Liliana Torres Serpa

8VAC20-800-60-A

“Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.”

8VAC20-800-90-A

“Based on a review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. First day of attendance was 07/15/2024.”

8VAC20-800-180-A

“Based on a review of records, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1 had a TB test that expired on 12/21/2023.”

8VAC20-800-780-B

“Based on a review of child records, the provider did not obtain annually updated emergency contact information. Evidence: Child #3 had an annual update that expired on 11/29/2023.”

8VAC20-800-60-A

“Based on a review of records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #4 did not have a record on file during the inspection.”

8VAC20-800-180-A

“Based on a review of records, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1 had a TB test that expired on 12/21/2023.”

8VAC20-800-780-B

“Based on a review of child records, the provider did not obtain annually updated emergency contact information. Evidence: Child #3 had an annual update that expired on 11/29/2023.”

8VAC20-800-60-A

“Based on a review of records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #4 did not have a record on file during the inspection.”

8VAC20-800-120-B

“Based on a review of assistants records, the provider did not ensure the record contained the required information. Evidence: Caregiver #2 did not have 2 references documented in their record.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age. Evidence: The two outlets closest to the door in the napping room did not have child-resistant protective covers installed.”

8VAC20-800-150-A

“Based on observation the provider did not ensure the Assistants were 16 years of age or older. Evidence: Household Member #1 (age 13) was in charge of the children (ages 21 months, 3 years, 4 years, and 7 years) for approximately 10 to 30 minutes.”

8VAC20-800-340-C

“Based on observation, the provider did not ensure the bathroom contained required supplies. Evidence: There were no paper towels in the bathroom that the children use.”

8VAC20-800-90-A

“REPEAT VIOLATIONS Based on review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. Date of attendance was 8/15/2023 & 8/16/2023.”

8VAC20-800-60-A

“REPEAT VIOLATION Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.”

8VAC20-800-560-A

“Based on observation and interview, the provider did not ensure a caregiver was physically present on site and providing direct care and supervision of each child at all times. Evidence: 1. The inspector arrived at the providers house at approximately 11:15am. 2. Approximately 3-5 minutes later the inspector saw the provider arrive by vehicle to the home. 3. When the inspector entered the family day home at approximately 11:30am, the provider was present with 4 children ages 21 months, 3 years, 4 years, and 7 years and household member #1 (13 years old). The inspector confirmed that there was no substitute or assistant present while the provider was away from the home. 4. During interviews, the provider confirmed household member #1 was watching the children for approximately 10 minutes while she was away from the home. 5. The provider stated that "a 57 year old nephew was at the home while she was gone". The inspector did not see an adult male during the walk through of the home and did not observe an adult male leaving during the inspection.”

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the standards and the terms of the current license issued by the department. Evidence: 1. The provider failed to ensure compliance with the standards when 4 children were left in the care of a 13 year old household member. 2. The household member is not qualified as they do not have the required education, experience, age or training.”

22.1-289.011-F

“Based on observation, the provider did not ensure the current license was posted at all times in a place that is conspicuous to the public. Evidence: The current license was not posted in the family day home.”

8VAC20-800-280

“Based on observation, the provider did not ensure poisonous substances, such as, cleaning agents were in areas inaccessible to children. Evidence: There was a bottle of Clorox and a bottle of All Purpose Cleaner in an unlocked lower cabinet in the bathroom used by children.”

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age. Evidence: The two outlets closest to the door in the napping room did not have child-resistant protective covers installed.”

8VAC20-800-150-A

“Based on observation the provider did not ensure the Assistants were 16 years of age or older. Evidence: Household Member #1 (age 13) was in charge of the children (ages 21 months, 3 years, 4 years, and 7 years) for approximately 10 to 30 minutes.”

8VAC20-800-340-C

“Based on observation, the provider did not ensure the bathroom contained required supplies. Evidence: There were no paper towels in the bathroom that the children use.”

8VAC20-800-90-A

“REPEAT VIOLATIONS Based on review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. Date of attendance was 8/15/2023 & 8/16/2023.”

8VAC20-800-60-A

“REPEAT VIOLATION Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.”

8VAC20-800-560-A

“Based on observation and interview, the provider did not ensure a caregiver was physically present on site and providing direct care and supervision of each child at all times. Evidence: 1. The inspector arrived at the providers house at approximately 11:15am. 2. Approximately 3-5 minutes later the inspector saw the provider arrive by vehicle to the home. 3. When the inspector entered the family day home at approximately 11:30am, the provider was present with 4 children ages 21 months, 3 years, 4 years, and 7 years and household member #1 (13 years old). The inspector confirmed that there was no substitute or assistant present while the provider was away from the home. 4. During interviews, the provider confirmed household member #1 was watching the children for approximately 10 minutes while she was away from the home. 5. The provider stated that "a 57 year old nephew was at the home while she was gone". The inspector did not see an adult male during the walk through of the home and did not observe an adult male leaving during the inspection.”

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the standards and the terms of the current license issued by the department. Evidence: 1. The provider failed to ensure compliance with the standards when 4 children were left in the care of a 13 year old household member. 2. The household member is not qualified as they do not have the required education, experience, age or training.”

22.1-289.011-F

“Based on observation, the provider did not ensure the current license was posted at all times in a place that is conspicuous to the public. Evidence: The current license was not posted in the family day home.”

8VAC20-800-280

“Based on observation, the provider did not ensure poisonous substances, such as, cleaning agents were in areas inaccessible to children. Evidence: There was a bottle of Clorox and a bottle of All Purpose Cleaner in an unlocked lower cabinet in the bathroom used by children.”

8VAC20-800-770

“Based on observation and caregiver interview, a working battery-operated flashlight, and extra batteries were not kept in a designated area and available to the caregiver at all times. Evidence: There was no flashlight available during the inspection. Caregiver confirmed that she did not have one available.”

8VAC20-800-60-A

“Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child A was missing physician's name and address and parental agreements.”

8VAC20-800-90-A

“Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child A (start date 1/3/2023) did not have immunizations on file during the inspection.”

8VAC20-800-770

“Based on observation and caregiver interview, a working battery-operated flashlight, and extra batteries were not kept in a designated area and available to the caregiver at all times. Evidence: There was no flashlight available during the inspection. Caregiver confirmed that she did not have one available.”

8VAC20-800-60-A

“Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child A was missing physician's name and address and parental agreements.”

8VAC20-800-90-A

“Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child A (start date 1/3/2023) did not have immunizations on file during the inspection.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the month of June 2022.”

22.1-289.035-A

“Based on a review of records, caregiver records do not contain documentation of repeated central registry searches ( CPS ) in the allowable 5 year time frame. Evidence: 1 0f 1 record reviewed contained documentation of CPS searches dated 4/6/2017 (expired) (Caregiver A)”

8VAC20-800-680-B

“Based on observation, children did not wash hands with liquid soap and warm running water. Evidence: The children 5 of the 6 children present did not wash hands before eating.”

8VAC20-800-240-A

“Based on observation, the family day home was not maintained in a clean, safe, and operable condition. Evidence: There was no smoke detector available on the basement level of the house.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the month of June 2022.”

22.1-289.035-A

“Based on a review of records, caregiver records do not contain documentation of repeated central registry searches ( CPS ) in the allowable 5 year time frame. Evidence: 1 0f 1 record reviewed contained documentation of CPS searches dated 4/6/2017 (expired) (Caregiver A)”

8VAC20-800-680-B

“Based on observation, children did not wash hands with liquid soap and warm running water. Evidence: The children 5 of the 6 children present did not wash hands before eating.”

8VAC20-800-240-A

“Based on observation, the family day home was not maintained in a clean, safe, and operable condition. Evidence: There was no smoke detector available on the basement level of the house.”

8VAC20-800-760-A-1

“Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment. Evidence: 1) On the date of inspection, triangular bandages were not available in the first aid kit.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the months of November 2021 and December 2021.”

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review documented by the provider was dated 12/27/2020.”

8VAC20-800-780-B

“Based on record review, the provider did not review 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 signed acknowledgements of the review of the emergency contact information in the records for Child #1 and Child #2 were both dated 11/20/2020.”

8VAC20-800-760-A-1

“Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment. Evidence: 1) On the date of inspection, triangular bandages were not available in the first aid kit.”

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the months of November 2021 and December 2021.”

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review documented by the provider was dated 12/27/2020.”

8VAC20-800-780-B

“Based on record review, the provider did not review 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 signed acknowledgements of the review of the emergency contact information in the records for Child #1 and Child #2 were both dated 11/20/2020.”

22VAC40-111-760-A-1

“Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment. Evidence: 1) On the date of inspection, triangular bandages were not available in the first aid kit.”

22VAC40-111-770

“Based on the review of emergency supplies and interview, it was determined that working battery-operated flashlight was not kept in a designated area and be available to caregivers at all times. Evidence: 1) On the date of inspection, working battery-operated flashlight was not available for review. 2) The provider could not locate a battery-operated flashlight.”

22VAC40-111-800-B

“Based upon review of the emergency preparedness plan and provider interview, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) There is no date on the provided emergency preparedness plan and no documentation that it has been reviewed in the past year. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 12/01/2017. 2) The provider verified that there is no documentation of an annual review of the emergency preparedness plan.”

22VAC40-111-760-A-1

“Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment. Evidence: 1) On the date of inspection, triangular bandages were not available in the first aid kit.”

22VAC40-111-770

“Based on the review of emergency supplies and interview, it was determined that working battery-operated flashlight was not kept in a designated area and be available to caregivers at all times. Evidence: 1) On the date of inspection, working battery-operated flashlight was not available for review. 2) The provider could not locate a battery-operated flashlight.”

22VAC40-111-800-B

“Based upon review of the emergency preparedness plan and provider interview, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) There is no date on the provided emergency preparedness plan and no documentation that it has been reviewed in the past year. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 12/01/2017. 2) The provider verified that there is no documentation of an annual review of the emergency preparedness plan.”