Karla Florero

Repeat Violation

“Within seven business days of the child’s first day of attendance at the home-based child care, the provider shall obtain from the parent verification of the identity and age of the child. Child #2, in care for one month, did not have documentation of verification of the identity and age of the child. Caregiver #1 confirmed that documentation of verification of the identity and age of the child was not viewed within seven business days.”

Rule 8VAC20-800-80-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.

“A physical examination for Child #1 was not available at the time of the inspection. Child #1 has been in care for three months.”

Rule 8VAC20-800-100-A.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the identity and age of the child.

“Verification of the identity and age of Child #4 was not obtained from the parent. Child # 4 has been enrolled in care for six months.”

Rule 8VAC20-800-80-A.

Documentation shall be maintained of emergency evacuation and shelter in place drills.

“The family day home did not documentation of emergency evacuation and shelter in place drills for the months of September, October, November, and December. Caregiver #1 confirmed that the evacuation emergency and shelter in place drills were completed for months September through December, but documentation was not maintained.”

Rule 8VAC20-800-830-C.

The family day home is required to have employees undergo a background check every five years.

“The most recent central registry check for Staff #1 was overdue by 14 days.”

Rule 22.1-289.035-A.

Before the child’s first day of attendance, parents shall be provided in writing the provisions of the family day home’s emergency preparedness and response plan.

“Child #2, #3, and #4 parents were not provided in writing the family day home’s provisions of the family day home’s emergency preparedness and response plan. Child #2, #3, and #4 have been enrolled in the for one month.”

Rule 8VAC20-800-70-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Household Member #3 had an expired Report of Tuberculosis Screening in their record. The Tuberculosis Screening was expired for one month.”

Rule 8VAC20-800-180-A.

Repeat Violation

“Based on record review and interview, the family day home did not update criminal history record reports and Central Registry reports every five years. Evidence: 1. Caregiver #2’s (Start date-11/05/2018) criminal history record report was not updated every five years. Documentation of Caregiver #2’s criminal history report was dated 11/05/2018. Caregiver #2’s central registry report was not updated every five years. Documentation of Caregiver’s Central Registry report was dated 11/20/2018. 2. Caregiver #1 confirmed that Caregiver #2 did not have an updated criminal history report.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on record review and interview, the provider did not update the Central Registry reports every five years. Evidence: 1. Household Member #3 did not have documentation of an updated central registry report. Documentation of the last central registry report was dated 11/20/2018. 2. Caregiver #1 confirmed that Household Member #3 did not have an updated central registry report.”

Rule 22.1-289.036-A.

8VAC20-800-100-A

“Based on record review, the provider did not 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. Evidence: 1. Child #4’s record (Start date-06/05/2023) did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Repeat Violation

“Based on record review and interview, the provider did not obtain a current report of tuberculosis (TB) screenings. Evidence: 1. Household Member #1 and Household Member #2 did not have documentation of a current TB screening. Documentation of Household Member #1’s last TB screening was dated 05/07/2021. Documentation of Household Member #2’s last TB screening was dated 08/02/2021. TB screenings are required every two years. 2. Caregiver #1 confirmed that TB screenings were not obtained for Household Member #1 and Household Member #2.”

Rule 8VAC20-800-180-A.

8VAC20-800-520-A

“Based on interview, cribs were not provided for children from birth through 12 months of age. Evidence: 1. Child #5 (Start date-02/05/2024) is 11 months old. Caregiver #1 confirmed that Child #5 did not sleep in a crib.”

Rule 8VAC20-800-520-A.

Repeat Violation

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on review of documentation, the provider did not document in writing the review of the emergency plan annually. Evidence: 1. The emergency plan did not contain documentation in writing the annual review of the emergency plan. Documentation of the last review was dated 01/09/2023.”

Rule 8VAC20-800-800-B.

22.1-289.036-A

“Based on record review, the applicant for the family day home did not update criminal record reports every five years for a household member. Evidence: 1. Household Member #1’s record contained an expired criminal background check results report. The criminal background report was dated 03/08/2018.”

Rule 22.1-289.036-A.

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis(TB) Screen form. Evidence: 1. Caregiver#1’s record contained an expired TB Screening form. the form was dated 04/10/2021. 2. Household Member’s 1’s record contained an expired TB Screening form. The form was dated 05/07/2021. 3. Caregiver #1 confirmed that Caregiver#1’s and Household Member #1’s TB screening was not current.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Repeat Violation Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-08/21/2023) did not contain the medical insurance and policy name. 2. Child #2’s record (Start date-07/31/2023) did not contain the policy number of the medical insurance.”

Rule 8VAC20-800-60-B.

Based on observation the provider failed to ensure that bathroom used by children contained toilet paper.

“Evidence: The bathroom used by the children did not contain toilet paper.”

Rule 8VAC20-800-340-C.

Based on a review of children’s records, the provider failed to obtain all require documents for each child enrolled.

“Evidence: Child #4’s record did not have documentation of the names of persons other than the custodial parent who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on a review of household member records, the provider failed to request a fingerprint background check for resident of Family Day Home that reached the age of 18,

“Evidence: Household Member #3’s record did not have documentation of a criminal history/fingerprint background check. (DOB-05/03/2004)”

Rule 22.1-289.036-B-2.

Based on a review of household member records, the provider failed to ensure that when a person in the home becomes 18 years of age a sworn statement is completed.

“Evidence: Household Member #3 record does not have documentation of a sworn statement.”

Rule 8VAC20-770-40-D-4-a.

Based on a review of children’s records, the provider failed to obtain all required documentation for all children enrolled.

“Evidence: Child #3’s record does not have documentation of a work phone number for mother of child. Child #4’s record does not have documentation of a work phone number or work address for father of child. Child #4’s record does not have documentation for an address for one of the emergency contacts. Child #’s record does not have documentation of a medical insurance policy number.”

Rule 8VAC20-800-60-A.