Miriam Ayala

8VAC20-800-240-A

“Based on observation, furnishings inside the house were not maintained in a safe condition. Evidence: The right cabinet door for the diaper changing table has a broken corner posing an injury hazard for the children.”

8VAC20-800-120-B

“Based on records review, the provider did not obtain two written reference checks for an assistant prior to the first day of employment. Evidence: 1. Caregiver # 1's first day of employment was 8/21/23. 2. The provider did not obtain 2 reference checks for Caregiver # 1 to this date.”

22.1-289.035-B-2

“Repeat Violation Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 first day of employment was 8/21/23. 2. Staff # 1's fingerprint results were obtained on 8/30/23.”

8VAC20-800-690-E

“Repeat Violation Based on observation, soiled disposable diapers were not being disposed off in a plastic-lined storage system. Evidence: Two foot pedal diaper pails used for diaper disposal were not lined by plastic trash bags.”

8VAC20-790-250-D-2

“Based on record review, a caregiver at the family day home did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Caregiver # 1's first day of employment was 7/11/22. 2. Caregiver # 1 did not have current certification in first aid.”

8VAC20-790-250-D-1

“Based on records review, a caregiver did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Caregiver # 1's first day of employment was 7/11/22. 2. Caregiver # 1 did not have a current certification in CPR.”

8VAC20-800-340-C

“Based on observation, the bathroom did not have paper towels. Evidence: The upstairs bathroom used by the children did not have paper towels. The children were observed using assigned cloth towels to dry their hands after handwashing.”

8VAC20-800-320-B

“Based on observation, electrical outlets were not covered by child resistant protective covers. Evidence: Two electrical outlets in the classroom upstairs where the children were eating morning snack were not covered by outlet covers.”

8VAC20-800-70-A

“Based on records review, a child's records did not include complete written information for parents. Evidence: Child # 1's record had the liability insurance form but the form had not been completed and signed.”

8VAC20-800-960-E

“Based on observation, infant bottles were not labeled with each infant's full name and date. Evidence: 1. There were 2 infants in care, for whom milk bottles were on site. 2. None of the bottles were labeled with their full name and date.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers were not being disposed off in a plastic-lined storage system. Evidence: The foot pedal diaper pail that was being used for diaper disposal was not lined by a plastic trash bag. The diapers were being disposed off directly in the diaper pail.”

8VAC20-790-250-D-2

“Based on record review, a caregiver at the family day home did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Caregiver # 1's first day of employment was 7/11/22. 2. Caregiver # 1 did not have current certification in first aid.”

8VAC20-790-250-D-1

“Based on records review, a caregiver did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Caregiver # 1's first day of employment was 7/11/22. 2. Caregiver # 1 did not have a current certification in CPR.”

8VAC20-800-340-C

“Based on observation, the bathroom did not have paper towels. Evidence: The upstairs bathroom used by the children did not have paper towels. The children were observed using assigned cloth towels to dry their hands after handwashing.”

8VAC20-800-320-B

“Based on observation, electrical outlets were not covered by child resistant protective covers. Evidence: Two electrical outlets in the classroom upstairs where the children were eating morning snack were not covered by outlet covers.”

8VAC20-800-70-A

“Based on records review, a child's records did not include complete written information for parents. Evidence: Child # 1's record had the liability insurance form but the form had not been completed and signed.”

8VAC20-800-960-E

“Based on observation, infant bottles were not labeled with each infant's full name and date. Evidence: 1. There were 2 infants in care, for whom milk bottles were on site. 2. None of the bottles were labeled with their full name and date.”

8VAC20-800-690-E

“Based on observation, soiled disposable diapers were not being disposed off in a plastic-lined storage system. Evidence: The foot pedal diaper pail that was being used for diaper disposal was not lined by a plastic trash bag. The diapers were being disposed off directly in the diaper pail.”

8VAC20-790-430-A-3

“Based on staff interview, the provider did not practice lockdown procedures annually. Evidence: The provider stated that she had not completed the lockdown drill in 2021, and a drill was also not completed in 2022 to this date.”

8VAC20-790-250-B

“Based on record review, caregivers did not complete the Virginia Preservice Training within the first 90 days of employment. Evidence: 1. Staff # 1's first day of employment was 11/29/21 2. The provider stated that Staff # 1 had not completed the training.”

8VAC20-800-120-B

“Based on records review and staff interview, records for assistants did not contain complete information. Evidence: 1. Staff # 1?s record was missing the following: date of employment and emergency contact information. 2. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 3. The provider stated that she had not completed reference checks for both staff to this date. Their records had blank forms used for checking references.”

8VAC20-800-120-A

“Based on records review and staff interview, the provider did not maintain a complete record for each employee. Evidence: 1. The provider stated that Staff # 2?s first day of employment was 7/11/22. 2. Staff # 2?s record had blank forms, Staff # 2?s first day of employment was not documented in her record either.”

8VAC20-800-830-B

“Based on staff interview, the provider did not practice shelter in place drills twice a year. Evidence: The provider stated that she had not completed 2 shelter in place from 08/21 through 08/22.”

8VAC20-800-830-A

“Based on staff interview and record review, the provider did not practice evacuation drill each month. Evidence: 1. The evacuation drill log only had documentation for January 2022. 2. The provider stated that she had not done any evacuation from 02/22 through 06/22.”

8VAC20-770-60-C-2

“Based on staff interview and records review, the provider did not obtain results of the central registry search for Virginia for employees within 30 days of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she has not submitted the central registry forms for either of the staff members.”

8VAC20-800-280

“Based on observation, potentially poisonous materials were not stored out of reach of children. Evidence: A bottle of sanitizing solution was kept in a bin by the front door on the floor. The sanitizing solution was within reach of children.”

8VAC20-770-60-B

“Based on records review and staff interview, the provider did not obtain a complete Sworn Disclosure Statement for new employees prior to the first day of employment. Evidence: 1. The provider stated that Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The SDS for both staff members was not obtained to this date. The forms in the records were blank.”

22.1-289.035-B-2

“Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. Staff # 1?s fingerprint results were obtained on 7/18/22. 3. Staff # 2?s fingerprint results have not obtained to this date.”

8VAC20-800-170-A

“Based on records review, the provider did not obtain a current tuberculosis (TB) screening prior to coming into contact with the children. Evidence: Staff # 2?s first day of employment was 7/11/22. Staff # 2?s most recent TB screening was date 1/29/19.”

8VAC20-800-200-A

“Based on record review and staff interview, the provider did not complete orientation training with employees by the end of their first week of assuming job responsibilities. Evidence: 1. Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she had not completed orientation training with Staff # 2. The form in Staff # 2?s record was blank.”

8VAC20-800-60-B

“Based on records review, children's records were not complete. Evidence: Child # 1's record was missing the following information: emergency contact information, persons authorized to pick up and parent's work numbers.”

8VAC20-790-430-A-3

“Based on staff interview, the provider did not practice lockdown procedures annually. Evidence: The provider stated that she had not completed the lockdown drill in 2021, and a drill was also not completed in 2022 to this date.”

8VAC20-790-250-B

“Based on record review, caregivers did not complete the Virginia Preservice Training within the first 90 days of employment. Evidence: 1. Staff # 1's first day of employment was 11/29/21 2. The provider stated that Staff # 1 had not completed the training.”

8VAC20-800-120-B

“Based on records review and staff interview, records for assistants did not contain complete information. Evidence: 1. Staff # 1?s record was missing the following: date of employment and emergency contact information. 2. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 3. The provider stated that she had not completed reference checks for both staff to this date. Their records had blank forms used for checking references.”

8VAC20-800-120-A

“Based on records review and staff interview, the provider did not maintain a complete record for each employee. Evidence: 1. The provider stated that Staff # 2?s first day of employment was 7/11/22. 2. Staff # 2?s record had blank forms, Staff # 2?s first day of employment was not documented in her record either.”

8VAC20-800-830-B

“Based on staff interview, the provider did not practice shelter in place drills twice a year. Evidence: The provider stated that she had not completed 2 shelter in place from 08/21 through 08/22.”

8VAC20-800-830-A

“Based on staff interview and record review, the provider did not practice evacuation drill each month. Evidence: 1. The evacuation drill log only had documentation for January 2022. 2. The provider stated that she had not done any evacuation from 02/22 through 06/22.”

8VAC20-770-60-C-2

“Based on staff interview and records review, the provider did not obtain results of the central registry search for Virginia for employees within 30 days of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she has not submitted the central registry forms for either of the staff members.”

8VAC20-800-280

“Based on observation, potentially poisonous materials were not stored out of reach of children. Evidence: A bottle of sanitizing solution was kept in a bin by the front door on the floor. The sanitizing solution was within reach of children.”

8VAC20-770-60-B

“Based on records review and staff interview, the provider did not obtain a complete Sworn Disclosure Statement for new employees prior to the first day of employment. Evidence: 1. The provider stated that Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The SDS for both staff members was not obtained to this date. The forms in the records were blank.”

22.1-289.035-B-2

“Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. Staff # 1?s fingerprint results were obtained on 7/18/22. 3. Staff # 2?s fingerprint results have not obtained to this date.”

8VAC20-800-170-A

“Based on records review, the provider did not obtain a current tuberculosis (TB) screening prior to coming into contact with the children. Evidence: Staff # 2?s first day of employment was 7/11/22. Staff # 2?s most recent TB screening was date 1/29/19.”

8VAC20-800-200-A

“Based on record review and staff interview, the provider did not complete orientation training with employees by the end of their first week of assuming job responsibilities. Evidence: 1. Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she had not completed orientation training with Staff # 2. The form in Staff # 2?s record was blank.”

8VAC20-800-60-B

“Based on records review, children's records were not complete. Evidence: Child # 1's record was missing the following information: emergency contact information, persons authorized to pick up and parent's work numbers.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. Child # 2's first day of enrollment was 3/17/17. 2. Documentation of a physical exam for Child # 2 was not on file.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: The most recent date that the emergency plan was reviewed was on 2/17/20.”

8VAC20-800-530-B

“Based on observation, cribs used by children did not have tight fitting bottom covers. Evidence: Two cribs were observed to have crib sheets that were too large for the crib mattress. The extra material was creating folds in the crib sheets.”

8VAC20-800-500-F

“Based on observation and staff interview, the family day home had a trampoline during the hours that children were in care. Evidence: A medium sized trampoline was found in the backyard. The provider stated that she was not aware that trampolines could not be used for the children.”

8VAC20-800-90-A

“Based on records review, the provider did not obtain immunization records for children in care before their first day of enrollment. Evidence: 1. Child # 1's first day of enrollment was 8/9/21. 2. Child # 1's record did not have the immunization record on file.”

22.1-289.035-B-4

“Based on records review and staff interview, the provider did not obtain results of an out of state central registry and sex offender search for an employee who has resided outside of Virginia within the last 5 years. Evidence: 1. Caregiver # 1's VA central registry form indicated that she resided in Maryland. 2. Caregiver # 1 stated that she lived in Maryland for approximately three months at the end of 2019 and the beginning of 2020 before she moved to Virginia.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. Child # 2's first day of enrollment was 3/17/17. 2. Documentation of a physical exam for Child # 2 was not on file.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: The most recent date that the emergency plan was reviewed was on 2/17/20.”

8VAC20-800-530-B

“Based on observation, cribs used by children did not have tight fitting bottom covers. Evidence: Two cribs were observed to have crib sheets that were too large for the crib mattress. The extra material was creating folds in the crib sheets.”

8VAC20-800-500-F

“Based on observation and staff interview, the family day home had a trampoline during the hours that children were in care. Evidence: A medium sized trampoline was found in the backyard. The provider stated that she was not aware that trampolines could not be used for the children.”

8VAC20-800-90-A

“Based on records review, the provider did not obtain immunization records for children in care before their first day of enrollment. Evidence: 1. Child # 1's first day of enrollment was 8/9/21. 2. Child # 1's record did not have the immunization record on file.”

22.1-289.035-B-4

“Based on records review and staff interview, the provider did not obtain results of an out of state central registry and sex offender search for an employee who has resided outside of Virginia within the last 5 years. Evidence: 1. Caregiver # 1's VA central registry form indicated that she resided in Maryland. 2. Caregiver # 1 stated that she lived in Maryland for approximately three months at the end of 2019 and the beginning of 2020 before she moved to Virginia.”