Mary Ugarte

8VAC20-800-680-A

“Based on observation, the provider did not ensure caregivers washed hands with liquid soap and warm running water at required times. Evidence: Caregiver #1 was observed changing a diaper without washing hands before or after the diaper change.”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children's hands were washed with liquid soap and warm running water at required times. Evidence: Caregiver #1 did not wash the child's hands after the diaper change.”

22.1-289.036-A

“Based on a review of records, the provider did not ensure required repeat background checks were renewed every 5 years. Evidence: Household member #1 did not have Central Registry results on record during the inspection.”

8VAC20-800-340-C

“Based on observation, the provider did not ensure all supplies required in the bathroom were available. Evidence: There were no paper towels located in the bathroom.”

8VAC20-800-680-A

“Based on observation, the provider did not ensure caregivers washed hands with liquid soap and warm running water at required times. Evidence: Caregiver #1 was observed changing a diaper without washing hands before or after the diaper change.”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children's hands were washed with liquid soap and warm running water at required times. Evidence: Caregiver #1 did not wash the child's hands after the diaper change.”

22.1-289.036-A

“Based on a review of records, the provider did not ensure required repeat background checks were renewed every 5 years. Evidence: Household member #1 did not have Central Registry results on record during the inspection.”

8VAC20-800-340-C

“Based on observation, the provider did not ensure all supplies required in the bathroom were available. Evidence: There were no paper towels located in the bathroom.”

22.1-289.035-B-2

“Based on a review of caregiver files, all employees did not submit to fingerprinting background check in accordance with subdivison B prior to employment. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have fingerprinting results on file during the inspection.”

8VAC20-800-60-B

“Based on a review of child files, a child's record did not contain the required information. Evidence: Child #1 was missing 1 of 2 emergency contacts. Child #8 was missing 2 of 2 emergency contacts.”

8VAC20-800-90-A

“Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child #8 (start date 1/6/2023) did not have immunizations on file during the inspection.”

8VAC20-800-170-A

“Based on a review of caregiver files, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have documentation of a Tuberculosis test/screening during the inspection.”

8VAC20-770-60-B

“Based on a review of caregiver files, all employees did not complete a sworn statement or affirmation prior to becoming employed. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a sworn statement on file during the inspection.”

8VAC20-800-830-C

“Based on a review of the family day home and provider interview, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: There was no drill log available during the inspection. The provider confirmed that they have completed the drills but they could not find the log that contained documentation.”

8VAC20-800-120-A

“Based on a review of files, 1 of 3 files indicated that the provider did not maintain a record for each caregiver. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a file available during the inspection.”

8VAC20-800-120-B

“Based on a review of caregiver files, assistants' records did not contain the required information. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have references available during the inspection.”

8VAC20-800-180-A

“Based on a review of caregiver and household members the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: 1. Caregiver #1 had a Tuberculosis test dated 09/16/2018. 2. Household member #1 had a Tuberculosis test dated 9/26/2018.”

8VAC20-800-60-A

“Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #8 did not have a file available during the inspection.”

22.1-289.035-B-2

“Based on a review of caregiver files, all employees did not submit to fingerprinting background check in accordance with subdivison B prior to employment. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have fingerprinting results on file during the inspection.”

8VAC20-800-60-B

“Based on a review of child files, a child's record did not contain the required information. Evidence: Child #1 was missing 1 of 2 emergency contacts. Child #8 was missing 2 of 2 emergency contacts.”

8VAC20-800-90-A

“Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child #8 (start date 1/6/2023) did not have immunizations on file during the inspection.”

8VAC20-800-170-A

“Based on a review of caregiver files, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have documentation of a Tuberculosis test/screening during the inspection.”

8VAC20-770-60-B

“Based on a review of caregiver files, all employees did not complete a sworn statement or affirmation prior to becoming employed. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a sworn statement on file during the inspection.”

8VAC20-800-830-C

“Based on a review of the family day home and provider interview, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: There was no drill log available during the inspection. The provider confirmed that they have completed the drills but they could not find the log that contained documentation.”

8VAC20-800-120-A

“Based on a review of files, 1 of 3 files indicated that the provider did not maintain a record for each caregiver. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a file available during the inspection.”

8VAC20-800-120-B

“Based on a review of caregiver files, assistants' records did not contain the required information. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have references available during the inspection.”

8VAC20-800-180-A

“Based on a review of caregiver and household members the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: 1. Caregiver #1 had a Tuberculosis test dated 09/16/2018. 2. Household member #1 had a Tuberculosis test dated 9/26/2018.”

8VAC20-800-60-A

“Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #8 did not have a file available during the inspection.”

8VAC20-790-250-F

“Based on review, 2 of 3 staff files indicated that a certificate of completion was not available for the (3 hours) department's annual health and safety update course. Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion for the annual health and safety course was not available for review for: Staff #1 and Staff #3. 2. Both Staff #1 and Staff #3 have been employed by the FDH for more than 1 year.”

8VAC20-790-250-B

“Based on review and interview, 1 of 3 staff files indicated that within the first 90 days of employment or service a caregiver did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion was not available for Staff #2 in reference to the Virginia Preservice Training for Child Care Staff (10 hour course). 2. The start date for Staff #2 was listed as 03/30/2022.. 3. The Provider stated (during an interview conducted on the date of inspection) that Staff #2 is currently in the process of completing this course.”

8VAC20-800-800-B

“Based on review, the Provider did not document in writing each annual review (and update as needed) to the Emergency Preparedness and Response Plan (EP&RP). Evidence - 1. On the date of inspection (07/07/2022), the last written documentation of a review for the EP&RP was dated - 01/07/2020. 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-800-120-A

“Based on review, 1 of 3 staff files indicated that 1 of 2 references was on file for Staff #2. Evidence - 1. On the date of inspection (07/07/2022), only 1 reference was reviewed for Staff #2. 2. The start date for Staff #2 was listed as 03/30/2022.”

8VAC20-800-90-C

“Based on review, 1 of 9 children files indicated that the FDH did not obtain additional immunizations for a child (who was not exempt from the immunization requirements) under two years of age, every 6 months. Evidence - 1. On the date of inspection (07/07/2022), the immunization page on file for Child #8 was dated - 11/29/2021. 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-800-200-A

“Based on review, 1 of 3 staff files indicated that documentation of an orientation training was not available for Staff #2. Evidence - 1. On the date of inspection (07/07/2022), documentation of the orientation training for Staff #2 was not available for review. 2. The start date for Staff #2 was listed as - 03/30/2022.”

8VAC20-800-500-C

“Based on observation, the outdoor playground equipment was stationed over a hard surface. Evidence - 1. On the date of inspection (07/07/2022), the two structures of playground equipment located in the backyard of the FDH was located over hard decking. 2. The children in care were observed playing over it on the date of inspection.”

8VAC20-770-60-B

“Based on review, 1 of 3 staff files indicated that an employee of a licensed Family Day Home (FDH) does not have a completed sworn statement or affirmation form (SDS) on site. Evidence - 1. On the date of inspection (07/07/2022), a SDS was not available for review for Staff #2. 2. The start date for Staff #2 was listed as - 03/30/2022.”

8VAC20-800-60-A

“Based on review, 1 of 9 enrolled children did not have an up-to-date record at the Family Day Home (FDH). Evidence - 1. On the date of inspection (07/07/2022), Child #9 was without a complete child's record. 2. The start date for Child #9 was listed as 06/30/2022.”

8VAC20-790-250-F

“Based on review, 2 of 3 staff files indicated that a certificate of completion was not available for the (3 hours) department's annual health and safety update course. Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion for the annual health and safety course was not available for review for: Staff #1 and Staff #3. 2. Both Staff #1 and Staff #3 have been employed by the FDH for more than 1 year.”

8VAC20-790-250-B

“Based on review and interview, 1 of 3 staff files indicated that within the first 90 days of employment or service a caregiver did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion was not available for Staff #2 in reference to the Virginia Preservice Training for Child Care Staff (10 hour course). 2. The start date for Staff #2 was listed as 03/30/2022.. 3. The Provider stated (during an interview conducted on the date of inspection) that Staff #2 is currently in the process of completing this course.”

8VAC20-800-800-B

“Based on review, the Provider did not document in writing each annual review (and update as needed) to the Emergency Preparedness and Response Plan (EP&RP). Evidence - 1. On the date of inspection (07/07/2022), the last written documentation of a review for the EP&RP was dated - 01/07/2020. 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-800-120-A

“Based on review, 1 of 3 staff files indicated that 1 of 2 references was on file for Staff #2. Evidence - 1. On the date of inspection (07/07/2022), only 1 reference was reviewed for Staff #2. 2. The start date for Staff #2 was listed as 03/30/2022.”

8VAC20-800-90-C

“Based on review, 1 of 9 children files indicated that the FDH did not obtain additional immunizations for a child (who was not exempt from the immunization requirements) under two years of age, every 6 months. Evidence - 1. On the date of inspection (07/07/2022), the immunization page on file for Child #8 was dated - 11/29/2021. 2. This was confirmed on the date of inspection by the Provider.”

8VAC20-800-200-A

“Based on review, 1 of 3 staff files indicated that documentation of an orientation training was not available for Staff #2. Evidence - 1. On the date of inspection (07/07/2022), documentation of the orientation training for Staff #2 was not available for review. 2. The start date for Staff #2 was listed as - 03/30/2022.”

8VAC20-800-500-C

“Based on observation, the outdoor playground equipment was stationed over a hard surface. Evidence - 1. On the date of inspection (07/07/2022), the two structures of playground equipment located in the backyard of the FDH was located over hard decking. 2. The children in care were observed playing over it on the date of inspection.”

8VAC20-770-60-B

“Based on review, 1 of 3 staff files indicated that an employee of a licensed Family Day Home (FDH) does not have a completed sworn statement or affirmation form (SDS) on site. Evidence - 1. On the date of inspection (07/07/2022), a SDS was not available for review for Staff #2. 2. The start date for Staff #2 was listed as - 03/30/2022.”

8VAC20-800-60-A

“Based on review, 1 of 9 enrolled children did not have an up-to-date record at the Family Day Home (FDH). Evidence - 1. On the date of inspection (07/07/2022), Child #9 was without a complete child's record. 2. The start date for Child #9 was listed as 06/30/2022.”

22VAC40-665-230-H

“Based on review, the department's 3 hour health and safety update course was not completed this year for the applicable staff person. Evidence - 1. On the date of inspection (01/25/2022), the annual health and safety training was not completed by Staff #1. 2. The Virginia Pre-Service training was completed on 10/19/2018.”

8VAC20-800-90-C

“Based on review, 2 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (01/25/2022) the following children were without an update to their immunization records: Child #2 (most recent update - 06/03/2021), and Child #4 (most recent update - 02/01/2021). 2. The Provider confirmed this finding on the date of inspection.”

8VAC20-800-210-A

“Based on review and interview, a caregiver did not obtain a minimum of (16) sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 01/25/2022) that only 1 hour has been completed for Staff #1. 2. This training certificate obtained by Staff #1 was observed to be from an approved online training. 3. Staff #2 and Staff #3's hours of annual training shall be determined after one full year of employment.”

8VAC20-800-960-E

“Based on observation, 2 of 2 bottles observed being refrigerated were labeled with the child's full name, but not today's the date. Evidence - 1. On the date of inspection (01/25/2022), there were a total of (3) infants in care. 2. These two bottles were for Child #4, and Child #8.”

22VAC40-665-230-H

“Based on review, the department's 3 hour health and safety update course was not completed this year for the applicable staff person. Evidence - 1. On the date of inspection (01/25/2022), the annual health and safety training was not completed by Staff #1. 2. The Virginia Pre-Service training was completed on 10/19/2018.”

8VAC20-800-90-C

“Based on review, 2 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (01/25/2022) the following children were without an update to their immunization records: Child #2 (most recent update - 06/03/2021), and Child #4 (most recent update - 02/01/2021). 2. The Provider confirmed this finding on the date of inspection.”

8VAC20-800-210-A

“Based on review and interview, a caregiver did not obtain a minimum of (16) sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 01/25/2022) that only 1 hour has been completed for Staff #1. 2. This training certificate obtained by Staff #1 was observed to be from an approved online training. 3. Staff #2 and Staff #3's hours of annual training shall be determined after one full year of employment.”

8VAC20-800-960-E

“Based on observation, 2 of 2 bottles observed being refrigerated were labeled with the child's full name, but not today's the date. Evidence - 1. On the date of inspection (01/25/2022), there were a total of (3) infants in care. 2. These two bottles were for Child #4, and Child #8.”