Marta Alejos

Repeat Violation

“Caregivers who work directly with children shall annually complete the department’s health and safety update course. Caregiver #1 did not complete the annual health and safety update course. The training is overdue by seven months.”

Rule 8VAC20-790-250-F.

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

“Caregiver #1 did not obtain a subsequent TB screening. The TB screening is overdue by five months. Household Members #1, #2, and #4 did not obtain a subsequent TB screening. The TB screenings for Household Members #1, #2, and #4 are overdue by five months.”

Rule 8VAC20-800-180-A.

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Caregiver #1 did not complete the department’s health and safety update course. Documentation of the last completed health and safety update course was dated over a year.”

Rule 8VAC20-790-250-F.

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.

“Child #6, 9 years old, enrolled for 30 months, did not have documentation of a physical examination in the record.”

Rule 8VAC20-800-100-A.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.

“Child #1, 26 months, did not have documentation of immunizations once every six months. Documentation of Child #1’s immunizations was dated when the child was nine months old. There were no current immunization records in the record.”

Rule 8VAC20-800-90-C.

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

“The most recent violation notice and inspection summary were not posted on the licensed premises. The violation notice posted was dated for 8/26/2024. The last inspection took place on 3/20/2025.”

Rule 22.1-289.011-F.

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

“The menu for the current one-week period was not dated with the current date. The menu was still dated for the week of April 13-18 2025.”

Rule 8VAC20-800-920.

8VAC20-790-250-F

“Based on documentation review and interview, caregivers who work directly with children did not complete the department’s health and safety update course. Evidence: 1. Caregiver #1 did not complete the department’s health and safety update course. Documentation of the previous health and safety update course was dated 08/17/2023. 2. Caregiver #1 confirmed that the department’s health and safety update course was not completed for the year.”

Rule 8VAC20-790-250-F.

8VAC20-800-60-B

“Based on record review, five of six children’s records did not contain required information. Evidence: 1. Child #1’s, Child #2’s, Child #3’s, Child #4’s and Child #5’s record did not contain documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1’s record (Start date-01/02/2024) did not contain documentation of a physical examination. 2. Caregiver #1 confirmed that documentation of a physical examination was not obtained prior to the child’s attendance or within 30 days after the first day of attendance.”

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 clean, safe, and operable condition. Evidence: 1. The red children’s chair located in the living room area of the family day home had a five inch tear in the seat exposing the foam cushion.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on documentation review and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. The family day home did not have a written record of children in attendance to review at the time of the inspection. 2. Caregiver #1 confirmed that attendance had not been taken.”

Rule 8VAC20-800-50-A.

8VAC20-800-830-A

“Based on documentation review and interview, the emergency evacuation procedures were not practiced with all caregivers and children in care during all shifts that children are in care. Evidence: 1. Documentation of the emergency evacuation drill for the month of February was missing from the log sheet. 2. Caregiver #1 confirmed that an emergency evacuation drill for the moth of February was not conducted.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on record review, and interview, the provider did not obtain documentation that the child has been adequately immunized before the first date of attendance. Evidence: 1.Child #1’s record (Start date-01/02/2024) did not contain documentation that the child has been adequately immunized. 2.Caregiver #1 confirmed that immunization records had not been obtained from the parent before the first date of attendance.”

Rule 8VAC20-800-90-A.

8VAC20-800-640-6

Rule 8VAC20-800-640-6. From a complaint.

22.1-289.036-A

Rule 22.1-289.036-A.

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Staff #1 was observed changing a child’s diaper. After the diaper change, Staff #1 wiped the diapering surface with a baby wipe and did not clean and sanitize the diaper pad.”

Rule 8VAC20-800-690-D.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and date when more than one infant was in care. Evidence: 1. Child #1’s bottle(Start date-07/25/2023) was located sitting on top of a shelf without the child’s name and date. 2. Child #2’s bottle (Start date-07/31/2023) was not labeled with the child’s name and date.”

Rule 8VAC20-800-960-E.

8VAC20-790-250-F

“Based on record review and interview, caregivers did not complete the department’s health and safety update course. Evidence: 1. Caregiver #1 did not have documentation of the department’s health and safety update course. 2. Caregiver #1 confirmed that the department’s health and safety update course had not been completed at the time of the inspection.”

Rule 8VAC20-790-250-F.

8VAC20-800-210-A

“Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #1 did not have a minimum of sixteen clock hours of annual training. Caregiver #1 completed a total of two hours of training. 2. Caregiver #1 confirmed that sixteen hours of annual training had not been obtained.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-11/15/2017) and Child #2’s record (Start date-09/10/2011) did not have documentation of the review of the child’s emergency contact information. 2. Child #3’s record (Start date-02/07/2013) did not have documentation of the results of a health examination. A record of the immunization records were available for review.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on record review and interview, the provider did not maintain documentation of shelter in place drills. Evidence: 1. There was no documentation of two shelter in place drills conducted for the year. 2. Caregiver #1 confirmed that documentation was not maintained for shelter in place drills.”

Rule 8VAC20-800-830-C.

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1. In the bathroom, a bottle of disinfectant was located in a cabinet on the bottom shelf. 2. A bottle of air deodorizer containing the warning, “Keep out of children’s reach” was located on a shelf above the sink.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on record review, the provider did not obtain parent’s written acknowledgement of the receipt of information. Evidence: 1. Child #2’s record (Start date-06/06/2022) did not contain written acknowledgement of receipt of provisions of the emergency plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.”

Rule 8VAC20-800-70-B.

8VAC20-800-920

“Based on observation, the menu for the current week was not posted and dated. Evidence: 1. A menu for the current week was not posted. The menu that was posted was dated week of July 11-15 2022.”

Rule 8VAC20-800-920.

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

“Based on record review, the provider did not obtain a Central Registry Results for household members. Evidence: 1. Household Member #2’s record did not contain documentation of a current Central Registry finding. The Central Registry results in the record was dated 01/03/2017 and expired on 01/03/2022. 2. Household Member #4’s record did not contain documentation of a completed Central Registry search.”

Rule 8VAC20-770-40-D-4-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 #2’s first date of enrollment was 01/13/2020. Child #2’s record did not contain results from a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Household Member #3’s record did not contain documentation of a subsequent Tuberculosis (TB)Screening. The TB screening in the record was dated 03/24/2017 and expired on 03/24/2019.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“Based on observation, the family day home did not keep a record of the children in attendance. Evidence: 1. At the time of the inspection, there were two children in attendance. Documentation of attendance for the children in care was not taken for the 03/09/2022.”

Rule 8VAC20-800-50-A.

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Caregiver #1 changed the diaper of a child in care. After the diaper change, Caregiver #1 washed their hands and the child’s hands, but did not clean and sanitize the diapering surface after use.”

Rule 8VAC20-800-690-D.

8VAC20-800-800-A

“Based on record review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. The family day home did not have documentation of a written emergency preparedness plan. Caregiver #1 stated that the plan was completed, but could not locate the plan.”

Rule 8VAC20-800-800-A.