Karina Moscoso

Repeat violation

“The family day home shall keep a written record of children in attendance each day. The provider did not take written attendance on the date of inspection”

Rule 8VAC20-800-50-A.

Documentation shall be maintained of emergency evacuation.

“The emergency evacuation drill for August was not documented.”

Rule 8VAC20-800-830-C.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for Child #2 was not signed.”

Rule 8VAC20-800-110-B.

Providers must keep a written record of children in attendance each day.

“The provider did not take written attendance on 2/16/2026-2/27/2026.”

Rule 8VAC20-800-50-A.

A child’s record shall contain the address of the child’s physician.

“The record for Child #2, enrolled for one month, was missing the address of the child’s physician.”

Rule 8VAC20-800-60-B.

Bottles shall be refrigerated and labeled with child’s full name and the date.

“Four bottles were not labeled with the date.”

Rule 8VAC20-800-960-E.

911 or local dial number for police, fire, and emergency medical responders, poison control, and the responsible person for emergency backup care telephone numbers shall be posted in a visible area close to the telephone.

“The emergency telephone numbers were not posted.”

Rule 8VAC20-800-790.

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

“The most current inspection notice (09/11/2024) was not posted on the premises as required.”

Rule 22.1-289.011-F.

The provider shall obtain a current Report of Tuberculosis Screening form, every two years.

“A Tb screening report for Caregiver #1 was overdue by ten months.”

Rule 8VAC20-800-180-A.

All caregivers shall have within 90 days of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Caregiver #2 has been employed for 5 months and has not obtained a CPR certification.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care.

“Caregiver #2 has been employed for 5 months and has not obtained a first aid certification.”

Rule 8VAC20-790-250-D-2.

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

“The national criminal background check for Caregiver #2, who is currently working, was dated thirteen day after their first day of employment.”

Rule 22.1-289.035-B-2.

22.1-289.036-B-2

“The family day home is required to have household members undergo a background check every five years. The national criminal background check for Household Member #1 was overdue by three months.”

Rule 22.1-289.036-B-2.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by three months. For Household Member #1, an updated Tb screening was overdue by four months. For Household Member #2, an updated Tb screening was overdue by three months.”

Rule 8VAC20-800-180-A.

*REPEAT VIOLATION* It is required that fireplaces and associated chimneys be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.

“The most recent fireplace inspection was dated 11/04/2022.”

Rule 8VAC20-800-320-G.

The provider shall review the emergency plan at least annually and update the plan as needed.

“The most recent update of the emergency plan documented was dated 04/20/2023.”

Rule 8VAC20-800-800-B.

22.1-289.011-F

“Based on review of required posted documents, the Provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (07/2023) were not posted.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“Based on record review, the Provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 06/21/2023) did not contain the results of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 6 children were in care in the fdh. No attendance record was available for review to document the children that were in care.”

Rule 8VAC20-800-50-A.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent reviews of the emergency information in the records for Child #4, Child #5 and Child #6 were dated 01/13/2023.”

Rule 8VAC20-800-780-B.

22.1-289.011-F

“Based on observation, the current inspection notice was not posted in a conspicuous place on the licensed premises as required. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (01/11/2023) were not posted. The inspection notice posted was dated 08/29/2022.”

Rule 22.1-289.011-F.

22.1-289.035-B-2

“Based on record review, the provider did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one caregiver. Evidence: 1) The record for Caregiver #2 (start date 05/23/2023) had a fingerprint-based criminal history check determination letter dated 06/16/2023.”

Rule 22.1-289.035-B-2.

8VAC20-800-170-A

“Based on record review, the provider did not ensure to obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: 1) The record for Caregiver #2 (start 05/23/2023) did not contain the results of a current report of tuberculosis screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-200-A

“Based on record review, caregivers did not complete required orientation training by the end of their first week of assuming job responsibilities. Evidence: 1) On the date of inspection, the record for Caregiver #2 (start date 05/23/2023) did not contain documentation of having completed orientation training as required.”

Rule 8VAC20-800-200-A.

8VAC20-800-780-B

“Based on record review, the provider did not ensure to review, annually, 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. Evidence: 1) The most recent acknowledgement of review of emergency information in the record for Child #2 was dated 02/04/2022.”

Rule 8VAC20-800-780-B.

8VAC20-790-430-A-3

“Based on documentation review, lockdown procedures were not practiced at least annually. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have an lockdown drill documented for the year.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-120-B

“Based on record review, caregivers’ records did not contain all required information. Evidence: 1) The record for Staff #2 did not contain their date of employment, and the name, address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

8VAC20-800-530-B

“Based on observation, three out of four cribs observed did not have a tight-fitting bottom cover. Evidence: 1) On the date of inspection, the bottom cover in one of the cribs in the infant room was not tight-fitting.”

Rule 8VAC20-800-530-B.

8VAC20-800-680-B

“Based on observation, caregivers did not always ensure that children’s hands are washed with liquid soap and warm running water when required. Evidence: 1) On the date of inspection, Staff #2 was observed changing the diapers of four different children. After finished diapering, Staff #2 did not ensure to wash children’s hands with soap and water.”

Rule 8VAC20-800-680-B.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #1 was dated 09/12/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of September 2022 through December 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on documentation review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the 2022 emergency drills log provided for review, had a shelter-in-place drill documented for the month of July 2022, however, a second shelter-in-place drill for the year 2022 was not documented.”

Rule 8VAC20-800-830-B.

8VAC20-800-890

“Based on observation, food brought from the child’s home did not meet all requirements. Evidence: 1) On the date of inspection, 3 containers with food brought from home for Child #1 were observed in the fdh’s fridge. These containers were not dated.”

Rule 8VAC20-800-890.

8VAC20-790-180-B

Rule 8VAC20-790-180-B.

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, the records for Staff #1 and Staff #2 did not contain documentation of having completed all of the required sixteen clock hours of annual training during the August 2021 - July 2022 license year: Staff #1 completed 5 training hours and Staff #2 completed 3 training hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review.”

Rule 8VAC20-800-320-G.

8VAC20-800-50-A

“Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 10 children were in care in the fdh. The attendance record had documented that only 7 children were in care.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The records for Child #1 and Child #2 did not contain the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

22VAC40-665-230-H

“Based on record review, caregivers who work directly with children did not attend annually the department’s health and safety update course. Evidence: 1) There is no documentation in the record for Staff #1 and #2 of having completed the health and safety update course for the year 2021.”

Rule 22VAC40-665-230-H.

8VAC20-790-180-B

Rule 8VAC20-790-180-B.

8VAC20-800-100-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) The record for Child #3 (start date 11/29/2021) and Child #4 (start date approximately 11/29/2021) did not contain a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-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 (Tb) Screening form, every two years. Evidence: 1) The most recent Tb screenings available for review were dated as follows: for Staff #1 was dated 11/26/2019, for HM #1 was dated 01/27/2020, for HM #2 was dated 01/28/2020, and for HM #3 was dated 11/21/2019.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“8VAC20-800-240-A Based on observation, areas of the of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: In the backyard area, the following was observed: a) A plastic slide had a broken support piece underneath. b) Areas on the lower part of the wooden storage shed were broken and showed splintered wood: bottom part of the door, and the back corner on the left side of the shed. c) A broken slat of the wooden fence on the left side area of the backyard.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“8VAC20-800-280 Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1) In the bathroom of the care area, two cleaning products (a can of Lysol spray and a container of Clorox wipes) were observed on top of the toilet tank lid.”

Rule 8VAC20-800-280.

8VAC20-800-320-G

“8VAC20-800-320-G Based on documentation review and interview with the provider, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review. The provider stated that an inspection of the fireplace had not been conducted in quite some time.”

Rule 8VAC20-800-320-G.

8VAC20-800-510-C

“8VAC20-800-510-C Based on observation and interview with the provider, the provider did not ensure that occupied cribs were located at least 12 inches from each other. Evidence: 1) There were two occupied cribs in the Infant room that were located right next to each other with no space in between.”

Rule 8VAC20-800-510-C.

8VAC20-800-520-A

Rule 8VAC20-800-520-A.

8VAC20-800-530-F

“8VAC20-800-530-F Based on observation, soft bedding was used on or around infants. Evidence: 1) On the date of inspection, Child #3 (4 months old) was observed napping and a soft blanket was placed over the infant’s tummy. There were two occupied cribs in the Infant room and two blankets were hanging from the sides of the cribs. (One blanket on each crib)”

Rule 8VAC20-800-530-F.

8VAC20-800-540-B

“8VAC20-800-540-B Based on observation, infant walkers were being used. Evidence: 1) On the date of inspection, Child #4 was observed sitting in an infant walker. The child was observed in the walker for about 30 minutes before being moved to the floor for “tummy time”.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-B

“8VAC20-800-60-B Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #4 did not contain the name and policy number of the child’s medical insurance; and the first date of attendance.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-E

“8VAC20-800-690-E Based on observation, caregivers did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1) After diapering an infant, Staff #2 was observed disposing the diaper in a plastic grocery bag and hanging it on the side of the changing table and walked away leaving it there.”

Rule 8VAC20-800-690-E.

8VAC20-800-800-B

“8VAC20-800-800-B Based on document review and interview, the provider did not review the emergency plan at least annually. Evidence: 1) On the date of inspection, the most recent review of the emergency plan was dated 02/17/2017. Upon interview with the provider, two additional documents that were to be part of the emergency plan were attached and considered. The most recent reviews of these documents were dated as follow: Continuity of Operations was dated 09/04/2019 and Lockdown Procedures was dated 01/06/2020.”

Rule 8VAC20-800-800-B.

8VAC20-800-890

“8VAC20-800-890 Based on observation and interview with the provider, the provider did not ensure that food containers brought from home be clearly labeled in a way that identifies the owner. Evidence: 1) On the date of inspection, two milk bottles in the refrigerator were not labeled. 2) The provider stated that both bottles belonged to Child #2.”

Rule 8VAC20-800-890.

8VAC20-800-940-B

“8VAC20-800-940-B Based on observation and interview with the provider, an operable thermometer was not available to monitor the freezer compartment temperature. Evidence: 1) On the date of inspection, a thermometer for the freezer compartment was not available. 2) The provider stated that they did not have a thermometer for the freeze.”

Rule 8VAC20-800-940-B.

8VAC20-820-120-E-1

“8VAC20-820-120-E-1 Based on observation, the most recently issued license was not posted as required. Evidence: 1) On the date of inspection, the license posted at the family day home had an expiration date of August 6, 2021.”

Rule 8VAC20-820-120-E-1.

8VAC20-820-120-E-2

“8VAC20-820-120-E-2 Based on observation, the findings of the most recent inspection of the facility were not posted as required. Evidence: 1) On the date of inspection, the inspection findings posted at the family day home were dated 07/09/2020. The most recent inspection to this facility was conducted on 07/21/2021.”

Rule 8VAC20-820-120-E-2.