Maria Lozada

A child’s record shall contain the following information: Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“Child #4 has been enrolled for 2 weeks and did not have written authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The inspection summary and violation notice from the inspection on 1/16/2025 was not posted on the premises.”

Rule 22.1-289.011-F.

The provider is required to have caregivers and household members undergo a background check every five years.

“The most recent central registry check for caregiver #1 & #2 was overdue by more than 6 months.”

Rule 22.1-289.035-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“Caregiver #3 had a TB test or screening that was more than a year overdue.”

Rule 8VAC20-800-180-A.

Potentially poisonous substances, materials and supplies shall be stored away from food in areas inaccessible to children.

“A tube of tooth paste labeled “keep out of reach of children” was located in the doll house.”

Rule 8VAC20-800-280.

The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“There were no paper towels available in the bathroom during the inspection.”

Rule 8VAC20-800-340-C.

Annually, the provider shall, get documentation of the review of the child’s emergency contact information as required.

“Child #1 had an annual review that was more than 5 months overdue. Child #2 had an annual review that was more than 1 month overdue. Child #3 had an annual review that was more than 6 months overdue. Child #4 had an annual review that was more than 8 months overdue.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“The last emergency evacuation drill was practiced on 7/2/2025. There was no drill conducted in August 2025.”

Rule 8VAC20-800-830-A.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Child # 1 was enrolled for 5 months and did not have a physical examination on record.”

Rule 8VAC20-800-100-A.

When topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, the following requirements shall be met, written parent authorization noting any known adverse reactions shall be obtained at least annually.

“Child #1 had sunscreen on site with no written authorization. Child #2 and #3 had destine on site with no written authorization.”

Rule 8VAC20-800-750-A.

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Child #3 had an annual review that was expired for 1 month.”

Rule 8VAC20-800-780-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 emergency plan update was expired for nine months.”

Rule 8VAC20-800-800-B.

When meals or snacks are provider by the family day home, the menu for the current one-week period shall be dated.

“The menu was dated for 8/1/2024 - 8/31/2024 during the inspection.”

Rule 8VAC20-800-920.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“One of two children’s bottles were not labeled with the name and date.”

Rule 8VAC20-800-960-E.

Repeat violation

“Based on a review of 5 child records, the provider did not ensure a child’s record contained all of the required information. Evidence: Child #1 had an annual update dated 4/7/2021. Child #2 had an annual update dated 7/26/2022.”

Rule 8VAC20-800-60-B.

8VAC20-790-250-F

“Based on a review of caregiver records, the provider did not ensure the health and safety update course was completed annually. Evidence: Caregiver #1 did not have a health and safety update.”

Rule 8VAC20-790-250-F.

8VAC20-800-280

“Based on observation, the provider did not ensure that potentially poisonous substances such as cleaning agents were stored inaccessible to children. Evidence: Disinfectant wipes and all purpose cleaner was stored unlocked under the sink in the bathroom.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on a review of 5 child records, the provider did not ensure a child’s record contained all of the required information. Evidence: Child #1 had an annual update dated 4/7/2021. Child #2 was missing 1 emergency contact. Child #3 was missing parents work address and phone number.”

Rule 8VAC20-800-60-B.

8VAC20-800-260-C

“Based on observation, the portable wading pool was not emptied after use by each group of children. Evidence: A portable wading pool was filled with water outside of the basement door. The children were not currently using the portable wading pool.”

Rule 8VAC20-800-260-C.

8VAC20-800-280

“Based on observation, cleaning agents were not stored in areas inaccessible to children. Evidence: A container of Clorox wipes was on a child sized chair at the children’s table.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, there were electrical outlets that did not have child-resistant protective covers on all unused electrical outlets. Evidence: Electrical outlets throughout the space designated space for children did not have child-resistant protective covers on unused electrical outlets.”

Rule 8VAC20-800-320-B.

8VAC20-800-320-I

“Based on observation and interview, there was no fire extinguisher available. Evidence: There was no fire extinguisher available in the house. The provider stated that she didn’t think she needed one anymore.”

Rule 8VAC20-800-320-I.

8VAC20-800-830-C

“Based on observation and interview, documentation was not maintained of emergency evacuation drills. Evidence: The provider stated that she did the drills for 2021 however, she could not find the sheet that had the documentation for the drills.”

Rule 8VAC20-800-830-C.

Based on observation, an area of the family day home, inside, was not maintained in safe condition.

“Evidence: Peeling paint was observed on the lower part of one wall, accessible to children.”

Rule 8VAC20-800-240-A.

Based on record review, the provider did not obtain documentation of a current report of tuberculosis screening form every two years for 3 caregiver/household member records reviewed.

“Evidence: 1. The most recent tuberculosis form in the record for Caregiver #1 was dated 5/6/2019. 2. The most recent tuberculosis form in the record for Household Member #1 was dated 5/6/2019. 3. The most recent tuberculosis form in the record for Household Member #2 was dated 5/10/2019.”

Rule 22VAC40-111-180-A.

Based on record review, documentation of emergency drills did not contain all required information.

“Evidence: The emergency drill log did not contain documentation of the time of the drill for the months of April 2021-October 2021.”

Rule 22VAC40-111-830-C.