Karina Moscoso

8VAC20-800-780-B

“Based on record review, the provider did not ensure to review, annually, 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. Evidence: 1) The most recent acknowledgement of review of emergency information in the record for Child #2 was dated 02/04/2022.”

22.1-289.035-B-2

“Based on record review, 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) The record for Caregiver #2 (start date 05/23/2023) had a fingerprint-based criminal history check determination letter dated 06/16/2023.”

22.1-289.011-F

“Based on observation, the current inspection notice was not posted in a conspicuous place on the licensed premises as required. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (01/11/2023) were not posted. The inspection notice posted was dated 08/29/2022.”

8VAC20-800-200-A

“Based on record review, caregivers did not complete required orientation training by the end of their first week of assuming job responsibilities. Evidence: 1) On the date of inspection, the record for Caregiver #2 (start date 05/23/2023) did not contain documentation of having completed orientation training as required.”

8VAC20-800-170-A

“Based on record review, the provider did not ensure to obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: 1) The record for Caregiver #2 (start 05/23/2023) did not contain the results of a current report of tuberculosis screening.”

8VAC20-800-780-B

“Based on record review, the provider did not ensure to review, annually, 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. Evidence: 1) The most recent acknowledgement of review of emergency information in the record for Child #2 was dated 02/04/2022.”

22.1-289.035-B-2

“Based on record review, 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) The record for Caregiver #2 (start date 05/23/2023) had a fingerprint-based criminal history check determination letter dated 06/16/2023.”

22.1-289.011-F

“Based on observation, the current inspection notice was not posted in a conspicuous place on the licensed premises as required. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (01/11/2023) were not posted. The inspection notice posted was dated 08/29/2022.”

8VAC20-800-200-A

“Based on record review, caregivers did not complete required orientation training by the end of their first week of assuming job responsibilities. Evidence: 1) On the date of inspection, the record for Caregiver #2 (start date 05/23/2023) did not contain documentation of having completed orientation training as required.”

8VAC20-800-170-A

“Based on record review, the provider did not ensure to obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: 1) The record for Caregiver #2 (start 05/23/2023) did not contain the results of a current report of tuberculosis screening.”

8VAC20-790-430-A-3

“Based on documentation review, lockdown procedures were not practiced at least annually. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an lockdown drill documented for the year.”

8VAC20-800-680-B

“Based on observation, caregivers did not always ensure that children's hands are washed with liquid soap and warm running water when required. Evidence: 1) On the date of inspection, Staff #2 was observed changing the diapers of four different children. After finished diapering, Staff #2 did not ensure to wash children's hands with soap and water.”

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 evacuation (fire) drills documented for the months of September 2022 through December 2022.”

8VAC20-800-120-B

“Based on record review, caregivers' records did not contain all required information. Evidence: 1) The record for Staff #2 did not contain their date of employment, and the name, address and telephone number of a person to be notified in an emergency.”

8VAC20-800-890

“Based on observation, food brought from the child’s home did not meet all requirements. Evidence: 1) On the date of inspection, 3 containers with food brought from home for Child #1 were observed in the fdh’s fridge. These containers were not dated.”

8VAC20-800-830-B

“Based on documentation review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, had a shelter-in-place drill documented for the month of July 2022, however, a second shelter-in-place drill for the year 2022 was not documented.”

8VAC20-800-530-B

“Based on observation, three out of four cribs observed did not have a tight-fitting bottom cover. Evidence: 1) On the date of inspection, the bottom cover in one of the cribs in the infant room was not tight-fitting.”

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information 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 information in the record for Child #1 was dated 09/12/2021.”

8VAC20-790-430-A-3

“Based on documentation review, lockdown procedures were not practiced at least annually. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an lockdown drill documented for the year.”

8VAC20-800-680-B

“Based on observation, caregivers did not always ensure that children's hands are washed with liquid soap and warm running water when required. Evidence: 1) On the date of inspection, Staff #2 was observed changing the diapers of four different children. After finished diapering, Staff #2 did not ensure to wash children's hands with soap and water.”

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 evacuation (fire) drills documented for the months of September 2022 through December 2022.”

8VAC20-800-120-B

“Based on record review, caregivers' records did not contain all required information. Evidence: 1) The record for Staff #2 did not contain their date of employment, and the name, address and telephone number of a person to be notified in an emergency.”

8VAC20-800-890

“Based on observation, food brought from the child’s home did not meet all requirements. Evidence: 1) On the date of inspection, 3 containers with food brought from home for Child #1 were observed in the fdh’s fridge. These containers were not dated.”

8VAC20-800-830-B

“Based on documentation review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, had a shelter-in-place drill documented for the month of July 2022, however, a second shelter-in-place drill for the year 2022 was not documented.”

8VAC20-800-530-B

“Based on observation, three out of four cribs observed did not have a tight-fitting bottom cover. Evidence: 1) On the date of inspection, the bottom cover in one of the cribs in the infant room was not tight-fitting.”

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information 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 information in the record for Child #1 was dated 09/12/2021.”

8VAC20-790-180-B

“Based on documentation review and interview with the provider, 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, 10 children were in care in the family day home. The attendance record had documented that only 7 children were in care. Upon interviewing the vendor, they stated that one of the children listed, had already left for the day. The attendance record did not document the departure of that child. 2) For previous dates, the attendance record did not document the departure of the children.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child #1 and Child #2 did not contain the policy number of the child's medical insurance.”

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, the records for Staff #1 and Staff #2 did not contain documentation of having completed all of the required sixteen clock hours of annual training during the August 2021 - July 2022 license year: Staff #1 completed 5 training hours and Staff #2 completed 3 training hours.”

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review.”

8VAC20-800-50-A

“Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 10 children were in care in the fdh. The attendance record had documented that only 7 children were in care.”

8VAC20-790-180-B

“Based on documentation review and interview with the provider, 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, 10 children were in care in the family day home. The attendance record had documented that only 7 children were in care. Upon interviewing the vendor, they stated that one of the children listed, had already left for the day. The attendance record did not document the departure of that child. 2) For previous dates, the attendance record did not document the departure of the children.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child #1 and Child #2 did not contain the policy number of the child's medical insurance.”

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, the records for Staff #1 and Staff #2 did not contain documentation of having completed all of the required sixteen clock hours of annual training during the August 2021 - July 2022 license year: Staff #1 completed 5 training hours and Staff #2 completed 3 training hours.”

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review.”

8VAC20-800-50-A

“Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 10 children were in care in the fdh. The attendance record had documented that only 7 children were in care.”

8VAC20-800-800-B

“8VAC20-800-800-B Based on document review and interview, the provider did not review the emergency plan at least annually. Evidence: 1) On the date of inspection, the most recent review of the emergency plan was dated 02/17/2017. Upon interview with the provider, two additional documents that were to be part of the emergency plan were attached and considered. The most recent reviews of these documents were dated as follow: Continuity of Operations was dated 09/04/2019 and Lockdown Procedures was dated 01/06/2020.”

8VAC20-800-890

“8VAC20-800-890 Based on observation and interview with the provider, the provider did not ensure that food containers brought from home be clearly labeled in a way that identifies the owner. Evidence: 1) On the date of inspection, two milk bottles in the refrigerator were not labeled. 2) The provider stated that both bottles belonged to Child #2.”

8VAC20-800-940-B

“8VAC20-800-940-B Based on observation and interview with the provider, an operable thermometer was not available to monitor the freezer compartment temperature. Evidence: 1) On the date of inspection, a thermometer for the freezer compartment was not available. 2) The provider stated that they did not have a thermometer for the freeze.”

8VAC20-800-100-A

“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 11/29/2021) and Child #4 (start date approximately 11/29/2021) did not contain a physical examination.”

8VAC20-800-60-B

“8VAC20-800-60-B Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #4 did not contain the name and policy number of the child's medical insurance; and the first date of attendance.”

8VAC20-800-180-A

“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. Evidence: 1) The most recent Tb screenings available for review were dated as follows: for Staff #1 was dated 11/26/2019, for HM #1 was dated 01/27/2020, for HM #2 was dated 01/28/2020, and for HM #3 was dated 11/21/2019.”

8VAC20-800-240-A

“8VAC20-800-240-A Based on observation, areas of the of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: In the backyard area, the following was observed: a) A plastic slide had a broken support piece underneath. b) Areas on the lower part of the wooden storage shed were broken and showed splintered wood: bottom part of the door, and the back corner on the left side of the shed. c) A broken slat of the wooden fence on the left side area of the backyard.”

8VAC20-800-280

“8VAC20-800-280 Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1) In the bathroom of the care area, two cleaning products (a can of Lysol spray and a container of Clorox wipes) were observed on top of the toilet tank lid.”

8VAC20-800-320-G

“8VAC20-800-320-G Based on documentation review and interview with the provider, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review. The provider stated that an inspection of the fireplace had not been conducted in quite some time.”

8VAC20-800-510-C

“8VAC20-800-510-C Based on observation and interview with the provider, the provider did not ensure that occupied cribs were located at least 12 inches from each other. Evidence: 1) There were two occupied cribs in the Infant room that were located right next to each other with no space in between.”

8VAC20-800-520-A

“8VAC20-800-520-A Based on interview with the provider, cribs were used for children over 12 months of age who are developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1) On the date of inspection, the provider brought Child # 2 (2 years) out of the Infant room where the child had been napping. The inspector did not see a cot or rest mat in the Infant room for Child #2. The provider stated that Child #2 was sleeping in a crib and that the parents have not disclosed of any medical reasons or that Child #2 is not developmentally ready to sleep on a cot or rest mat.”

8VAC20-800-530-F

“8VAC20-800-530-F Based on observation, soft bedding was used on or around infants. Evidence: 1) On the date of inspection, Child #3 (4 months old) was observed napping and a soft blanket was placed over the infant's tummy. There were two occupied cribs in the Infant room and two blankets were hanging from the sides of the cribs. (One blanket on each crib)”

8VAC20-800-690-E

“8VAC20-800-690-E Based on observation, caregivers did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1) After diapering an infant, Staff #2 was observed disposing the diaper in a plastic grocery bag and hanging it on the side of the changing table and walked away leaving it there.”

8VAC20-820-120-E-1

“8VAC20-820-120-E-1 Based on observation, the most recently issued license was not posted as required. Evidence: 1) On the date of inspection, the license posted at the family day home had an expiration date of August 6, 2021.”

8VAC20-820-120-E-2

“8VAC20-820-120-E-2 Based on observation, the findings of the most recent inspection of the facility were not posted as required. Evidence: 1) On the date of inspection, the inspection findings posted at the family day home were dated 07/09/2020. The most recent inspection to this facility was conducted on 07/21/2021.”

8VAC20-800-540-B

“8VAC20-800-540-B Based on observation, infant walkers were being used. Evidence: 1) On the date of inspection, Child #4 was observed sitting in an infant walker. The child was observed in the walker for about 30 minutes before being moved to the floor for "tummy time".”

22VAC40-665-230-H

“Based on record review, caregivers who work directly with children did not attend annually the department's health and safety update course. Evidence: 1) There is no documentation in the record for Staff #1 and #2 of having completed the health and safety update course for the year 2021.”

8VAC20-790-180-B

“Based on documentation review, the vendor did not maintain an accurate 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, 11 children were in care in the family day home. The attendance record had documented that only 4 children had arrived. (Child #3, Child #5, Child #6 and Child #7). The provider updated the attendance record but still one child's name was not included in the record. (Child #8) 2) For previous dates, the attendance record did not document time of departure for all children, as follows: 4 children on 02/03/2022; 2 children on 02/04/2022; 3 children on 02/07/2022.”

8VAC20-800-800-B

“8VAC20-800-800-B Based on document review and interview, the provider did not review the emergency plan at least annually. Evidence: 1) On the date of inspection, the most recent review of the emergency plan was dated 02/17/2017. Upon interview with the provider, two additional documents that were to be part of the emergency plan were attached and considered. The most recent reviews of these documents were dated as follow: Continuity of Operations was dated 09/04/2019 and Lockdown Procedures was dated 01/06/2020.”

8VAC20-800-890

“8VAC20-800-890 Based on observation and interview with the provider, the provider did not ensure that food containers brought from home be clearly labeled in a way that identifies the owner. Evidence: 1) On the date of inspection, two milk bottles in the refrigerator were not labeled. 2) The provider stated that both bottles belonged to Child #2.”

8VAC20-800-940-B

“8VAC20-800-940-B Based on observation and interview with the provider, an operable thermometer was not available to monitor the freezer compartment temperature. Evidence: 1) On the date of inspection, a thermometer for the freezer compartment was not available. 2) The provider stated that they did not have a thermometer for the freeze.”

8VAC20-800-100-A

“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 11/29/2021) and Child #4 (start date approximately 11/29/2021) did not contain a physical examination.”

8VAC20-800-60-B

“8VAC20-800-60-B Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #4 did not contain the name and policy number of the child's medical insurance; and the first date of attendance.”

8VAC20-800-180-A

“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. Evidence: 1) The most recent Tb screenings available for review were dated as follows: for Staff #1 was dated 11/26/2019, for HM #1 was dated 01/27/2020, for HM #2 was dated 01/28/2020, and for HM #3 was dated 11/21/2019.”

8VAC20-800-240-A

“8VAC20-800-240-A Based on observation, areas of the of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: In the backyard area, the following was observed: a) A plastic slide had a broken support piece underneath. b) Areas on the lower part of the wooden storage shed were broken and showed splintered wood: bottom part of the door, and the back corner on the left side of the shed. c) A broken slat of the wooden fence on the left side area of the backyard.”

8VAC20-800-280

“8VAC20-800-280 Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1) In the bathroom of the care area, two cleaning products (a can of Lysol spray and a container of Clorox wipes) were observed on top of the toilet tank lid.”

8VAC20-800-320-G

“8VAC20-800-320-G Based on documentation review and interview with the provider, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review. The provider stated that an inspection of the fireplace had not been conducted in quite some time.”

8VAC20-800-510-C

“8VAC20-800-510-C Based on observation and interview with the provider, the provider did not ensure that occupied cribs were located at least 12 inches from each other. Evidence: 1) There were two occupied cribs in the Infant room that were located right next to each other with no space in between.”

8VAC20-800-520-A

“8VAC20-800-520-A Based on interview with the provider, cribs were used for children over 12 months of age who are developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1) On the date of inspection, the provider brought Child # 2 (2 years) out of the Infant room where the child had been napping. The inspector did not see a cot or rest mat in the Infant room for Child #2. The provider stated that Child #2 was sleeping in a crib and that the parents have not disclosed of any medical reasons or that Child #2 is not developmentally ready to sleep on a cot or rest mat.”

8VAC20-800-530-F

“8VAC20-800-530-F Based on observation, soft bedding was used on or around infants. Evidence: 1) On the date of inspection, Child #3 (4 months old) was observed napping and a soft blanket was placed over the infant's tummy. There were two occupied cribs in the Infant room and two blankets were hanging from the sides of the cribs. (One blanket on each crib)”

8VAC20-800-690-E

“8VAC20-800-690-E Based on observation, caregivers did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1) After diapering an infant, Staff #2 was observed disposing the diaper in a plastic grocery bag and hanging it on the side of the changing table and walked away leaving it there.”

8VAC20-820-120-E-1

“8VAC20-820-120-E-1 Based on observation, the most recently issued license was not posted as required. Evidence: 1) On the date of inspection, the license posted at the family day home had an expiration date of August 6, 2021.”

8VAC20-820-120-E-2

“8VAC20-820-120-E-2 Based on observation, the findings of the most recent inspection of the facility were not posted as required. Evidence: 1) On the date of inspection, the inspection findings posted at the family day home were dated 07/09/2020. The most recent inspection to this facility was conducted on 07/21/2021.”

8VAC20-800-540-B

“8VAC20-800-540-B Based on observation, infant walkers were being used. Evidence: 1) On the date of inspection, Child #4 was observed sitting in an infant walker. The child was observed in the walker for about 30 minutes before being moved to the floor for "tummy time".”

22VAC40-665-230-H

“Based on record review, caregivers who work directly with children did not attend annually the department's health and safety update course. Evidence: 1) There is no documentation in the record for Staff #1 and #2 of having completed the health and safety update course for the year 2021.”

8VAC20-790-180-B

“Based on documentation review, the vendor did not maintain an accurate 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, 11 children were in care in the family day home. The attendance record had documented that only 4 children had arrived. (Child #3, Child #5, Child #6 and Child #7). The provider updated the attendance record but still one child's name was not included in the record. (Child #8) 2) For previous dates, the attendance record did not document time of departure for all children, as follows: 4 children on 02/03/2022; 2 children on 02/04/2022; 3 children on 02/07/2022.”