Roxana Memenza

8VAC20-800-750-A

“Based on observation, the provider failed to label topical skin products as required. Evidence: Two topical skin ointments were observed without being labeled with the child's name.”

8VAC20-800-240-A

“Based on observation, areas inside the house were not maintained in a safe condition. Evidence: The smoke detector in the child care area was making a beeping noise, indicating it was not working.”

8VAC20-800-530-I

“Based on observation, mattresses were not covered with a waterproof material. Evidence: The crib mattress is a sheet of foam and is not waterproof.”

8VAC20-800-280

“Based on observation, poisonous substances were not kept in areas inaccessible to children. Evidence: Cleaning and disinfecting products were observed in the bathroom and in a lower kitchen cabinet accessible to children.”

8VAC20-800-690-L

“Based on observation, toilet chairs were not empty and cleaned after use. Evidence: The toilet chair was observed to contain urine and feces.”

8VAC20-800-250-A

“Based on observation, hanging items were not kept out of reach of children. Evidence: Two small appliance cords were observed hanging in areas where children had access.”

8VAC20-800-70-A

“Based on record review, parents were not informed in writing of all required information. Evidence: Child 1, 2, 3, and 4's record had incomplete or blank spaces documented for required policies.”

8VAC20-790-250-F

“Based on record review, the provider did not have documentation that they had completed all required training. Evidence: Adult 1's record did not contain documentation that they have completed the annual health and safety update course required by the Virginia Department of Education.”

8VAC20-800-320-B

“Based on observation, child resistant protective covers were not install on all 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years. Evidence: Protective covers were not installed in an accessible outlet in the kitchen.”

8VAC20-800-530-I

“Based on observation, a crib mattresses was not covered with a waterproof material that can be cleaned and sanitized. Evidence: The crib identified by the provider for use of Child, did not have a crib mattresses that was covered with a waterproof material.”

8VAC20-800-250-B

“Based on observation, children were not protected from materials that could be swallowed or present a choking hazard. Evidence: Toys that were less than 1-1/4 inches in diameter and less than two inches in length were not kept out of reach of children under the age of three years.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a safe manner. Evidence: A chef's knife was observed on the kitchen counter which was accessible to children.”

8VAC20-770-40-D-4

“Based on record review, the provider failed to obtain a sworn statement or affirmation form all adult household members. Evidence: Adult 2's record did not contain a completed sworn statement or affirmation.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review, the provider failed to inform parents in writing of required procedures prior to the child's first date of attendance. Evidence: 1. Child 1, 2, and 3's record did not contain documentation that the parents have been informed of the provider's medication policy. 2. Child 1 and 3's record did not contain documentation that the parents have been informed of the provider's fees, the daily schedule or the provider's termination policy.”

8VAC20-800-170-A

“Based on record review, the provider failed to obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 2's record did not contain documentation of a negative Tuberculosis screening.”

8VAC20-800-530-B

“Based on observation, crib mattresses did not have a a tight-fitting bottom cover. Evidence: The linens used in the cribs were not tight fitting.”

8VAC20-790-250-F

“Based on record review, the provider did not have documentation that they had completed all required training. Evidence: Adult 1's record did not contain documentation that they have completed the annual health and safety update course required by the Virginia Department of Education.”

8VAC20-800-320-B

“Based on observation, child resistant protective covers were not install on all 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three years. Evidence: Protective covers were not installed in an accessible outlet in the kitchen.”

8VAC20-800-530-I

“Based on observation, a crib mattresses was not covered with a waterproof material that can be cleaned and sanitized. Evidence: The crib identified by the provider for use of Child, did not have a crib mattresses that was covered with a waterproof material.”

8VAC20-800-250-B

“Based on observation, children were not protected from materials that could be swallowed or present a choking hazard. Evidence: Toys that were less than 1-1/4 inches in diameter and less than two inches in length were not kept out of reach of children under the age of three years.”

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a safe manner. Evidence: A chef's knife was observed on the kitchen counter which was accessible to children.”

8VAC20-770-40-D-4

“Based on record review, the provider failed to obtain a sworn statement or affirmation form all adult household members. Evidence: Adult 2's record did not contain a completed sworn statement or affirmation.”

8VAC20-800-70-A

“REPEAT VIOLATION Based on record review, the provider failed to inform parents in writing of required procedures prior to the child's first date of attendance. Evidence: 1. Child 1, 2, and 3's record did not contain documentation that the parents have been informed of the provider's medication policy. 2. Child 1 and 3's record did not contain documentation that the parents have been informed of the provider's fees, the daily schedule or the provider's termination policy.”

8VAC20-800-170-A

“Based on record review, the provider failed to obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 2's record did not contain documentation of a negative Tuberculosis screening.”

8VAC20-800-530-B

“Based on observation, crib mattresses did not have a a tight-fitting bottom cover. Evidence: The linens used in the cribs were not tight fitting.”

8VAC20-800-100-A Complaint related: No

“Based on record review, the provider failed to obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for Child 2 did not contain documentation of a physical examination.”

8VAC20-800-30-E Complaint related: Yes

“Based on local agency reports and interviews, the provider failed to ensure that the home's activities, services, and facilities are conducive to the welfare of children in care. Evidence: 1. On 9/15/2023 Child 1 and Child 2 were found alone, attempting to cross Old Meadow Road and Wilson Lane by a citizen who contacted law enforcement at 12:05pm. 2. The location where the children were found is approximately 800 feet from the family day home. 3. According to the children’s parent, the children had been dropped off at the family day home between 11:15am and 11:45am with Household Member 1 while the provider was at a neighborhood playground. The parent stated that they historically would leave the children with Household Member 1 if the provider was not home. 4. The children left the family day home through a patio door while Household Member 1 was using the upstairs bathroom. 5. The parents were notified by law enforcement that their children had been missing and were now located at 12:39pm.”

8VAC20-800-50-A Complaint related: No

“Based on record review and interviews, the provider failed to keep a written record of children in attendance each day. Evidence: 1. The attendance for 9/15/2023 did not contain the attendance of Child 2. 2. According to parent and household member statements, Child 2 was dropped off for care approximately between 11:15am and 11:45am on 9/15/2023. 3. Child 2 does not appear on any of the previous three weeks of attendance records despite interviews confirming the child’s presence at the daycare during that period.”

8VAC20-800-60-B Complaint related: No

“REPEAT VIOLATION Based on record review, children’s records did not contain all required information. Evidence: 1. Child 1?s record did not contain: the child’s first date of attendance; the child’s health insurance policy number; the information for one of two required emergency contacts; Written authorization if the child is to participate in swimming or wading activities; Written authorization if the child is taken off the premises of the family day home. 2. Child 2?s record did not contain: the child’s first date of attendance, the information for one of two required emergency contacts; Written authorization if the child is to participate in swimming or wading activities; Written authorization if the child is taken off the premises of the family day home; a record of immunization; documentation of a physical examination; proof that the child’s age and identity was verified by the provider.”

8VAC20-800-70-A Complaint related: No

“Based on record review, the provider failed to provide in writing all required information to parents prior to their child’s attendance. Evidence: The record for Child 1 and Child 2 did not contain documentation that the parents had been informed of all required information to include drop off procedures and children's daily schedule.”

8VAC20-800-80-A Complaint related: No

“Based on record review and interview, the provider did not obtain verification of the age and identity of a child within seven days of enrollment. Evidence: The record for Child 2 did not contain documentation that the child’s age and identity had been verified. Interviews confirmed that the child had been enrolled for a period of longer than 7 days.”

8VAC20-800-90-A Complaint related: No

“Based on record review, the provider failed to obtain documentation that enrolled children are adequately immunized. Evidence: The record for Child 2 did not contain documentation of immunization.”

8VAC20-800-560-A Complaint related: Yes

“Based on local agency reports and interviews, the provider failed to ensure that a caregiver was physically present and providing direct supervision of each child at all times. Evidence: 1. On 9/15/2023 Child 1 and Child 2 (aged 3 years and 23 months) were dropped off at the provider’s residence with Household Member 1 between approximately 11:15am and 11:45am while the provider was at the playground with other enrolled children. 2. The parent stated that they regularly drop off their children to Household Member 1 on occasions when the provider was not at home. 3. Household Member 1 went to use the restroom for approximately 7-10 minutes on the second floor, leaving the children unattended on the first floor. 4. The children were observed by a citizen attempting to cross the intersection at Old Meadow Road and Wilson Lane (approximately 800 feet from the provider’s residence). The citizen then called law enforcement at 12:05 pm. 5. Household Member 1 returned from the restroom, noticed the children were missing and began searching the neighborhood for the children. 6. At 12:39 pm law enforcement notified the parents that their children had been missing from the provider’s care and had been recovered.”

8VAC20-800-850-A Complaint related: No

“Based on record review and observation, the provider failed to report to the department a lost or missing child when local authorities have been contacted for help, within 24 hours of the incident. Evidence: Children went missing from the family day home on 9/15/2023. The department was informed of the missing children on 9/19/2023 from an outside agency. The provider did not contact the licensing office or the inspector.”

22.1-289.011-F Complaint related: No

“Based on observation, the findings from the most recent licensing inspection were not posted in the facility. Evidence: The findings from the renewal inspection conducted on 1/3/2023 were not posted in the facility on the date of inspection.”

8VAC20-800-850-B Complaint related: No

“Based on record review and observation, the provider failed to submit a written report to the department within five working days of the date the incident where two children in the family day home went missing and local authorities were contacted. Evidence: Children went missing from the family day home on 9/15/2023. The department or the licensing inspector did not receive a written report from the provider.”

8VAC20-800-170-A Complaint related: No

“Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver 1's record did not contain a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.”

8VAC20-800-140-D Complaint related: No

“Based on record review and provider statement, the substitute provider did not record and sign the time of arrivals and departures on each day that the substitute provider works. Evidence: On 5/11/2023 Caregiver 1 was acting in the capacity as the substitute provider while the provider was absent from the family day home. There was no record to document Caregiver 1's arrival and departure from the role of substitute provider for 5/11/2023.”

8VAC20-800-120-B Complaint related: No

“Based on record review and provider statement, caregiver records did not contain all required information. Evidence: Caregiver 1's record did not contain the caregiver's job title, date of employment or volunteering, the results of required background checks, documentation of a tuberculosis screening, documentation of education and training, or the name address and telephone number of a person to contact in an emergency.”

8VAC20-800-980-A Complaint related: Yes

“Based on record review, the provider did not obtain general written permission from the parent of each child for the provider to take the child off premises of the family day home. Evidence: 1. On 5/11/2023 Caregiver 2 took Child 1 off premises in her personal vehicle to run a personal errand. 2. Child 1's record did not contain written permission from the child's parent for the provider to take the child off the premises of the family day home.”

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

“Based on record review, an employee of the licensed family day home provided childcare without completing a sworn statement or affirmation. Evidence: Caregiver 1's record did not contain a completed sworn statement or affirmation. Caregiver 1 provided care to children on 5/11/2023.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the provider did not obtain the results of a criminal record check for caregivers prior to employment or volunteering. Evidence: Caregiver 1's record did not contain the results of a national criminal record check.”

8VAC20-800-200-A Complaint related: No

“Based on record review, the provider did not orient the substitute provider by the end of their first week of assuming job responsibilities. Evidence: Caregiver 1's record did not contain documentation of having received an orientation.”

8VAC20-800-320-I Complaint related: No

“Based on observation, the smoke detector in the family day home was not operational on the date of inspection. Evidence: The smoke detector was heard chirping due to low battery levels on the date of inspection.”

8VAC20-800-40-A Complaint related: No

“Based on record review and provider statement, the provider did not ensure that that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: Attendance records for 4/20/23 lists six children in care. Provider statements confirmed that six children were in care for that day. The provider's licensed capacity five children.”

8VAC20-800-60-B

“Based on record review, three of three children's records reviewed did not contain all required information. Evidence: 1. Child 1's record did not contain the name of the child's health insurance carrier or policy number. 2. Child 2's record did not contain the address for one of two required emergency contacts.”

8VAC20-800-60-B

“Based on record review, three of three children's records reviewed did not contain all required information. Evidence: 1. Child 1's record did not contain the name of the child's health insurance carrier or policy number. 2. Child 2's record did not contain the address for one of two required emergency contacts.”

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child 1 and 5's record did not contain documentation of immunization.”

8VAC20-800-430-B

“Based on observation, pressure mounted gates were used as protective barriers at stair openings. Evidence: A pressure mounted gate was observed as a barrier to access the stairs.”

8VAC20-800-100-A

“Based on record review, the provider did not 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: Children 1, 3, and 4's record 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.”

8VAC20-800-920

“Based on observation, the menu for the current one week period was not posted or otherwise made available to parents. Evidence: There was no menu available for inspection.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: 1. The record for Child 1 did not contain: The name, address, phone number, place of employment for one of the child's parents; the employer or employer address for one of the child's parents; the child's health insurance policy number, documentation that the child's proof of identity was reviewed. 2. Child 2's record did not contain: Documentation that the child's proof of identity was reviewed. 3. Child 3's record did not contain: The child's health insurance carrier or policy number. 4. Child 4's record did not contain: The child's health insurance carrier or policy number or documentation that the child's proof of identity was reviewed.”

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: On the date of inspection, there was no documentation of attendance.”

8VAC20-800-70-A

“Based on record review, parents were not provided the family day home's policies and procedures in writing. Evidence: Children 1, 2, 3, 4, and 5's record did not contain documentation that the parents have been informed of the provider's policies and procedures in writing.”

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: There was not an emergency drill conducted for September 2022.”

8VAC20-800-60-A

“Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: There was no record at the family day home for Child 5.”

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place. Evidence: At the time of inspection, an epi-pen was located on an open shelf above the changing table.”

8VAC20-800-760-A

“Based on observation, the first aid kit did not contain all required items. Evidence: The first aid kit was missing gauze pads, triangular bandages and a first aid instructional manual.”

8VAC20-800-770

“Based on interview, there were no extra batteries for the battery-operated emergency radio. Evidence: The provider stated that there were not enough batteries for the battery-operated emergency radio.”

8VAC20-800-320-B

“Based on observation, protective covers were not installed on all unused electrical outlets accessible to children. Evidence: 1. At the time of inspection, there was one outlet uncovered in the restroom. 2. At the time of inspection, there was one outlet uncovered in the living room, by the staircase. 3. At the time of inspection, there was one outlet uncovered in the living room by the couch, under the window.”

8VAC20-800-330-A

“Based on observation, a landline was not available during the family day home’s hours of operation. Evidence: The provider had a cordless phone, but did not have a corded landline.”

8VAC20-800-340-C

“Based on observation and interview, the bathroom did not contain paper towels. Evidence: 1. The bathroom had a cloth hand towel, but did not have paper towels. 2. The provider stated that the children use the cloth hand towel to dry their hands.”

8VAC20-800-430-B

“Based on observation, a pressure mounted gate was used as a protective barrier at the stair opening. Evidence: The provider had a pressure mounted gate located at the stair opening at the bottom of the staircase.”