Moyra Revollo Aranibar

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child's record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for Child #4 and Child #5 did not have a parent's signature for an annual review of the emergency contact information. Child #4's annual review was overdue by 14 days. Child #5 has been in care for over two years. The annual review for the previous year was not dated.”

8VAC20-800-60-B

“Children's records are required to contain the policy number of the child's medical insurance. The records for Child # 3 and Child #5 was missing the policy number of the children's medical insurance. Child #3 was present at the time of the inspection and had been in care for 10 months. Child #5 was present at the time of the inspection and had been in care for less than a month.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, them menu for the current one week period shall be dated. The menu for the current one week period was not dated.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the license premises. The License and the current Inspection Summary was not posted on the licensed premise.”

8VAC20-800-60-B

“Children's records are required to contain the policy number of the child's medical insurance. The records for Child # 3 and Child #5 was missing the policy number of the children's medical insurance. Child #3 was present at the time of the inspection and had been in care for 10 months. Child #5 was present at the time of the inspection and had been in care for less than a month.”

8VAC20-800-920

“When meals or snacks are provided by the family day home, them menu for the current one week period shall be dated. The menu for the current one week period was not dated.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the license premises. The License and the current Inspection Summary was not posted on the licensed premise.”

8VAC20-800-60-B

“Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-07/08/2024) did not contain the name and policy number of the child's medical insurance, Parent's signed acknowledgement of the receipt of the Information for Parents document, and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

8VAC20-800-60-B

“Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-07/08/2024) did not contain the name and policy number of the child's medical insurance, Parent's signed acknowledgement of the receipt of the Information for Parents document, and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

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 a child's attendance or within 30 days after the first day of attendance. Evidence: 1.Child #1's record (Start date-12/04/2023) did not contain documentation of a physical examination. 2.Child #2's record (Start date-01/08/2024) did not contain documentation of a physical examination. 3.Child #3's record (Start date- 11/11/2023) did not contain documentation of a physical examination. 4.Child #4's record (Start date- 11/16/2023) did not contain documentation of a physical examination. 5.Caregiver #1 confirmed that Child #1, Child @, Child #3, and Child #4 did not have documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.”

8VAC20-800-60-B

“Based on record review, a child's record was missing required information. Evidence: Children A, B and C were missing the following required information: liability insurance waiver, swimming permissions, medication administration disclosure and information for parents form.”

8VAC20-800-800-A

“Based on observation, the family day home did not have a complete emergency preparedness and response plan. Evidence: The emergency preparedness and response plan on site was incomplete.”

8VAC20-800-760-A-1

“Based on observation, the first aid kit was missing minimum requirements. Evidence: The first aid kit was missing tweezers.”