Ms. Sandra Juarez

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate.

“There was no landline phone”

Rule 8VAC20-800-330-A.

For staff hired after 7/1/24 the provider must request a search of the central registry prior to the employee’s first day of employment.

“Evidence: The record for Caregiver #2 contained documentation that the central registry background search was not requested until 11 days after they began employment.”

Rule 22.1-289.035-B-3.

Providers must maintain a record for each caregiver with all required documents.

“Evidence: The record for caregiver #2, contained documentation that the two references as to the character and reputation as well as competency were not checked prior to employment. The references were checked nine days late.”

Rule 8VAC20-800-120-B.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“Evidence: The record for caregiver #2 did not contain documentation of orientation.”

Rule 8VAC20-800-200-A.

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

“Evidence: There were four children present and there was no written record of attendance.”

Rule 8VAC20-800-50-A.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Evidence: During the inspection a two-year-old child was observed lying down on a cot drinking a bottle.”

Rule 8VAC20-800-900-B.

Infant highchairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“At the time of the inspection two children, ages 20-months old and two-years-old, were sitting in highchairs without their protective belts fastened.”

Rule 8VAC20-800-540-A.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #4 did not have a parent’s signature for an annual review of the emergency contact information. The last documented review for the child was 18 months ago.”

Rule 8VAC20-800-780-B.

8VAC20-800-110-B

“Based on review, the provider did not ensure that physical examinations and immunizations are signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: reviewed 6 children’s records and found that Child 2 did not have documentation of a signed physical exam and immunization record, and Child 4 did not have documentation of a signed immunization record.”

Rule 8VAC20-800-110-B.

8VAC20-800-180-A

“Based on review, the provider did not ensure that subsequent TB screenings were obtained ever two years or more frequently as recommended by a physician, and in accordance with the requirements in 170 (must be signed by a physician, physician’s designee, or an official of the local health department). Evidence: reviewed Household Member 3’s record and found that the TB screening was a screenshot on a cell phone with no signature.”

Rule 8VAC20-800-180-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there were medications (Gabapentin and Aspirin) for household members in an unlocked bathroom cabinet, and a number of prescription medication bottles and over the counter medications on a top shelf of a dining cabinet, near the children’s eating area and kitchen, that was not locked, and accessible to children.”

Rule 8VAC20-800-730-D.

8VAC20-800-80-A

“Based on review, the provider did not ensure that they obtained documentation of proof of id within 7 business days. Evidence: reviewed 6 children’s records and found that Child 5 did not have documentation of reviewing or obtaining proof of identity.”

Rule 8VAC20-800-80-A.

22.1-289.036-A

“Based on review of three household member records, it was determined that not all household members had a repeat central registry report every five years as required. Evidence: The record for household member #3 had a central registry search report dated: 12/28/2016.”

Rule 22.1-289.036-A.

8VAC20-770-60-C-2

“Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers had Central Registry Search results within thirty days of employment. Evidence: the record for staff #2 (Date of hire: 4/4/2022, did not have documentation of a Central Registry search report on file.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-900-B

“Based on observation, and an interview with the provider, it was determined that children were allowed to drink while lying down. Evidence: two bottles were observed in cribs with children who were sleeping. The provider stated that there was milk in the bottles.”

Rule 8VAC20-800-900-B.