Narda Acosta

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. The last evacuation drill was conducted 6 months ago.”

8VAC20-800-60-B

“REPEAT VIOLATION Children's records are required to contain name and policy number of the child's medical insurance, if applicable. Child #1's record did not contain policy number of the child's medical insurance Child #2's file did not contain any of the required information regarding child's medical insurance.”

8VAC20-800-60-B

“A child's record shall contain name and policy number of the child's medical insurance. Child #1's record did not contain insurance policy number.”

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. ' Child #3, 29 months old, and has been attending for over a year, last documented immunization was over 10 months ago.”

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Household Member #1 was not completed and is overdue by three months.”

8VAC20-800-340-C

“The bathroom shall contain liquid soap. The family day home bathroom did not contain liquid soap.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly. No documentation of evacuation drill practice in October, Date of last drill 9/22/2024.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. There were no attendance records on the date of inspection. The provider did not take written attendance on November 11/12-11/14, 2024.”

8VAC20-800-80-A

“Based on record review, the provider did not document proof of child identity and age as required in 22.1-289.049 of the Code of Virginia within seven business days of child's first day of attendance at the family day home Evidence: Child #1 (1st day 9/12/22 date of verification 10/10/22),Child #2(1st day 1/3/22 date of verification 4/11/22), and Child #3 (1st day 7/5/22 date of verification 8/10/22).”

8VAC20-800-240-A

“Based on observation, the home has chipped paint and holes in wall with protruding screws that could snag skin. Evidence: The wall that has separation gate from office and stair area had loose/exposed screws and holes/cracks on wall in screw area.”

8VAC20-800-60-B

“Based on record review, a child's record did not contain all required information. Evidence: Child #3's record did not have insurance policy number documented.”

8VAC20-800-830-A

“Repeat Violation Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: Evacuation drills were not practiced in October 2023.”

8VAC20-800-110-B

“Based on record review, immunization records were not signed by the licensed physician, the physician's designee, or an official of a local health department. Evidence: The immunization records for Child #1 and Child #2 were not stamped or signed by the licensed physician.”

8VAC20-800-170-A

“Repeat Violation Based on record review, the provider did not obtain a Report of Tuberculosis Screening form for a household member. Evidence: HH#2's record did not contain a Report of Tuberculosis Screening form.”

8VAC20-800-170-A

“Based on record review and interview, the provider did not obtain for each household member a current report of tuberculosis (TB) screening/test documenting the absence of tuberculosis in a communicable form. Evidence: Household member #2's record does not contain TB screening/test documentation.”

8VAC20-770-40-D-5-a

“Based on record review and interview, the family day home did not obtain a central registry check within 30 days for a 14 year-old residing in the home. Evidence: Household member #3's record does not contain a child protective services central registry check report. A person living in the home of a licensed family day home provider shall have a central registry check within 30 days of a 14 year-old beginning to reside in the home, or a person in the home becoming 14 years old.”

8VAC20-800-920

“Based on observation the provider did not ensure that the posted menu was dated for the current one-week period. Evidence: The posted menu was not dated with the most current dates, the menu was for the month of February 2023.”

8VAC20-800-830-A

“Based on record review and interview, the provider did not document practiced monthly drills. Evidence: Emergency evacuation procedures were not documented for the months of February and March 2023.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the family day home were not posted. Evidence: The Violation Notice issued on 08/15/2022 was not posted.”

22.1-289.036-A

“Based on record review and interview, the provider did not obtain central registry results every five years for each household member and applicant. Evidence: 1.Staff #1's record contains central registry results that were last updated on 7/24/2017. 2. Household member #1's record contains central registry results that were last updated on 7/24/2017.”

22.1-289.036-A

“Based on record review and interview, the provider did not obtain Central Registry results every five years for each household members and applicant. Evidence: 1.Staff #1's record contains Central Registry results that were last updated on 7/24/2017. 2. Household member #1's record contains Central Registry results that were last updated on 7/24/2017.”

8VAC20-800-830-A

“Based on record review and interview, emergency evacuation procedures were not practiced monthly. Evidence: Emergency evacuation procedures were not practiced for April 2022, May 2022, June 2022 and July 2022.”

8VAC20-800-50-A

“Based on record review and interview, the provider did not keep a record of children in attendance each day. Evidence: On the day of the inspection children's attendance was not documented.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each household member a current report of tuberculosis (TB) screening/test every two years from the date of the last screening. Evidence: Household member #1's record contains TB documentation that was last updated on 12/30/2019.”

8VAC20-800-180-A

“Based on record review, the provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form, every two years from the date of the last screening. Evidence: Staff #1's record contains a TB screening that was last updated on 1/13/2020. Household member #1's record contains a TB screening that was last updated on 12/30/2019.”

8VAC20-800-70-A

“Based on review of children's records, the provider does not have documentation that parents were provided in writing required information before the child's first day of attendance. Evidence: Child#1's record is missing provisions of the family day home's emergency preparedness and response plan and a signed copy of the Liability Insurance Declaration form.”

8VAC20-800-60-B

“Based on record review, children's records did not all contain required information Evidence: Child #1's record is missing a second emergency contact.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for a child under the age of two years. Evidence: Child #2's record contains an immunization record that was last updated on 7/8/2021.”