Lucy Ayala

The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“At the beginning of the inspection, the total number of children receiving care was 13 exceeding the family day home’s capacity of 12. One child was picked up during the inspection.”

Rule 8VAC20-800-40-A.

Potentially poisonous substances shall be inaccessible to children.

“Laundry detergent and disinfectant spray were in an unlocked laundry closet, accessible to children. Disinfectant wipes were on a shelf in the main childcare area, accessible to children.”

Rule 8VAC20-800-280.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival of each child in care as it occurs.

“There was no documentation of the arrival of Child #1, Child #2 and Child #4 at the time of inspection. All three children were present.”

Rule 8VAC20-790-180-B.

The family day home must obtain a copy of the results of a search of the central registry every five years for all household members.

“Household Member #1’s repeat central registry search was overdue by one month.”

Rule 22.1-289.035-B-3.

Repeat violation

“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. The provider did not obtain documentation of a physical examination for Child #3. Child #3 has been enrolled for 22 months.”

Rule 8VAC20-800-100-A.

8VAC20-800-100-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. The provider did not obtain documentation of a physical examination for Child #1 (start date: 01/17/2023).”

Rule 8VAC20-800-100-A.

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 last documented review of the emergency plan was dated 08/18/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The provider did not obtain documentation of immunizations for Child #1 (start date: 01/17/2023).”

Rule 8VAC20-800-90-A.

Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and running water after diapering.

“Evidence: 1. Child #3’s hands were not washed after Caregiver #3 changed their diaper. 2. Child #4’s hands were not washed after Caregiver #3 changed their diaper. 3. Child #5’s hands were not washed after Caregiver #3 changed their diaper.”

Rule 8VAC20-800-680-B.

Based on observation, the family day home failed to ensure that the diapering surface was cleaned and sanitized after each use.

“Evidence: Caregiver #3 did not clean and sanitize the diapering surface after changing Child #3, Child #4 and Child #5.”

Rule 8VAC20-800-690-D.

Based on record review, the family day home failed to practice emergency evacuation procedures monthly.

“Evidence: The family day home did not practice emergency evacuation procedures in May 2023.”

Rule 8VAC20-800-830-A.

Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector.

“Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on observation, the bathroom did not contain paper towels.

“Evidence: 1. The bathroom used by the children in care did not contain paper towels. 2. Child #2 was observed drying their hands with a cloth towel in the bathroom after washing their hands.”

Rule 8VAC20-800-340-C.

Based on observation, high chair safety straps were not used and securely fastened, when occupied by a child.

Rule 8VAC20-800-540-A.

Based on observation and caregiver interview, the vendor did not maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies.

“Evidence: Caregiver #1 stated that they did not have a written list of all children’s allergies.”

Rule 8VAC20-790-170-G.

Based on record review, the vendor did not obtain all information for children’s records.

“Evidence: 1. Child #1?s record indicates an allergy to cow’s milk, dairy and rice. The record for Child #1 did not include a written allergy care plan. 2. Child #2?s record indicates an allergy to peanuts. The record for Child #2 did not include a written allergy care plan.”

Rule 8VAC20-790-190-B-12.

Based on observation and caregiver interview, the family day home did not have a working carbon monoxide detector.

“Evidence: Caregiver #1 stated that there was not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Evidence: 1. The most recent Report of Tuberculosis Screening form for Household Member #1 was dated 11/11/2019.”

Rule 8VAC20-800-180-A.

Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. There was chipped paint on the wall by the baby gate between the main daycare room and the area with the high chairs. 2. There was chipped paint on the wall by the cubby shelves in the main daycare room. 3. There was chipped paint on the baseboards by the television in the main daycare room. 4. There was chipped paint on the column in the middle of the main daycare room.”

Rule 8VAC20-800-240-A.

Based on observation, not all small electrical appliances were unplugged while not in use by the caregiver or with children under close supervision.

“Evidence: In the kitchen, a toaster, toaster oven and coffee pot were plugged in while not in use.”

Rule 8VAC20-800-320-A.

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: The last day that the family day home recorded attendance was 09/07/2022.”

Rule 8VAC20-800-50-A.

Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use.

“Evidence: 1. The diaper changing pad had a cloth cover.”

Rule 8VAC20-800-690-D.

Based on observation and caregiver interview, a working portable battery-operated weather band radio was not available to caregivers at all times.

“Evidence: The provider did not have a portable battery-operated weather band radio in the home.”

Rule 8VAC20-800-770.

Based on a review of children’s records, the provider failed to obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #4’s record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 07/01/2019.”

Rule 8VAC20-800-100-A.

Based on a review of caregiver records, the provider failed to obtain for each caregiver a current report of tuberculosis screening form every two years from the date of the first screening.

“Evidence: Caregiver #1’s tuberculosis test results expired on 02/20/2022.”

Rule 8VAC20-800-180-A.

Based on a review of children’s records, the provider failed to maintain and up to date record of required documents for each child enrolled.

“Evidence: Child #1 and #2’s records do not have documentation of authorization for pick up. Child #2’s record does not have documentation of the first day of attendance. Child #1’s record does not have documentation of proof of the child’s age and identity.”

Rule 8VAC20-800-60-A.