Patricia Martinez

8VAC20-800-70-A

“REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided required information in writing. At the time of the inspection, Child #4 family day home's emergency preparedness and response plan is missing the physical address of the relocation site.”

8VAC20-800-60-B

“A child's record shall contain the following information: Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child #4 did not have a signed authorization for emergency medical care.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing. At the time of the inspection, Child #1?s family day home’s emergency preparedness and response plan is missing the physical address of the relocation site.”

8VAC20-800-60-B

“Children's records are required to contain the emergency contact’s home address and policy number of the child's medical insurance. At the time of the inspection, Child #1 was missing the emergency contact’s home address. The child had been in care for fifteen days. Child #6 was missing the policy number of the child's medical insurance. The child had been in care for four months.”

8VAC20-800-200-C

“Documentation of the orientation shall be signed and dated by the provider and assistant. At the time of the inspection, Caregiver #3?s record was missing documentation of orientation. Caregiver #3 had been employed for over two months.”

8VAC20-800-320-A

“Small electrical appliances were not unplugged when not being used. Two hair blow dryers, an electric water kettle, and a blender were observed plugged in when not in use.”

8VAC20-800-240-A

“Areas and furnishings of the family day home inside shall be maintained in a safe condition. During the inspection, Child #2 was observed awake, lying on their stomach on a play mat inside a playpen. The play mat was scrunching up underneath the child’s face, creating a potential suffocation hazard.”

8VAC20-800-70-A

“REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #2, who has been in care for nine months, were not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation”

8VAC20-800-880

“Family day homes shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The weekly menu for 7/7/2025- 7/11/2025 does not consistently meet USDA CACFP nutritional requirements. AM and PM snacks include only water and fruit, missing a second required component. Milk is not listed with snacks, which is a required part of the meal pattern.”

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is up to date. The last annual review was over a year ago for Child #4.”

8VAC20-800-760-A-1

“The following emergency supplies shall be in the family day home: triangular bandages The first aid kit did not contain triangular bandages.”

8VAC20-790-180-A

“REPEAT VIOLATION A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by 12 days.”

22.1-289.035-A

“The family day home is required to have household members undergo a background check every five years. The most recent central registry check for household member #1 was overdue by over a month.”

22.1-289.036-B-4

“The family day home is required to obtain background checks from any state in which the individual has resided in the preceding five years. The family day home did not request a search of the child abuse and neglect registry from one state for Household member #2, who has been living in the home for six days. The family day home did not complete an out-of-state sex offender registry search from one state for Household member #2, who has been living in the home for six days.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation drills. Documentation was not maintained for emergency evacuation for July, August, September, October, November, and December 2024.”

8VAC20-800-250-A

“Appliance cords shall be out of reach of children under five years of age. A drawer of loose appliance cords was found in the children's bathroom, next to the toilet, and it was not out of reach of children under five.”

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 obtained 2 hours of training hours in 2024. Caregiver #2 obtained 9 hours of training in 2024. Caregiver #3 obtained 6 hours of training in 2024.”

8VAC20-800-180-A

“REPEAT VIOLATION 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 was overdue by 178 days.”

8VAC20-800-80-C

“The provider did not ensure that documentation of verifying children's proof of identity was completed. There was no documentation of date documentation viewed and person viewing documentation for Children #1, 2, 3, 4, and 5 records.”

8VAC20-800-70-A

“Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #1 who has been in care for over 108 days was not provided in writing the following required information: whether or not there is liability insurance in force on the family day home operation, the requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home, the policies for the administration of medications, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease. The parents of child #3 who has been in care for over 142 days was not provided in writing the following required information: the policies for the administration of medications, and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease. The parents of Child #4 who has been in care for over 17 days and Child #5 who has been in care for over 407 days was not provided in writing the following required information: the policies for the administration of medications”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Caregiver #3 did not have central registry search results during the inspection and has been employed for over 189 days.”

8VAC20-800-750-A

“When topical skin products such as diaper ointment are used the following requirements shall be met: The product shall be labeled with the child's name, if provided by the parent. Child #6's diaper cream was not labeled with the child's name.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/23/2024, were not posted in a conspicuous place on the premises.”

8VAC20-800-60-B

“Children's records are required to contain two emergency contacts and parent work phone numbers. The record for Child #1 is missing 1 out of 2 emergency contact information and two parent work phone numbers. Child #1 was present during the inspection and had been in care for over 108 days. The record for Child #3 is missing two parent work phone numbers. Child #3 was present during the inspection and had been in care for over 142 days.”

8VAC20-800-170-A

“Based on record review and interview,, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening. Evidence: Caregiver #2 (employment date-07/18/2024) did not have results of a negative tuberculosis screening on file.”

8VAC20-800-170-B

“Based on record review and interview, not all Report of Tuberculosis (TB) Screening forms were completed within the last 30 days of the caregivers start date. Evidence: The TB screening form for Caregiver #4 (start date: 05/6/2024) was dated 5/28/2024.”

8VAC20-800-180-A

“Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: The TB screening for Household member #3 is dated 7/21/2022 and expired on 7/21/2024.”

8VAC20-800-460-C

“Based on record review and interview, the provider did not ensure that pets had current vaccinations for rabies. Evidence: The most recent rabies vaccination documentation reviewed during the inspection for the provider's dog expired on 7/22/2024.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review and interview, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance. Evidence: 2 out of 5 children's records did not contain the family day home policies for medication administration.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review, the provider did not provide the family day home policies to parents in writing before the child's first day of attendance. Evidence: 1. 3 out of 5 children's records did not contain the family day home policies for medication administration. 2. 1 out of 5 children's records did not contain the family day home liability insurance.”

8VAC20-800-750-A

“Based on observation and interview, the provider did not obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent. Evidence: 1. There was no documentation of written parent authorization for Child #3's diaper ointment. 2. Child #3's diaper ointment was not labeled with their name.”

8VAC20-800-960-C

“Based on observation and inteview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer's instructions. Evidence: Five infants and toddlers were observed by the inspector not fastened in their high chairs.”

8VAC20-800-920

“Based on observation and interview, menus were not dated. Evidence: The menu posted on the home bulletin board was not dated.”

8VAC20-800-800-A

“Based on record review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: There was no documentation of a written emergency preparedness and response plan.”

8VAC20-800-80-C

“Based on record review and interview, the provider did not document the method of verification of the child's age and identity. Evidence: 5 out of 5 children's records do not have signed documentation of viewing the proof of identity for the child.”

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Between July 2022 and June 2023, Caregiver #2 received 4 hours of annual training. 2. Between July 2022 and June 2023, Caregiver #3 received 4.5 hours of annual training. 3. The provider confirmed that the annual training period for the family day home begins in July.”

22.1-289.011-F

“Based on record review and staff interview, not all required documentation was posted. Evidence: The findings of the most recent inspection of the home were not posted.”

8VAC20-800-780-B

“Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1. Child #3's last annual emergency contact review was on 1/28/2022. 2. Child #4's last annual emergency contact review was on 2/22/2021. 3. Child #5's last annual emergency contact review was on 2/9/2022.”

8VAC20-800-830-A

“Based on record review and interview, the emergency evacuation procedures were not practiced monthly. Evidence: A evacuation drill was not practiced in June 2023.”

8VAC20-800-100-A

“Based on record review, 2 out of 5 children records did not contain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: There was no documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance for Child #1 (start date 2/3/2023) and Child #2 (start date 2/13/2023).”

22.1-289.035-A

“Based on record review and interview, background checks were not repeated every five years. Evidence: The most recent criminal history result on file for Caregiver #1 is dated 6/13/2018 and expired on 6/13/2023.”

8VAC20-800-200-A

“Based on record review, the provider did not orient their assistant by the end of their first week of assuming job responsibilities. Evidence: There was no documentation of Caregiver #3's orientation training. The start date for Caregiver #3 is 9/20/2022.”

8VAC20-800-70-A

“Based on record review, 5 out of 5 children records did not contain the family day home policies for medication administration to parents in writing prior to the child's first day of attendance. Evidence: Child #1 (start date: 2/3/2023), Child #2 (start date 2/13/2023), Child #3 (start date 5/30/2022), Child #4 (start date 2/22/2021), and Child #5 (start date 2/9/2022) records did not contain the family day homes policies for medication administration.”

8VAC20-800-800-A

“Based on record review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: There was no documentation of a written emergency preparedness and response plan.”

8VAC20-800-200-A

“Based on record review, the provider did not orient their assistant by the end of their first week of assuming job responsibilities. Evidence: There was no documentation of caregiver #2's orientation training. The start date for Caregiver #2 is September 20, 2022.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: The tuberculosis test for household member #1 expired on 8/27/2019.”

8VAC20-800-70-A

“Based on record review, the provider did not provide the family day home policies for medication administration to parents in writing prior to the child's first day of attendance. Evidence: 5 out of 5 children records did not contain the family day homes policies for medication administration.”

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child's full name and the date. Evidence: 1. 6 out of 7 bottles were not dated. 2. 1 out of 7 bottles was not labeled with the child's full name.”