Maria Arevalo

22.1-289.011-F

“Based on record review, documents required by the Superintendent was not posted in a conspicuous place on the licensed premises. Evidence: The most recent violation notice was not posted in a conspicuous place.”

8VAC20-800-920

“Based on record review, the menu posted was not for the current one week period. Evidence: The menu posted stated it was from March 2024.”

8VAC20-800-130

“Based on interview, a caregiver was not able to speak English as necessary to communicate effectively with emergency responders. Evidence: Caregiver 2 did not speak English to communicate effectively with emergency responders.”

8VAC20-800-50-A

“REPEAT VIOLATION Based on record review, the written record of children in attendance was not taken. Evidence: At the start of inspection, Child 6 was not documented on the attendance sheet.”

8VAC20-800-980-A

“Based on interview and record review, the provider did not obtain a general written permission slip for each child to be taken off the premises of the family day home. Evidence: Child 1, 2, and 3 went to the park with the provider and did not have permission slips in their record.”

8VAC20-800-760-A

“Based on observation and interview, a first aid kit was not accessible on field trips. Evidence: The provider stated they did not take a first aid kit with them to the park where they took the children.”

8VAC20-800-430-A

“Based on observation, children under 2 years of age had access to stairs. Evidence: There was no gate at the stairs to prevent access to one child under two years of age.”

8VAC20-800-590-B

“Based on observation, an infant who falls asleep in a space other than their own crib or mat was not moved promptly to their designated sleeping space. Evidence: Child 7 (11 mos) was swaddled and sleeping in a bouncer and not in their designated crib.”

8VAC20-800-560-A

“Based on observation, the caregiver did not provide direct care and supervision of each child while sleeping. Evidence: Child 7 (11 mos) was asleep in a bedroom with the door closed. Caregivers did not check the room every 15 minutes to conduct an in-person observation.”

8VAC20-800-540-A

“Based on observation, an infant in a bouncer was not securely fastened with safety straps. Evidence: Child 7 (11 mos) was swaddled in a blanket, placed in a bouncer and was not securely fastened with the safety straps.”

8VAC20-800-530-A

“SYSTEMIC DEFICIENCY Based on observation, children napping did not have a top and bottom cover. Evidence: There were 4 children observed sleeping on a cot or the floor with no bottom cover.”

8VAC20-800-510-A

“SYSTEMIC DEFICIENCY Based on observation, children were not provided with an individual cot or rest mat for resting. Evidence: There were 3 children sleeping on the floor with no mat or cot. There were 2 children sleeping on bean bag chairs.”

8VAC20-800-480-B

“Based on observation, the provider did ensure all equipment used by children was age and size appropriate for the children. Evidence: Child 18 (2 yrs old) was placed in a bouncer to sleep.”

8VAC20-800-460-J

“Based on observation, all animal excrement was not removed promptly. Evidence: The dog's pee pad was soiled with urine (dried) and not removed promptly.”

8VAC20-800-460-I

“Based on observation, animal food dishes and water dishes were accessible to children. Evidence: The dog's food bowl and water bowl were placed on a pee pad. The pee pad was in front of the changing table accessible to children.”

8VAC20-800-460-D

“Based on record review and interview, the provider did not have documentation of the current rabies vaccination. Evidence: The provider did not have documentation of the current rabies vaccination for the dog.”

8VAC20-800-730-D

“Based on observation, medications for the caregiver and household members were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Two adult medications were stored on the kitchen counter accessible to children. 2) One adult medication was stored in the refrigerator accessible to children.”

8VAC20-800-750-A

“Based on observation and interview, a topical skin product did not meet all requirements. Evidence: A diaper cream utilized did not have a permission by the parents and was not labeled.”

8VAC20-800-750-B

“Based on observation, a topical cream was accessible to children. Evidence: One diaper cream was kept on a low shelf of the changing table accessible to children.”

8VAC20-800-830-A

“Based on observation and interview, emergency evacuation procedures were not practiced monthly. Evidence: There was no documentation for an April and May 2024 drill. The provider confirmed no drills were conducted in those months.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam within 30 days of the first date of attendance. Evidence: Child 7 entered into care in August 2023 and does not have a physical on file.”

8VAC20-800-40-A

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation, the provider exceeded the maximum licensed capacity of the home. Evidence: The provider is licensed for 7 children. During the inspection, there were 19 children in care.”

8VAC20-800-50-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review and interview, the provider did not keep a written record of children in attendance each day. Evidence: The attendance sheet was inaccurate. There were 7 children listed on the attendance sheet but only 6 of those children were present because Child 5 on the attendance sheet was not listed. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, and 20 were not listed on the attendance sheet.”

8VAC20-800-60-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review and interview, the provider did not maintain a record for each enrolled child. Evidence: There were 19 children present. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, and 20 did not have a file at the family day home. A total of 12 children did not have a record.”

8VAC20-800-90-C

“Based on 2 records reviewed, the family day home did not obtain documentation of additional immunizations for a child every 6 months. Evidence: Child 7 did not have an updated immunization every 6 months. The last immunization record collected was 10/30/2023.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver a current report of tuberculosis screening form every two years from the most recent screening. Evidence: Caregiver B had a tuberculosis screening/test last conducted in November 2021.”

8VAC20-800-260-B

“Based on observation, the outdoor play area was within 30 feet of an above ground pool and did not have a non-climbable barrier at least four feet high. Evidence: The above ground pool was located adjacent to a plastic play structure. The above ground pool has no fence or barrier preventing access to children.”

8VAC20-800-280

“Based on observation, cleaning products were not stored away from food in areas inaccessible to children. Evidence: 1) In the kitchen area, 2 cleaning products were kept next to bananas and accessible to children. 2) In the entrance area, two deodorizers and aerosol cleaners were observed on shelves accessible to children. 3) An opened bottle of floor cleaner was observed next to the bouncer where an infant was sleeping.”

8VAC20-800-290

“SYSTEMIC DEFICIENCY Based on observation, sharp objects were accessible to children. Evidence: 1) In the kitchen area, a box cutter and blade were on a bar height counter accessible to children. 2) There was no gate preventing access to the kitchen where knives and other sharp kitchen utensils are stored.”

8VAC20-800-340-C

“Based on observation, the bathroom did not meet all requirements. Evidence: The bathroom did not have liquid soap and paper towels.”

8VAC20-800-40-A Complaint related: Yes

“Based on observation, the provider exceeded the maximum licensed capacity of the home. Evidence: Based on observation, the provider is not of good character and reputation. Evidence: 1) At the start of inspection, the provider stated there were only 7 children (23 points) in care with 2 staff supervising. 2) Upon further inspection, household member 1 was sitting outside with 6 additional children (9 points) waiting for the inspection to be completed. Provider stated that she knew she was caring for more children than she was licensed for. 3) There were 13 children in care (32 points) on the date of inspection.”

8VAC20-800-50-A Complaint related: No

“Based on record review and interview, the family day home provider did not keep a written record of children in attendance each day. Evidence: The provider stated they did not have a written attendance record on vthe date of inspection”

8VAC20-800-60-A Complaint related: No

“Based on interview, the provider did not maintain an up-to-date record for each enrolled child. Evidence: Children 1, 2, 3, 4, 5 and 6 did not have a record at the home.”

22.1-289.035-A

“Based on record review, a background check was not completed every five years from the most recent completed check. Evidence: 1) Household member 1 has a completed fingerprint based background check on 04/20/2018. 2) Household member 2 has a completed fingerprint based background check on 04/25/2018. 3) Household member 2 has a completed fingerprint based background check on 04/23/2018.”

8VAC20-800-180-A

“Based on interview and record review, provider did not obtain for each caregiver and adult household member a current report of tuberculosis. Evidence: Household member 1-3 and Caregiver 1 did not obtain a current report of tuberculosis screening from every two years from the date of the first screening. Caregiver stated repeat checks were not completed.”

22.1-289.036-A

“Based on record review, one background check was not completed every five years from the most recent completed check. Evidence: Caregiver 1 has a completed fingerprint based background check on 04/23/2018.”

22.1-289.035-A

“Based on record review, a background check was not completed every five years from the most recent completed check. Evidence: 1) Household member 1 has a completed fingerprint based background check on 04/20/2018. 2) Household member 2 has a completed fingerprint based background check on 04/25/2018. 3) Household member 2 has a completed fingerprint based background check on 04/23/2018.”

8VAC20-800-180-A

“Based on interview and record review, provider did not obtain for each caregiver and adult household member a current report of tuberculosis. Evidence: Household member 1-3 and Caregiver 1 did not obtain a current report of tuberculosis screening from every two years from the date of the first screening. Caregiver stated repeat checks were not completed.”

22.1-289.036-A

“Based on record review, one background check was not completed every five years from the most recent completed check. Evidence: Caregiver 1 has a completed fingerprint based background check on 04/23/2018.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash hands with liquid soup and running water prior to meals. Evidence: 1) Caregiver 1 did not wash hands prior to giving a child a snack. 2) Caregiver 1 did not wash hands prior to serving and spoon feeling all the children lunch.”

8VAC20-800-530-F

“Based on observation, soft bedding was used under and around an infant while sleeping. Evidence: Child 1 was observed wrapped up in a thick blanket and sleeping on top of a boppy in a crib.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure children washed their hands with liquid soap and warm running water before eating. Evidence: 1) Caregiver 1 did not wash a child's hands prior to being offered a cookie. 2) Caregiver 1 did not wash children's hands prior to the children eating their lunch.”

8VAC20-800-70-A

“Based on record review, the provider did not provide in writing all required information. Evidence: Child 1's family was not provided in writing the program's emergency preparedness plan.”

22.1-289.035-A

“Based on record review, all household members did not undergo a background check every five years. Evidence: Household member 1 and 2 have a central registry search which was last conducted on July 13, 2017.”

8VAC20-800-960-E

“Based on observation and record review, children's bottles were not labeled with the name and date. Evidence: Children's bottles were observed with no name or date.”

8VAC20-800-60-B

“Based on record review, the provider did not sure each child's record was maintained with all required information. Evidence: Child 1 is missing parent work phone numbers, doctor's name and phone numbers, insurance information, two emergency contacts and written authorization to provide emergency medication attention if needed.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash hands with liquid soup and running water prior to meals. Evidence: 1) Caregiver 1 did not wash hands prior to giving a child a snack. 2) Caregiver 1 did not wash hands prior to serving and spoon feeling all the children lunch.”

8VAC20-800-530-F

“Based on observation, soft bedding was used under and around an infant while sleeping. Evidence: Child 1 was observed wrapped up in a thick blanket and sleeping on top of a boppy in a crib.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure children washed their hands with liquid soap and warm running water before eating. Evidence: 1) Caregiver 1 did not wash a child's hands prior to being offered a cookie. 2) Caregiver 1 did not wash children's hands prior to the children eating their lunch.”

8VAC20-800-70-A

“Based on record review, the provider did not provide in writing all required information. Evidence: Child 1's family was not provided in writing the program's emergency preparedness plan.”

22.1-289.035-A

“Based on record review, all household members did not undergo a background check every five years. Evidence: Household member 1 and 2 have a central registry search which was last conducted on July 13, 2017.”

8VAC20-800-960-E

“Based on observation and record review, children's bottles were not labeled with the name and date. Evidence: Children's bottles were observed with no name or date.”

8VAC20-800-60-B

“Based on record review, the provider did not sure each child's record was maintained with all required information. Evidence: Child 1 is missing parent work phone numbers, doctor's name and phone numbers, insurance information, two emergency contacts and written authorization to provide emergency medication attention if needed.”

8VAC20-800-60-B

“Based on record review, the child's record did not contain all the required information. Evidence: Child 1 is missing child's emergency contacts, parent work and contact information, doctor's name and phone number, insurance policy name and number, first day of attendance, and any known allergies/medical concerns.”

8VAC20-800-50-A

“Based on interview, the family day home did not keep a written record of attendance each day. Evidence: The provider stated attendance was not taken for the day.”

8VAC20-800-120-B

“Based on record review, the assistant's record was not complete. Evidence: The assistant's record is missing one reference.”

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: Child 1 and 2 do not have documentation of a physical examination within 30 days after the first day of attendance. (Child 1 and 2, Start date: 11/8/2021)”

8VAC20-770-60-B

“Based on observation, an employee did not have completed sworn statement. Evidence: Caregiver 2 did not have a completed sworn statement. (Start date 12/10/2021)”

8VAC20-770-60-C-2

“Based on record review and observation, the provider did not obtain a central registry report within 30 days for caregiver. Evidence: Caregiver 2 does not have a central registry background check completed within 30 days of hire. (Date of hire 12/10/2021)”

8VAC20-800-830-A

“Based on record review, emergency evacuation drills were not practices monthly. Evidence: The provider stated emergency evacuation drills were conducted monthly but there is no documentation to support.”

8VAC20-800-960-D

“Based on observation, infant formula was not prepared according to manufacturer's instructions. Evidence: An opened bottle of infant formula was observed on a counter. Manufacturer's instructions state once opened the formula must be refrigerated.”

8VAC20-800-960-K

“Based on observation, baby food was served from the original container. Evidence: Caregiver 2 was observed feeding children from the orginal container.”

8VAC20-800-540-B

“Based on observation, infant walkers were being used. Evidence: One infant walker was in use by Child 1 and a second infant walker was observed though not in use.”

8VAC20-800-530-F

“Based on observation, soft bedding was used under and around an infant while sleeping. Evidence: Child 3 was observed with 1 blanket under him and 3 other blankets in the crib with the child.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home were not maintained in a safe condition. Evidence: In the area behind the stair well, there were several power tools accessible to children.”

8VAC20-800-70-A

“Based on record review, the parents were not provided in writing all the information required. Evidence: The provider stated the parent was provided the files but has not returned the signed documentation regarding policies including but not limited to check in check out procedures, discipline policy, termination policy, fees, holidays and substitute provider.”

8VAC20-800-60-B

“Based on record review, the child's record did not contain all the required information. Evidence: Child 1 is missing child's emergency contacts, parent work and contact information, doctor's name and phone number, insurance policy name and number, first day of attendance, and any known allergies/medical concerns.”

8VAC20-800-50-A

“Based on interview, the family day home did not keep a written record of attendance each day. Evidence: The provider stated attendance was not taken for the day.”

8VAC20-800-120-B

“Based on record review, the assistant's record was not complete. Evidence: The assistant's record is missing one reference.”

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: Child 1 and 2 do not have documentation of a physical examination within 30 days after the first day of attendance. (Child 1 and 2, Start date: 11/8/2021)”

8VAC20-770-60-B

“Based on observation, an employee did not have completed sworn statement. Evidence: Caregiver 2 did not have a completed sworn statement. (Start date 12/10/2021)”

8VAC20-770-60-C-2

“Based on record review and observation, the provider did not obtain a central registry report within 30 days for caregiver. Evidence: Caregiver 2 does not have a central registry background check completed within 30 days of hire. (Date of hire 12/10/2021)”

8VAC20-800-830-A

“Based on record review, emergency evacuation drills were not practices monthly. Evidence: The provider stated emergency evacuation drills were conducted monthly but there is no documentation to support.”

8VAC20-800-960-D

“Based on observation, infant formula was not prepared according to manufacturer's instructions. Evidence: An opened bottle of infant formula was observed on a counter. Manufacturer's instructions state once opened the formula must be refrigerated.”

8VAC20-800-960-K

“Based on observation, baby food was served from the original container. Evidence: Caregiver 2 was observed feeding children from the orginal container.”

8VAC20-800-540-B

“Based on observation, infant walkers were being used. Evidence: One infant walker was in use by Child 1 and a second infant walker was observed though not in use.”

8VAC20-800-530-F

“Based on observation, soft bedding was used under and around an infant while sleeping. Evidence: Child 3 was observed with 1 blanket under him and 3 other blankets in the crib with the child.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home were not maintained in a safe condition. Evidence: In the area behind the stair well, there were several power tools accessible to children.”

8VAC20-800-70-A

“Based on record review, the parents were not provided in writing all the information required. Evidence: The provider stated the parent was provided the files but has not returned the signed documentation regarding policies including but not limited to check in check out procedures, discipline policy, termination policy, fees, holidays and substitute provider.”