Marta Alejos

8VAC20-800-640-6 Complaint related: Yes

“Based on interviews, the provider punished a child for toileting accidents. Evidence: 1. Child #1 had a toileting accident. Caregiver #1 confirmed that they lightly tapped Child #1's bottom for a toileting accident one time. Caregiver #1 confirmed that the child did not cry and Child #1 did not sustain an injury from the light tap. 2. Witness #1 confirmed that they were present at the time of the incident. Witness #1 confirmed that Child #1 did not cry and that Child #1 did not have an injury as a result.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. The red children's chair located in the living room area of the family day home had a five inch tear in the seat exposing the foam cushion.”

8VAC20-800-90-A

“Based on record review, and interview, the provider did not obtain documentation that the child has been adequately immunized before the first date of attendance. Evidence: 1.Child #1's record (Start date-01/02/2024) did not contain documentation that the child has been adequately immunized. 2.Caregiver #1 confirmed that immunization records had not been obtained from the parent before the first date of attendance.”

8VAC20-800-830-A

“Based on documentation review and interview, the emergency evacuation procedures were not practiced with all caregivers and children in care during all shifts that children are in care. Evidence: 1. Documentation of the emergency evacuation drill for the month of February was missing from the log sheet. 2. Caregiver #1 confirmed that an emergency evacuation drill for the moth of February was not conducted.”

8VAC20-800-100-A

“Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-01/02/2024) did not contain documentation of a physical examination. 2. Caregiver #1 confirmed that documentation of a physical examination was not obtained prior to the child's attendance or within 30 days after the first day of attendance.”

8VAC20-800-50-A

“Based on documentation review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The family day home did not have a written record of children in attendance to review at the time of the inspection. 2. Caregiver #1 confirmed that attendance had not been taken.”

22.1-289.036-A

“Based on record review, the family day home did not update criminal history record reports every five years. Evidence: 1. Criminal history record reports have to be updated every five years. Staff #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/23/2018. 2.Criminal history record reports have to be updated every five years. Household Member #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/22/2018. 3.Criminal history record reports have to be updated every five years. Household Member #2's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/29/2018.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Staff #1 was observed changing a child's diaper. After the diaper change, Staff #1 wiped the diapering surface with a baby wipe and did not clean and sanitize the diaper pad.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and date when more than one infant was in care. Evidence: 1. Child #1's bottle(Start date-07/25/2023) was located sitting on top of a shelf without the child's name and date. 2. Child #2's bottle (Start date-07/31/2023) was not labeled with the child's name and date.”

22.1-289.036-A

“Based on record review, the family day home did not update criminal history record reports every five years. Evidence: 1. Criminal history record reports have to be updated every five years. Staff #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/23/2018. 2.Criminal history record reports have to be updated every five years. Household Member #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/22/2018. 3.Criminal history record reports have to be updated every five years. Household Member #2's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/29/2018.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Staff #1 was observed changing a child's diaper. After the diaper change, Staff #1 wiped the diapering surface with a baby wipe and did not clean and sanitize the diaper pad.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and date when more than one infant was in care. Evidence: 1. Child #1's bottle(Start date-07/25/2023) was located sitting on top of a shelf without the child's name and date. 2. Child #2's bottle (Start date-07/31/2023) was not labeled with the child's name and date.”

8VAC20-800-60-B

“Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-11/15/2017) and Child #2's record (Start date-09/10/2011) did not have documentation of the review of the child's emergency contact information. 2. Child #3's record (Start date-02/07/2013) did not have documentation of the results of a health examination. A record of the immunization records were available for review.”

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 did not have a minimum of sixteen clock hours of annual training. Caregiver #1 completed a total of two hours of training. 2. Caregiver #1 confirmed that sixteen hours of annual training had not been obtained.”

8VAC20-800-830-C

“Based on record review and interview, the provider did not maintain documentation of shelter in place drills. Evidence: 1. There was no documentation of two shelter in place drills conducted for the year. 2. Caregiver #1 confirmed that documentation was not maintained for shelter in place drills.”

8VAC20-790-250-F

“Based on record review and interview, caregivers did not complete the department's health and safety update course. Evidence: 1. Caregiver #1 did not have documentation of the department's health and safety update course. 2. Caregiver #1 confirmed that the department's health and safety update course had not been completed at the time of the inspection.”

8VAC20-800-60-B

“Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-11/15/2017) and Child #2's record (Start date-09/10/2011) did not have documentation of the review of the child's emergency contact information. 2. Child #3's record (Start date-02/07/2013) did not have documentation of the results of a health examination. A record of the immunization records were available for review.”

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 did not have a minimum of sixteen clock hours of annual training. Caregiver #1 completed a total of two hours of training. 2. Caregiver #1 confirmed that sixteen hours of annual training had not been obtained.”

8VAC20-800-830-C

“Based on record review and interview, the provider did not maintain documentation of shelter in place drills. Evidence: 1. There was no documentation of two shelter in place drills conducted for the year. 2. Caregiver #1 confirmed that documentation was not maintained for shelter in place drills.”

8VAC20-790-250-F

“Based on record review and interview, caregivers did not complete the department's health and safety update course. Evidence: 1. Caregiver #1 did not have documentation of the department's health and safety update course. 2. Caregiver #1 confirmed that the department's health and safety update course had not been completed at the time of the inspection.”

8VAC20-800-70-B

“Based on record review, the provider did not obtain parent's written acknowledgement of the receipt of information. Evidence: 1. Child #2's record (Start date-06/06/2022) did not contain written acknowledgement of receipt of provisions of the emergency plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not contain required information. Evidence: 1. Child #2's record (Start date-06/06/2022) did not contain documentation the following information: Parent's work place, address, and phone number, two emergency contacts, medical insurance and policy number, parent's signed acknowledgement of the receipt of information for parents, documentation of proof of identity, and written authorization of emergency care, written authorization if a caregiver is to administer prescription or nonprescription medication. 2. Caregiver #1 stated that the parents were given the information, but did not return the forms.”

8VAC20-800-920

“Based on observation, the menu for the current week was not posted and dated. Evidence: 1. A menu for the current week was not posted. The menu that was posted was dated week of July 11-15 2022.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1. In the bathroom, a bottle of disinfectant was located in a cabinet on the bottom shelf. 2. A bottle of air deodorizer containing the warning, "Keep out of children's reach" was located on a shelf above the sink.”

8VAC20-800-70-B

“Based on record review, the provider did not obtain parent's written acknowledgement of the receipt of information. Evidence: 1. Child #2's record (Start date-06/06/2022) did not contain written acknowledgement of receipt of provisions of the emergency plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not contain required information. Evidence: 1. Child #2's record (Start date-06/06/2022) did not contain documentation the following information: Parent's work place, address, and phone number, two emergency contacts, medical insurance and policy number, parent's signed acknowledgement of the receipt of information for parents, documentation of proof of identity, and written authorization of emergency care, written authorization if a caregiver is to administer prescription or nonprescription medication. 2. Caregiver #1 stated that the parents were given the information, but did not return the forms.”

8VAC20-800-920

“Based on observation, the menu for the current week was not posted and dated. Evidence: 1. A menu for the current week was not posted. The menu that was posted was dated week of July 11-15 2022.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1. In the bathroom, a bottle of disinfectant was located in a cabinet on the bottom shelf. 2. A bottle of air deodorizer containing the warning, "Keep out of children's reach" was located on a shelf above the sink.”

8VAC20-800-50-A

“Based on observation, the family day home did not keep a record of the children in attendance. Evidence: 1. At the time of the inspection, there were two children in attendance. Documentation of attendance for the children in care was not taken for the 03/09/2022.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Caregiver #1 changed the diaper of a child in care. After the diaper change, Caregiver #1 washed their hands and the child's hands, but did not clean and sanitize the diapering surface after use.”

8VAC20-800-800-A

“Based on record review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. The family day home did not have documentation of a written emergency preparedness plan. Caregiver #1 stated that the plan was completed, but could not locate the plan.”

8VAC20-770-40-D-4-a

“Based on record review, the provider did not obtain a Central Registry Results for household members. Evidence: 1. Household Member #2's record did not contain documentation of a current Central Registry finding. The Central Registry results in the record was dated 01/03/2017 and expired on 01/03/2022. 2. Household Member #4's record did not contain documentation of a completed Central Registry search.”

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: 1. Child #2's first date of enrollment was 01/13/2020. Child #2's record did not contain results from a physical examination.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Household Member #3's record did not contain documentation of a subsequent Tuberculosis (TB)Screening. The TB screening in the record was dated 03/24/2017 and expired on 03/24/2019.”

22VAC40-111-210-A

“Based on file review, a caregiver did not obtain a minimum of 16 hours of annual training. Evidence 1. During the inspection, caregiver #1 provided documentation of having attended 14 hours of training this past year.”

22VAC40-111-180-A

“Based on file review, 1 caregiver does not have a TB test/screening completed in the past 2 years. Evidence 1. Caregiver #1's most recent TB test was completed on 2/5/19.”