Lucy Ayala

8VAC20-800-830-A

“Based on record review, the family day home failed to practice emergency evacuation procedures monthly. Evidence: The family day home did not practice emergency evacuation procedures in May 2023.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children's hands were washed with liquid soap and running water after diapering. Evidence: 1. Child #3's hands were not washed after Caregiver #3 changed their diaper. 2. Child #4's hands were not washed after Caregiver #3 changed their diaper. 3. Child #5's hands were not washed after Caregiver #3 changed their diaper.”

8VAC20-800-690-D

“Based on observation, the family day home failed to ensure that the diapering surface was cleaned and sanitized after each use. Evidence: Caregiver #3 did not clean and sanitize the diapering surface after changing Child #3, Child #4 and Child #5.”

8VAC20-800-830-A

“Based on record review, the family day home failed to practice emergency evacuation procedures monthly. Evidence: The family day home did not practice emergency evacuation procedures in May 2023.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children's hands were washed with liquid soap and running water after diapering. Evidence: 1. Child #3's hands were not washed after Caregiver #3 changed their diaper. 2. Child #4's hands were not washed after Caregiver #3 changed their diaper. 3. Child #5's hands were not washed after Caregiver #3 changed their diaper.”

8VAC20-800-690-D

“Based on observation, the family day home failed to ensure that the diapering surface was cleaned and sanitized after each use. Evidence: Caregiver #3 did not clean and sanitize the diapering surface after changing Child #3, Child #4 and Child #5.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain paper towels. Evidence: 1. The bathroom used by the children in care did not contain paper towels. 2. Child #2 was observed drying their hands with a cloth towel in the bathroom after washing their hands.”

8VAC20-800-540-A

“Based on observation, high chair safety straps were not used and securely fastened, when occupied by a child. Evidence: 1. The high chair safety strap was not fastened as Child #2 sat in the chair for lunch. 2. The high chair safety strap was not fastened as Child #5 sat in the chair for lunch. 3. The high chair safety strap was not fastened as Child #6 sat in the chair for lunch. 4. The high chair safety strap was not securely fastened as Child #8 sat in the chair for lunch. 5. The high chair safety strap was not fastened as Child #2 sat in the chair for lunch.”

22.1-289.058

“Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector. Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain paper towels. Evidence: 1. The bathroom used by the children in care did not contain paper towels. 2. Child #2 was observed drying their hands with a cloth towel in the bathroom after washing their hands.”

8VAC20-800-540-A

“Based on observation, high chair safety straps were not used and securely fastened, when occupied by a child. Evidence: 1. The high chair safety strap was not fastened as Child #2 sat in the chair for lunch. 2. The high chair safety strap was not fastened as Child #5 sat in the chair for lunch. 3. The high chair safety strap was not fastened as Child #6 sat in the chair for lunch. 4. The high chair safety strap was not securely fastened as Child #8 sat in the chair for lunch. 5. The high chair safety strap was not fastened as Child #2 sat in the chair for lunch.”

22.1-289.058

“Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector. Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

8VAC20-790-170-G

“Based on observation and caregiver interview, the vendor did not maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies. Evidence: Caregiver #1 stated that they did not have a written list of all children’s allergies.”

8VAC20-790-190-B-12

“Based on record review, the vendor did not obtain all information for children’s records. Evidence: 1. Child #1?s record indicates an allergy to cow’s milk, dairy and rice. The record for Child #1 did not include a written allergy care plan. 2. Child #2?s record indicates an allergy to peanuts. The record for Child #2 did not include a written allergy care plan.”

8VAC20-800-770

“Based on observation and caregiver interview, a working portable battery-operated weather band radio was not available to caregivers at all times. Evidence: The provider did not have a portable battery-operated weather band radio in the home.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: 1. The most recent Report of Tuberculosis Screening form for Household Member #1 was dated 11/11/2019.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use. Evidence: 1. The diaper changing pad had a cloth cover.”

8VAC20-800-320-A

“Based on observation, not all small electrical appliances were unplugged while not in use by the caregiver or with children under close supervision. Evidence: In the kitchen, a toaster, toaster oven and coffee pot were plugged in while not in use.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped paint on the wall by the baby gate between the main daycare room and the area with the high chairs. 2. There was chipped paint on the wall by the cubby shelves in the main daycare room. 3. There was chipped paint on the baseboards by the television in the main daycare room. 4. There was chipped paint on the column in the middle of the main daycare room.”

22.1-289.058

“Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector. Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: The last day that the family day home recorded attendance was 09/07/2022.”

8VAC20-790-170-G

“Based on observation and caregiver interview, the vendor did not maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies. Evidence: Caregiver #1 stated that they did not have a written list of all children’s allergies.”

8VAC20-790-190-B-12

“Based on record review, the vendor did not obtain all information for children’s records. Evidence: 1. Child #1?s record indicates an allergy to cow’s milk, dairy and rice. The record for Child #1 did not include a written allergy care plan. 2. Child #2?s record indicates an allergy to peanuts. The record for Child #2 did not include a written allergy care plan.”

8VAC20-800-770

“Based on observation and caregiver interview, a working portable battery-operated weather band radio was not available to caregivers at all times. Evidence: The provider did not have a portable battery-operated weather band radio in the home.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: 1. The most recent Report of Tuberculosis Screening form for Household Member #1 was dated 11/11/2019.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use. Evidence: 1. The diaper changing pad had a cloth cover.”

8VAC20-800-320-A

“Based on observation, not all small electrical appliances were unplugged while not in use by the caregiver or with children under close supervision. Evidence: In the kitchen, a toaster, toaster oven and coffee pot were plugged in while not in use.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped paint on the wall by the baby gate between the main daycare room and the area with the high chairs. 2. There was chipped paint on the wall by the cubby shelves in the main daycare room. 3. There was chipped paint on the baseboards by the television in the main daycare room. 4. There was chipped paint on the column in the middle of the main daycare room.”

22.1-289.058

“Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector. Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: The last day that the family day home recorded attendance was 09/07/2022.”

8VAC20-800-180-A

“Based on a review of caregiver records, the provider failed to obtain for each caregiver a current report of tuberculosis screening form every two years from the date of the first screening. Evidence: Caregiver #1's tuberculosis test results expired on 02/20/2022.”

8VAC20-800-100-A

“Based on a review of children's records, the provider failed to obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #4's record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 07/01/2019.”

8VAC20-800-60-A

“Based on a review of children's records, the provider failed to maintain and up to date record of required documents for each child enrolled. Evidence: Child #1 and #2's records do not have documentation of authorization for pick up. Child #2's record does not have documentation of the first day of attendance. Child #1's record does not have documentation of proof of the child's age and identity.”

8VAC20-800-180-A

“Based on a review of caregiver records, the provider failed to obtain for each caregiver a current report of tuberculosis screening form every two years from the date of the first screening. Evidence: Caregiver #1's tuberculosis test results expired on 02/20/2022.”

8VAC20-800-100-A

“Based on a review of children's records, the provider failed to obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #4's record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 07/01/2019.”

8VAC20-800-60-A

“Based on a review of children's records, the provider failed to maintain and up to date record of required documents for each child enrolled. Evidence: Child #1 and #2's records do not have documentation of authorization for pick up. Child #2's record does not have documentation of the first day of attendance. Child #1's record does not have documentation of proof of the child's age and identity.”