Zonia Medina

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening was not completed for Caregiver #1 and Household Members #4, #5, and #6, and these screenings were overdue by more than one month. In addition, TB screenings for Household Members #2 and #3 were not completed and were overdue by two days.”

8VAC20-800-60-B

“A child's record shall contain the address of two designated persons to contact in case of an emergency if the parent cannot be reached The record for Child #3, enrolled for more than one year, was missing the address for emergency contact #2. The record for Child #5, enrolled for more than six months, was missing the address for emergency contact #1 and #2.”

8VAC20-790-180-B

“Daily attendance will be documented of arrival and departure of each child as it occurs. Attendance of arrival for child #1 was not documented for 10/30/2025.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The annual emergency plan review was overdue by six and a half months.”

8VAC20-800-290

“Sharp kitchen utensils and other sharp objects shall be inaccessible to children. Knives were located in a kitchen drawer accessible to children. A child was observed in the kitchen area.”

8VAC20-800-430-C

“Children over the age of two shall not have access to stairs that do not have protective barriers. The staircase leading to the second floor did not have a protective barrier. A child, over three years old, was observed moving freely throughout the first floor. While the child occasionally walked alongside the provider, they were also seen running away from the provider at times.”

8VAC20-800-280

“Cleaning agents shall be inaccessible to children. Cleaning agents were found in a kitchen cabinet that was accessible to a children. A child was observed in the kitchen area.”

8VAC20-790-180-B

“Daily attendance will be documented of arrival and departure of each child as it occurs. Attendance of arrival for child #1 was not documented for 10/30/2025.”

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The annual emergency plan review was overdue by six and a half months.”

8VAC20-800-290

“Sharp kitchen utensils and other sharp objects shall be inaccessible to children. Knives were located in a kitchen drawer accessible to children. A child was observed in the kitchen area.”

8VAC20-800-430-C

“Children over the age of two shall not have access to stairs that do not have protective barriers. The staircase leading to the second floor did not have a protective barrier. A child, over three years old, was observed moving freely throughout the first floor. While the child occasionally walked alongside the provider, they were also seen running away from the provider at times.”

8VAC20-800-280

“Cleaning agents shall be inaccessible to children. Cleaning agents were found in a kitchen cabinet that was accessible to a children. A child was observed in the kitchen area.”

8VAC20-800-90-A

“The provider must obtain documentation of immunizations for children before the first day of attendance. Child # 1 has been in attendance for 7 months. The provider did not obtain immunization records for Child # 1 to this date.”

8VAC20-800-60-B

“Children's records must have complete information. Child # 1 has been in attendance for 7 months. Child # 1's record had incomplete forms for the following: medication administration policy, liability insurance policy, doctor's information was missing, medical insurance policy information, authorization for emergency medical care was not signed by the parent.”

8VAC20-800-100-A

“The provider must obtain documentation of a physical exam for children within 30 days of enrollment. Child # 1 has been in attendance for 7 months. The provider did not obtain a copy of the physical exam for Child # 1 to this date.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. The attendance log did not have any recorded attendance for the month of April 2025. Additionally, attendance for March 2025 was not accurately documented.”

8VAC20-800-90-A

“The provider must obtain documentation of immunizations for children before the first day of attendance. Child # 1 has been in attendance for 7 months. The provider did not obtain immunization records for Child # 1 to this date.”

8VAC20-800-60-B

“Children's records must have complete information. Child # 1 has been in attendance for 7 months. Child # 1's record had incomplete forms for the following: medication administration policy, liability insurance policy, doctor's information was missing, medical insurance policy information, authorization for emergency medical care was not signed by the parent.”

8VAC20-800-100-A

“The provider must obtain documentation of a physical exam for children within 30 days of enrollment. Child # 1 has been in attendance for 7 months. The provider did not obtain a copy of the physical exam for Child # 1 to this date.”

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. The attendance log did not have any recorded attendance for the month of April 2025. Additionally, attendance for March 2025 was not accurately documented.”

8VAC20-800-60-B

“Based on records review, children's record did not have complete information. Evidence: 1. Child # 1's record was missing the following information: medical insurance information and policy. 2. Child # 2's record was missing the parent's work information.”