Milenka Rivera

8VAC20-800-60-B

“Children's records shall be maintained with required information. Child 3's record did not contain the name address and phone number of one of the two required emergency contacts.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing information about the provider's policies. Child 2 and Child 3's record did not contain documentation that the parent;s have been provided the provider's polices in writing.”

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after use. The diapering surface was not cleaned and sanitized after one of the two observed diaper changes.”

8VAC20-800-210-A

“REPEAT VIOLATION In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 1 has completed fifteen hours of training. Caregiver 2 has completed seven hours of training.”

8VAC20-800-60-B

“REPEAT VIOLATION A child's record shall contain all required information. Child 2's record did not contain a health insurance policy number. Child 3's record did not contain the Child's enrollment date; the names, phone numbers and work information of the child's parent's; the names, addresses and phone number's of two emergency contacts; the name and policy number of the child's heath insurance; and the name and contact information of the child's physician.”

8VAC20-800-100-A

“The provider shall 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. Child 2 has been enrolled for 13 months without documentation of a physical.”

8VAC20-800-70-A

“REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided in writing all required information. Child 2's record did not contain documentation that parents were provided the provisions of the emergency plan. Child 3's record did not contain documentation that the parents were informed whether the provider carries liability insurance.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. There was no documentation that an emergency drill was conducted in July 2025. The provider was filling the emergency log during the inspection.”

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 1 has obtained eight annual training hours. Caregivers 2 and 3 have obtained zero annual training hours.”

22.1-289.057-A

“Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher's lounge sinks, nurse's office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption. The provider has not submitted a plan for testing water to the Virginia Department of Health. Provider is currently using bottled water for consumption, but not for handwashing, dishwashing, or cooking.”

8VAC20-800-70-A

“REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided in writing required information. Children 1, 2, and 3's records did not contain documentation that the parents have been informed of the provisions of the emergency plan, or whether the provider carries liability insurance. Child 1's record did not contain documentation that the parents have been informed of the provider's medication policy.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. There was no attendance taken on 8/5/2025 or 8/6/2025.”

8VAC20-800-60-B

“Children's records shall be maintained with all required information. Child 1's record did not contain an address for one of the required emergency contacts.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for each enrolled child every six months until the age of two. 1. Child 1's updated immunization record is overdue by one year. 2. Child 2's updated immunization record is overdue by one year.”

8VAC20-800-320-G

“Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. The chimney inspection is seventeen months overdue.”

8VAC20-800-780-B

“Annually the provider shall review with the parent the emergency contact information to ensure the information is correct. Child 3's information was last reviewed sixteen months ago.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evacuation drills were not conducted for January, February or March of 2025.”

8VAC20-800-100-A

“The provider shall 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. Child 1's record does not contain documentation of a physical.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing all required information. Child 1, Child 2, and Child 3's record did not contain documentation that parents have received all required information in writing.”

8VAC20-800-60-B

“A child's record shall contain all required information. Child 2's record did not contain a health insurance policy number.”

8VAC20-800-750-A

“When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used certain requirements must be met. Two containers of topical ointment were not labeled with each child's name.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided in writing all required information. Child 1, 2, 3, and 4's record did not contain documentation that parents were informed of the: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; Schedule of fees; whether or not the family day home holds liability insurance; Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life- threatening diseases, which must be reported immediately; Requirement for the child to be adequately immunized; Requirement for paid caregivers to report suspected child abuse or neglect; Custodial parent's right to be admitted to the family day home any time the child is in care; General daily schedule that is appropriate for the age of the enrolling child; Policies for the provision of food; Presence of a pet or animal in the home; Amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider; Provisions of the family day home's emergency preparedness and response plan;. Parental notifications required in 22VAC40-111-650; Policies for termination of care; and Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003.”

8VAC20-800-70-A

“Before children's first date of attendance the provider is required to inform parents, in writing, of specific policies, procedures, and information. Three children's records (Child #1, Child #2, Child #3) did not contain documentation that parents have been informed of all required information.”

8VAC20-800-100-A

“THe provider is required to 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. Two children's records (Child #1 and Child #2) did not contain documentation of a physical examination.”

8VAC20-800-90-A

“THe provider is responsible for obtaining documentation that children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to attendance. Two children's records (Child #1 and Child #2) did not contain documentation of immunizations.”

8VAC20-800-80-B

“The provider is required to verify the age and identity of children in care. Three children's records (Child #1, Child #2, Child #3) did not contain documentation that the children's age and identity were verified.”

8VAC20-800-40-A

“THe provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of six children. On the date of inspection seven children were receiving care in the home.”