Nidia Retamal

8VAC20-800-280

“Based on observation, cleaning agents were not stored away from food and were accessible to children. Evidence: One large bottle of bleach and one spray bottle of a cleaning agent was found sitting on the daycare's kitchen counter.”

8VAC20-800-140-B-3

“Based on records review, the provider did not have a current certification in cardiopulmonary resuscitation (CPR). Evidence: The provider's most recent CPR certification expired on 8/25/23.”

8VAC20-800-480-B

“Based on observation, equipment and materials used by children were not age appropriate to the age of the children. Evidence: 4 children under the age of 2 years were observed playing with a toy that is recommended for children 2 years and up, as it has small parts that could pose a choking hazard.”

8VAC20-800-320-A

“(REPEAT VIOLATION) Based on observation, small electrical appliances were not unplugged while not in use. Evidence: One electric kettle and one toaster was found to be plugged in while not in use in the daycare kitchen.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: The written documentation on the emergency plan showed it was last updated on 7/26/22.”

8VAC20-800-140-B-4

“Based on record review, the provider did not have a current certification in First Aid. Evidence: The provider's most recent first aid certification expired on 8/25/23.”

8VAC20-800-280

“Based on observation, cleaning agents were not stored away from food and were accessible to children. Evidence: One large bottle of bleach and one spray bottle of a cleaning agent was found sitting on the daycare's kitchen counter.”

8VAC20-800-140-B-3

“Based on records review, the provider did not have a current certification in cardiopulmonary resuscitation (CPR). Evidence: The provider's most recent CPR certification expired on 8/25/23.”

8VAC20-800-480-B

“Based on observation, equipment and materials used by children were not age appropriate to the age of the children. Evidence: 4 children under the age of 2 years were observed playing with a toy that is recommended for children 2 years and up, as it has small parts that could pose a choking hazard.”

8VAC20-800-320-A

“(REPEAT VIOLATION) Based on observation, small electrical appliances were not unplugged while not in use. Evidence: One electric kettle and one toaster was found to be plugged in while not in use in the daycare kitchen.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: The written documentation on the emergency plan showed it was last updated on 7/26/22.”

8VAC20-800-140-B-4

“Based on record review, the provider did not have a current certification in First Aid. Evidence: The provider's most recent first aid certification expired on 8/25/23.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and date, with more than one infant present in care. Evidence: 1. Child # 1, Child # 2, Child # 3, Child # 4 and Child # 5's milk bottles were not labeled with their full name and date. 2. There was one bottle present with milk in it, and the provider was not sure about who it belonged to.”

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical examination for a child within 30 days after the first day of attendance. Evidence: Child # 2's first day of attendance was 11/7/22. Documentation of Child # 2's physical was not obtained to this date.”

8VAC20-800-120-B

“Based on records review, records for assistants were not complete. Evidence: Caregiver # 2's record was missing the following: First day of employment, documentation of 2 references checks, emergency contact information, orientation, and emergency training.”

8VAC20-800-60-B

“Based on records review, children's records were not complete. Evidence: 1. Child # 3's record had a copy of the parent agreement and information for parents, but the forms were blank. 2. Child # 6's record was missing the following: father's information, mother's work information and emergency contact information.”

8VAC20-800-170-A

“Based on records review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening prior to coming into contact with children. Evidence: 1. The provider stated that Caregiver # 2's first day of employment was 7/20/22. 2. Caregiver # 2's record did not have documentation of a TB screening.”

8VAC20-800-180-A

“Based on records review, the provider did not obtain current results of the tuberculosis (TB) screening for each adult household member and caregiver, every two years from the most recent screening. Evidence: 1. Household Member # 1's most recent TB screening expired on 12/9/2022. 2. Caregiver # 1's most recent TB screening expired on 11/25/2022.”

8VAC20-800-570-A

“Based on staff interview and observation, the provider exceeded 16 points and did not follow the point system to ensure additional caregivers were present while children were in care. Evidence: 1. The licensing inspection started at 10:30 am. The provider was by herself with 12 children (36 points). The youngest child in care was 10 months old. 2. The provider stated that Caregiver # 1 was not feeling well and had to leave, but would be returning to the family day home. 3. Caregiver # 1 arrived to the family day home at 10:46 am. 4. The provider had not made any arrangements to have an additional caregiver so she could remain within points even after Caregiver # 1 had arrived. 5. After the licensing inspector discussed what the provider was planning on doing about managing her points, the provider called a back up assistant who arrived at 11:34 am. 6. The provider and Caregiver # 1 continued to be over points until 11:34 am.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Caregiver # 2 was observed changing a child's diaper. She did not clean and sanitize the diaper pad after the diaper was changed.”

8VAC20-800-920

“Based on staff interview and record review, the weekly menu for the current one-week period was not prepared and posted. Evidence: When asked for the weekly menu, the provider showed a menu that was dated June 2022. The provider stated that she was using the same menu but it was not currently dated.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and date, with more than one infant present in care. Evidence: 1. Child # 1, Child # 2, Child # 3, Child # 4 and Child # 5's milk bottles were not labeled with their full name and date. 2. There was one bottle present with milk in it, and the provider was not sure about who it belonged to.”

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical examination for a child within 30 days after the first day of attendance. Evidence: Child # 2's first day of attendance was 11/7/22. Documentation of Child # 2's physical was not obtained to this date.”

8VAC20-800-120-B

“Based on records review, records for assistants were not complete. Evidence: Caregiver # 2's record was missing the following: First day of employment, documentation of 2 references checks, emergency contact information, orientation, and emergency training.”

8VAC20-800-60-B

“Based on records review, children's records were not complete. Evidence: 1. Child # 3's record had a copy of the parent agreement and information for parents, but the forms were blank. 2. Child # 6's record was missing the following: father's information, mother's work information and emergency contact information.”

8VAC20-800-170-A

“Based on records review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening prior to coming into contact with children. Evidence: 1. The provider stated that Caregiver # 2's first day of employment was 7/20/22. 2. Caregiver # 2's record did not have documentation of a TB screening.”

8VAC20-800-180-A

“Based on records review, the provider did not obtain current results of the tuberculosis (TB) screening for each adult household member and caregiver, every two years from the most recent screening. Evidence: 1. Household Member # 1's most recent TB screening expired on 12/9/2022. 2. Caregiver # 1's most recent TB screening expired on 11/25/2022.”

8VAC20-800-570-A

“Based on staff interview and observation, the provider exceeded 16 points and did not follow the point system to ensure additional caregivers were present while children were in care. Evidence: 1. The licensing inspection started at 10:30 am. The provider was by herself with 12 children (36 points). The youngest child in care was 10 months old. 2. The provider stated that Caregiver # 1 was not feeling well and had to leave, but would be returning to the family day home. 3. Caregiver # 1 arrived to the family day home at 10:46 am. 4. The provider had not made any arrangements to have an additional caregiver so she could remain within points even after Caregiver # 1 had arrived. 5. After the licensing inspector discussed what the provider was planning on doing about managing her points, the provider called a back up assistant who arrived at 11:34 am. 6. The provider and Caregiver # 1 continued to be over points until 11:34 am.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Caregiver # 2 was observed changing a child's diaper. She did not clean and sanitize the diaper pad after the diaper was changed.”

8VAC20-800-920

“Based on staff interview and record review, the weekly menu for the current one-week period was not prepared and posted. Evidence: When asked for the weekly menu, the provider showed a menu that was dated June 2022. The provider stated that she was using the same menu but it was not currently dated.”

8VAC20-800-240-A

“Based on observation, areas outside the family day home were not maintained in a safe condition. Evidence: A child safety gate was attached to the stairs in the backyard. The gate's latch was broken with sharp protruding edges, posing an injury hazard for the children.”

8VAC20-800-320-A

“Based on observation, small appliances were not unplugged when not in use. Evidence: A toaster and electric kettle were not unplugged in the kitchens on the main level and in the basement.”

8VAC20-800-170-A

“Based on staff interview, the provider did not obtain for each adult household member a current report of Tuberculosis (TB) Screening prior to coming into contact with the children. Evidence: 1. Staff # 1 stated that Household Member # 1 has been a resident of the family day home for approximately 8 years. 2. Household Member # 1 was observed engaging with children in the family day home. 3. Household Member # 1 reached 18 years of age in October 2018. Staff # 1 did not obtain a TB screening for Household Member # 1 when she turned 18 years old. 3.”

8VAC20-800-320-B

“Based on observation, unused electrical outlets were not covered by child resistant barriers. Evidence: 5 unused electrical outlets in the family day home's basement, the area used by the children, were not covered by child resistant protective barriers.”

8VAC20-770-40-D-4-a

“Based on staff interview, the family day home did not obtain results of a central registry search and a complete sworn disclosure statement (SDS) for a household member upon reaching the age of 18 years. Evidence: 1. Staff # 1 stated that Household Member # 1 (18 years old) has been a resident at the family day home for approximately 8 years. 2. Staff # 1 stated that a central registry search was not submitted for Household Member # 1 when she turned 14 years old. Staff # 1 also stated that an SDS was not completed when Household Member # 1 turned 18 years.”

8VAC20-800-240-A

“Based on observation, areas outside the family day home were not maintained in a safe condition. Evidence: A child safety gate was attached to the stairs in the backyard. The gate's latch was broken with sharp protruding edges, posing an injury hazard for the children.”

8VAC20-800-320-A

“Based on observation, small appliances were not unplugged when not in use. Evidence: A toaster and electric kettle were not unplugged in the kitchens on the main level and in the basement.”

8VAC20-800-170-A

“Based on staff interview, the provider did not obtain for each adult household member a current report of Tuberculosis (TB) Screening prior to coming into contact with the children. Evidence: 1. Staff # 1 stated that Household Member # 1 has been a resident of the family day home for approximately 8 years. 2. Household Member # 1 was observed engaging with children in the family day home. 3. Household Member # 1 reached 18 years of age in October 2018. Staff # 1 did not obtain a TB screening for Household Member # 1 when she turned 18 years old. 3.”

8VAC20-800-320-B

“Based on observation, unused electrical outlets were not covered by child resistant barriers. Evidence: 5 unused electrical outlets in the family day home's basement, the area used by the children, were not covered by child resistant protective barriers.”

8VAC20-770-40-D-4-a

“Based on staff interview, the family day home did not obtain results of a central registry search and a complete sworn disclosure statement (SDS) for a household member upon reaching the age of 18 years. Evidence: 1. Staff # 1 stated that Household Member # 1 (18 years old) has been a resident at the family day home for approximately 8 years. 2. Staff # 1 stated that a central registry search was not submitted for Household Member # 1 when she turned 14 years old. Staff # 1 also stated that an SDS was not completed when Household Member # 1 turned 18 years.”

8VAC20-800-240-A

“Based on observation, areas inside of the family day home were not maintained in a safe condition. Evidence: The paint on the wall under the light switch in the bathroom used by the children was chipped and peeling.”

8VAC20-800-180-A

“Based on records review and staff interview, the provided did not obtain for each caregiver and adult household member, a subsequent Tuberculosis (TB) screening every two years. Evidence: 1. Caregiver # 1's most recent TB screening was done on 9/16/19. 2. Household Member # 1's most recent TB screening was done on 9/17/19. 3. Household Member # 2's most recent TB screening was done on 9/12/19. 4. TB screenings were not renewed every two years for the above mentioned persons.”

8VAC20-800-240-A

“Based on observation, areas inside of the family day home were not maintained in a safe condition. Evidence: The paint on the wall under the light switch in the bathroom used by the children was chipped and peeling.”

8VAC20-800-180-A

“Based on records review and staff interview, the provided did not obtain for each caregiver and adult household member, a subsequent Tuberculosis (TB) screening every two years. Evidence: 1. Caregiver # 1's most recent TB screening was done on 9/16/19. 2. Household Member # 1's most recent TB screening was done on 9/17/19. 3. Household Member # 2's most recent TB screening was done on 9/12/19. 4. TB screenings were not renewed every two years for the above mentioned persons.”