Ms. Silvia Burgos Moncada

8VAC20-800-700-C

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days shall be taken to a pharmacy for proper disposal. Authorization for prescribed medication expired 7 months prior for child A. The medication was not picked up within 14 days nor did the parent or physician renew the authorization. Authorization for prescribed medication expired 5 months prior for child B. The medication was not pickedup within 14 days nor did the parent or physician renew the authorization.”

8VAC20-800-60-B

“Repeat Violation: The provider shall maintain an up-to-date record at the family day home for each enrolled child of the name, address and phone number of two designated persons to contact in case of an emergency if the parents cannot be reached. Child C was missing one of the two emergency contacts, this information was overdue by 8 months.”

8VAC20-800-80-A

“Repeat Violation: Within seven business days of the child's first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child. There was no documentation on file of verification of the identity and age of child C, this documentation was overdue by 8 months.”

8VAC20-800-170-B

“Repeat Violation: A tuberculosis test/screening shall have been completed within 30 days of employment and be signed by a physician/designee. Staff A's tuberculosis test was dated 12 months prior to employment.”

8VAC20-800-120-A

“The provider shall maintain a record for each caregiver. There was no record provided for Staff A.”

8VAC20-800-780-B

“Repeat Violation: Annually, the provider shall review with the parent the emergency contact information to ensure the information is up to date. This information must include the parent's signed acknowledgment of the review. There was no annual review for child D. This update was 2 months overdue.”

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. There was no written allergy list for a food allergy for child A.”

8VAC20-800-60-B

“A child's record shall contain information to include two emergency contacts and proof of identity. Child A was missing proof of identity and a second emergency contact. This information was 4 months overdue.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct and obtain the parents signed acknowledgment of the review. There was no annual review for child C, these updates were required in March 2024 and March 2025.”

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. There was no emergency evacuation drill conducted in July 2025.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. There was no daily attendance record maintained at the time of the inspection, there were 7 children present.”

8VAC20-800-170-B

“A tuberculosis test/screening shall have been completed within 30 days of employment and be signed by a physician, physicians' designee, or an official of the local health department. Person A's tuberculosis test was dated 6 months prior to employment.”

8VAC20-790-170-G

“The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. There was no written allergy list for a food allergy for child A.”

8VAC20-800-60-B

“A child's record shall contain information to include two emergency contacts and proof of identity. Child A was missing proof of identity and a second emergency contact. This information was 4 months overdue.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required to ensure the information is correct and obtain the parents signed acknowledgment of the review. There was no annual review for child C, these updates were required in March 2024 and March 2025.”

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. There was no emergency evacuation drill conducted in July 2025.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. There was no daily attendance record maintained at the time of the inspection, there were 7 children present.”

8VAC20-800-170-B

“A tuberculosis test/screening shall have been completed within 30 days of employment and be signed by a physician, physicians' designee, or an official of the local health department. Person A's tuberculosis test was dated 6 months prior to employment.”

8VAC20-800-620-G

“Within 30 days of a child's enrollment, the provider shall provide the department's representative a written recommendation for the level of staffing necessary to care for and supervise a child with special needs. There was no written recommendation from the provider to the department to address the level of staffing to care for child # 1. A document outlining the behavioral and emotional needs of child #1 was given to the caregiver 2 months prior. .”

8VAC20-800-220-A

“To safety perform medication administration practices whenever the family day home has agreed to administer medication shall be performed by a caregiver who is satisfactorily completed Medication Administration Training. Three children were present with medications on site and neither of the two caregivers present had Medication Administration Training.”

22.1-289.035-B-2

“National Fingerprint background checks must be obtained prior to employment. Staff # 1 did not have a fingerprint background check prior to employment, staff # 1 has been employed for one day.”

22.1-289.036-B-3

“Central Registry Requests must be made prior to employment. There has no documentation to show that a request for a central registry search for staff # 1 was made prior to employment. Staff #1 has been employed for one day.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly. There was no documentation that emergency evacuation procedures was practiced for January 2025.”

8VAC20-800-60-B

“A child's record shall contain certain information to include physician and emergency contact information at the time of enrollment. Child #2 enrolled 10 months ago and there was no physician information nor emergency contact information on file.”

8VAC20-800-620-G

“Within 30 days of a child's enrollment, the provider shall provide the department's representative a written recommendation for the level of staffing necessary to care for and supervise a child with special needs. There was no written recommendation from the provider to the department to address the level of staffing to care for child # 1. A document outlining the behavioral and emotional needs of child #1 was given to the caregiver 2 months prior. .”

8VAC20-800-220-A

“To safety perform medication administration practices whenever the family day home has agreed to administer medication shall be performed by a caregiver who is satisfactorily completed Medication Administration Training. Three children were present with medications on site and neither of the two caregivers present had Medication Administration Training.”

22.1-289.035-B-2

“National Fingerprint background checks must be obtained prior to employment. Staff # 1 did not have a fingerprint background check prior to employment, staff # 1 has been employed for one day.”

22.1-289.036-B-3

“Central Registry Requests must be made prior to employment. There has no documentation to show that a request for a central registry search for staff # 1 was made prior to employment. Staff #1 has been employed for one day.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly. There was no documentation that emergency evacuation procedures was practiced for January 2025.”

8VAC20-800-60-B

“A child's record shall contain certain information to include physician and emergency contact information at the time of enrollment. Child #2 enrolled 10 months ago and there was no physician information nor emergency contact information on file.”

8VAC20-790-190-B-12

“Repeat Violation: A written care plan is required for each child with a diagnosed food allergy from a physician regarding the food to which the child is allergic to and the steps to be take in the event of a suspected or confirmed allergic reaction. There was no written care plan on file for child #1 who has a diagnosed food allergy.”

22.1-289.036-A

“Every applicant/caregiver must obtain repeat background checks every five years. The Central Registry Background check was not obtained every 5 years and was over 4 months old for caregiver #1.”

8VAC20-790-190-B-12

“Repeat Violation: A written care plan is required for each child with a diagnosed food allergy from a physician regarding the food to which the child is allergic to and the steps to be take in the event of a suspected or confirmed allergic reaction. There was no written care plan on file for child #1 who has a diagnosed food allergy.”

22.1-289.036-A

“Every applicant/caregiver must obtain repeat background checks every five years. The Central Registry Background check was not obtained every 5 years and was over 4 months old for caregiver #1.”

8VAC20-790-170-G

“The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children's allergies/sensitivities/diet restrictions. This list shall be dated and kept confidential. The allergy list was not dated, was posted on the wall with no cover sheet therefore not kept confidential and it did not list a sesame allergy for child A.”

8VAC20-790-190-B-12

“A written care plan is required for each child with a diagnosed food allergy from a physician regarding the food allergy and steps to be taken in the event of suspected or confirmed allergic reaction. Child A has a diagnosed food allergy to sesame, eggs and tree nuts. There were no allergy care plans on file for any of these allergies.”

8VAC20-800-730-D

“Medication shall be kept locked. Three medications for 2 children were stored unlocked in a bin on a shelf in the daycare area.”

8VAC20-800-700-C

“When authorization for medication expires, the medication shall be picked up within 14 days by the parent or the parent must renew the authorization. Medication not picked up by the parent within 14 days must be properly disposed of. The authorization for two emergency medications for child A expired on 2/20/24 and the medications had not been picked up or disposed of nor had the authorization been renewed.”

8VAC20-790-170-G

“The vendor shall maintain in a way that is accessible to all caregivers, a current written list of all children's allergies/sensitivities/diet restrictions. This list shall be dated and kept confidential. The allergy list was not dated, was posted on the wall with no cover sheet therefore not kept confidential and it did not list a sesame allergy for child A.”

8VAC20-790-190-B-12

“A written care plan is required for each child with a diagnosed food allergy from a physician regarding the food allergy and steps to be taken in the event of suspected or confirmed allergic reaction. Child A has a diagnosed food allergy to sesame, eggs and tree nuts. There were no allergy care plans on file for any of these allergies.”

8VAC20-800-730-D

“Medication shall be kept locked. Three medications for 2 children were stored unlocked in a bin on a shelf in the daycare area.”

8VAC20-800-700-C

“When authorization for medication expires, the medication shall be picked up within 14 days by the parent or the parent must renew the authorization. Medication not picked up by the parent within 14 days must be properly disposed of. The authorization for two emergency medications for child A expired on 2/20/24 and the medications had not been picked up or disposed of nor had the authorization been renewed.”

22.1-289.036-A

“Based on review of three caregiver records, the provider did not ensure that the results of a fingerprint-based national criminal history check were obtained every five years from the date of the last check. Evidence: The fingerprint results on record for the provider were dated 3/16/18.”