Rossmary Acosta Escate

8VAC20-800-280

“Based on observation, potentially poisonous substances were stored in an area accessible to child. Evidence: A gallon of Skyline Satin White Hand Soap was stored in the bottom bathroom cabinet which was accessible to children.”

8VAC20-800-530-A

“Based on observation, mats used for sleeping by children did not consist of a top cover and a bottom cover or a one piece covering that is open on three sides. Evidence: During rest time, six (6) cots did not have a bottom cover.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were stored in an area accessible to child. Evidence: A gallon of Skyline Satin White Hand Soap was stored in the bottom bathroom cabinet which was accessible to children.”

8VAC20-800-530-A

“Based on observation, mats used for sleeping by children did not consist of a top cover and a bottom cover or a one piece covering that is open on three sides. Evidence: During rest time, six (6) cots did not have a bottom cover.”

8VAC20-790-180-B

“Based on record review and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. At the time of inspection (11:51am), there were 5 children documented on daily attendance. 2. Vendor acknowledged there were 6 children present and she had not documented Child #3's arrival time on the daily attendance. Child #3 was added at 11:53am to the daily attendance.”

8VAC20-790-180-B

“Based on record review and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. At the time of inspection (11:51am), there were 5 children documented on daily attendance. 2. Vendor acknowledged there were 6 children present and she had not documented Child #3's arrival time on the daily attendance. Child #3 was added at 11:53am to the daily attendance.”

8VAC20-790-250-B

“Based on record review and interview, it was determined all caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education as required within the first 90 days of employment or service. Evidence: 1. Caregiver #2 did not have documentation of the Preservice Training in the records. 2. Caregiver #2 acknowledged the preservice training had not been completed.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned with soap and water after each use. 1. Caregiver #2 sprayed the diapering surface with a bleach solution after changing Child #2 and Child #8. 2. There is no soap & water available to clean the diapering surface. 3. The provider acknowledged they were only using a bleach solution after diapering.”

8VAC20-800-330-A

“Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not operable during the family day home's hours of operation. Evidence: The landline telephone line is not working (no dial tone and no in-coming or out-going calls are available). 2. The provider confirmed the telephone line is not working.”

8VAC20-800-230-A

“Based on record review, the provider did not maintain a written documentation of each caregiver's applicable education and programmatic experience. Evidence: 1. Caregiver #2 does not have documentation to review. 2. Volunteer/caregiver #3 does not have a record to review.”

8VAC20-800-200-A

“Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilies. 1. There is no documentation that the provider had completed the orientation for caregiver #2 and volunteer/caregiver #3. 2. The provider acknowledged orientation had not been completed.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not obtain a criminal history check prior to the 1st day of service. Evidence: 1. The record for volunteer/caregiver #3 was not available to review. 2. The volunteer/caregiver acknowledged a criminal history check had not been completed. 3. The provider acknowledged the criminal history check was not completed.”

8VAC20-770-60-B

“Based on record review and interview, a sworn statement was not completed prior to 1st day of service. Evidence: 1. The record for volunteer/caregiver #3 was not available for review. 2. The provider acknowledged the sworn statement was not completed.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child. Evidence:. 1. Child #2 (DOB 4/11/21) did not have documentation of additional immunizations. The last documentation was dated 9/7/22. 2. Child #7 (DOB 10/12/2020) did not have documentation of additional immunizations. The last documentation was dated 8/3/21.”

8VAC20-800-60-A

“Based on record review, it was determined the provider did not maintain individual record for each child enrolled in care. Evidence: 1. Child #2 and Child #7 do not have required documentation on file to review. 2. There is no documentation of parent's name, home address or place of employment. 3. There is no emergency contacts and phone numbers. 4. Documentation of any known or suspected allergies are not listed.. 5. There is no documentation of the name of the parent's hospitalization plan and number. 6. There is no parent's signed authorization for the child's emergency medical treatment.”

8VAC20-800-920

“Based on observation, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1. Menu was posted in the facility. 2. The provider acknowledged the menu was not posted and it was not given to parents.”

8VAC20-790-250-B

“Based on record review and interview, it was determined all caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education as required within the first 90 days of employment or service. Evidence: 1. Caregiver #2 did not have documentation of the Preservice Training in the records. 2. Caregiver #2 acknowledged the preservice training had not been completed.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned with soap and water after each use. 1. Caregiver #2 sprayed the diapering surface with a bleach solution after changing Child #2 and Child #8. 2. There is no soap & water available to clean the diapering surface. 3. The provider acknowledged they were only using a bleach solution after diapering.”

8VAC20-800-330-A

“Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not operable during the family day home's hours of operation. Evidence: The landline telephone line is not working (no dial tone and no in-coming or out-going calls are available). 2. The provider confirmed the telephone line is not working.”

8VAC20-800-230-A

“Based on record review, the provider did not maintain a written documentation of each caregiver's applicable education and programmatic experience. Evidence: 1. Caregiver #2 does not have documentation to review. 2. Volunteer/caregiver #3 does not have a record to review.”

8VAC20-800-200-A

“Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilies. 1. There is no documentation that the provider had completed the orientation for caregiver #2 and volunteer/caregiver #3. 2. The provider acknowledged orientation had not been completed.”

22.1-289.035-B-2

“Based on record review and interview, the provider did not obtain a criminal history check prior to the 1st day of service. Evidence: 1. The record for volunteer/caregiver #3 was not available to review. 2. The volunteer/caregiver acknowledged a criminal history check had not been completed. 3. The provider acknowledged the criminal history check was not completed.”

8VAC20-770-60-B

“Based on record review and interview, a sworn statement was not completed prior to 1st day of service. Evidence: 1. The record for volunteer/caregiver #3 was not available for review. 2. The provider acknowledged the sworn statement was not completed.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child. Evidence:. 1. Child #2 (DOB 4/11/21) did not have documentation of additional immunizations. The last documentation was dated 9/7/22. 2. Child #7 (DOB 10/12/2020) did not have documentation of additional immunizations. The last documentation was dated 8/3/21.”

8VAC20-800-60-A

“Based on record review, it was determined the provider did not maintain individual record for each child enrolled in care. Evidence: 1. Child #2 and Child #7 do not have required documentation on file to review. 2. There is no documentation of parent's name, home address or place of employment. 3. There is no emergency contacts and phone numbers. 4. Documentation of any known or suspected allergies are not listed.. 5. There is no documentation of the name of the parent's hospitalization plan and number. 6. There is no parent's signed authorization for the child's emergency medical treatment.”

8VAC20-800-920

“Based on observation, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1. Menu was posted in the facility. 2. The provider acknowledged the menu was not posted and it was not given to parents.”

8VAC20-790-250-B

“Based on record review and interview with the provider, within the first 90 days of employment all caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. Childgiver #2 does not have documentation for the Virginia Preservice Training on file. 2. The provider acknowledged caregiver #2 had not completed the Virginia Preservice Training.”

8VAC20-800-690-D

“Based on observation and interview, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Caregiver #2 wiped the diapering surface with a Clorox wipe after changing Child #2. 2.There is no bleach solution available to sanitize the diapering surface. 3. There is no soap & water available to clean the diapering surface. 4. The provider acknowledge they were only using the Clorox wipes to clean the diapering surface.”

8VAC20-800-920

“Based on observation and interview, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1. Menu was not posted in the facility. 2. The provider acknowledge she did not have menu for the week. She confirmed she does not give the menu to parents or post the menu in an area accessible to parents.”

8VAC20-800-120-A

“Based on record review and interview, the provider did not maintain a record for each caregiver. Evidence: 1. A record for Caregiver #2 was not available to review. 2.The provider acknowledged there was not a record for Caregiver #2.”

8VAC20-800-50-A

“Based on record review and interview with the provider, the family day home did not keep a written record of children in attendance each day. Evidence: 1.No documentation of a written attendance was available to review. 2.The provider acknowledged she did not have a written record of children in attendance each day and had not completed one in several weeks. 3.The provider stated she throws the attendance sheets in the trash weekly.”

8VAC20-820-120-E-2

“Based on observation and interview, certain documents related to the terms of the license were not posted as required on the premises of each facility. The findings of the most recent inspection were not posted in the facility. Evidence: The most recent inspection (9/13/22) was not posted in the facility. 2. The provider acknowledged the inspection report was not posted.”

8VAC20-800-80-A

“Based on record review and interview, within seven business days of the child’s first day of attendance at the family day home, the provider did not obtain from the parent verification of the identity and age of the child. Evidence: 1.Child #1, Child #3, and Child #10 did not have documentation on file of verification of their identity and age. 2.The provider acknowledge verification of the identity and age of the children was not completed.”

8VAC20-770-60-C-2

“Based on record review, the central registry finding was not received by the 30th day of employment. Evidence: 1.Caregiver #2 (DOH 08/2022) did not have central registry results within the 30th day of employment.”

8VAC20-800-780-B

“Based on record review, 7 of 10 children’s files indicated that annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60B-2 to ensure the information is correct and obtain the parent’s signed acknowledgement of the review. Evidence: 1.Records for Child #1, #2, #6, #7, #8, #9, and #10 did not have documentation of an annual update. 2. The provider confirmed the annual review and/or update had not been completed.”

8VAC20-800-330-A

“Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not available, operable, and accessible during the family day home’s hours of operation. Evidence: 1.There was no landline telephone available 2.The provider confirmed there was no landline telephone and the cordless phone was not working.,”

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.Three (3) electrical outlets in the main area (library center and on the left wall) did not have child-resistant protective covers. 2. Three (3) electrical outlets in the room with the cots (one behind play area and one behind the cots) did not have protective covers. 3. Three electrical outlets in the room with the cribs (two behind the crib and one on the left wall) did not have protective covers.”

8VAC20-800-790

“Based on observation, the 911 or local dial number for police, fire and emergency medical responders was not posted in a visible area close to the telephone. Evidence: Posted telephone numbers of 911 or for the police, fire and emergency medical responders were not posted in a visible area.”

8VAC20-800-800-B

“Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1.The last documented review of the emergency preparedness plan is dated 02/01/2020. 2.The shelter-in-place designated location in the plan is no longer useable because it is used as a storage closet. 3. The provider acknowledged the emergency preparedness plan had not been reviewed and updated.”

8VAC20-800-230-A

“Based on record review, the provider did not maintain a written documentation of each caregiver’s applicable education and programmatic experience. Evidence: Caregiver #2 does not have a record to review.”

8VAC20-800-830-A

“Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all childgivers and children in care during all shifts that children are in care. Evidence: 1. There is no documentation of emergency evacuation and shelter-in-place drills to review. 2. The provider acknowledge the drills had not been conducted in several months.”

8VAC20-800-870-E

“Based on observation, food was not served in a clean and sanitary way. Evidence: 1.Caregiver #2 served the morning snack of goldfish crackers on one plate and placed in the center of the table for all the children to eat from the same plate. 2. Five children were eating from the same plate of goldfish crackers.”

8VAC20-800-200-A

“Based on record review and interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. No records were available to review for Caregiver #2. 2. The provider stated Caregiver #2 date of employment was August 2022. 3. The provider acknowledged Caregiver #2 had not been given orientation.”

8VAC20-800-90-A

“Based on record review, before a child may attend the family day home, the provider did not obtain documentation that the child has been adequately immunized. Evidence: 1.Child #4 (DOE 11/18/22) did not have documentation of immunization at the time of inspection (2/21/23). 2.Child #7 did not have documentation of immunizations at the time of inspection (2/21/23)”

8VAC20-800-60-A

“Based on record review and interview, the provider did not maintain individual record for each child enrolled in care. Evidence: 1.Child #2, Child #7 and Child #8 do not have required documentation on file to review. 2. There is no documentation of parent’s name, home address or place of employment. 3. There is no emergency contacts and phone numbers. 4. Documentation of any known or suspected allergies are not listed. 5. There is no documentation of the name of the parent’s hospitalization plan and number or medical assistance plan. 6. There is no parent’s signed authorization for the child’s emergency medical treatment and written consent for giving of medications to the child. 7. There are no results of the health examination for Child #2 and Child #7. 8. There is no written agreement between the family day provider and the natural parent for each child in care (hours of care per day, week or month, cost of care, frequency and amount of payment and any special services to be provided by either party).”

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: Caregiver #2 did not wash her hands before feeding or helping Child #2 and Child #4 with their breakfast.”

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure that children’s hands are washed with liquid soap and warm running water. Evidence: Caregiver #2 did not ensure Child #2 and Child #4 washed their hands before eating their breakfast.”

8VAC20-790-250-B

“Based on record review and interview with the provider, within the first 90 days of employment all caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Evidence: 1. Childgiver #2 does not have documentation for the Virginia Preservice Training on file. 2. The provider acknowledged caregiver #2 had not completed the Virginia Preservice Training.”

8VAC20-800-690-D

“Based on observation and interview, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Caregiver #2 wiped the diapering surface with a Clorox wipe after changing Child #2. 2.There is no bleach solution available to sanitize the diapering surface. 3. There is no soap & water available to clean the diapering surface. 4. The provider acknowledge they were only using the Clorox wipes to clean the diapering surface.”

8VAC20-800-920

“Based on observation and interview, when meals or snacks are provided by the family day home, the menu for the current one-week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1. Menu was not posted in the facility. 2. The provider acknowledge she did not have menu for the week. She confirmed she does not give the menu to parents or post the menu in an area accessible to parents.”

8VAC20-800-120-A

“Based on record review and interview, the provider did not maintain a record for each caregiver. Evidence: 1. A record for Caregiver #2 was not available to review. 2.The provider acknowledged there was not a record for Caregiver #2.”

8VAC20-800-50-A

“Based on record review and interview with the provider, the family day home did not keep a written record of children in attendance each day. Evidence: 1.No documentation of a written attendance was available to review. 2.The provider acknowledged she did not have a written record of children in attendance each day and had not completed one in several weeks. 3.The provider stated she throws the attendance sheets in the trash weekly.”

8VAC20-820-120-E-2

“Based on observation and interview, certain documents related to the terms of the license were not posted as required on the premises of each facility. The findings of the most recent inspection were not posted in the facility. Evidence: The most recent inspection (9/13/22) was not posted in the facility. 2. The provider acknowledged the inspection report was not posted.”

8VAC20-800-80-A

“Based on record review and interview, within seven business days of the child’s first day of attendance at the family day home, the provider did not obtain from the parent verification of the identity and age of the child. Evidence: 1.Child #1, Child #3, and Child #10 did not have documentation on file of verification of their identity and age. 2.The provider acknowledge verification of the identity and age of the children was not completed.”

8VAC20-770-60-C-2

“Based on record review, the central registry finding was not received by the 30th day of employment. Evidence: 1.Caregiver #2 (DOH 08/2022) did not have central registry results within the 30th day of employment.”

8VAC20-800-780-B

“Based on record review, 7 of 10 children’s files indicated that annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60B-2 to ensure the information is correct and obtain the parent’s signed acknowledgement of the review. Evidence: 1.Records for Child #1, #2, #6, #7, #8, #9, and #10 did not have documentation of an annual update. 2. The provider confirmed the annual review and/or update had not been completed.”

8VAC20-800-330-A

“Based on observation and interview, a landline telephone, excluding a cordless or cell phone, was not available, operable, and accessible during the family day home’s hours of operation. Evidence: 1.There was no landline telephone available 2.The provider confirmed there was no landline telephone and the cordless phone was not working.,”

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.Three (3) electrical outlets in the main area (library center and on the left wall) did not have child-resistant protective covers. 2. Three (3) electrical outlets in the room with the cots (one behind play area and one behind the cots) did not have protective covers. 3. Three electrical outlets in the room with the cribs (two behind the crib and one on the left wall) did not have protective covers.”

8VAC20-800-790

“Based on observation, the 911 or local dial number for police, fire and emergency medical responders was not posted in a visible area close to the telephone. Evidence: Posted telephone numbers of 911 or for the police, fire and emergency medical responders were not posted in a visible area.”

8VAC20-800-800-B

“Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1.The last documented review of the emergency preparedness plan is dated 02/01/2020. 2.The shelter-in-place designated location in the plan is no longer useable because it is used as a storage closet. 3. The provider acknowledged the emergency preparedness plan had not been reviewed and updated.”

8VAC20-800-230-A

“Based on record review, the provider did not maintain a written documentation of each caregiver’s applicable education and programmatic experience. Evidence: Caregiver #2 does not have a record to review.”

8VAC20-800-830-A

“Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all childgivers and children in care during all shifts that children are in care. Evidence: 1. There is no documentation of emergency evacuation and shelter-in-place drills to review. 2. The provider acknowledge the drills had not been conducted in several months.”

8VAC20-800-870-E

“Based on observation, food was not served in a clean and sanitary way. Evidence: 1.Caregiver #2 served the morning snack of goldfish crackers on one plate and placed in the center of the table for all the children to eat from the same plate. 2. Five children were eating from the same plate of goldfish crackers.”

8VAC20-800-200-A

“Based on record review and interview, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1. No records were available to review for Caregiver #2. 2. The provider stated Caregiver #2 date of employment was August 2022. 3. The provider acknowledged Caregiver #2 had not been given orientation.”

8VAC20-800-90-A

“Based on record review, before a child may attend the family day home, the provider did not obtain documentation that the child has been adequately immunized. Evidence: 1.Child #4 (DOE 11/18/22) did not have documentation of immunization at the time of inspection (2/21/23). 2.Child #7 did not have documentation of immunizations at the time of inspection (2/21/23)”

8VAC20-800-60-A

“Based on record review and interview, the provider did not maintain individual record for each child enrolled in care. Evidence: 1.Child #2, Child #7 and Child #8 do not have required documentation on file to review. 2. There is no documentation of parent’s name, home address or place of employment. 3. There is no emergency contacts and phone numbers. 4. Documentation of any known or suspected allergies are not listed. 5. There is no documentation of the name of the parent’s hospitalization plan and number or medical assistance plan. 6. There is no parent’s signed authorization for the child’s emergency medical treatment and written consent for giving of medications to the child. 7. There are no results of the health examination for Child #2 and Child #7. 8. There is no written agreement between the family day provider and the natural parent for each child in care (hours of care per day, week or month, cost of care, frequency and amount of payment and any special services to be provided by either party).”

8VAC20-800-680-A

“Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding. Evidence: Caregiver #2 did not wash her hands before feeding or helping Child #2 and Child #4 with their breakfast.”

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure that children’s hands are washed with liquid soap and warm running water. Evidence: Caregiver #2 did not ensure Child #2 and Child #4 washed their hands before eating their breakfast.”

22.1-289.035-B-2 Complaint related: No

“Based on observation and interview, the provider failed to obtain a criminal history records check prior to the 1st day of employment/service. Evidence: 1. Caregiver #2?s record did not have documentation of a criminal background check. 2. No records were available to review. 3. The provider acknowledged there was no criminal background check completed.”

8VAC20-770-60-B Complaint related: No

“Based on record review and interview, the provider did not obtain a sworn statement prior to 1st day of employment/service or residence. Evidence: Caregiver #2?s record did not contain documentation of a completed sworn statement prior to the first day of employment.”

8VAC20-800-60-A

“Based on a review of child records, the Family Day Home did not obtain all required documentation for all children enrolled in the program. Evidence: Child #1's record was missing the address of one of the emergency contacts. Child #2's record was missing the names of persons authorized to pick up the child, if parents can not be reached. Child #2's record is missing documentation of health insurance and policy number. Child #3's record did not contain documentation of the first date of attendance.”

8VAC20-800-760-A-1

“Based on observation, the Family Day Home did not have a first aid kit with the required equipment. Evidence: The first aid kit did not have tweezers, 2 triangular bandages or a first aid manuel.”

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

“Based on a review of household member's records, the Family Day Home failed to obtain a Central Registry Background check within 30 days of a person in the home turning 14 years old Evidence: Household Member #3 turned 14 years old on 12/25/2021 and does not have documentation of a Central Registry Background check.”

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

“Based on a review of Household Member's records, the Family Day Home failed to obtain a sworn statement for a household member that reaches the age of 18. Evidence: Household Member #1's record does not have documentation of a Sworn Statement. The household member reached the age of 18 on 11/19/2021.”

8VAC20-800-830-A

“Based on a review of evacuation logs, the Family Day Home failed to ensure that evacuation drills are conducted monthly. Evidence: Evacuation drills were not conducted for July, August, September, October, November, and December of 2021. Evacuation drills were not conducted for January and February 2022.”

8VAC20-800-940-B

“Based on observation, the provider did not have an operable thermometer to monitor refrigerator and freezer temperatures. Evidence: The refrigerator nor the freeze had operable thermometers.”

8VAC20-800-70-A

“Based on a review of child records, the center failed to provider all required documentation for parent review before the child's first day. Evidence: Child #1, #2 and #3's records do not have current documentation of the provisions of the Family Day Home's emergency response plan.”

8VAC20-770-40-C-1-c

“Based on a review of Household Member's records, the Family Day Home failed to obtain a Criminal History Background check for a household member that reached the age of 18. Evidence: Household Member #1 does not have documentation of a Criminal History Background check.”

8VAC20-800-280

“Based on observation, the provider did not keep poisonous materials in an area not accessible to children. Evidence: The laundry detergent was on top of the washing machine and accessible to children.”

8VAC20-800-920

“Based on observation, the provider did not have a menu posted in an area accessible to parents. Evidence: The provider did not have a current menu posted.”

8VAC20-800-60-A

“Based on a review of child records, the Family Day Home did not obtain all required documentation for all children enrolled in the program. Evidence: Child #1's record was missing the address of one of the emergency contacts. Child #2's record was missing the names of persons authorized to pick up the child, if parents can not be reached. Child #2's record is missing documentation of health insurance and policy number. Child #3's record did not contain documentation of the first date of attendance.”

8VAC20-800-760-A-1

“Based on observation, the Family Day Home did not have a first aid kit with the required equipment. Evidence: The first aid kit did not have tweezers, 2 triangular bandages or a first aid manuel.”

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

“Based on a review of household member's records, the Family Day Home failed to obtain a Central Registry Background check within 30 days of a person in the home turning 14 years old Evidence: Household Member #3 turned 14 years old on 12/25/2021 and does not have documentation of a Central Registry Background check.”

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

“Based on a review of Household Member's records, the Family Day Home failed to obtain a sworn statement for a household member that reaches the age of 18. Evidence: Household Member #1's record does not have documentation of a Sworn Statement. The household member reached the age of 18 on 11/19/2021.”

8VAC20-800-830-A

“Based on a review of evacuation logs, the Family Day Home failed to ensure that evacuation drills are conducted monthly. Evidence: Evacuation drills were not conducted for July, August, September, October, November, and December of 2021. Evacuation drills were not conducted for January and February 2022.”

8VAC20-800-940-B

“Based on observation, the provider did not have an operable thermometer to monitor refrigerator and freezer temperatures. Evidence: The refrigerator nor the freeze had operable thermometers.”

8VAC20-800-70-A

“Based on a review of child records, the center failed to provider all required documentation for parent review before the child's first day. Evidence: Child #1, #2 and #3's records do not have current documentation of the provisions of the Family Day Home's emergency response plan.”

8VAC20-770-40-C-1-c

“Based on a review of Household Member's records, the Family Day Home failed to obtain a Criminal History Background check for a household member that reached the age of 18. Evidence: Household Member #1 does not have documentation of a Criminal History Background check.”

8VAC20-800-280

“Based on observation, the provider did not keep poisonous materials in an area not accessible to children. Evidence: The laundry detergent was on top of the washing machine and accessible to children.”

8VAC20-800-920

“Based on observation, the provider did not have a menu posted in an area accessible to parents. Evidence: The provider did not have a current menu posted.”

22VAC40-111-90-A

“Based on a review of children's records, the provider failed to obtain documentation of immunizations on the first day of attendance. Evidence: Child #1's records did not have documentation of immunizations on the first day of attendance. Child's first day of attendance was 09/25/2019.”

22VAC40-111-60-A

“Based on a review of children's records, the provider failed to obtain all required documentation. Evidence: Child #2's records did not contain documentation of the address of employment for one parent. Child #2's records did not contain documentation of an address for one of the emergency contacts. Child #2's records did not contain documentation of the name and policy number of the child's medical insurance.”

22VAC40-111-100-A

“Based on a review of children's records, the provider failed to obtain 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: Child #1's record does not contain documentation of a physical by the 30th day of attendance.”

22VAC40-111-760-A

“Based on an inspection, the provider failed to have all required emergency supplies were available on site. Evidence: The following items were missing from the first aid kit - 2 triangular bandages and a first aid manual.”

22VAC40-111-830-A

“Based on a review of evacuation drill logs, the provider failed to ensure that the emergency evacuation procedures shall be practiced monthly with all caregivers and children in care. Evidence: The provider failed to complete an emergency evacuation drill for the month of July or August 2021.”