Magda Torrico

The provider shall obtain from each adult household member a current Report of Tuberculosis Screening.

“The record for household member #1 did not contain a TB screening. Household member has lied in the home over a year.”

Rule 8VAC20-800-170-A.

The provider shall maintain documentation of the current rabies vaccination.

“The records for household pets were due 5 months ago.”

Rule 8VAC20-800-460-D.

The family day home shall obtain documentation of additional immunizations for a child once every six months for children under the age of two years.

“The record for child #1 last immunizations were completed over a year ago. Child #1 is 18 months old.”

Rule 8VAC20-800-90-C.

A child’s record shall contain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #3 has a diagnosed food allergy without documentation of an allergy care plan on file.”

Rule 8VAC20-800-60-B.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child.

“Caregiver 2 did not wash their hands in between three separate diaper changes and after.”

Rule 8VAC20-800-680-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Three children had their diapers changed and Caregiver 2 did not ensure they washed their hands after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“Caregiver 2 changed the diapers of three children without cleaning and sanitizing the diaper changing surface after each use.”

Rule 8VAC20-800-690-D.

Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and pesticides were not stored in areas inaccessible to children.

“Evidence: Hand sanitizer, diaper cream, and petroleum jelly were stored within reach of children on the changing table.”

Rule 8VAC20-800-280.

Based on record review, children’s records did not contain required information.

“Evidence: Child #1’s record (Start date-12-8-19) was missing the parent’s employer, employer’s address and phone number.”

Rule 8VAC20-800-60-B.

Based on observation the center failed to ensure that a nonabsorbent and washable surface for diapering or changing is being used.

“Evidence: The cover for the diapering surface was made of a fabric and is absorbent.”

Rule 8VAC20-800-690-D.

Based on record review, the provider did not ensure to annually review with the parents required emergency contact information, to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: The record for Child #2 (date of enrollment 1/18/21) did not have an updated annual review, the most recent review date was signed on July 10, 2023.”

Rule 8VAC20-800-780-B.

8VAC20-800-240-A

“Based on observation, areas of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. Two wooden door slabs were missing from bottom level closet door accessible to children. 2. A plastic open bin on a shelf contained batteries and were accessible to children.”

Rule 8VAC20-800-240-A.

8VAC20-800-320-B

“Based on observation, child-resistant electrical covers were not installed on all unused electrical outlets. Evidence: 1. 3 unused electrical outlets were not covered in the infant nap room.”

Rule 8VAC20-800-320-B.

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: 1. There were 6 steps/risers accessible to children that led into another room in the home from the children’s play area.”

Rule 8VAC20-800-430-A.

8VAC20-800-70-B

“Repeat Violation Based on review of children’s records and interview, the provider did not obtain the parent’s written acknowledgement of the receipt of the information required regarding the Provisions of the Emergency plan. Evidence: 1. The provider stated the Provisions of the Emergency plan was given to the parent, but did not get the parent’s written acknowledgement of the receipt of the Provisions of the Emergency plan for Child #2 and Child #3.”

Rule 8VAC20-800-70-B.

8VAC20-800-240-A

“Based on observation, furnishings of the family day home outside were not maintained in a safe and operable condition. Evidence: 1. A children’s play slide structure had a large crack on the base of the structure at the top.”

Rule 8VAC20-800-240-A.

8VAC20-800-70-B

“Based on review, the provider did not obtain the parent’s written acknowledgement of the receipt of the information required regarding the Provisions of the Emergency plan. Evidence: 1. Child #2 (start date 2/13/2023) did not have the parent’s signature on the document labeled Provisions of the Emergency Plan.”

Rule 8VAC20-800-70-B.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #2 (start date 6/06/2022) did not have documentation of a physical examination in the child’s file”

Rule 8VAC20-800-100-A.

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home inside and outside were not maintained in a safe and operable condition. Evidence: 1. The carpet on the deck stairs had 3 tears approximately 4 inches long for each one. 2. One crib had paint chipping on the top end rail.”

Rule 8VAC20-800-240-A.

8VAC20-800-70-A

“Based on record review, the provider did not provide the required information in writing to the parents before the child’s first day of attendance. Evidence: 1. Child #1 (start date 1/31/2022) did not have the parent’s written acknowledgment of the provisions of the emergency plan. 2. Child #2 (start date 6/06/2022) did not have the parent’s written acknowledgement of the provisions of the emergency plan, the information for parent’s form and the liability insurance declaration.”

Rule 8VAC20-800-70-A.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that the child had been adequately immunized before the child attended the family day home. Evidence: 1. Child #2 (start date 6/06/2022) did not have an immunization record in the child’s file.”

Rule 8VAC20-800-90-A.

22.1-289.058

“Based on interview, the provider serves preschool-age children and the home is not equipped with at least one carbon monoxide detector. Evidence: 1. The provider stated she did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-800-180-A

“Based on interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver every two years. Evidence: 1. Caregiver #1 (TB test 12/18/2019), Caregiver #2 (TB test 1/03/2020), Caregiver #3 (TB test 12/18/2019) and Caregiver #4 (TB test 12/18/2019) all had expired TB tests or screenings.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-B

“Based on review, the provider did not obtain the parent’s written acknowledgement of the provisions of the emergency preparedness and response plan for one child. Evidence: 1. Child #1 (start date 1/18/2021) did not have the parent’s written acknowledgement of the provisions of the emergency preparedness and response plan in the file.”

Rule 8VAC20-800-70-B.

8VAC20-800-750-A

“Based on observation and document review, the provider did not have written parent authorization at least annually for topical skin products such as diaper ointment. Evidence: 1. Child #3 had a diaper cream and a parent authorization form for the cream dated 3/24/2020.”

Rule 8VAC20-800-750-A.