Grace Paniagua

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 2/09/2026, were not posted in a conspicuous place on the premises.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Record for child #3 did not have a parent’s signature for an annual review of the emergency contact information. Child #3's emergency contact information was last reviewed one year and two months ago.”

8VAC20-800-690-D

“The diapering surface shall be nonabsorbent and washable. The diaper changing table pad had a small hole in the pad and the pad cover had a small tear.”

8VAC20-800-50-C

“Information contained in a child's record shall be privileged and confidential. The provider had the supplemental page from the 8/25/2025 inspection posted on the parent board. The supplemental page is considered confidential and is not to be posted.”

8VAC20-800-140-B-3

“The provider shall have a current certification in cardiopulmonary resuscitation (CPR). The provider's CPR certification expired 3 weeks ago.”

8VAC20-800-140-B-4

“The provider shall have a current certification in first aid. The provider's first aid certification expired 3 weeks ago.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt , every six months. The most recent immunization records for Child #1 were dated 2024. Additional immunizations records were not obtained from 2025.”

8VAC20-800-180-A

“The provider shall obtain for each adult household member a current report of Tuberculosis (TB) Screening form, every two years. The TB screening for the Household Member 1 was last completed on 11/24/22. A subsequent TB screening has not been obtained to this date.”

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current report of Tuberculosis (TB) Screening form, every two years. The TB screening for the provider, Household Member 1 and Household Member 2 was last completed on 11/24/22. A subsequent TB screening was not obtained for all three.”

8VAC20-800-60-B

“Based on records review, children's records were not complete. Evidence: Child # 1's record was missing the medical insurance information and information for a second emergency contact .”

22.1-289.035-B-4

“Based on records review and staff interview, the family day home did not obtain results of an out of state sex offender search and criminal history search for an employee that has resided outside of Virginia within the last five years, prior to the first day of employment. Evidence: 1. Caregiver # 1's first day of employment was 3/7/22. 2. Caregiver # 1's record indicated that she resided in Puerto Rico and Hawaii within the last 5 years. 3. Caregiver # 1 stated that she resided in Puerto Rico from September 2015 through September 2019. Caregiver # 1 also stated that she resided in Hawaii from September 2019 through February 2022, after which she moved to Virginia. 4. The sex offender search for Caregiver # 1 for Hawaii and Puerto Rico was not completed to this date. 5. The criminal history check for Caregiver # 1 for Puerto Rico was not completed to this date. 6. The provider stated that she was not aware that she needed to complete these searches for Caregiver # 1.”