Ruth Moscoso

8VAC20-800-780-B

“The provider shall review the emergency contact information with the parents annually. Child D and F had no current review of the emergency contact information.”

8VAC20-800-90-C

“The provider shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Child C, D and E did not have current documentation of immunizations.”

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The most recent documented review of the emergency plan was dated 3/4/2022.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: There was a spray bottle of air freshener observed on the counter of the children's backroom.”

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that hand washing requirements were met. Evidence: Two children were observed taking bathroom breaks prior to taking naps. Both children did not wash their hands after going to the bathroom.”

8VAC20-800-690-L

“Based on observation, toilet chairs were not emptied promptly, clean and sanitized after each use. Evidence: At the start of the inspection, there was a toilet chair observed in the children's bathroom which has been used and not emptied. After the children finished lunch, a child was observed using the non-cleaned/sanitized toilet chair. The toilet chair was not emptied and clean after the second observed use.”

8VAC20-800-50-C

“Based on observation, children's information was not kept privileged and confidential. Evidence: The supplemental from the most recent inspection which clearly states "DO NOT POST" was posted within the inspection notice.”

8VAC20-800-920

“Based on observation, meal requirements were not met. Evidence: There is no menu posted.”

8VAC20-800-880

“Based on observation, food requirements were not met when meals were provided by the family day home. Evidence: The children were observed eating macaroni and cheese for lunch. They were not served a fruit, vegetables or a protein.”

8VAC20-800-920

“Based on observation and interview, requirements were not met when meals or snacks are provided by the family day home. Evidence: The provider stated that they provide food for the children in care. There is no menu posted.”

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for each household member every two years. Evidence: Household member #2's most recent TB screening is dated 12/3/2020.”

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtained a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver #1 and Caregiver #2 have documentation of 12.5 hours of training completed in 2022. Caregivers confirmed that they did not obtain 16 hours.”

8VAC20-800-750-A

“Based on observation and interview, requirements for topical skin products were not met. Evidence: A tube of diaper ointment was observed on the diaper changing station without a child's name on it. Caregivers confirmed the diaper ointment belonged to Child #1.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every six months for children under two years old. Evidence: 1. Child #1 (14 months) most recent immunizations are dated from when the child was 2 months old. 2. Child #5 (15 months) most recent immunizations are dated from when the child was 4 months old.”

8VAC20-800-690-L

“Based on observation and interview, toilet chairs were not emptied promptly, cleaned and sanitized after each use. Evidence: The provider stated that the younger children went to nap at approximately 1pm. At approximately 1:45pm a small training toilet that had not been emptied and cleaned was observed in the children's bathroom.”

8VAC20-800-60-A

“Based on record review and interview, the provider has not maintained a record for each enrolled child. Evidence: The provider did not have a record for Child #3. The provider stated that the child was dropped off unexpectedly and they did not request a record because they have a record for Child #3's sibling.”

8VAC20-800-50-C

“Based on observation, information contained in children's records was not maintained confidential. Evidence: The Supplemental page from the most recent inspection was observed to be posted containing children's and staff confidential information. The top of the Supplemental page clearly stated "DO NOT POST" and was signed by the provider.”

8VAC20-800-920

“Based on interview, requirements were not met when meals or snacks are provided by the family day home. Evidence: The provider stated that they cook and provide food for most of the children in care. There is no menu posted for the children. The provider stated that they have an online menu created each week. The provider confirmed that the parents do not have access to view the menu.”

8VAC20-800-890

“Based on observation and interview, requirements were not met when meals and snacks were provided from the children's homes. Evidence: The provider stated that Child #1 and Child #2 bring lunch boxes to the family day home with food from home. Both lunch boxes were not labeled with the children's names or today's date.”

8VAC20-800-180-A

“Based on record review and interview, the provider has not obtained a subsequent tuberculosis (TB) screening every two years. Evidence: Household member #1's most recent TB screening is dated 3/7/2019.”

8VAC20-800-60-B

“Based on record review, children's records did not contain all required information. Evidence: Child #2 record does not contain the families medical insurance information and policy number.”

8VAC20-800-60-A

“Based on record review and interview, the provider did ensure that children's records were maintained and updated annually. Evidence: 1. Child #1 most recent documented review of the record is dated 1/20/2021. 2. Child #3 most recent documented review of the record is dated 9/28/2020. 3. Child #4 most recent documented review of the record is dated 1/19/2021. 4. Caregiver #2 confirmed that the parents of the above children have not yet reviewed or updated the children's records.”

8VAC20-800-800-B

“Based on record review, the provider did not review their emergency preparedness plan at least annually. Evidence: The providers most recent documented review of the emergency preparedness plan is dated 1/22/2021.”

8VAC20-800-750-A

“Based on observation and interview, topical skin products provided by parents were not labeled with the child's name. Evidence: An unlabeled diaper cream was observed sitting next to the diaper changing table. Caregiver #2 stated that the diaper cream belonged to Child #2 and was not labeled with their name.”

8VAC20-800-210-A

“Based on record review and interview, caregivers have not obtained a minimum of 16 hours of training in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 completed 3 hours of training in 2021. 2. Caregiver #2 completed 3 hours of training in 2021.”