Luz Ramos De Sanchez

8VAC20-800-940-A

“Temperatures shall be maintained at or below 40?F in refrigerator compartments. The temperature in the refrigerator was 45?F during the inspection.”

8VAC20-800-880

“Family day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The USDA recommends that children be served milk with lunch. The children were served water with lunch during the inspection.”

8VAC20-770-60-C-2

“The licensed family day home does not have a central registry finding within 30 days of employment. Caregiver #1s record does not contain documentation of central registry results. The Caregiver has been employed for approximately 7 weeks.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct and obtain the parents signed acknowledgment of the review. Child #3s record has not been reviewed by the family to ensure all emergency contact information is correct.”

8VAC20-800-60-B

“Children's records shall contain all required information. Child #6s record did not contain the families medical insurance policy holder and policy number.”

8VAC20-800-680-B

“Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating. 3 out of 3 infants did not have their hands washed with soap and running water by a caregiver before eating a morning snack.”

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child's full name and the date. Three out of four bottles observed in the providers refrigerator was not labeled with any childs name or date.”

22.1-289.035-B-4

“Based on record review and interview, the family day home did not obtain out-of-state background checks for each employee that has resided outside of the state of Virginia within the last five years. Evidence: Caregiver #3's sworn disclosure statement documents that the caregiver has resided in North Carolina within the last five years. The provider confirmed that they had not completed a central registry background check or sex offender background check for North Carolina for caregiver #3.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every six months for each child age two and under. Evidence: Child #23 (20 months) most recent immunizations are dated 2/3/2023.”

8VAC20-800-200-C

“Based on record review and interview, documentation of orientation training was not maintained. Evidence: Caregiver #3s record does not contain documentation of orientation. The provider stated that training was completed, but they could not produce documentation that was signed and dated.”

8VAC20-800-120-B

“Based on record review, assistant records did not contain all required information. Evidence: Caregiver #3s record contained one reference check.”

8VAC20-800-60-B

“Based on record review, childrens records did not contain all required information. Evidence: Child #2s record does not contain the families medical insurance policy number.”

8VAC20-800-750-D

“Based on observation topical skin products were kept beyond the expiration date. Evidence: 1. A and D cream was observed that expired 3/2019. 2. Desitin cream was observed that expired 6/2021.”

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: An EpiPen was observed in the pocket of a backpack on the bottom cubby of the childrens storage cubbies. The EpiPen was not locked.”

8VAC20-800-750-A

“Based on observation topical skin products were not labeled with a child's name. Evidence: Two diaper creams were observed in the diaper changing area without names to identity the owners.”

8VAC20-800-120-B

“Based on record review, assistant caregivers records did not contain all required information. Evidence: Caregiver #3s record does not contain documentation of two references, contact information of someone to be contacted in case of an emergency, documentation of education, background checks as required by 8VAC20-770 and tuberculosis results as required by 8VAC20-800-170.”

8VAC20-800-60-B

“Based on record review, childrens records did not contain all required information. Evidence: Child #9s record does not contain addresses for both emergency contacts.”

8VAC20-800-170-A

“Based on interview, the provider did not obtain a current report of tuberculosis (TB) screening for each employee prior to coming into contact with children. Evidence: The provider confirmed that caregiver #3 has not provided a TB screening. Caregiver #3 was observed working during todays inspection.”

8VAC20-800-690-D

“Based on observation, the diaper chancing surface was not non-absorbent. Evidence: There were two small tears observed in the diaper changing mat.”

22.1-289.035-B-2

“Based on record review and interview, the provider has not obtained fingerprint results for each caregiver prior to working with children. Evidence: Caregiver #3s record does not contain fingerprint results. The provider confirmed that caregiver #3 has not yet completed fingerprinting.”

8VAC20-770-60-B

“Based on record review and interview, each employee has not completed a sworn disclosure statement. Evidence: Caregiver #3s record does not contain a completed sworn disclosure statement. The provider confirmed that caregiver #3 has not signed a sworn disclosure statement.”

8VAC20-800-830-C

“Based on record review and interview, documentation of drills was not maintained. Evidence: There is no evacuation drill documented for the month of September. The provider stated that they did a drill but didn't document it.”

8VAC20-800-920

“Based on observation, menu requirements were not met. Evidence: There is no menu posted.”