Ms. Ligia Pavon

The provider is required to have household members undergo a background check every five years.

“The most recent central registry background check for household member #2 was overdue by five months.”

Rule 22.1-289.036-A.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“The documentation of a physical examination for Child #2 was overdue by three months.”

Rule 8VAC20-800-100-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually.

“The record for caregiver #2 was missing 15 hours of the required annual training hours.”

Rule 8VAC20-800-210-A.

Areas and furnishing of the family day home, inside and outside, shall be maintained in a safe condition.

“Peeling paint, that was accessible to the children, was observed on the wall of the daycare area.”

Rule 8VAC20-800-240-A.

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

“Caregiver #2, that began employment on the day of inspection, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

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

“The record for Caregiver #2, that began employment on the day of inspection, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Repeat Violation

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. In the bathroom, there was a nine-inch section of the door frame that had broken off, exposing a hole in the wall and splintering wood that was within the children’s reach.”

Rule 8VAC20-800-240-A.

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

“There were six children in attendance, the written record reflected five.”

Rule 8VAC20-800-50-A.

Repeat Violation

“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. Child #5, two-years-old, was observed sitting in a highchair without the safety strap fastened.”

Rule 8VAC20-800-540-A.

Based on observation, the provider did not ensure the family day home was in a clean safe and operable condition.

“Evidence: There were two water hoses laying on the ground of the play area posing a trip hazard and a plastic ride on toy was observed laying on its side, the steering wheel had broken off exposing sharp pieces of plastic posing a scratch hazard.”

Rule 8VAC20-800-240-A.

Based on interview with the provider, the provider did not ensure that diapering surface is cleaned and sanitized after each use.

“Evidence: The agent used to clean and sanitize the diaper surface was a mixture of bleach, water, and liquid soap mixed together in one spray bottle.”

Rule 8VAC20-800-690-D.

Based on record review; the provider did not ensure that before the child’s first day of attendance that parents are provided all required policies in writing.

“Evidence: Child #1 (Start Date: 7/31/23), did not have documentation that parents were provided the liability insurance declaration.”

Rule 8VAC20-800-70-A.

Based on review of five children’s records, the provider did not ensure that they reviewed with the parent the emergency contact information annually for each child and obtained the parent’s signature acknowledging the review.

“Evidence: The record for Child #1 (Start date of 7/31/23), Child #3 (Start date of 8/9/21), Child #4 (Start date 3/20/23), and Child #5 (Start date of 4/11/22), does not have documentation of an annual review with parent signature.”

Rule 8VAC20-800-780-B.

Repeat Violation

“Based on review of documentation, the provider did not obtain repeat central registry check results within five years of the date of the last central registry check results for each staff. Evidence: The results of the central registry check for Staff #2 was dated 11/29/17.”

Rule 22.1-289.035-A.

Based on observation the provider did not ensure highchairs were used according to the manufacturer’s instructions.

“Evidence: A 16-month-old child sitting in a highchair was not secured by the safety straps.”

Rule 8VAC20-800-540-A.

Based on review of emergency supplies, the provider did not have all the required items.

“Evidence: There was no battery-operated weather band radio available at the time of the inspection.”

Rule 8VAC20-800-770.

Based on review of three staff records, the provider did not ensure that all staff completed the required Virginia Preservice Training within the first 90 days of employment.

“Evidence: The record for staff #2, with a start date of 1/3/23, did not contain documentation of the Virginia Preservice Training.”

Rule 8VAC20-790-250-B.

Based on documentation review, the provider did not ensure that all caregivers had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

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

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

Based on documentation review, the provider did not ensure that all caregivers had current certification in first aid.

“Evidence: The record for caregiver #2 did not contain documentation of certification in first aid.”

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

(Repeat Violation)

“Based on review of three caregiver records, the provider did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for caregiver #2, with a start date of 1/3/23, did not contain documentation of the results of a central registry search at the time of inspection.”

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

Based on observation the provider did not ensure that accordion expansion gates were not used as protective barriers at stair openings.

“Evidence: A large metal accordion expansion gate, approximately 6 feet in width, was located at the top of the concrete stairs that lead down from the playground area into the residence. At the time of inspection a child placed their head in one of the diamond shaped openings.”

Rule 8VAC20-800-430-B.

22.1-289.036-B-2

“Based on observation and interview, it was determined that one staff did not have the fingerprint background checks prior to employment. Evidence: Staff A was caring for the daycare children but there was no fingerprint background check on file. There was no information provided as to staff A’s date of employment however interview revealed it has been intermittently and over a month.”

Rule 22.1-289.036-B-2.

8VAC20-770-60-B

“Based on observation and interview, it was determined that there was no sworn disclosure background check on file prior to employment for staff A. Staff A was providing care to the children during the inspection.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on observation and interview, it was determined that staff A did not have a central registry finding on file within 30 days of employment. Although there was no date provided as to staff A’s employment date, interview revealed that staff A has been helping in the family day home intermittently and over a month.”

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

8VAC20-800-100-B

“Based on a review of the children’s files, it was determined that child E did not have a physical on file within 30 days of enrollment. Child E enrolled on 9/20/22.”

Rule 8VAC20-800-100-B.

8VAC20-800-120-A

“Based on interview, observation and a review of documentation, it was determined that there was no file on staff A, who was present and providing supervision and care to the children during the inspection.”

Rule 8VAC20-800-120-A.

8VAC20-800-140-D

“Based on interview and observation, it was determined that the substitute provider ( Staff B) was present for the entire week as the provider was on vacation. There was no record maintained as to the time of arrival and departure each day that the substitute provider worked.”

Rule 8VAC20-800-140-D.

8VAC20-800-180-A

“Based on a review of files and interview, it was determined that Staff C’s tuberculosis test has not been updated every two years. Staff C’s tuberculosis test is dated 1/29/20.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“Based on observation, it was determined that the family day home was not maintained ina clean and operable condition. Evidence: The Licensing Inspector observed in the bathroom used by the children a missing covering for the baseboard heating unit, which exposed the heating element and pipes.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, it was determined that hazardous substances were accessible to the children. Evidence: The Licensing Inspector (LI) observed a can of disinfectant spray on the shelf in the main room and an all purpose cleaner on a shelf near the tv. These cleaning agents were in reach of the children.”

Rule 8VAC20-800-280.

8VAC20-800-50-A

“Based on observation, interview and a review of the attendance log, it was determined that the family day home did not have an accurate written record of children in attendance each day. Evidence: Interview and observation revealed that there were 8 children present however there were only 7 children on the attendance log.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

“Based on a review of 8 children’s files and interview with the staff, it was determined that there were missing components in the children’s files. Evidence: 1. Child A did not have an enrollment date. 2. Child B did not have the name of their physician. Child B enrolled on 12/1/21. 3. Child E did not have the address of their physician on file at the time of enrollment. Child E enrolled on 9/20/22.”

Rule 8VAC20-800-60-A.

8VAC20-800-780-B

“Based on a review of children’s files, it was determined that the provider has not obtained annual updates on emergency contacts to include the parent’s signed acknowledgement of the updates for 3 children. Evidence: 1. Child B enrolled in 12/21, child C enrolled in 9/20 and child D enrolled in 8/21. There was no documentation that updated information had been obtained.”

Rule 8VAC20-800-780-B.

8VAC20-800-320-G

“Based on observation and interview, it was determined that a wood burning fire place and associated chimney had not been inspected annually. An interview revealed that it had been several years since the fireplace was last inspected. There was no documentation provided to show the last inspection date.”

Rule 8VAC20-800-320-G.