Shanise Alvarado

8VAC20-800-100-A

“The provider shall 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. The record for child #1 did not contain documentation of a physical exam.”

8VAC20-800-90-C

“The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. There was no updated documentation of immunizations in the record for child #1, this was overdue by seven months.”

8VAC20-800-60-B

“A child's record shall contain all of the required documentation. The record for child #1 did not contain parent's information, medical insurance policy information, one of the two required emergency contacts, and parent's signed acknowledgement of the receipt of the information required by 8VAC20- 800-70.”

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. The shelter-in-place procedures have not been practiced since September 2025.”

8VAC20-800-120-A

“The record for each caregiver shall contain all of the required documentation. The record for the substitute provider did not contain proof of identification and qualifications.”

8VAC20-800-60-B

“A child's record shall contain the required information. The records for child #1 and #2 did not contain all of the required information, both had been in attendance for over a month.”

8VAC20-800-100-A

“The provider shall 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. The record for child #1, in attendance during inspection, did not contain documentation of a physical exam.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. Evacuation drills were not practiced October and November 2025.”

8VAC20-800-770

“A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. Provider did not have a batteries for the portable radio.”

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall 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. The record for child #1, in attendance during inspection, did not contain documentation of immunizations.”

8VAC20-800-770

“Provider shall have a working portable battery-operated weather band radio. There was no battery operated radio.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. Provider reported evacuation drill log was not completed however; drills were conducted.”

8VAC20-800-770

“Provider shall have a working portable battery-operated weather band radio. There was no battery operated radio.”

8VAC20-800-830-C

“Documentation shall be maintained of emergency evacuation and shelter-in-place drills. Provider reported evacuation drill log was not completed however; drills were conducted.”

8VAC20-800-320-B

“Based on observation and interview it was determined the provider did not ensure that all unused electrical outlets and surge protectors accessible to children under five years of age had protective covers. Evidence: 1. There was no outlet cover on one of the outlets in the childcare area during this inspection. 2. Provider confirmed that this outlet did not have a protective cover.”

8VAC20-800-900-A

“Based on observation it was determined the provider did not ensure that in order to assist in preventing choking, food that is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise. Evidence: 1. Whole grapes were served to two children under the age of four years old during this inspection. 2. Provider confirmed that the children with whole grapes were under the age of four years old.”

8VAC20-800-320-B

“Based on observation and interview it was determined the provider did not ensure that all unused electrical outlets and surge protectors accessible to children under five years of age had protective covers. Evidence: 1. There was no outlet cover on one of the outlets in the childcare area during this inspection. 2. Provider confirmed that this outlet did not have a protective cover.”

8VAC20-800-900-A

“Based on observation it was determined the provider did not ensure that in order to assist in preventing choking, food that is hard, round, small, thick and sticky, or smooth and slippery such as whole hot dogs sliced into rounds, nuts, seeds, raisins, uncut grapes, uncut raw carrots, peanuts, chunks of peanut butter, hard candy, and popcorn shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking, i.e., hot dogs cut lengthwise, grapes cut in small pieces, and carrots cooked or cut lengthwise. Evidence: 1. Whole grapes were served to two children under the age of four years old during this inspection. 2. Provider confirmed that the children with whole grapes were under the age of four years old.”

8VAC20-800-830-C

“Based on record review and interview it was determined the provider did not ensure that all evacuation drills documented. Evidence: 1. There were no drills documented October 2023 to January 2024. 2. Provider reported they were conducted but not documented.”

8VAC20-800-830-C

“Based on record review and interview it was determined the provider did not ensure that all evacuation drills documented. Evidence: 1. There were no drills documented October 2023 to January 2024. 2. Provider reported they were conducted but not documented.”