Ms. Sandra Juarez

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. There was no landline phone”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. Evidence: There were four children present and there was no written record of attendance.”

8VAC20-800-120-B

“Providers must maintain a record for each caregiver with all required documents. Evidence: The record for caregiver #2, contained documentation that the two references as to the character and reputation as well as competency were not checked prior to employment. The references were checked nine days late.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Evidence: During the inspection a two-year-old child was observed lying down on a cot drinking a bottle.”

22.1-289.035-B-3

“For staff hired after 7/1/24 the provider must request a search of the central registry prior to the employee’s first day of employment. Evidence: The record for Caregiver #2 contained documentation that the central registry background search was not requested until 11 days after they began employment.”

8VAC20-800-200-A

“The provider shall orient the assistant by the end of their first week of assuming job responsibilities. Evidence: The record for caregiver #2 did not contain documentation of orientation.”

8VAC20-800-50-A

“Providers must keep a written record of children in attendance each day. Evidence: There were four children present and there was no written record of attendance.”

8VAC20-800-120-B

“Providers must maintain a record for each caregiver with all required documents. Evidence: The record for caregiver #2, contained documentation that the two references as to the character and reputation as well as competency were not checked prior to employment. The references were checked nine days late.”

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. Evidence: During the inspection a two-year-old child was observed lying down on a cot drinking a bottle.”

22.1-289.035-B-3

“For staff hired after 7/1/24 the provider must request a search of the central registry prior to the employee’s first day of employment. Evidence: The record for Caregiver #2 contained documentation that the central registry background search was not requested until 11 days after they began employment.”

8VAC20-800-200-A

“The provider shall orient the assistant by the end of their first week of assuming job responsibilities. Evidence: The record for caregiver #2 did not contain documentation of orientation.”

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. The record for Child #4 did not have a parent’s signature for an annual review of the emergency contact information. The last documented review for the child was 18 months ago.”

8VAC20-800-540-A

“Infant highchairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened. At the time of the inspection two children, ages 20-months old and two-years-old, were sitting in highchairs without their protective belts fastened.”

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. The record for Child #4 did not have a parent’s signature for an annual review of the emergency contact information. The last documented review for the child was 18 months ago.”

8VAC20-800-540-A

“Infant highchairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened. At the time of the inspection two children, ages 20-months old and two-years-old, were sitting in highchairs without their protective belts fastened.”

8VAC20-800-110-B

“Based on review, the provider did not ensure that physical examinations and immunizations are signed by a licensed physician, the physician's designee, or an official of a local health department. Evidence: reviewed 6 children's records and found that Child 2 did not have documentation of a signed physical exam and immunization record, and Child 4 did not have documentation of a signed immunization record.”

8VAC20-800-80-A

“Based on review, the provider did not ensure that they obtained documentation of proof of id within 7 business days. Evidence: reviewed 6 children's records and found that Child 5 did not have documentation of reviewing or obtaining proof of identity.”

8VAC20-800-180-A

“Based on review, the provider did not ensure that subsequent TB screenings were obtained ever two years or more frequently as recommended by a physician, and in accordance with the requirements in 170 (must be signed by a physician, physician's designee, or an official of the local health department). Evidence: reviewed Household Member 3's record and found that the TB screening was a screenshot on a cell phone with no signature.”

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there were medications (Gabapentin and Aspirin) for household members in an unlocked bathroom cabinet, and a number of prescription medication bottles and over the counter medications on a top shelf of a dining cabinet, near the children's eating area and kitchen, that was not locked, and accessible to children.”