Natalia Gonzalez

8VAC20-800-280

“Based on observation, the provider did not ensure potentially poisonous substances, such as cleaning agents were stored away from areas inaccessible to children. Evidence: Under the sink in the bathroom that the children use, there was several cleaning supplies unlocked and accessible to children. The cleaning supplies included bleach, windex, and Clorox.”

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children's hands were washed with liquid soap and warm running water at required times. Evidence: Caregiver 1 changed a child's diaper and did not wash their hands or the child's hands when the diaper change was completed.”

8VAC20-790-250-F

“Based on a review of caregiver records, the provider did not ensure that caregivers who work directly with children have annually, the department's health and safety updated course. Evidence: Caregiver #2 had a health and safety course dated 8/3/2022.”

8VAC20-800-830-C

“Based on a review of documents, the provider did not ensure documentation was maintained of monthly emergency evacuation drills. Evidence: The last documented emergency evacuation drill was dated 6/19/2023. No drills were documented for August and September 2023.”

8VAC20-800-50-A

“Based on observation, the provider did not ensure the family day home had a written record of children in attendance each day. Evidence: Attendance was not available on 09/08/2023 and the week prior, 09/01/2023-09/07/2023.”

8VAC20-800-60-B

“Based on a review of child records, the provider did not ensure that 3 children's records contained all of the required information. Evidence: Child #1 (date of enrollment 7/26/2021) was missing 1 emergency contact, results of the health examination for the child as required by 8VAC20-800-100, proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90. Child #2 and Child #3 (date of enrollment 9/4/2023) were missing proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90.”

8VAC20-800-700-B

“Based on a review of medication and documentation, the provider did not ensure medication had written authorization. Evidence: Child #3 did not have written authorization for emergency medication.”

8VAC20-800-70-B

“Based on a review of child records, he provider did not ensure the 2 records contained the parent's written acknowledgment of the receipt of the information. Evidence: Child #2 and Child #3 (date of enrollment 9/4/2023) were missing the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

8VAC20-800-140-B-3

“Based on a review of caregiver records, the provider did not ensure current certification in cardiopulmonary resuscitation (CPR) issued within the past two years and current certification in first aid. Evidence: Caregiver #1 and Caregiver #2 had CPR and first aid certifications that expired on 6/19/2023.”

8VAC20-800-180-A

“Based on a review of caregiver records, the provider did not obtain a current Report of Tuberculosis Screening form, every two years from the date of the first screening for one caregiver. Evidence: Caregiver #1 had a TB test dated 8/31/2021 which expired on 8/31/023.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The wooden play structure outside had one missing step on the bottom of the ladder and a broken step at the top of the ladder.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that each caregiver does not exceed 16 points. Evidence: The inspection arrived at approximately 9:05 am and observed 12 children for a total of 29 points with Caregiver #2. Caregiver #2 was alone with the children until Caregiver #1 arrived to the family day home at approximately 9:30 am.”

8VAC20-800-690-L

“Based on observation, the provider did not ensure that when toilet chairs are used they are emptied promptly, cleaned and sanitized after each use. Evidence: Two toilet chairs in the bathroom had urine in them.”

8VAC20-800-960-E

“Based on observation, the provider did not ensure bottles were labeled with the child's full name and the date when more than one infant was in care. Evidence: 1 of 3 sets of bottles did not contain the child's name. 2 of 3 sets of bottles did not contain the date.”

8VAC20-790-250-F

“Based on a review of caregiver records, the provider did not ensure that caregivers who work directly with children have annually, the department's health and safety updated course. Evidence: Caregiver #2 had a health and safety course dated 8/3/2022.”

8VAC20-800-830-C

“Based on a review of documents, the provider did not ensure documentation was maintained of monthly emergency evacuation drills. Evidence: The last documented emergency evacuation drill was dated 6/19/2023. No drills were documented for August and September 2023.”

8VAC20-800-50-A

“Based on observation, the provider did not ensure the family day home had a written record of children in attendance each day. Evidence: Attendance was not available on 09/08/2023 and the week prior, 09/01/2023-09/07/2023.”

8VAC20-800-60-B

“Based on a review of child records, the provider did not ensure that 3 children's records contained all of the required information. Evidence: Child #1 (date of enrollment 7/26/2021) was missing 1 emergency contact, results of the health examination for the child as required by 8VAC20-800-100, proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90. Child #2 and Child #3 (date of enrollment 9/4/2023) were missing proof of the child's age and identity as required in 8VAC20-800-8 and immunization records for the child as required by 8VAC20-800-90.”

8VAC20-800-700-B

“Based on a review of medication and documentation, the provider did not ensure medication had written authorization. Evidence: Child #3 did not have written authorization for emergency medication.”

8VAC20-800-70-B

“Based on a review of child records, he provider did not ensure the 2 records contained the parent's written acknowledgment of the receipt of the information. Evidence: Child #2 and Child #3 (date of enrollment 9/4/2023) were missing the parent's signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

8VAC20-800-140-B-3

“Based on a review of caregiver records, the provider did not ensure current certification in cardiopulmonary resuscitation (CPR) issued within the past two years and current certification in first aid. Evidence: Caregiver #1 and Caregiver #2 had CPR and first aid certifications that expired on 6/19/2023.”

8VAC20-800-180-A

“Based on a review of caregiver records, the provider did not obtain a current Report of Tuberculosis Screening form, every two years from the date of the first screening for one caregiver. Evidence: Caregiver #1 had a TB test dated 8/31/2021 which expired on 8/31/023.”

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The wooden play structure outside had one missing step on the bottom of the ladder and a broken step at the top of the ladder.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that each caregiver does not exceed 16 points. Evidence: The inspection arrived at approximately 9:05 am and observed 12 children for a total of 29 points with Caregiver #2. Caregiver #2 was alone with the children until Caregiver #1 arrived to the family day home at approximately 9:30 am.”

8VAC20-800-690-L

“Based on observation, the provider did not ensure that when toilet chairs are used they are emptied promptly, cleaned and sanitized after each use. Evidence: Two toilet chairs in the bathroom had urine in them.”

8VAC20-800-960-E

“Based on observation, the provider did not ensure bottles were labeled with the child's full name and the date when more than one infant was in care. Evidence: 1 of 3 sets of bottles did not contain the child's name. 2 of 3 sets of bottles did not contain the date.”

8VAC20-800-320-B

“Based on observation of the physical plant, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: Several unused electrical outlets did not have child-resistant protective covers in the room closest to the exit door that leads to the drive way.”

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: One child was observed sitting at the table in the toddler seat not strapped in with the provided safety buckle.”

8VAC20-800-460-D

“Based on a review of documentation and provider interview, the provider did not maintain documentation of the current rabies vaccination. Evidence: 1. There was no documentation of current rabies vaccination for 2 of 2 dogs. 2. The provider confirmed that she did not have documentation of the rabies vaccination.”

8VAC20-790-250-F

“Based on a review of caregiver and provider records and provider interview, caregivers who work directly with children did not have the annual update for the health and safety. Evidence: Caregiver A did not have the annual health and safety update during the inspection. The provider confirmed they did not have the training.”

8VAC20-800-50-A

“Based on a review of the family day home, a required document was not maintained. Evidence: A written record of children in attendance was not maintained.”

8VAC20-800-120-B

“Based on a review of assistants' records, they did not contain and emergency contact. Evidence: There was no emergency contact on file for assistant B.”

8VAC20-800-170-B

“Based on a review of the assistant's records, the form was not completed within the last 30 days before their hire date. Evidence: Assistant B (Date of hire 10/3/2022) had a TB test dated 06/04/2022.”

8VAC20-800-200-A

“Based on a review of the assistant's records, the provider did not orient the assistant by the end of their first week assuming job responsibilities. Evidence: Assistant B had no documentation of orientation in their file.”

8VAC20-800-500-D

“Based on observation of the outside play area, the sandbox was not covered. Evidence: The sandbox area located under the play equipment was not in use and was not covered.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the date. Evidence: 2 of 2 sets of bottles reviewed did not have the date on them.”

8VAC20-800-830-C

“Based on a review of documentation, emergency evacuation drills were not documented. Evidence: Emergency evacuation drills were not documented for July 2022 - September 2022.”

8VAC20-770-60-B

“Based on a review of records, an employee was providing employment services before the provider had the person's completed sworn statement. Evidence: Assistant B (DOH 10/3/2022) did not have a sworn statement filled out during the inspection.”

8VAC20-800-60-B

“Based on a review of children's records, the record did not contain all of the required information. Evidence: Child 1 did not have proof of birth or their parent's work address listed in their paperwork.”

8VAC20-790-250-F

“Based on a review of caregiver and provider records and provider interview, caregivers who work directly with children did not have the annual update for the health and safety. Evidence: Caregiver A did not have the annual health and safety update during the inspection. The provider confirmed they did not have the training.”

8VAC20-800-50-A

“Based on a review of the family day home, a required document was not maintained. Evidence: A written record of children in attendance was not maintained.”

8VAC20-800-120-B

“Based on a review of assistants' records, they did not contain and emergency contact. Evidence: There was no emergency contact on file for assistant B.”

8VAC20-800-170-B

“Based on a review of the assistant's records, the form was not completed within the last 30 days before their hire date. Evidence: Assistant B (Date of hire 10/3/2022) had a TB test dated 06/04/2022.”

8VAC20-800-200-A

“Based on a review of the assistant's records, the provider did not orient the assistant by the end of their first week assuming job responsibilities. Evidence: Assistant B had no documentation of orientation in their file.”

8VAC20-800-500-D

“Based on observation of the outside play area, the sandbox was not covered. Evidence: The sandbox area located under the play equipment was not in use and was not covered.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the date. Evidence: 2 of 2 sets of bottles reviewed did not have the date on them.”

8VAC20-800-830-C

“Based on a review of documentation, emergency evacuation drills were not documented. Evidence: Emergency evacuation drills were not documented for July 2022 - September 2022.”

8VAC20-770-60-B

“Based on a review of records, an employee was providing employment services before the provider had the person's completed sworn statement. Evidence: Assistant B (DOH 10/3/2022) did not have a sworn statement filled out during the inspection.”

8VAC20-800-60-B

“Based on a review of children's records, the record did not contain all of the required information. Evidence: Child 1 did not have proof of birth or their parent's work address listed in their paperwork.”

8VAC20-800-830-A

“Based on review of fire evacuation drills, monthly fire evacuation drills have not been completed. Evidence: A monthly fire evacuation drill has not been completed since March 2022.”

8VAC20-800-180-A

“Based on review of household records, 1 subsequent TB risk assessment screening has not been completed. Evidence: A subsequent TB screening for Household #1 has not been completed.”

8VAC20-800-500-D

“Based on observation of the outside play area, the sandbox was not covered. Evidence: The sandbox area located under the play equipment was not in use and was not covered.”

8VAC20-800-50-A

“Based on review of the family day home, a required document was not maintained. Evidence: A written record of children in attendance was not maintained.”

8VAC20-800-830-B

“Based on review of shelter in place procedures, shelter in place procedures have not been practiced. Evidence: Two shelter in place procedures practice drills have not been conducted in 2021.”

8VAC20-800-240-A

“Based on observation of the family day home, two areas were not maintained in a safe manner. Evidence: One support beam for the playground equipment nearest to the swings was splitting, cracking and appeared dry rotted. One step leading to the climbing platform was splitting, cracking and appeared dry rotted.”

8VAC20-790-180-B

“Based on observation of the program space, the record of attendance was not maintained. Evidence: No record of attendance that included the arrival and departure times was found.”

8VAC20-800-780-B

“Based on review of child records, an annual review with parents was not completed. Evidence: Child #3's emergency contacts were not reviewed annually. Last documentation was in 1/2020.”

8VAC20-800-100-A

“Based on review of child records, a physical examination was not obtained for one child. Evidence: Child #2 began care on 10/02/2020. A physical exam was not on tile.”

8VAC20-800-50-A

“Based on review of recordkeeping, one record was not maintained. Evidence: The provider did not have a written record of attendance.”

8VAC20-800-830-A

“Based on review of the provider's emergency evacuation drills, a monthly drill was not conducted. Evidence: The provider failed to conduct an emergency evacuation drill during the month of July.”

8VAC20-800-750-A

“Based on review of topical ointments, an authorization for one ointment was not obtained. Evidence: Child #1 has a topical ointment on site. A parent authorization was not obtained for this ointment.”

8VAC20-800-90-A

“Based on review of child records, immunization documentation was not obtained before children began care. Evidence: Child #1 began care on 08/12/21. Immunizations were not obtained until 09/07/2021. Child #2 began care on 10/21/2020. No immunizations were on file.”

8VAC20-800-170-A

“Based on review of household records, an initial TB screening was not completed. Evidence: Household member #1 is over the age of 18 years, a TB screening was not obtained.”

8VAC20-800-60-B

“Based on review of child records, one record was incomplete. Evidence: Child #2's record did not have a signed liability insurance acknowledgement.”

8VAC20-800-180-A

“Based on review of staff records, subsequent TB screenings were not completed. Evidence: 1. Staff #1's last TB screening is dated 5/2019. 2. Household #2 did not have a subsequent TB screening on file.”

8VAC20-800-80-B

“Based on review of child records, verification of proof of identity was not found. Evidence: Provider has not obtained a proof of identity for Child #1.”

8VAC20-790-180-B

“Based on observation of the program space, the record of attendance was not maintained. Evidence: No record of attendance that included the arrival and departure times was found.”

8VAC20-800-780-B

“Based on review of child records, an annual review with parents was not completed. Evidence: Child #3's emergency contacts were not reviewed annually. Last documentation was in 1/2020.”

8VAC20-800-100-A

“Based on review of child records, a physical examination was not obtained for one child. Evidence: Child #2 began care on 10/02/2020. A physical exam was not on tile.”

8VAC20-800-50-A

“Based on review of recordkeeping, one record was not maintained. Evidence: The provider did not have a written record of attendance.”

8VAC20-800-830-A

“Based on review of the provider's emergency evacuation drills, a monthly drill was not conducted. Evidence: The provider failed to conduct an emergency evacuation drill during the month of July.”

8VAC20-800-750-A

“Based on review of topical ointments, an authorization for one ointment was not obtained. Evidence: Child #1 has a topical ointment on site. A parent authorization was not obtained for this ointment.”

8VAC20-800-90-A

“Based on review of child records, immunization documentation was not obtained before children began care. Evidence: Child #1 began care on 08/12/21. Immunizations were not obtained until 09/07/2021. Child #2 began care on 10/21/2020. No immunizations were on file.”

8VAC20-800-170-A

“Based on review of household records, an initial TB screening was not completed. Evidence: Household member #1 is over the age of 18 years, a TB screening was not obtained.”

8VAC20-800-60-B

“Based on review of child records, one record was incomplete. Evidence: Child #2's record did not have a signed liability insurance acknowledgement.”

8VAC20-800-180-A

“Based on review of staff records, subsequent TB screenings were not completed. Evidence: 1. Staff #1's last TB screening is dated 5/2019. 2. Household #2 did not have a subsequent TB screening on file.”

8VAC20-800-80-B

“Based on review of child records, verification of proof of identity was not found. Evidence: Provider has not obtained a proof of identity for Child #1.”