Dina Revollo

8VAC20-800-580-A

“In order to promote the child’s physical, intellectual, emotional, and social well-being and growth, caregivers shall promote ways of getting along and encourage independence and self-direction. On 9/28/2026 Caregiver A did not promote ways of getting along or encourage independence or self-direction when they struck the arm of a child who was attempting to touch another child, and by forcing children who stood up to remain seated and watch a video.”

Rule 8VAC20-800-580-A. From a complaint.

8VAC20-800-640-1

“The following acts or threats thereof are forbidden: physical punishment including, but not limited to, striking a child, roughly handling or shaking a child, biting, pinching, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On 9/28/2026 Caregiver A was observed, on a video recording, pulling the hair of Child #1, and striking the arm of Child #2.”

Rule 8VAC20-800-640-1. From a complaint.

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. Child #1’s record did not include documentation of a completed physical. The physical was overdue by 2 months.”

Rule 8VAC20-800-100-A.

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. Child #1’s record did not contain documentation of immunizations. The immunization record was overdue by 3 months.”

Rule 8VAC20-800-90-A.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date. Infant bottles did not have the date on the bottles.”

Rule 8VAC20-800-960-E.

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee’s first day of employment. Caregiver C, who had been employed for over a month, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-800-170-B

“The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening, completed within the last 30 days. Caregiver C’s screening result was overdue by 6 days.”

Rule 8VAC20-800-170-B.

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver B did not obtain 16 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Repeat Violation A child’s record shall contain the following information: parent employment information. Child #1’s record did not contain documentation of the parent’s work addresses.”

Rule 8VAC20-800-60-B.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection report was not posted (11/4/24). The posted report was dated June 2024.”

Rule 22.1-289.011-F.

A child’s record shall contain the following information; name and policy number of the child’s medical insurance.

“Child #1 had no medical insurance information documented.”

Rule 8VAC20-800-60-B.

When topical skin products such as diaper ointment are used, written parent authorization noting any known adverse reactions shall be obtained at least annually;

“There was no written authorization available for Child #1’s diaper cream.”

Rule 8VAC20-800-750-A.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The emergency plan update was overdue by 4 months.”

Rule 8VAC20-800-800-B.

Repeat Violation Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver D’s national fingerprint check was overdue by 2 days.”

Rule 22.1-289.035-B-2.

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 #2’s physical was overdue by 31 days.”

Rule 8VAC20-800-100-A.

The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening.

“Caregiver D’s screening was overdue by 17 days.”

Rule 8VAC20-800-170-A.

The provider shall obtain for each caregiver a Tuberculosis screening, every two years from the date of the first screening.

“Caregiver B’s screening result was overdue by 5 months.”

Rule 8VAC20-800-180-A.

Repeat Violation Systemic Deficiency The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver C’s orientation was overdue by 13 months. Caregiver D’s orientation was overdue by 6 months.”

Rule 8VAC20-800-200-A.

8VAC20-800-60-A

“The provider shall maintain an up-to-date record at the family day home for each enrolled child. Child #12 had no file available.”

Rule 8VAC20-800-60-A.

Repeat Violation A first aid kit that contains at a minimum: two triangular bandages.

“There was 1 triangular bandage available.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-200-A

“Repeat Violation Based on a review of records, caregiver records did not contain documentation of orientation having been completed by the end of their first week of assuming job responsibilities. Evidence: Caregiver B did not have documentation of orientation on file. Date of Hire: 9/2021. Caregiver C did not have documentation of orientation on file. Date of Hire 5/1/24.”

Rule 8VAC20-800-200-A.

8VAC20-800-830-A

“Based on a review of documentation, emergency evacuation procedures were not practiced monthly. Evidence: No emergency evacuation drills were practiced for the months of April and May 2024.”

Rule 8VAC20-800-830-A.

22.1-289.035-B-2

“Based on provider statement, there were no fingerprint results available for one caregiver present. Evidence: Caregiver B (Substitute) did not have any fingerprint results on file.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on provider statement, one caregiver present did not have a completed Sworn Disclosure Statement (SDS) available for review. Evidence: Caregiver B’s record did not have a completed SDS available for review.”

Rule 8VAC20-770-60-B.

8VAC20-800-200-A

“Based on a review of records, one caregiver record did not contain documentation of orientation. Evidence: Caregiver C’s record had no orientation document available for review.”

Rule 8VAC20-800-200-A.

8VAC20-800-60-B

“Based on a review of records, child records did not contain all required information. Evidence: Child #1’s record lists a diagnosed food allergy. There was no information provided for actions to take in the event of an allergic reaction. The FARE form available for review was not complete, or signed by a physician. Child #2’s record did not contain health insurance policy information.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on a revie of the first aid kit, the kit was incomplete. Evidence: There was only 1triangular bandage.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-800-B

“Based on a review of the emergency preparedness plan, the plan has not been reviewed and updated annually. Evidence: The emergency plan was last dated 10/5/2020.”

Rule 8VAC20-800-800-B.

Based on a review of caregiver records, the provider failed to obtain a search of central registry record check.

“Evidence: Caregiver #1’s record does not contain a central registry record check. The last central registry record check expired 04/27/2023.”

Rule 8VAC20-770-40-D-1-a.

Based on a review of household member records, the provider failed to obtain a documentation of a central registry record check for persons living in the home of provider.

“Evidence: Household Member #1’s records do not contain a current report of a central registry record check. The last central registry record expired 04/27/2023.”

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

Based on a review of household member records, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: Household Member #’1’s record does not contain a current tuberculosis screening form. The last tuberculosis screen for expired on 8.29.2021.”

Rule 8VAC20-800-180-A.

Based on a review caregiver records, the provider failed to ensure that In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #3’s records do not contain documentation of 16 training hours.”

Rule 8VAC20-800-210-A.

Based on observation, caregiver’s failed to ensure that children’s hand are washed with liquid soap and warm running water after toileting or diapering.

“Evidence: Caregiver #2 did not wash the children’s hands after diaper change.”

Rule 8VAC20-800-680-B.

Based on a review of caregiver records, the provider failed to obtain for assistants and substitute providers who are not the spouse, parent, sibling, or child of the provider and are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Caregiver #2’s record does not have documentation of two or more reference checks.”

Rule 8VAC20-800-120-B.

Based on a review of staff and household members records, the provider failed to obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, n accordance with the requirements in 8VAC20-800-170, every two year form the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: Caregiver #1 does not have documentation of a current tuberculosis screening. Date of last screening 06/20/2020. Household Member #1 does not have documentation of a current tuberculosis screening. Date of last screening 8/29/2019.”

Rule 8VAC20-800-180-A.

Based on a review of caregiver records, the provider failed to ensure that in addition o satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1, #2 and #3’s records do not contain documentation of 16 hours of training for the 2021-2022 year.”

Rule 8VAC20-800-210-A.

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

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

Rule 8VAC20-800-60-A.

Based on a review of children’s records, the provider failed to ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: Child #1’s record for immunizations is dated 6/23/2022, the child’s first day of attendance was 6/21/2022. Child #2’s record does not contain documentation of immunizations on the first day of attendance. the child’s first day of attendance was 8/23/2021. Child #3’s record for immunizations is dated 10/6/2022, the child’s first day of attendance was 10/3/2022.”

Rule 8VAC20-800-90-A.

Based on observation, the provider failed to ensure that bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“Evidence: There were 3 bottles in the refrigerator that were dated, but had no name. There were 2 containers of food that did not have a name or a date.”

Rule 8VAC20-800-960-E.

Based on observation the provider failed to ensure that potentially poisonous substances shall be stored in areas inaccessible to children.

“Evidence: Diaper ointments labeled keep out of reach of children were in an area accessible to children.”

Rule 22VAC40-665-250-A.

Based on review of caregiver records, the provider failed to obtain for each caregiver every two years form the date of the first test or screening.

“Evidence: Caregiver #2’s record did not have documentation of a tuberculosis test or screening.”

Rule 8VAC20-800-180-A.