Madelaine Cuello

8VAC20-800-780-B

“Annually, the provider shall review 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. The emergency contact information in the record of Child #2 was last reviewed 21 months ago; the emergency contact information in the record of Child #4 was last reviewed thirteen months ago; and the emergency contact information in the record of Child #5 was last reviewed over two years ago.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The home's emergency plan was last reviewed in August 2025.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #2 was not completed and was overdue by five months.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The record of daily attendance for 07/21/25, and several weeks prior did not document the arrival and departure of each child in care each week. Five children were observed in care on 07/21/25.”

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The record of Child #3 indicated the child has a diagnosed food allergy, but a written care plan is not on file. Child #3 was in attendance during the inspection.”

8VAC20-800-60-B

“(Repeat Violation) A child's record shall contain the required information. Child #2, enrolled for over four months, did not contain the address for the two emergency contacts listed or the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. The emergency evacuation procedures have not been practiced since January 7, 2025.”

8VAC20-790-180-B

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The record of daily attendance for 07/21/25, and several weeks prior did not document the arrival and departure of each child in care each week. Five children were observed in care on 07/21/25.”

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The record of Child #3 indicated the child has a diagnosed food allergy, but a written care plan is not on file. Child #3 was in attendance during the inspection.”

8VAC20-800-60-B

“(Repeat Violation) A child's record shall contain the required information. Child #2, enrolled for over four months, did not contain the address for the two emergency contacts listed or the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. The emergency evacuation procedures have not been practiced since January 7, 2025.”

8VAC20-800-60-B

“(Repeat Violation) A child's record shall contain the required information. Child #1, enrolled for 22 days, Child #2, enrolled for more than one month, and Child #3, enrolled for more than two months, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan.”

8VAC20-800-60-B

“(Repeat Violation) A child's record shall contain the required information. Child #1, enrolled for 22 days, Child #2, enrolled for more than one month, and Child #3, enrolled for more than two months, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan.”

8VAC20-790-180-B

“Based on a review of documentation and interviews, 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. The record of daily attendance for the week of August 26, 2024, was reviewed on 08/29/24. The record of daily attendance did not document the arrival and departure of each child in care that week. The record of daily attendance for 08/29/24 did not document the arrival of each child in care that day. The inspector observed four children in care. 2. During interviews, Caregiver #1 acknowledged the arrival and departure of each child in care has not been documented.”

8VAC20-800-60-B

“Based on a review of five children's records and interviews, the provider did not ensure four children's records contained the required information. Evidence: 1. The record of Child #1, date of attendance 02/13/23, did not contain documentation of the annual review of the child's emergency contact information. 2. The record of Child #2, date of attendance 08/15/22, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan. 3. The record of Child #4, date of attendance 09/12/22, did not contain documentation of the annual review of the child's emergency contact information. The last review was completed on 06/13/23. 4. The record of Child #5, date of attendance 08/12/24, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan. 5. During interview, Caregiver #1 acknowledged the information was missing and would be obtained on 08/29/24.”

8VAC20-790-180-B

“Based on a review of documentation and interviews, 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. The record of daily attendance for the week of August 26, 2024, was reviewed on 08/29/24. The record of daily attendance did not document the arrival and departure of each child in care that week. The record of daily attendance for 08/29/24 did not document the arrival of each child in care that day. The inspector observed four children in care. 2. During interviews, Caregiver #1 acknowledged the arrival and departure of each child in care has not been documented.”

8VAC20-800-60-B

“Based on a review of five children's records and interviews, the provider did not ensure four children's records contained the required information. Evidence: 1. The record of Child #1, date of attendance 02/13/23, did not contain documentation of the annual review of the child's emergency contact information. 2. The record of Child #2, date of attendance 08/15/22, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan. 3. The record of Child #4, date of attendance 09/12/22, did not contain documentation of the annual review of the child's emergency contact information. The last review was completed on 06/13/23. 4. The record of Child #5, date of attendance 08/12/24, did not contain the parent's signed acknowledgment of the receipt of the provisions of the family day home's emergency preparedness and response plan. 5. During interview, Caregiver #1 acknowledged the information was missing and would be obtained on 08/29/24.”

22.1-289.011-F

“Repeat Violation Based on observation and interview, the provider did not post the most recent inspection of the family day home. Evidence: The findings of the most recent inspection of the family day home was not posted; the documentation of the last inspection was stored in a folder.”

8VAC20-800-940-B

“Based on observation and interview, the provider did not ensure a thermometer was present to monitor the temperature in the refrigerator or the freezer. Evidence: The refrigerator and freezer being used to store food for the children in care did not contain a thermometer to monitor the temperature.”

8VAC20-800-100-A

“Based on a review of 5 files and an interview, it was determined that one child's file did not have a physical within 30 days of attendance. Evidence: The record for Child #5, with a start date of 02/14/22, had a physical dated 01/10/23.”

8VAC20-800-690-D

“Based on observation and interview it was determined that children were not always diapered on a nonabsorbent surface that can be cleaned and sanitized. Evidence: The diaper changing pad had a small tear which makes the pad no longer nonabsorbent.”

22.1-289.011-F

“Repeat Violation Based on observation and interview, the provider did not post the most recent inspection of the family day home. Evidence: The findings of the most recent inspection of the family day home was not posted; the documentation of the last inspection was stored in a folder.”

8VAC20-800-940-B

“Based on observation and interview, the provider did not ensure a thermometer was present to monitor the temperature in the refrigerator or the freezer. Evidence: The refrigerator and freezer being used to store food for the children in care did not contain a thermometer to monitor the temperature.”

8VAC20-800-100-A

“Based on a review of 5 files and an interview, it was determined that one child's file did not have a physical within 30 days of attendance. Evidence: The record for Child #5, with a start date of 02/14/22, had a physical dated 01/10/23.”

8VAC20-800-690-D

“Based on observation and interview it was determined that children were not always diapered on a nonabsorbent surface that can be cleaned and sanitized. Evidence: The diaper changing pad had a small tear which makes the pad no longer nonabsorbent.”