Norma Vidaurre

8VAC20-800-940-B

“Based on observation, the provider did not have a thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: There was no thermometer in the refrigerator used by the family day home to store children's food items.”

8VAC20-800-940-B

“Based on observation, the provider did not have a thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: There was no thermometer in the refrigerator used by the family day home to store children's food items.”

8VAC20-800-570-A

“REPEAT VIOLATION Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. From approximately 2:30 p.m. to approximately 2:41 p.m., there were 10 children present, between the ages of 1 year and 3 years, totaling 25 points. There was 1 caregiver present during this time. 2. The children were observed napping during this time.”

8VAC20-800-230-A

“Based on record review and provider interview, the provider did not maintain written documentation of each caregiver’s applicable education and programmatic experience. Evidence: 1. The provider stated that Caregiver #2 is the designated substitute provider for the family day home. 2. The provider did not maintain documentation of Caregiver #2?s applicable education or programmatic experience.”

8VAC20-800-60-A

“Based on provider interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. Child #1 was present at the family day home during the inspection. 2. The provider stated that Child #1 was attending the family day home temporarily. Child #1 attended the family day home for a half day on the day prior to the inspection, and the current day, but would no longer be attending the family day home after June 21, 2023. 3. The provider did not have a record for Child #1 during the inspection.”

8VAC20-800-320-A

“Based on observation, not all small electrical appliances were unplugged while not being used by the caregiver or with children under close supervision. Evidence: A toaster oven in the kitchen on the main level was plugged in while not in use.”

8VAC20-800-320-I

“Based on observation, the family day home had an inoperable smoke detector. Evidence: 1. The smoke detector in the nap room was missing from the mounting bracket on the ceiling. 2. The smoke detector was located on a shelf in the nap room, without a battery, making it inoperable.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain liquid soap and paper towels. Evidence: The bathroom provided for the children did not contain liquid soap and paper towels.”

8VAC20-800-120-B

“Based on record review, a substitute provider’s record did not contain all information. Evidence: Caregiver #2?s record did not contain documentation that two or more references were checked before employment. There was only documentation of one reference checked.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date when more than one infant was in care. Evidence: 1. At the time of inspection, there were two bottles in the refrigerator that were not labeled with the child’s full name and the date. 2. Caregiver #1 stated that one bottle belonged to Child #4 and the second bottle belonged to Child #5.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: 1. There was one diaper cream, two healing ointments, one moisturizing cream, and one anti-inflammatory cream in the unlocked small top drawer of the changing table, accessible to children. 2. There was one athlete’s foot cream and one healing ointment in the unlocked large second drawer of the changing table, accessible to children.”

8VAC20-800-750-A

“Based on observation, when topical skin products were used, the product was not labeled with the child’s name. Evidence: 1. A healing ointment, located in the small top drawer of the changing table, was not labeled. Caregiver #1 stated that the healing ointment belonged to Child #2. 2. A healing ointment, located in the small top drawer of the changing table, was not labeled. Caregiver #1 stated that the healing ointment belonged to Child #3. 3. An anti-fungal cream, located in the second large drawer of the changing table, was not labeled. Caregiver #1 stated that the anti-fungal cream belonged to Child #4.”

8VAC20-770-60-C-2

“Based on caregiver record review, the family day home did not obtain results of a central registry search within 30 days of employment for all caregivers. Evidence: At the time of inspection, Caregiver #2 (start date: 05/08/2023) did not have results of a central registry search on file.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored away from food in areas inaccessible to children. Evidence: 1. One wasp and hornet killer spray, one air freshener spray and one multi-purpose cleaner were located on a shelf in the main daycare area, accessible to children. 2. A wasp and hornet killer spray was located next to a bowl that contained bananas and apples. 3. A window cleaner was located in an unlocked cabinet, accessible to children, under the sink in the bathroom used by the children. 4. A bottle of adhesive remover was located on the second shelf of an unlocked closet, accessible to children.”

8VAC20-790-430-A-3

“Based on record review and vendor interview, lockdown procedures were not practiced at least annually. Evidence: The vendor stated that they had not practiced lockdown procedures.”

8VAC20-790-190-B-12

“Based on record review, the vendor did not obtain all information for children’s records. Evidence: The record for Child #1 indicates a lactose allergy. The record for Child #1 did not include a written allergy care plan.”

8VAC20-790-180-B

“Based on record review, the vendor did not maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Child #4, #5, #6 and #7 were present at the family day home when the inspection began at approximately 10:00 a.m. 2. Child #4, #5, #6, and #7 were not signed in when attendance was checked at approximately 10:15 a.m.”

8VAC20-790-170-G

“Based on vendor interview, the vendor did not maintain a current written list of all children’s allergies. Evidence: 1. Child #1?s record indicates a lactose allergy. 2. The vendor stated that they did not have a written list of all children’s allergies.”

8VAC20-800-210-A

“Based on record review and caregiver interview, not all caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #3 stated that Caregiver #2 (start date: 01/07/2007) did not complete any training in 2022. 2. Caregiver #3 had 8.5 hours of training in 2022.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s (age: 21 months) most recent immunization record was dated 09/29/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 08/30/2021.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: The provider’s maximum licensed capacity is 12. At the time of inspection, there were 15 children present.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2?s (start date: 04/04/2022) record did not contain documentation of physical examination. 2. Child #3?s (start date: 10/04/2021) record did not contain documentation of physical examination. 3. Child #4?s (start date: 10/04/2021) record did not contain documentation of physical examination.”

8VAC20-800-70-A

“Based on record review, parents were not provided all required written information before the child’s first day of attendance. Evidence: 1. The provider did not indicate whether or not there is liability insurance on the paperwork provided to the parents of Child #1 (start date: 01/03/2023), Child #2 (start date: 04/04/2022) and Child #3 (start date: 10/04/2021). 2. Provisions of the family day home’s emergency preparedness and response plan was not provided to the parents of Child #1, Child #2, Child #3 and Child #4 (start date: 10/04/2021). The form was located in the files, but was not completed.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. From approximately 10:00 a.m. to approximately 10:08 a.m. there were 15 children present, between the ages of 6 months and 3 years old, totaling 41 points. 2. Child #1 was 7 months of age; Child #15 was 9 months of age; Child #7 was 15 months of age; Child #10 was 18 months of age; Child #2 and #11 were 19 months of age; Child #3 was 21 months of age; Child #4 was 22 months of age; Child #5, #6, #12, and #13 were two years of age; Child #9 and #14 were 3 years of age; and Child #8 was 4 years of age. 3. There were 2 caregivers, Caregiver #1 and Caregiver #2, present at the time. 4. Caregiver #2 stated that Caregiver #3 had just left to get milk.”

8VAC20-800-800-A

“Based on record review and caregiver interview, the family day home does not have a written emergency preparedness and response plan. Evidence: Caregiver #3 stated that there was no emergency preparedness plan.”

8VAC20-790-430-A-3

“Based on record review and vendor interview, lockdown procedures were not practiced at least annually. Evidence: The vendor stated that they had not practiced lockdown procedures.”

8VAC20-790-190-B-12

“Based on record review, the vendor did not obtain all information for children’s records. Evidence: The record for Child #1 indicates a lactose allergy. The record for Child #1 did not include a written allergy care plan.”

8VAC20-790-180-B

“Based on record review, the vendor did not maintain a written hard copy of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Child #4, #5, #6 and #7 were present at the family day home when the inspection began at approximately 10:00 a.m. 2. Child #4, #5, #6, and #7 were not signed in when attendance was checked at approximately 10:15 a.m.”

8VAC20-790-170-G

“Based on vendor interview, the vendor did not maintain a current written list of all children’s allergies. Evidence: 1. Child #1?s record indicates a lactose allergy. 2. The vendor stated that they did not have a written list of all children’s allergies.”

8VAC20-800-210-A

“Based on record review and caregiver interview, not all caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #3 stated that Caregiver #2 (start date: 01/07/2007) did not complete any training in 2022. 2. Caregiver #3 had 8.5 hours of training in 2022.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s (age: 21 months) most recent immunization record was dated 09/29/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 08/30/2021.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: The provider’s maximum licensed capacity is 12. At the time of inspection, there were 15 children present.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2?s (start date: 04/04/2022) record did not contain documentation of physical examination. 2. Child #3?s (start date: 10/04/2021) record did not contain documentation of physical examination. 3. Child #4?s (start date: 10/04/2021) record did not contain documentation of physical examination.”

8VAC20-800-70-A

“Based on record review, parents were not provided all required written information before the child’s first day of attendance. Evidence: 1. The provider did not indicate whether or not there is liability insurance on the paperwork provided to the parents of Child #1 (start date: 01/03/2023), Child #2 (start date: 04/04/2022) and Child #3 (start date: 10/04/2021). 2. Provisions of the family day home’s emergency preparedness and response plan was not provided to the parents of Child #1, Child #2, Child #3 and Child #4 (start date: 10/04/2021). The form was located in the files, but was not completed.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: 1. From approximately 10:00 a.m. to approximately 10:08 a.m. there were 15 children present, between the ages of 6 months and 3 years old, totaling 41 points. 2. Child #1 was 7 months of age; Child #15 was 9 months of age; Child #7 was 15 months of age; Child #10 was 18 months of age; Child #2 and #11 were 19 months of age; Child #3 was 21 months of age; Child #4 was 22 months of age; Child #5, #6, #12, and #13 were two years of age; Child #9 and #14 were 3 years of age; and Child #8 was 4 years of age. 3. There were 2 caregivers, Caregiver #1 and Caregiver #2, present at the time. 4. Caregiver #2 stated that Caregiver #3 had just left to get milk.”

8VAC20-800-800-A

“Based on record review and caregiver interview, the family day home does not have a written emergency preparedness and response plan. Evidence: Caregiver #3 stated that there was no emergency preparedness plan.”

22.1-289.035-B-2

“Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

8VAC20-770-60-B

“Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement. Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: There was one diaper cream, one eczema cream, one cortisone ointment and one healing cream in bins on the changing table, accessible to children.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2?s (start date: 02/10/2020) record did not contain documentation of physical examination. 2. Child #6?s (start date: 04/04/2022) record did not contain documentation of physical examination.”

8VAC20-800-120-A

“Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Child #7 is the child of Caregiver #2. Child #7 was not enrolled in the family day home, but was present and receiving care during the inspection.”

8VAC20-800-60-B

“Based on record review, the provider did not obtain all required information for children’s records. Evidence: The record for Child #1 did not contain a name, address and telephone number for a second designated person to contact in case of an emergency.”

8VAC20-800-70-A

“Based on record review, parents were not provided all required written information before the child’s first day of attendance. Evidence: 1. The provider did not indicate the policies for the administration of medications on the paperwork provided to the parents of Child#1 (start date: 10/17/2022), Child #4 (start date: 08/09/2021) and Child #5 (start date: 09/01/2020). 2. The provider did not indicate whether or not there is liability insurance on the paperwork provided to the parents of Child #1 and Child #6 (start date: 04/04/2022). 3. The provider did not list a relocation site on the emergency preparedness and response plan provided to the parents of Child #1, Child #4 and Child #6.”

8VAC20-800-80-C

“Based on record review, the provider did not document in each child’s record, the method of verification of the child’s age and identity. Evidence: 1. The record for Child #1 (start date: 10/17/2022) did not contain documentation of the method of verification of the child’s age and identity. 2. The record for Child #2 (start date: 02/10/2020) did not contain documentation of the method of verification of the child’s age and identity. 3. The record for Child #6 (start date: 04/04/2022) did not contain documentation of the method of verification of the child’s age and identity.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home. Evidence: 1. Child #2?s (start date: 02/10/2020) record did not contain documentation of immunization.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form. Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to the provider being sick.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1. Two bottles of bleach, one spray glass cleaner, one container of powder bathroom cleaner, two containers of disinfecting wipes, one bottle of dish soap (warning label says to keep out of reach of children), one antiseptic alcohol spray, one bottle of hand sanitizer (warning label says to keep out of reach of children), and two claw hammers were in an unlocked closet, accessible to children. 2. A bottle of mouthwash was in an unlocked cabinet, accessible to children, in the bathroom used by the children. 3. A bottle of cleaning vinegar (warning label says to keep out of reach of children), was located on the bottom shelf of the gray cabinet, accessible to children, in the bathroom used by the children.”

8VAC20-800-320-H

“Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children. Evidence: There were two lighters in an unlocked drawer, accessible to children.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom provided for the children did not contain liquid soap and paper towels.”

8VAC20-800-530-A

“Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom. Evidence: 1. Child #3 (age: 3 years) was using a cot with a top cover and no bottom cover. 2. Child #4 (age: 2 years) was using a cot with a top cover and no bottom cover. 3. Child #8 (age: 3 years) was using a cot with a top cover and no bottom cover.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: During the time of inspection, there were 13 children present, between the ages of 5 months and 3 years, totaling 38 points. There were 2 caregivers present during this time.”

8VAC20-800-130

“Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities. Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and warm running water after diapering. Evidence: Caregiver #2 did not ensure that Child #9?s hands were washed after diapering.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver #2 did not wash their hands after diapering Child #9.”

8VAC20-800-520-A

“Based on observation, cribs were provided for children over 12 months of age who were developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. Child #9 (age: 2 years) was observed in a crib during nap time. 2. Child #10 (age: 14 months) was observed in a crib during nap time. 3. Child #13 (age: 15 months) was observed in a crib during nap time.”

8VAC20-800-530-A

“Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom. Evidence: 1. Child #2 (age: 2 years) was using a cot with a top cover and no bottom cover. 2. Child #4 (age: 20 months) was using a cot with a top cover and no bottom cover. 3. Child #5 (age: 3 years) was using a cot with a top cover and no bottom cover. 4. Child #11(age: 21 months) was using a cot with a top cover and no bottom cover. 5. Child #12 (age: 3 years) was using a rest mat with a top cover and no bottom cover.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: There were three diaper creams and one healing cream in bins on the changing table, accessible to children.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #2?s (start date: 10/05/2020) record did not contain documentation of physical examination.”

8VAC20-770-60-B

“Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement. Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-120-A

“Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Caregiver #2 stated that Child #8 was her child. Child #8 was not enrolled in the family day home, but was present during the inspection.”

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: The last day that the family day home recorded attendance was 07/28/2022.”

8VAC20-800-60-A

“Based on record review, the family day home did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. There was no record on site for Child #6 (start date: 08/08/2022). 2. There was no record on site for Child #7 (start date: 08/08/2022).”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home. Evidence: 1. Child #2?s (start date: 10/05/2020) record did not contain documentation of immunization. 2. Child #5?s (start date: 08/19/2019) record did not contain documentation of immunization.”

22.1-289.035-B-2

“Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: During the time of inspection, there were 13 children present, between the ages of 8 months and 3 years, totaling 42 points. There were 2 caregivers present during this time.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. There was one outlet uncovered by the blue couch in the main daycare area. 2. There was one outlet uncovered by the high chairs. 3. There was one outlet uncovered in the nap room.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form. Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom provided for the children did not contain toilet tissue, liquid soap and paper towels.”

8VAC20-800-130

“Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities. Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the monitoring inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English and called the provider’s daughter on the phone to assist. 3. The provider’s granddaughter arrived shortly after and translated the information.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s (age: 1 year) most recent immunization record was dated 12/06/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 03/05/2021.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use. Evidence: 1. The diaper changing pad had a cloth cover. 2. Caregiver #2 did not clean and sanitize the diaper changing pad between diapering Child #9 and Child #8.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1. One spray cleaner with bleach, one container of powder bathroom cleaner, one container of disinfecting wipes, one bottle of dish soap (warning label says to keep out of reach of children), and two claw hammers were in an unlocked closet, accessible to children. 2. One bottle of alcohol antiseptic and one bottle of hand sanitizer were on the half wall, accessible to children.”

8VAC20-800-320-H

“Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children. Evidence: There was a multi-purpose lighter in an unlocked drawer, accessible to children.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition. Evidence: There were multiple areas of chipped paint on the half wall that divides the main daycare room from the eating area.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and warm running water after diapering. Evidence: Caregiver #2 did not ensure that Child #9?s hands were washed after diapering.”

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver #2 did not wash their hands after diapering Child #9.”

8VAC20-800-520-A

“Based on observation, cribs were provided for children over 12 months of age who were developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. Child #9 (age: 2 years) was observed in a crib during nap time. 2. Child #10 (age: 14 months) was observed in a crib during nap time. 3. Child #13 (age: 15 months) was observed in a crib during nap time.”

8VAC20-800-530-A

“Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom. Evidence: 1. Child #2 (age: 2 years) was using a cot with a top cover and no bottom cover. 2. Child #4 (age: 20 months) was using a cot with a top cover and no bottom cover. 3. Child #5 (age: 3 years) was using a cot with a top cover and no bottom cover. 4. Child #11(age: 21 months) was using a cot with a top cover and no bottom cover. 5. Child #12 (age: 3 years) was using a rest mat with a top cover and no bottom cover.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: There were three diaper creams and one healing cream in bins on the changing table, accessible to children.”

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #2?s (start date: 10/05/2020) record did not contain documentation of physical examination.”

8VAC20-770-60-B

“Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement. Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-120-A

“Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Caregiver #2 stated that Child #8 was her child. Child #8 was not enrolled in the family day home, but was present during the inspection.”

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: The last day that the family day home recorded attendance was 07/28/2022.”

8VAC20-800-60-A

“Based on record review, the family day home did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. There was no record on site for Child #6 (start date: 08/08/2022). 2. There was no record on site for Child #7 (start date: 08/08/2022).”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home. Evidence: 1. Child #2?s (start date: 10/05/2020) record did not contain documentation of immunization. 2. Child #5?s (start date: 08/19/2019) record did not contain documentation of immunization.”

22.1-289.035-B-2

“Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-570-A

“Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: During the time of inspection, there were 13 children present, between the ages of 8 months and 3 years, totaling 42 points. There were 2 caregivers present during this time.”

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. There was one outlet uncovered by the blue couch in the main daycare area. 2. There was one outlet uncovered by the high chairs. 3. There was one outlet uncovered in the nap room.”

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form. Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.”

8VAC20-800-340-C

“Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom provided for the children did not contain toilet tissue, liquid soap and paper towels.”

8VAC20-800-130

“Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities. Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the monitoring inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English and called the provider’s daughter on the phone to assist. 3. The provider’s granddaughter arrived shortly after and translated the information.”

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s (age: 1 year) most recent immunization record was dated 12/06/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 03/05/2021.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use. Evidence: 1. The diaper changing pad had a cloth cover. 2. Caregiver #2 did not clean and sanitize the diaper changing pad between diapering Child #9 and Child #8.”

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1. One spray cleaner with bleach, one container of powder bathroom cleaner, one container of disinfecting wipes, one bottle of dish soap (warning label says to keep out of reach of children), and two claw hammers were in an unlocked closet, accessible to children. 2. One bottle of alcohol antiseptic and one bottle of hand sanitizer were on the half wall, accessible to children.”

8VAC20-800-320-H

“Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children. Evidence: There was a multi-purpose lighter in an unlocked drawer, accessible to children.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition. Evidence: There were multiple areas of chipped paint on the half wall that divides the main daycare room from the eating area.”

8VAC20-770-40-D-1-c

“Based on record review, a staff member did not obtain a Central Registry Search prior to the expiration date. Evidence: The expiration date for Staff A's Central Registry search was 2/08/2021.”

8VAC20-770-40-D-1-c

“Based on record review, a staff member did not obtain a Central Registry Search prior to the expiration date. Evidence: The expiration date for Staff A's Central Registry search was 2/08/2021.”