100-A

“Based on review, 4 of 10 children files indicated that 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. On the date of inspection (01/13/2023), documentation of a physical examination was not available for review for the following children: Child #1, Child #2, Child #3, and Child #4. 2. Their start dates were listed as - 02/28/2022 for Child #1 and Child #2; 11/07/2022 for Child #3, and 01/13/2022 for Child #4.”

8VAC20-800-800-B

“Based on review, the Provider did not review the emergency preparedness and response plan (EP&RP) on an annual basis. Evidence - 1. The last review documented in writing by the Provider was dated 08/28/2020. 2. This date was observed on the last page of the EP&RP posted on site at the FDH.”

8VAC20-800-780-B

“Based on review, 4 of 10 children files indicated that the Provider did not review annually with the parent the emergency contact information (as required in 8VAC20-800-60 B 2) to ensure the information is correct and did not obtain the parent's signed acknowledgment of the review. Evidence - 1. On the date of inspection (01/13/2023), the following children did not have verification of the signed review of each child's emergency contact information: Child #1 (start date - 02/28/2022), Child #2 (start date - 02/28/2022), Child #5 (start date - 01/09/2023), and Child #6 (start date - 01/09/2023). 2. On the above forms of the Child's Record, this section remained blank for these listed children.”

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

“Based on review and interview, 1 of 2 household records did not include a search of the central registry ( CPS check) within 30 days of a person 18 years of age or older beginning to reside in the home, and a sworn statement or affirmation (SDS) when a person 18 years or older begins residing in the home. Evidence - 1. On the date of inspection (01/13/2023), a CPS check and a SDS were not available for review for Household Member #1. 2. Based on interview of the Provider, Household Member #1 moved into the home on 10/13/2022.”

8VAC20-800-60-B

“Based on review, 8 of 10 children records did not contain all of the required information. Evidence - 1. On the date of inspection (01/13/2023), the information for each child's medical insurance was not available for: Child #5, Child #6, Child #7, Child #8, and Child #10. While the policy name was listed, the following children did not have the policy number listed: Child #3, Child #4, and Child #9. 2. Parent information was not available for: Child #7. 3. Parent's work information was not available for: Child #7, Child #8, Child #9, and Child #10. 4. The emergency contact information (2 contacts) for each child was not available for: Child #7. While the names, addresses, were listed for each of the two emergency contacts, the following children had 1 of 2 phone numbers listed: Child #8, Child #9, and Child #10. 5. The signed written authorization for emergency medical treatment for each child was not available for review for the following children: Child #7, Child #8, Child #9, and Child #10.”

8VAC20-790-250-F

“Based on review and interview, 1 of 2 staff files indicated that the department's health and safety update course was not conducted within the past year. Evidence - 1. On the date of inspection (01/13/2023), a certificate of completion for the department's health and safety update course for Staff #1 was not available for review. 2. Staff #1 stated (during an interview conducted on the date of inspection) that this course had not been completed for this past year. 3. Staff #2 has yet to reach a full year of employment.”

8VAC20-820-120-E-1

“Based on observation and interview, the most recently issued license was not posted at the Family Day Home (FDH). Evidence - 1. While on site, it was determined that the current license for the FDH was not posted. 2. The most recent inspection reports were posted.”

8VAC20-800-570-A

“Based on observation and interview, the Provider did not ensure that a caregiver did not exceed 16 points within their Family Day Home (FDH). Evidence - 1. On the date of inspection (01/13/2023), at approximately 9:30 am, upon arrival at the FDH, there were a total of 8 children (7 children in care with 1 resident child) with 1 caregiver. 2. Staff #2 was alone with these children; totaling 20 points until the Provider arrived 5 minutes later. 3. Once the Provider arrived, the Licensing Inspector was let into the home. A count of the number of children and the number of points were tallied at that time. 4. The Provider stated that she needed to take a family member to the doctor.”

8VAC20-800-210-A

“Based on review, 1 of 2 staff files indicated that a minimum of 16 clock hours of annual training was not obtained. Evidence - 1. On the date of inspection (01/13/2023) documentation of 16 hours of annual training was not available for review for Staff #1. 2. This finding was confirmed by the Provider on the date of inspection.”

8VAC20-800-170-A

“Based on review and interview, 1 of 2 household records indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening (TB). Evidence - 1. On the date of inspection (01/13/2023), initial TB documentation for Household Member #1 was not available for review. 2. Based on interview, Household Member #1 moved in to the home on 10/13/2022.”

8VAC20-800-90-C

“Based on review, 1 of 10 children files indicated that the Family Day Home did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (01/13/2023), an immunization page for Child #5 was dated - 01/31/2022. 2. Based on the information on file, Child #5 was under the age of 2 years on the date of inspection.”

8VAC20-800-90-A

“Based on review, 1 of 10 children files indicated that the provider did not obtain documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations, before a child may attend the Family Day Home (FDH). Evidence - 1. On the date of inspection (01/13/2023), the following child did not have their immunization record available for review: Child #4. 2. The start date for Child #4 was listed as 01/13/2022.”

8VAC20-800-80-B

“Based on review, written documentation that the proof of identification for each child was verified was not available. Evidence - 1. On the date of inspection (01/13/2023), written documentation that the proof of identification was verified was not available for the following children: Child #8, Child #9, and Child #10. 2. This finding was confirmed by the Provider on the date of inspection.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff files reviewed indicated that not all of the required documentation was on file for both staff. Evidence - 1. On the date of inspection, 0 of 2 references were on file for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022.”

8VAC20-800-100-A

“Based on review, 4 of 10 children files indicated that 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. On the date of inspection (01/13/2023), documentation of a physical examination was not available for review for the following children: Child #1, Child #2, Child #3, and Child #4. 2. Their start dates were listed as - 02/28/2022 for Child #1 and Child #2; 11/07/2022 for Child #3, and 01/13/2022 for Child #4.”

8VAC20-800-800-B

“Based on review, the Provider did not review the emergency preparedness and response plan (EP&RP) on an annual basis. Evidence - 1. The last review documented in writing by the Provider was dated 08/28/2020. 2. This date was observed on the last page of the EP&RP posted on site at the FDH.”

8VAC20-800-780-B

“Based on review, 4 of 10 children files indicated that the Provider did not review annually with the parent the emergency contact information (as required in 8VAC20-800-60 B 2) to ensure the information is correct and did not obtain the parent's signed acknowledgment of the review. Evidence - 1. On the date of inspection (01/13/2023), the following children did not have verification of the signed review of each child's emergency contact information: Child #1 (start date - 02/28/2022), Child #2 (start date - 02/28/2022), Child #5 (start date - 01/09/2023), and Child #6 (start date - 01/09/2023). 2. On the above forms of the Child's Record, this section remained blank for these listed children.”

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

“Based on review and interview, 1 of 2 household records did not include a search of the central registry ( CPS check) within 30 days of a person 18 years of age or older beginning to reside in the home, and a sworn statement or affirmation (SDS) when a person 18 years or older begins residing in the home. Evidence - 1. On the date of inspection (01/13/2023), a CPS check and a SDS were not available for review for Household Member #1. 2. Based on interview of the Provider, Household Member #1 moved into the home on 10/13/2022.”

8VAC20-800-60-B

“Based on review, 8 of 10 children records did not contain all of the required information. Evidence - 1. On the date of inspection (01/13/2023), the information for each child's medical insurance was not available for: Child #5, Child #6, Child #7, Child #8, and Child #10. While the policy name was listed, the following children did not have the policy number listed: Child #3, Child #4, and Child #9. 2. Parent information was not available for: Child #7. 3. Parent's work information was not available for: Child #7, Child #8, Child #9, and Child #10. 4. The emergency contact information (2 contacts) for each child was not available for: Child #7. While the names, addresses, were listed for each of the two emergency contacts, the following children had 1 of 2 phone numbers listed: Child #8, Child #9, and Child #10. 5. The signed written authorization for emergency medical treatment for each child was not available for review for the following children: Child #7, Child #8, Child #9, and Child #10.”

8VAC20-790-430-A-3

“Based on interview, the lockdown procedures were not practiced at least annually. Evidence - 1. The drill log was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that a lockdown drill had not been conducted in the past year.”

8VAC20-790-250-B

“Based on review, 1 of 2 staff files indicated that within the first 90 days of employment all caregivers did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence - 1. On the date of inspection (10/20/2022) certification of completion of the Virginia Pre-Service training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022. Staff #2 was observed on site providing care on the date of inspection.”

8VAC20-800-90-A

“Based on review, 2 of 10 children files indicated that not obtained documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before each child attends the family day home (FDH). Evidence - 1. On the date of inspection (10/20/22), documentation of an immunization record was not available for review for: Child #5, and Child #6. 2. Both children were in attendance on the date of inspection.”

8VAC20-800-830-C

“Based on interview, documentation was not maintained of the emergency evacuation (fire drills) and shelter-in-place drills for the FDH. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that the emergency drill log could not be located. 2. The actual conducting of these drill could not be determined.”

8VAC20-800-30-A

“Code of Virginia 22.1-(14.1)-289.011 - Based on observation and interview, the current license issued by the Office of Child Care Health and Safety was not posted. Evidence - 1. On the date of inspection (10/20/22), the current FDH license was not posted and available for observation. 2. The Provider stated (during an interview on the date of inspection) that she did not realize that the digital copy received was what was required to be posted and was expecting an actual license to be mailed to the FDH.”

8VAC20-800-100-A

“Based on review, 5 of 10 children files indicated that documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance was not available. Evidence - 1. On the date of inspection (10/20/22), documentation of a physical examination was not available for review for: Child #2, #3, #4, #5, and #6. 2. The start dates for these children were listed as: Child #2 (03/03/22), Child #3 (02/28/22), Child #4 (02/28/22), Child #5 (not available), Child #6 (01/13/22).”

8VAC20-800-80-A

“Based on review, 3 of 10 children records indicated that the verification of each child's proof of identification was not available. Evidence - 1. On the date of inspection (10/20/22), verification of the review of the child's proof of identification was not available for: Child #7, #8, and #9. 2. Their start dates were listed as - Child #7 (start date - not listed), Child #8 (start date - 11/02/20), and Child #9 (start date - 11/02/20).”

8VAC20-800-790

“Based on observation, the required emergency telephone numbers were not posted at the FDH. Evidence - The following emergency telephone numbers were not posted: 1. A 911 or local dial number for police, fire, and emergency medical responders. 2. The responsible person for emergency backup care (as required in 8VAC20-800- 800 A 3). 3. The regional poison control center.”

8VAC20-800-90-C

“Based on review, 1 of 10 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (10/20/22), the immunization documentation on file for Child #10 was dated - 03/24/2022). 2. Based on the information on file, Child #10 was under the age of two years on the date of inspection.”

8VAC20-800-70-B

“Based on review, 3 of 10 children files indicated that not all documentation was on file with a written acknowledgement from the child's parent. Evidence - The following documentation was not available for review: 1. The Policy for the Administration of Medications form for: Child #3, and Child #4. 2. The PROVISIONS OF THE EMERGENCY PREPAREDNESS AND RESPONSE PLAN form for: Child #3, and Child #4. 3. The LIABILITY INSURANCE DECLARATION form for: Child 1, Child #3, and Child #4.”

8VAC20-800-60-B

“Based on review, 9 of 10 children records reviewed indicated that not all of the required information and/or documentation was contained within each file. Evidence - The following information and/or documentation was not available for review: 1. Parent's Name/Address/Phone for: Child #2, #3, #7,#8, #9, and #10. 2. Parent's Workplace/Address/Phone for: Child #2, #3, #7, #8, #9, and #10. 3. Name/Address/Phone of at least 2 emergency contacts for: Child # 1, #2, #3, #4, #7, #8, #9, and #10. 4. Insurance Name and Policy Number for: Child #2, #3, #4, #7, #8, #9, and #10; Child #6 was missing the Policy Number only. 5. Emergency Medical Authorization for: Child # 1, #2, #3, #4, #6, #7, #8, #9, and #10.”

8VAC20-800-60-A

“Based on review and interview, 1 of 10 enrolled children did not have an up-to-date record available for review. Evidence - 1. On the date of inspection (10/20/22), a record for Child #5 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that the file was not ready.”

8VAC20-790-430-A-3

“Based on interview, the lockdown procedures were not practiced at least annually. Evidence - 1. The drill log was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that a lockdown drill had not been conducted in the past year.”

8VAC20-790-250-B

“Based on review, 1 of 2 staff files indicated that within the first 90 days of employment all caregivers did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence - 1. On the date of inspection (10/20/2022) certification of completion of the Virginia Pre-Service training was not available for Staff #2. 2. The start date for Staff #2 was listed as 03/01/2022. Staff #2 was observed on site providing care on the date of inspection.”

8VAC20-800-90-A

“Based on review, 2 of 10 children files indicated that not obtained documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before each child attends the family day home (FDH). Evidence - 1. On the date of inspection (10/20/22), documentation of an immunization record was not available for review for: Child #5, and Child #6. 2. Both children were in attendance on the date of inspection.”

8VAC20-800-830-C

“Based on interview, documentation was not maintained of the emergency evacuation (fire drills) and shelter-in-place drills for the FDH. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 10/20/22) that the emergency drill log could not be located. 2. The actual conducting of these drill could not be determined.”

8VAC20-800-30-A

“Code of Virginia 22.1-(14.1)-289.011 - Based on observation and interview, the current license issued by the Office of Child Care Health and Safety was not posted. Evidence - 1. On the date of inspection (10/20/22), the current FDH license was not posted and available for observation. 2. The Provider stated (during an interview on the date of inspection) that she did not realize that the digital copy received was what was required to be posted and was expecting an actual license to be mailed to the FDH.”

8VAC20-800-100-A

“Based on review, 5 of 10 children files indicated that documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance was not available. Evidence - 1. On the date of inspection (10/20/22), documentation of a physical examination was not available for review for: Child #2, #3, #4, #5, and #6. 2. The start dates for these children were listed as: Child #2 (03/03/22), Child #3 (02/28/22), Child #4 (02/28/22), Child #5 (not available), Child #6 (01/13/22).”

8VAC20-800-80-A

“Based on review, 3 of 10 children records indicated that the verification of each child's proof of identification was not available. Evidence - 1. On the date of inspection (10/20/22), verification of the review of the child's proof of identification was not available for: Child #7, #8, and #9. 2. Their start dates were listed as - Child #7 (start date - not listed), Child #8 (start date - 11/02/20), and Child #9 (start date - 11/02/20).”

8VAC20-800-790

“Based on observation, the required emergency telephone numbers were not posted at the FDH. Evidence - The following emergency telephone numbers were not posted: 1. A 911 or local dial number for police, fire, and emergency medical responders. 2. The responsible person for emergency backup care (as required in 8VAC20-800- 800 A 3). 3. The regional poison control center.”

8VAC20-800-90-C

“Based on review, 1 of 10 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (10/20/22), the immunization documentation on file for Child #10 was dated - 03/24/2022). 2. Based on the information on file, Child #10 was under the age of two years on the date of inspection.”

8VAC20-800-70-B

“Based on review, 3 of 10 children files indicated that not all documentation was on file with a written acknowledgement from the child's parent. Evidence - The following documentation was not available for review: 1. The Policy for the Administration of Medications form for: Child #3, and Child #4. 2. The PROVISIONS OF THE EMERGENCY PREPAREDNESS AND RESPONSE PLAN form for: Child #3, and Child #4. 3. The LIABILITY INSURANCE DECLARATION form for: Child 1, Child #3, and Child #4.”

8VAC20-800-60-B

“Based on review, 9 of 10 children records reviewed indicated that not all of the required information and/or documentation was contained within each file. Evidence - The following information and/or documentation was not available for review: 1. Parent's Name/Address/Phone for: Child #2, #3, #7,#8, #9, and #10. 2. Parent's Workplace/Address/Phone for: Child #2, #3, #7, #8, #9, and #10. 3. Name/Address/Phone of at least 2 emergency contacts for: Child # 1, #2, #3, #4, #7, #8, #9, and #10. 4. Insurance Name and Policy Number for: Child #2, #3, #4, #7, #8, #9, and #10; Child #6 was missing the Policy Number only. 5. Emergency Medical Authorization for: Child # 1, #2, #3, #4, #6, #7, #8, #9, and #10.”

8VAC20-800-60-A

“Based on review and interview, 1 of 10 enrolled children did not have an up-to-date record available for review. Evidence - 1. On the date of inspection (10/20/22), a record for Child #5 was not available for review. 2. The Provider stated (during an interview conducted on the date of inspection) that the file was not ready.”

22VAC40-665-230-H

“Based on interview and review, 1 of 2 staff files indicated that a caregiver who work directly with children did not complete the department's annual health and safety update course. Evidence - 1. On the date of inspection (03/31/2022), Staff #1 stated that the annual health and safety update course had yet to be completed for this year. 2. The subsidy vendor agreement became effective - 02/09/2021.”

8VAC20-800-500-C

“Based on observation, the stationary outdoor playground equipment was installed over a hard surface. Evidence - 1. On the date of inspection (03/31/2022), the stationary outdoor play equipment located in the backyard of the Family Day Home was installed over a hard surface. 2. This hard surface consisted of wood decking found installed on outdoor steps or back yard decks. 3. Due to the pandemic and the nature of virtual inspections, this was the first inspection that was conducted on site since the Family Day Home has been licensed and a closer look to the outdoor equipment was administered.”

8VAC20-800-500-B

“Based on observation, the highest platform on outdoor climbing equipment exceeds six feet for school age children and four feet for preschool children. Evidence - 1. On the date of inspection (03/31/2022) preschool children were observed using a slide from a top platform that stood over six feet from surface. 2. This was the upper left platform of the playground structure. 3. Child #2, and Child #7 (both preschool age were observed using this slide.”

8VAC20-800-70-A

“Based on review, 2 of 8 children files indicated that not all of the required signed documentation was contained in each child's file. Evidence - 1. On the date of inspection (03/31/2022), the following documentation was not available for review: the Policy for the Administration of Medications form (Child #7, and Child #8); the Provisions of the Emergency Preparedness and Response Plan form (Child #7, and Child #8); and the Liability Insurance Declaration form (Child #7, and Child #8). 2. These forms were missing from the files of these two children.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff records did not contain all of the required information. Evidence - 1. On the date of inspection (03/31/2022), Staff #2 did not have the documentation of two or more references on file at the FDH. 2. The start date for Staff #2 was listed as 03/01/2022.”

8VAC20-800-100-A

“Based on review, 3 of 8 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (03/03/2022), the following children were without documentation of a physical examination of file at the FDH: Child #7 (start date - 02/28/2022), and Child #8 (start date - 02/28/2022). 2. Both Child #7 and Child #8 were in attendance on the date of inspection.”

8VAC20-800-60-B

“Based on review, 5 of 8 children's files indicated that not all of the required information was on file. Evidence - 1. Name, home address, and telephone number for each custodial parent (Child #4, Child #5, Child #7, and Child #8). 2. The place of employment and work phone number for the custodial parent (Child #4, Child #5, Child #7, and Child #8). 3. Information for two emergency contacts (Child #4, Child #5, Child #7, and Child #8). 4. Medical insurance information (Child #5, the policy number only for Child #6, Child #7; and Child #8). 5. The Information for Parents form (Child #7, and Child #8). 6. Written authorization for emergency medical care (Child #4, Child #5, Child #7, and Child #8).”

22VAC40-665-230-H

“Based on interview and review, 1 of 2 staff files indicated that a caregiver who work directly with children did not complete the department's annual health and safety update course. Evidence - 1. On the date of inspection (03/31/2022), Staff #1 stated that the annual health and safety update course had yet to be completed for this year. 2. The subsidy vendor agreement became effective - 02/09/2021.”

8VAC20-800-500-C

“Based on observation, the stationary outdoor playground equipment was installed over a hard surface. Evidence - 1. On the date of inspection (03/31/2022), the stationary outdoor play equipment located in the backyard of the Family Day Home was installed over a hard surface. 2. This hard surface consisted of wood decking found installed on outdoor steps or back yard decks. 3. Due to the pandemic and the nature of virtual inspections, this was the first inspection that was conducted on site since the Family Day Home has been licensed and a closer look to the outdoor equipment was administered.”

8VAC20-800-500-B

“Based on observation, the highest platform on outdoor climbing equipment exceeds six feet for school age children and four feet for preschool children. Evidence - 1. On the date of inspection (03/31/2022) preschool children were observed using a slide from a top platform that stood over six feet from surface. 2. This was the upper left platform of the playground structure. 3. Child #2, and Child #7 (both preschool age were observed using this slide.”

8VAC20-800-70-A

“Based on review, 2 of 8 children files indicated that not all of the required signed documentation was contained in each child's file. Evidence - 1. On the date of inspection (03/31/2022), the following documentation was not available for review: the Policy for the Administration of Medications form (Child #7, and Child #8); the Provisions of the Emergency Preparedness and Response Plan form (Child #7, and Child #8); and the Liability Insurance Declaration form (Child #7, and Child #8). 2. These forms were missing from the files of these two children.”

8VAC20-800-120-B

“Based on review, 1 of 2 staff records did not contain all of the required information. Evidence - 1. On the date of inspection (03/31/2022), Staff #2 did not have the documentation of two or more references on file at the FDH. 2. The start date for Staff #2 was listed as 03/01/2022.”

8VAC20-800-100-A

“Based on review, 3 of 8 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (03/03/2022), the following children were without documentation of a physical examination of file at the FDH: Child #7 (start date - 02/28/2022), and Child #8 (start date - 02/28/2022). 2. Both Child #7 and Child #8 were in attendance on the date of inspection.”

8VAC20-800-60-B

“Based on review, 5 of 8 children's files indicated that not all of the required information was on file. Evidence - 1. Name, home address, and telephone number for each custodial parent (Child #4, Child #5, Child #7, and Child #8). 2. The place of employment and work phone number for the custodial parent (Child #4, Child #5, Child #7, and Child #8). 3. Information for two emergency contacts (Child #4, Child #5, Child #7, and Child #8). 4. Medical insurance information (Child #5, the policy number only for Child #6, Child #7; and Child #8). 5. The Information for Parents form (Child #7, and Child #8). 6. Written authorization for emergency medical care (Child #4, Child #5, Child #7, and Child #8).”