Martha Morales

8VAC20-800-120-A

“Repeat Violation Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have a record at the family day home.”

8VAC20-800-600-B

“Based on observation, the provider failed to ensure that infants not spend more than 30 minutes of consecutive time during waking hours confined in a confining piece of equipment. Evidence: 1. Child #7 (8 weeks old-) was observed awake while sitting in an infant seat from approximately 9:10am to approximately 10:30am..”

8VAC20-800-540-A

“Based on observation, high chairs were not being used to the manufacturer's instructions and when occupied by a child, a safety strap was not being used and securely fastened. Evidence: 1. At approximately 9:10am, three children (Ages: 2 years, 2 years and 18 months) were observed in high chairs without the safety strap fastened.”

8VAC20-800-200-A

“Based on interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have an orientation.”

8VAC20-800-170-A

“Based on observation and interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have a tuberculosis screening form on file with the provider and was in the room caring for children. 2. The provider stated Caregiver #3 works once a week cleaning and preparing food for the children.”

8VAC20-800-70-A

“Based on interview, the provider did not provide in writing to the parents the required information in this section before the child's first day of attendance, Evidence: 1. The provider stated she did not give the required information to the parents of Child #8, 9, 10, 11, 12. All 5 children were present and in care.”

8VAC20-800-60-B

“Repeat Violation Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #7's file (start date 3/04/2024) did not have one parent's work phone number.”

8VAC20-800-60-A

“Repeat Violation Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for 5 children present today. The provider stated 2 of the children were visiting.”

22.1-289.011-F

“Based on observation, the Violation Notice required by the Superintendent to be posted in a conspicuous place on the licensed premises was not posted. Evidence: 1. The complaint inspection and subsidy inspection dated 7/11/2023 was posted, however the monitoring inspection from 7/11/2023 was not posted.”

22.1-289.035-B-2

“Repeat Violation Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #3 (hire date 2/29/2024) did not have fingerprint results and did not have evidence of a past appointment. .”

8VAC20-800-50-A

“Repeat Violation Based on review of the attendance record, the family day home did not keep a written record of children in attendance each day. Evidence: 1. On March 14, 2024, 12 children were present. There were only 5 children that were listed on the written record of children in attendance.”

8VAC20-800-40-A

“Repeat violation Based on observation, interview and review of attendance record, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The license capacity is 7 children. At approximately 9:10am, the provider had 12 children in care with 3 caregivers. 2. The provider was over capacity beginning at approximately 8:00am and continued to be over capacity until approximately 10:45am. -Child #1 arrived at approximately 5:30am. -Child #10, 11 and 12 arrived at approximately 7:00am -Child #3 arrived at approximately 7:21am -Child #4 arrived at approximately 7:40am -Child #5 arrived at approximately 7:51am -Child #2 arrived at approximately 8:00am over capacity with 8 children -Child #6 arrived at approximately 8:00am-over capacity with 9 children -Child #7 arrived at approximately 8:30am-over capacity with 10 children -Child #8 arrived at approximately 8:40am-over capacity with 11 children -Child #9 arrived at approximately 8:45am-over capacity with 12 children -Child #10, 11 and 12 departed at approximately 9:20am-over capacity-9 children -Child #8 departed at approximately 10:09am-over capacity 8 children -Child #9 departed at approximately 10:45am-at capacity now with 7 children.”

8VAC20-770-60-B

“Repeat Violation Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #3 (Date of hire 2/29/2024) did not have a sworn statement on file with the provider. 2. Caregiver #2 (Date of hire12/18/2023) had a sworn statement on file that was missing the question-"Have you lived outside of Virginia in the past five years? If yes, what state(s) have you lived in."”

8VAC20-800-800-B

“Repeat Violation Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.”

8VAC20-800-110-B

“Repeat violation Based on review of children's records, the provider obtained a report of an immunization record for a child that was not signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #7 (start date 3/04/2024) had a immunization record, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-90-A

“Repeat Violation Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #8, Child #9, Child #10, Child #11 and Child #12. All 5 children were in care during the inspection.”

8VAC20-800-120-A

“Repeat Violation Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have a record at the family day home.”

8VAC20-800-600-B

“Based on observation, the provider failed to ensure that infants not spend more than 30 minutes of consecutive time during waking hours confined in a confining piece of equipment. Evidence: 1. Child #7 (8 weeks old-) was observed awake while sitting in an infant seat from approximately 9:10am to approximately 10:30am..”

8VAC20-800-540-A

“Based on observation, high chairs were not being used to the manufacturer's instructions and when occupied by a child, a safety strap was not being used and securely fastened. Evidence: 1. At approximately 9:10am, three children (Ages: 2 years, 2 years and 18 months) were observed in high chairs without the safety strap fastened.”

8VAC20-800-200-A

“Based on interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have an orientation.”

8VAC20-800-170-A

“Based on observation and interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #3 (start date 2/29/2024) did not have a tuberculosis screening form on file with the provider and was in the room caring for children. 2. The provider stated Caregiver #3 works once a week cleaning and preparing food for the children.”

8VAC20-800-70-A

“Based on interview, the provider did not provide in writing to the parents the required information in this section before the child's first day of attendance, Evidence: 1. The provider stated she did not give the required information to the parents of Child #8, 9, 10, 11, 12. All 5 children were present and in care.”

8VAC20-800-60-B

“Repeat Violation Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #7's file (start date 3/04/2024) did not have one parent's work phone number.”

8VAC20-800-60-A

“Repeat Violation Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for 5 children present today. The provider stated 2 of the children were visiting.”

22.1-289.011-F

“Based on observation, the Violation Notice required by the Superintendent to be posted in a conspicuous place on the licensed premises was not posted. Evidence: 1. The complaint inspection and subsidy inspection dated 7/11/2023 was posted, however the monitoring inspection from 7/11/2023 was not posted.”

22.1-289.035-B-2

“Repeat Violation Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #3 (hire date 2/29/2024) did not have fingerprint results and did not have evidence of a past appointment. .”

8VAC20-800-50-A

“Repeat Violation Based on review of the attendance record, the family day home did not keep a written record of children in attendance each day. Evidence: 1. On March 14, 2024, 12 children were present. There were only 5 children that were listed on the written record of children in attendance.”

8VAC20-800-40-A

“Repeat violation Based on observation, interview and review of attendance record, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The license capacity is 7 children. At approximately 9:10am, the provider had 12 children in care with 3 caregivers. 2. The provider was over capacity beginning at approximately 8:00am and continued to be over capacity until approximately 10:45am. -Child #1 arrived at approximately 5:30am. -Child #10, 11 and 12 arrived at approximately 7:00am -Child #3 arrived at approximately 7:21am -Child #4 arrived at approximately 7:40am -Child #5 arrived at approximately 7:51am -Child #2 arrived at approximately 8:00am over capacity with 8 children -Child #6 arrived at approximately 8:00am-over capacity with 9 children -Child #7 arrived at approximately 8:30am-over capacity with 10 children -Child #8 arrived at approximately 8:40am-over capacity with 11 children -Child #9 arrived at approximately 8:45am-over capacity with 12 children -Child #10, 11 and 12 departed at approximately 9:20am-over capacity-9 children -Child #8 departed at approximately 10:09am-over capacity 8 children -Child #9 departed at approximately 10:45am-at capacity now with 7 children.”

8VAC20-770-60-B

“Repeat Violation Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #3 (Date of hire 2/29/2024) did not have a sworn statement on file with the provider. 2. Caregiver #2 (Date of hire12/18/2023) had a sworn statement on file that was missing the question-"Have you lived outside of Virginia in the past five years? If yes, what state(s) have you lived in."”

8VAC20-800-800-B

“Repeat Violation Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.”

8VAC20-800-110-B

“Repeat violation Based on review of children's records, the provider obtained a report of an immunization record for a child that was not signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #7 (start date 3/04/2024) had a immunization record, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-90-A

“Repeat Violation Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #8, Child #9, Child #10, Child #11 and Child #12. All 5 children were in care during the inspection.”

8VAC20-800-40-A Complaint related: No

“Based on interview, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. On 6/29/2023, the provider had 11 children in care. The licensed capacity is 7 children in care. 2. The provider stated she had 7 children in care on 6/29/2023 and then 3 additional children were dropped off by their parent(s) for a party around 9:10amand were in her care for approximately 30 minutes. She stated they left at approximately 9:40am. She stated she had a total of 10 children. She had one more additional child arrive at approximately 9:40am giving her a total of 11 children.”

8VAC20-800-70-B

“Based on interview, the provider did not obtain the parent's written acknowledgement of the receipt of the information required before the child's first day of attendance, Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 with the acknowledgement. They began enrollment on 7/01/2023.”

8VAC20-800-90-A

“Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 (all started 7/01/202023) with the immunization records.”

8VAC20-800-170-A

“Based on interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #2's (start date 6/01/2023) file was not present during the inspection.”

8VAC20-800-200-C

“Based on interview, the provider did not have documentation of the orientation signed and dated by the provider and assistant. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have documentation of the orientation.”

8VAC20-800-240-A

“Based on observation, furnishing of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. The smoke detector was chirping during the inspection and needed batteries.”

8VAC20-800-500-C

“Based on observation, the provider's stationary outdoor playground equipment did not meet all requirements. Evidence: 1. The providers playground equipment was not firmly anchored with ground supports and was under a hard surface of dried dirt under the swings and a hard board was under the slide.”

8VAC20-800-110-B

“Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #1 (start date 3/01/2023) had a physical in the file, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-50-A

“Based on interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The provider stated she did not keep the attendance records. She stated she recycled them.”

8VAC20-800-50-B

“Based on interview, the provider did not maintain records in the home and made accessible to the department's representative. Evidence: 1. The provider stated caregiver #2 had the staff record at their home.”

8VAC20-800-50-E

“Based on interview, records and reports on children were not maintained and made accessible to the department's representative for two years from the date of termination of services for a child. Evidence: 1. The provider stated that she had recycled all of the attendance sheets for the past year and did not have a copy of them.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7. They began enrollment on 7/01/2023.”

8VAC20-800-60-B

“Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #3 (start date 6/22/2020) had documentation of the review of the child's emergency contact information on 6/03/2022 and needed an annual review.”

22.1-289.035-B-2

“Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have fingerprint results.”

8VAC20-770-60-B

“Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #2 (Date of hire 6/01/2023) did not have a sworn statement on file with the provider.”

8VAC20-770-60-C-2

“Based on interview, the provider did not have the central registry findings for one caregiver within 30 days of employment. Evidence: 1. Caregiver #2 (hire date 6/1/2023) did not have the central registry findings within 30 days of employment.”

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.”

8VAC20-800-120-A

“Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #2 (start date 6/01/2023) did not have a record at the family day home.”

8VAC20-790-250-F

“Based on review of training, the caregiver did not complete the department's health and safety update course annually. Evidence: 1. Caregiver #1 completed the health and safety update course on 3/27/2022 and was due to take it annually in March 2023.”

8VAC20-800-40-A Complaint related: No

“Based on interview, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. On 6/29/2023, the provider had 11 children in care. The licensed capacity is 7 children in care. 2. The provider stated she had 7 children in care on 6/29/2023 and then 3 additional children were dropped off by their parent(s) for a party around 9:10amand were in her care for approximately 30 minutes. She stated they left at approximately 9:40am. She stated she had a total of 10 children. She had one more additional child arrive at approximately 9:40am giving her a total of 11 children.”

8VAC20-800-70-B

“Based on interview, the provider did not obtain the parent's written acknowledgement of the receipt of the information required before the child's first day of attendance, Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 with the acknowledgement. They began enrollment on 7/01/2023.”

8VAC20-800-90-A

“Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 (all started 7/01/202023) with the immunization records.”

8VAC20-800-170-A

“Based on interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #2's (start date 6/01/2023) file was not present during the inspection.”

8VAC20-800-200-C

“Based on interview, the provider did not have documentation of the orientation signed and dated by the provider and assistant. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have documentation of the orientation.”

8VAC20-800-240-A

“Based on observation, furnishing of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. The smoke detector was chirping during the inspection and needed batteries.”

8VAC20-800-500-C

“Based on observation, the provider's stationary outdoor playground equipment did not meet all requirements. Evidence: 1. The providers playground equipment was not firmly anchored with ground supports and was under a hard surface of dried dirt under the swings and a hard board was under the slide.”

8VAC20-800-110-B

“Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #1 (start date 3/01/2023) had a physical in the file, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-50-A

“Based on interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The provider stated she did not keep the attendance records. She stated she recycled them.”

8VAC20-800-50-B

“Based on interview, the provider did not maintain records in the home and made accessible to the department's representative. Evidence: 1. The provider stated caregiver #2 had the staff record at their home.”

8VAC20-800-50-E

“Based on interview, records and reports on children were not maintained and made accessible to the department's representative for two years from the date of termination of services for a child. Evidence: 1. The provider stated that she had recycled all of the attendance sheets for the past year and did not have a copy of them.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7. They began enrollment on 7/01/2023.”

8VAC20-800-60-B

“Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #3 (start date 6/22/2020) had documentation of the review of the child's emergency contact information on 6/03/2022 and needed an annual review.”

22.1-289.035-B-2

“Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have fingerprint results.”

8VAC20-770-60-B

“Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #2 (Date of hire 6/01/2023) did not have a sworn statement on file with the provider.”

8VAC20-770-60-C-2

“Based on interview, the provider did not have the central registry findings for one caregiver within 30 days of employment. Evidence: 1. Caregiver #2 (hire date 6/1/2023) did not have the central registry findings within 30 days of employment.”

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.”

8VAC20-800-120-A

“Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #2 (start date 6/01/2023) did not have a record at the family day home.”

8VAC20-790-250-F

“Based on review of training, the caregiver did not complete the department's health and safety update course annually. Evidence: 1. Caregiver #1 completed the health and safety update course on 3/27/2022 and was due to take it annually in March 2023.”

8VAC20-800-40-A Complaint related: No

“Based on interview, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. On 6/29/2023, the provider had 11 children in care. The licensed capacity is 7 children in care. 2. The provider stated she had 7 children in care on 6/29/2023 and then 3 additional children were dropped off by their parent(s) for a party around 9:10amand were in her care for approximately 30 minutes. She stated they left at approximately 9:40am. She stated she had a total of 10 children. She had one more additional child arrive at approximately 9:40am giving her a total of 11 children.”

8VAC20-800-70-B

“Based on interview, the provider did not obtain the parent's written acknowledgement of the receipt of the information required before the child's first day of attendance, Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 with the acknowledgement. They began enrollment on 7/01/2023.”

8VAC20-800-90-A

“Based on interview, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before a child may attend the family day home. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7 (all started 7/01/202023) with the immunization records.”

8VAC20-800-170-A

“Based on interview, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver #2's (start date 6/01/2023) file was not present during the inspection.”

8VAC20-800-200-C

“Based on interview, the provider did not have documentation of the orientation signed and dated by the provider and assistant. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have documentation of the orientation.”

8VAC20-800-240-A

“Based on observation, furnishing of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. The smoke detector was chirping during the inspection and needed batteries.”

8VAC20-800-500-C

“Based on observation, the provider's stationary outdoor playground equipment did not meet all requirements. Evidence: 1. The providers playground equipment was not firmly anchored with ground supports and was under a hard surface of dried dirt under the swings and a hard board was under the slide.”

8VAC20-800-110-B

“Based on review of children's records, the provider did not obtain documentation of a physical examination by or under the direction of a physician signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: 1. Child #1 (start date 3/01/2023) had a physical in the file, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.”

8VAC20-800-50-A

“Based on interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The provider stated she did not keep the attendance records. She stated she recycled them.”

8VAC20-800-50-B

“Based on interview, the provider did not maintain records in the home and made accessible to the department's representative. Evidence: 1. The provider stated caregiver #2 had the staff record at their home.”

8VAC20-800-50-E

“Based on interview, records and reports on children were not maintained and made accessible to the department's representative for two years from the date of termination of services for a child. Evidence: 1. The provider stated that she had recycled all of the attendance sheets for the past year and did not have a copy of them.”

8VAC20-800-60-A

“Based on interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated she did not have a file for Child #5, Child #6 or Child #7. They began enrollment on 7/01/2023.”

8VAC20-800-60-B

“Based on review of children's records, the records did not contain all required information. Evidence: 1. Child #3 (start date 6/22/2020) had documentation of the review of the child's emergency contact information on 6/03/2022 and needed an annual review.”

22.1-289.035-B-2

“Based on interview, the provider did not have the fingerprint results for one caregiver prior to hire. Evidence: 1. Caregiver #2 (hire date 6/01/2023) did not have fingerprint results.”

8VAC20-770-60-B

“Based on interview, the provider did not obtain a completed sworn statement or affirmation from a caregiver that is employed. Evidence: 1. Caregiver #2 (Date of hire 6/01/2023) did not have a sworn statement on file with the provider.”

8VAC20-770-60-C-2

“Based on interview, the provider did not have the central registry findings for one caregiver within 30 days of employment. Evidence: 1. Caregiver #2 (hire date 6/1/2023) did not have the central registry findings within 30 days of employment.”

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review. Evidence: 1. The provider's emergency plan was last updated on 5/03/2022.”

8VAC20-800-120-A

“Based on interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver #2 (start date 6/01/2023) did not have a record at the family day home.”

8VAC20-790-250-F

“Based on review of training, the caregiver did not complete the department's health and safety update course annually. Evidence: 1. Caregiver #1 completed the health and safety update course on 3/27/2022 and was due to take it annually in March 2023.”

8VAC20-800-210-A

“Based on interview, the caregiver did not obtain a minimum of sixteen clock house of training annually. Evidence: 1. The caregiver stated that they had not completed 16 hours of training in 2022 for herself or caregiver #2.”

22.1-289.035-A

“Based on caregiver record review and interview, the provider did not obtain the updated central registry findings every five years. Evidence: 1. Caregiver #2 had a central registry dated 6/23/2017. The provider stated she sent for it, but it was returned for missing information. She stated she will send it again.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as, but not limited to, cleaning agents and disinfectants, were not stored away in areas inaccessible to children. Evidence: 1. Two bathroom cleaning products were under a sink in the kitchen and the safety lock was broke and the products were accessible to children.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers and wipes were not disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. The provider had a trash can for diapers with a swinging top and was not foot operated.”

8VAC20-800-90-A

“Based on review of children's records, the provider did not obtain that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #1 (start date 3/01/2023) had an immunization record in the file, but it was not signed or dated by a physician stating the child was adequately immunized.”

8VAC20-800-80-A

“Based on review of children's records, the provider did not obtain from the parent the name and location of previous day care programs and schools the child has attended within seven business days. Evidence: 1. Child #2 (start date 3/14/2022) did not have record of the child's previous day care programs and schools.”

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver a current report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: 1. Caregiver #2 had a Tuberculosis report dated 3/18/2021.”

8VAC20-790-390-A

“Based on observation, handwashing procedures were not all met. Evidence: 1. When two children were finished eating their snack, the provider took them out of their high chairs and placed them down and did not have the children wash their hands. The children began coloring at the table and watching tv.”

8VAC20-800-210-A

“Based on interview, the caregiver did not obtain a minimum of sixteen clock house of training annually. Evidence: 1. The caregiver stated that they had not completed 16 hours of training in 2022 for herself or caregiver #2.”

22.1-289.035-A

“Based on caregiver record review and interview, the provider did not obtain the updated central registry findings every five years. Evidence: 1. Caregiver #2 had a central registry dated 6/23/2017. The provider stated she sent for it, but it was returned for missing information. She stated she will send it again.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as, but not limited to, cleaning agents and disinfectants, were not stored away in areas inaccessible to children. Evidence: 1. Two bathroom cleaning products were under a sink in the kitchen and the safety lock was broke and the products were accessible to children.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers and wipes were not disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. The provider had a trash can for diapers with a swinging top and was not foot operated.”

8VAC20-800-90-A

“Based on review of children's records, the provider did not obtain that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #1 (start date 3/01/2023) had an immunization record in the file, but it was not signed or dated by a physician stating the child was adequately immunized.”

8VAC20-800-80-A

“Based on review of children's records, the provider did not obtain from the parent the name and location of previous day care programs and schools the child has attended within seven business days. Evidence: 1. Child #2 (start date 3/14/2022) did not have record of the child's previous day care programs and schools.”

8VAC20-800-180-A

“Based on review of caregiver records, the provider did not obtain for each caregiver a current report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: 1. Caregiver #2 had a Tuberculosis report dated 3/18/2021.”

8VAC20-790-390-A

“Based on observation, handwashing procedures were not all met. Evidence: 1. When two children were finished eating their snack, the provider took them out of their high chairs and placed them down and did not have the children wash their hands. The children began coloring at the table and watching tv.”

8VAC20-800-690-D

“Based on observation, the diapering surface did not meet all requirements. Evidence: 1. The provider had a diaper changing pad with two small holes on the sides.”

8VAC20-820-120-E-2

“Based on observation, the provider did not post the findings of the most recent inspection. Evidence: 1. The provider had the summary posted from the 5/02/2022 inspection, but did not have the violation report posted.”

22.1-289.035-A

“Based on caregiver record review and interview, the provider did not obtain the updated central registry findings every five years. Evidence: 1. Caregiver #1 had a central registry dated 6/23/2017 and Caregiver #2 had a central registry dated 6/23/2017. The provider stated she sent for them a month ago, but did not have the results.”

8VAC20-800-210-A

“Based on review of the caregiver's training, the caregiver did not obtain a minimum of sixteen clock house of training annually. Evidence: 1. Caregiver #1 completed 10 hours of training for 2021 and had completed 10 1/2 hours of training for 2022. 2. Caregiver #2 did not complete the 16 hours of training for 2021 and completed 3 hours of training for 2022.”

8VAC20-800-690-D

“Based on observation, the diapering surface did not meet all requirements. Evidence: 1. The provider had a diaper changing pad with two small holes on the sides.”

8VAC20-820-120-E-2

“Based on observation, the provider did not post the findings of the most recent inspection. Evidence: 1. The provider had the summary posted from the 5/02/2022 inspection, but did not have the violation report posted.”

22.1-289.035-A

“Based on caregiver record review and interview, the provider did not obtain the updated central registry findings every five years. Evidence: 1. Caregiver #1 had a central registry dated 6/23/2017 and Caregiver #2 had a central registry dated 6/23/2017. The provider stated she sent for them a month ago, but did not have the results.”

8VAC20-800-210-A

“Based on review of the caregiver's training, the caregiver did not obtain a minimum of sixteen clock house of training annually. Evidence: 1. Caregiver #1 completed 10 hours of training for 2021 and had completed 10 1/2 hours of training for 2022. 2. Caregiver #2 did not complete the 16 hours of training for 2021 and completed 3 hours of training for 2022.”

8VAC20-770-60-C-2

“Based on review, the family day home did not have central registry finding within 30 days of employment. Evidence: 1. The provider could not locate the Virginia central registry for her file.”

8VAC20-800-70-B

“Based on review of children's records, the provider did not obtain the parent's written acknowledgement of the receipt of the information in this section. Evidence: 1. Child #2 (start date 6/02/2020) did not have the parent's signature on the policy for administering medication or the liability insurance declaration.”

8VAC20-800-60-B

“Based on review, a child's record did not contain all the requirements. Evidence: 1. Child #2 (start date 6/02/2020) did not have a 2nd emergency contact name, address and phone number.”

8VAC20-800-120-B

“Based on review, the assistant's record did not contain all the requirements. Evidence: 1. Assistant #1 did not have the address, job title, date of employment and name address and telephone number of a person to be notified in an emergency,”

8VAC20-800-790

“Based on observation, the provider did not have all required numbers posted in a visible area close to the telephone. Evidence: 1. The provider did not have the responsible person (who is 18 years of age or older that is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by parent) emergency backup posted as required.”

8VAC20-800-830-C

“Based on interview, the provider did not have documentation maintained of shelter-in-place drills. Evidence: 1. The provider stated that shelter in place drills were practiced, but did not have documentation of the drills.”

8VAC20-800-200-C

“Based on interview, documentation of the orientation was not signed and dated by the provider and assistant. Evidence: 1. The provider stated the orientation was completed, but did not have the orientation document signed and dated.”

8VAC20-770-60-C-2

“Based on review, the family day home did not have central registry finding within 30 days of employment. Evidence: 1. The provider could not locate the Virginia central registry for her file.”

8VAC20-800-70-B

“Based on review of children's records, the provider did not obtain the parent's written acknowledgement of the receipt of the information in this section. Evidence: 1. Child #2 (start date 6/02/2020) did not have the parent's signature on the policy for administering medication or the liability insurance declaration.”

8VAC20-800-60-B

“Based on review, a child's record did not contain all the requirements. Evidence: 1. Child #2 (start date 6/02/2020) did not have a 2nd emergency contact name, address and phone number.”

8VAC20-800-120-B

“Based on review, the assistant's record did not contain all the requirements. Evidence: 1. Assistant #1 did not have the address, job title, date of employment and name address and telephone number of a person to be notified in an emergency,”

8VAC20-800-790

“Based on observation, the provider did not have all required numbers posted in a visible area close to the telephone. Evidence: 1. The provider did not have the responsible person (who is 18 years of age or older that is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by parent) emergency backup posted as required.”

8VAC20-800-830-C

“Based on interview, the provider did not have documentation maintained of shelter-in-place drills. Evidence: 1. The provider stated that shelter in place drills were practiced, but did not have documentation of the drills.”

8VAC20-800-200-C

“Based on interview, documentation of the orientation was not signed and dated by the provider and assistant. Evidence: 1. The provider stated the orientation was completed, but did not have the orientation document signed and dated.”