Sandra Vergara

8VAC20-790-250-F

“Based on record review, 3 out of 3 caregivers who work directly with children did not annually attend the department's health and safety update course. Evidence: Caregivers #1, #2, and #3 did not complete the department's health and safety update course.”

8VAC20-800-750-A

“REPEAT VIOLATION Based on observation, the family day home failed to meet all requirements when topical skin products, such as diaper ointment and sunscreen, were used. Evidence: There were three diaper creams, one sunscreen, one eczema cream and one healing ointment that were not labeled with the child’s name.”

8VAC20-800-750-D

“Based on observation, the family day home kept topical skin products beyond the expiration of the product. Evidence: 1. There was a sunscreen located in a plastic storage drawer that expired in February 2023. 2. There was an eczema cream located in a plastic storage drawer that expired in June 2023.”

8VAC20-800-750-B

“REPEAT VIOLATION Based on observation, the family day home failed to keep topical skin products inaccessible to children. Evidence: 1. There were three sunscreens, two diaper creams and one eczema cream in a plastic storage drawer, accessible to children. 2. There were two diapers creams and one healing ointment on the diaper changing table, accessible to children.”

8VAC20-800-690-E

“Based on observation, the family day home failed to dispose of diapers in a plastic-lined storage system that is either foot operated or used in such a way that the caregiver’s hand doesn?t touch the exterior surface. Evidence: The foot-operated trash can used for soiled diapers was inoperable, causing the caregivers to have to lift the lid using their hands.”

8VAC20-800-750-A

“REPEAT VIOLATION Based on observation, the family day home failed to meet all requirements when topical skin products, such as diaper ointment and sunscreen, were used. Evidence: There were three diaper creams, one sunscreen, one eczema cream and one healing ointment that were not labeled with the child’s name.”

8VAC20-800-750-D

“Based on observation, the family day home kept topical skin products beyond the expiration of the product. Evidence: 1. There was a sunscreen located in a plastic storage drawer that expired in February 2023. 2. There was an eczema cream located in a plastic storage drawer that expired in June 2023.”

8VAC20-800-750-B

“REPEAT VIOLATION Based on observation, the family day home failed to keep topical skin products inaccessible to children. Evidence: 1. There were three sunscreens, two diaper creams and one eczema cream in a plastic storage drawer, accessible to children. 2. There were two diapers creams and one healing ointment on the diaper changing table, accessible to children.”

8VAC20-800-690-E

“Based on observation, the family day home failed to dispose of diapers in a plastic-lined storage system that is either foot operated or used in such a way that the caregiver’s hand doesn?t touch the exterior surface. Evidence: The foot-operated trash can used for soiled diapers was inoperable, causing the caregivers to have to lift the lid using their hands.”

8VAC20-790-430-A-3

“Based on record review and caregiver interview, lockdown procedures were not practiced at least annually. Evidence: 1. Lockdown procedures were not practiced during the 2022 calendar year. 2. Caregiver #2 stated that they did not know about the lockdown drills.”

8VAC20-790-250-F

“Based on record review, not all caregivers who work directly with children annually attended the department’s health and safety update course. Evidence: 1. Caregiver #1 took the Virginia Preservice training on 02/20/2020. They did not have documentation of the department’s health and safety update course on file. 2. Caregiver #2 took the Virginia Preservice training on 02/06/2020. They did not have documentation of the department’s health and safety update course on file.”

22.1-289.036-A

“Based on record review and caregiver interview, the family day home did not obtain a copy of the results of a search of the child abuse and neglect registry for each employee every five years. Evidence: 1. 3 out of 3 caregiver records reviewed, Caregiver #1, Caregiver #2 (start date: 10/20/2011) and Caregiver #3 (start date: 08/20/2015), do not contain current documentation of the results of a Central Registry search. 2. Caregiver #1's last central registry results was dated 02/06/2017. 3. Caregiver #2's last central registry results was dated 05/26/2016. 4. Caregiver #3's last central registry results was dated 06/07/2016. 5. Caregiver #2 stated that it was in process and they mailed off the requests for a central registry check for Caregiver #1, #2 and #3 a few weeks ago.”

8VAC20-800-210-A

“Based on record review, not all caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #1 obtained 9 clock hours of training for 2022-2023. 2. Caregiver #2 obtained 9 clock hours of training for 2022-2023. 3. Caregiver #3 obtained 2 clock hours of training for 2022-2023.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence: At the time of inspection, there was a spray bottle of all-purpose cleaner and a spray bottle of daily shower cleaner on the toilet in the bathroom that is used by the children.”

8VAC20-790-430-A-3

“Based on record review and caregiver interview, lockdown procedures were not practiced at least annually. Evidence: 1. Lockdown procedures were not practiced during the 2022 calendar year. 2. Caregiver #2 stated that they did not know about the lockdown drills.”

8VAC20-790-250-F

“Based on record review, not all caregivers who work directly with children annually attended the department’s health and safety update course. Evidence: 1. Caregiver #1 took the Virginia Preservice training on 02/20/2020. They did not have documentation of the department’s health and safety update course on file. 2. Caregiver #2 took the Virginia Preservice training on 02/06/2020. They did not have documentation of the department’s health and safety update course on file.”

22.1-289.036-A

“Based on record review and caregiver interview, the family day home did not obtain a copy of the results of a search of the child abuse and neglect registry for each employee every five years. Evidence: 1. 3 out of 3 caregiver records reviewed, Caregiver #1, Caregiver #2 (start date: 10/20/2011) and Caregiver #3 (start date: 08/20/2015), do not contain current documentation of the results of a Central Registry search. 2. Caregiver #1's last central registry results was dated 02/06/2017. 3. Caregiver #2's last central registry results was dated 05/26/2016. 4. Caregiver #3's last central registry results was dated 06/07/2016. 5. Caregiver #2 stated that it was in process and they mailed off the requests for a central registry check for Caregiver #1, #2 and #3 a few weeks ago.”

8VAC20-800-210-A

“Based on record review, not all caregivers obtained a minimum of sixteen clock hours of training annually. Evidence: 1. Caregiver #1 obtained 9 clock hours of training for 2022-2023. 2. Caregiver #2 obtained 9 clock hours of training for 2022-2023. 3. Caregiver #3 obtained 2 clock hours of training for 2022-2023.”

8VAC20-800-280

“Based on observation, potentially poisonous substances were accessible to children. Evidence: At the time of inspection, there was a spray bottle of all-purpose cleaner and a spray bottle of daily shower cleaner on the toilet in the bathroom that is used by the children.”

8VAC20-790-250-B

“Based on record review, not all caregivers completed the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: 1. Caregiver #2 (start date: 10/20/2011) did not complete the Virginia Preservice Training for Child Care Staff. 2. Caregiver #3 (start date: 08/20/2015) did not complete the Virginia Preservice Training for Child Care Staff.”

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: When attendance records were reviewed at approximately 10:01 a.m., 0 out of 10 of the children present were checked in.”

8VAC20-790-250-F

“Based on record review, not all staff annually attended the department’s health and safety update course. Evidence: Caregiver #1 did not complete the department’s health and safety update course.”

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: An emergency evacuation procedure was not practiced in February 2022.”

8VAC20-800-530-F

“Based on observation, stuffed toys were used around infants in a crib. Evidence: A stuffed toy was observed in the crib as Child #3 napped.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned after each use. Evidence: 1. After diapering Child #2, Caregiver #3 did not clean the diapering surface with soap and water or detergent solution before sanitizing. 2. After diapering Child #1, Caregiver #2 did not clean the diapering surface with soap and water or detergent solution before sanitizing.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: Two insect repellants, three sunscreens, one eczema cream, one petroleum jelly and one baby cologne were on a plastic 3-drawer cart, accessible to children.”

8VAC20-800-940-B

“Based on observation, the provider did not have an operable thermometer available to monitor refrigerator temperatures. Evidence: The thermometer located in the refrigerator was inoperable.”

8VAC20-800-60-B

“Based on record review, the provider did not obtain all required information for children’s records. Evidence: 1. Child #2?s record did not contain the name, address and telephone number for emergency contact #1 and emergency contact #2. 2. Child #3?s record did not contain the name, address and telephone number for emergency contact #2. 3. Child #2?s record did not contain the name and policy number of the child’s medical insurance. 4. Child #3?s record did not contain the policy number of the child’s medical insurance.”

8VAC20-800-80-A

“Based on record review, within seven business days of each child’s first day of attendance, the provider did not obtain from the parent verification of the identity and age of the child. Evidence: The provider did not obtain parent verification of the identify and age of Child #2 (start date: 04/04/2022)”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: 1. The most recent Report of Tuberculosis Screening form for Caregiver #2 was dated 02/15/2019. 2. The most recent Report of Tuberculosis Screening form for Caregiver #3 was dated 02/5/2019.”

8VAC20-800-750-A

“Based on observation and record review, when topical skin products were used, not all requirements were met. Evidence: 1. Written parent authorization was not obtained for Child #3 and Child #5?s sunscreen. 2. Written parent authorization was not obtained for Child #3?s lotion. 3. Written parent authorization was not obtained for Child #5?s insect repellant. 4. One insect repellant, three sunscreens and one petroleum jelly were not labeled with the child’s name.”

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: 1. Caregiver #3 did not ensure that Child #2?s hands were washed after diapering. 2. Caregiver #2 did not ensure that Child #1?s hands were washed after diapering.”

8VAC20-800-900-B

“Based on observation, children were allowed to drink while walking and playing. Evidence: Child #5, Child #6 and Child #7 were observed walking around and playing outside while drinking from sippy cups.”

8VAC20-790-250-B

“Based on record review, not all caregivers completed the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: 1. Caregiver #2 (start date: 10/20/2011) did not complete the Virginia Preservice Training for Child Care Staff. 2. Caregiver #3 (start date: 08/20/2015) did not complete the Virginia Preservice Training for Child Care Staff.”

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: When attendance records were reviewed at approximately 10:01 a.m., 0 out of 10 of the children present were checked in.”

8VAC20-790-250-F

“Based on record review, not all staff annually attended the department’s health and safety update course. Evidence: Caregiver #1 did not complete the department’s health and safety update course.”

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: An emergency evacuation procedure was not practiced in February 2022.”

8VAC20-800-530-F

“Based on observation, stuffed toys were used around infants in a crib. Evidence: A stuffed toy was observed in the crib as Child #3 napped.”

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned after each use. Evidence: 1. After diapering Child #2, Caregiver #3 did not clean the diapering surface with soap and water or detergent solution before sanitizing. 2. After diapering Child #1, Caregiver #2 did not clean the diapering surface with soap and water or detergent solution before sanitizing.”

8VAC20-800-750-B

“Based on observation, topical skin products were accessible to children. Evidence: Two insect repellants, three sunscreens, one eczema cream, one petroleum jelly and one baby cologne were on a plastic 3-drawer cart, accessible to children.”

8VAC20-800-940-B

“Based on observation, the provider did not have an operable thermometer available to monitor refrigerator temperatures. Evidence: The thermometer located in the refrigerator was inoperable.”

8VAC20-800-60-B

“Based on record review, the provider did not obtain all required information for children’s records. Evidence: 1. Child #2?s record did not contain the name, address and telephone number for emergency contact #1 and emergency contact #2. 2. Child #3?s record did not contain the name, address and telephone number for emergency contact #2. 3. Child #2?s record did not contain the name and policy number of the child’s medical insurance. 4. Child #3?s record did not contain the policy number of the child’s medical insurance.”

8VAC20-800-80-A

“Based on record review, within seven business days of each child’s first day of attendance, the provider did not obtain from the parent verification of the identity and age of the child. Evidence: The provider did not obtain parent verification of the identify and age of Child #2 (start date: 04/04/2022)”

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: 1. The most recent Report of Tuberculosis Screening form for Caregiver #2 was dated 02/15/2019. 2. The most recent Report of Tuberculosis Screening form for Caregiver #3 was dated 02/5/2019.”

8VAC20-800-750-A

“Based on observation and record review, when topical skin products were used, not all requirements were met. Evidence: 1. Written parent authorization was not obtained for Child #3 and Child #5?s sunscreen. 2. Written parent authorization was not obtained for Child #3?s lotion. 3. Written parent authorization was not obtained for Child #5?s insect repellant. 4. One insect repellant, three sunscreens and one petroleum jelly were not labeled with the child’s name.”

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: 1. Caregiver #3 did not ensure that Child #2?s hands were washed after diapering. 2. Caregiver #2 did not ensure that Child #1?s hands were washed after diapering.”

8VAC20-800-900-B

“Based on observation, children were allowed to drink while walking and playing. Evidence: Child #5, Child #6 and Child #7 were observed walking around and playing outside while drinking from sippy cups.”

8VAC20-800-920

“Based on observation, the Family Day Home failed to have the menu posted in an area accessible to parents. Evidence: The Family Day Home did not have a menu posted.”

8VAC20-800-830-B

“Based on a review of Evacuation Logs, the Family Day Home failed to practice Shelter-In-Place drills a minimum of twice per year. Evidence: There was no documentation of Shelter-In-Place drills completed within the last 12 months.”

8VAC20-800-760-A-1

“Based on a review of the first aid kit, the Family Day Home's first aid kit did not contain all required items. Evidence: The first aid kit is missing 2 triangular bandages and a first aid manual. The first aid kit did not contain a thermometer, 2 triangular bandages and the first aid manuel.”

8VAC20-770-40-D-1-b

“Based on a review of caregiver records, the Family Day Home does not have current Central Registry Background checks for caregivers. Evidence: Caregiver #1, #2 and #3's records do not contain documentation of current Central Registry Background checks. Caregiver #1's last central registry background check is dated02/06/2017, Caregiver #2's last central registry background check is dated 5/26/2016 and Caregiver #3's last central registry background check is dated 6/07/16.”

8VAC20-800-960-E

“Based on observation the Family Day Home did not have bottles refrigerated and labeled with the child's full name and the date, if more than one infant is in care. Evidence: The container with bottles was on the counter and three of the bottles were not labeled with the child's full name and dated.”

8VAC20-800-180-A

“Based on a review of caregiver records, the Family Day Home failed to obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1, #2 and #3 do not have documentation of a current Tuberculosis Test or Screening in their records. Caregiver #1's last test was 2/15/2019. Caregiver #2's last test was 2/15/2019. Caregiver #3's last test was 2/08/2019.”

8VAC20-800-280

“Based on observation the Family Day Home failed to ensure that poisonous materials are stored in an area that is not accessible to children. Evidence: A spray sanitizer that was 70% alcohol and stated keep out of reach of children was in a place that was accessible to children.”

8VAC20-800-210-A

“Based on a review of training records, the Family Day Home failed to obtain 16 hours of training annually. Evidence: Caregiver records did not home documentation of training hours for 2021-2022”

8VAC20-800-920

“Based on observation, the Family Day Home failed to have the menu posted in an area accessible to parents. Evidence: The Family Day Home did not have a menu posted.”

8VAC20-800-830-B

“Based on a review of Evacuation Logs, the Family Day Home failed to practice Shelter-In-Place drills a minimum of twice per year. Evidence: There was no documentation of Shelter-In-Place drills completed within the last 12 months.”

8VAC20-800-760-A-1

“Based on a review of the first aid kit, the Family Day Home's first aid kit did not contain all required items. Evidence: The first aid kit is missing 2 triangular bandages and a first aid manual. The first aid kit did not contain a thermometer, 2 triangular bandages and the first aid manuel.”

8VAC20-770-40-D-1-b

“Based on a review of caregiver records, the Family Day Home does not have current Central Registry Background checks for caregivers. Evidence: Caregiver #1, #2 and #3's records do not contain documentation of current Central Registry Background checks. Caregiver #1's last central registry background check is dated02/06/2017, Caregiver #2's last central registry background check is dated 5/26/2016 and Caregiver #3's last central registry background check is dated 6/07/16.”

8VAC20-800-960-E

“Based on observation the Family Day Home did not have bottles refrigerated and labeled with the child's full name and the date, if more than one infant is in care. Evidence: The container with bottles was on the counter and three of the bottles were not labeled with the child's full name and dated.”

8VAC20-800-180-A

“Based on a review of caregiver records, the Family Day Home failed to obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1, #2 and #3 do not have documentation of a current Tuberculosis Test or Screening in their records. Caregiver #1's last test was 2/15/2019. Caregiver #2's last test was 2/15/2019. Caregiver #3's last test was 2/08/2019.”

8VAC20-800-280

“Based on observation the Family Day Home failed to ensure that poisonous materials are stored in an area that is not accessible to children. Evidence: A spray sanitizer that was 70% alcohol and stated keep out of reach of children was in a place that was accessible to children.”

8VAC20-800-210-A

“Based on a review of training records, the Family Day Home failed to obtain 16 hours of training annually. Evidence: Caregiver records did not home documentation of training hours for 2021-2022”