Alicia Villagra

Repeat Violation 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.

“There were no physical exam records available for Child #1, #2, and #4, who had been in care for over 90 days.”

Rule 8VAC20-800-100-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“The immunization record for Child #2 was received over one month after the child started attending.”

Rule 8VAC20-800-90-A.

Repeat Violation 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.

“There were no physical exam records available for Child #2, in care for 11 months.”

Rule 8VAC20-800-100-A.

Repeat Violation Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were located on a low shelf on the countertop within reach of children.”

Rule 8VAC20-800-280.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Caregiver #2 did not wash Child #2?s hands after a diaper change.”

Rule 8VAC20-800-680-B.

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 #3 (enrolled over 2 years) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 5 months.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly.

“The provider confirmed the fire drill for January was not conducted.”

Rule 8VAC20-800-830-A.

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

“During the inspection, 7 children were present but only 6 children were signed in. Child #1 had arrived an hour and a half prior to the inspection and not recorded on the daily attendance record.”

Rule 8VAC20-790-180-B.

Lockdown procedures shall be practiced at least annually.

“There was no record of a lockdown procedure being conducted.”

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

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

“The findings from the most recent inspection, dated 2/5/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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.

“There were no physical exam records available for Child #2, in care for over 2 years, and Child #3, in care for over 5 months.”

Rule 8VAC20-800-100-A.

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 over 2 weeks. An updated TB screening for Caregiver #3 was not completed and was overdue by 12 days.”

Rule 8VAC20-800-180-A.

Documentation of orientation for assistants shall be signed and dated by the provider and substitute provider or by the provider and assistant.

“Caregiver #2 (employed over 1 year), Caregiver #3 (employed over 18 years), and Caregiver #4 (employed over 1 year) did not have documentation of orientation.”

Rule 8VAC20-800-200-C.

The provider shall maintain documentation of the current rabies vaccination for pets.

“The provider did not have documentation of rabies vaccination for 2 cats in the home.”

Rule 8VAC20-800-460-D.

A child’s record shall contain the required information.

“The record for Child #4 (2 years old), did not contain the name, home address, and telephone number of each parent; the name, address, and telephone number of each custodial parent’s place of employment; the first date of attendance; and the names and addresses of previously attended schools.”

Rule 8VAC20-800-60-B.

The family day home shall have a written emergency preparedness and response plan that included the required information.

“The provider did not have documentation of an emergency preparedness and response plan available.”

Rule 8VAC20-800-800-A.

Within 90 days of employment, all caregivers are required to have current certification in CPR.

“Caregiver #3, employed for over 5 months, did not have current certification in CPR.”

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

Within 90 days of employment, all caregivers are required to have current certification in First Aid.

“Caregiver #3, employed for over 5 months, did not have current certification in First Aid.”

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

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

“Caregiver #3, who had been employed for over five months, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The provider must request a search of the central registry prior to the caregiver’s first day of employment.

“The central registry request for Caregiver #3, who had been employed for over five months, was requested 33 days after employment.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION Providers must maintain a record for each caregiver that contains the required information.

“The record for Caregiver #2 did not contain verification of age and documentation of the required education and training. The record for Caregiver #3 did not contain verification of age, the name, address, and telephone number of a person to be notified in an emergency, documentation that two or more references were checked before employment, documentation of the required education and training, and documentation of a tuberculosis screening.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver #3, who has been caring for children for over five months.”

Rule 8VAC20-800-170-A.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Caregiver #3 provided care for children for over five months without receiving orientation.”

Rule 8VAC20-800-200-A.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were in an unlocked lower cabinet under the sink in the main room with children present.”

Rule 8VAC20-800-280.

Infant carrier seats 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 #1, 4 months old, was observed unbuckled and asleep in a car seat, which was placed inside of a crib.”

Rule 8VAC20-800-540-A.

Based on document review, the vendor did not maintain a record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: -On the day of inspection, 8/7/24, the attendance record already listed the departure time of each child in care. -The arrival and departure times of 12 children were already documented for 8/8/24 and 8/9/24.”

Rule 8VAC20-790-180-B.

REPEAT VIOLATION Based on documentation review, the vendor did not ensure to practice lockdown procedures at least annually.

“Evidence: On the date of inspection, the emergency drills provided did not have a lockdown drill. Provider stated they have not done one.”

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

REPEAT VIOLATION Based on observation, the provider did not have the most recent violation notice and inspection summary posted.

“Evidence: The most recent violation notice and inspection summary (date of last inspection 2/6/24) was not posted.”

Rule 22.1-289.011-F.

REPEAT VIOLATION Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance.

“Evidence: Child #5 (date of enrollment 7/12/23) does not have a physical examination on file.”

Rule 8VAC20-800-100-A.

Based on observation and interview, the provider did not maintain a record for each caregiver.

Rule 8VAC20-800-120-A.

Based on file review, the provider did not maintain the required information for assistants.

“Evidence: -The documentation for assistant #1 did not include verification of age, date of employment, or an emergency contact.”

Rule 8VAC20-800-120-B.

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

“Evidence: -The attendance record for 8/7/24 listed 11 children. Child #6 and Child #7 were signed in on the attendance record but were absent. Child #12 was in attendance but was not signed in.”

Rule 8VAC20-800-50-A.

Based on record review and interview, the provider did not maintain all the required records in the home.

“Evidence: -Documentation for annual training was not available at the time of inspection. -Documentation for substitute provider information was not available at the time of inspection. -Rabies information for cats was not available at the time of inspection.”

Rule 8VAC20-800-50-B.

Based on observation and interview, the provider exceeded the 16 point maximum.

“Evidence: Upon arrival at approximately 10:25am, it was observed that only the provider was on-site with 10 children (28 points). The provider stated assistant #1 had an emergency and was off-site for approximately 30 minutes. The provider was observed on the telephone calling someone for assistance. Approximately 5 minutes later, assistant #2 arrived to help, and then a minute later assistant #1 returned.”

Rule 8VAC20-800-570-A.

REPEAT VIOLATION Based on record review, the provider did not obtain the required information for children’s records.

“Evidence: The record for Child #5 (date of enrollment 7/12/23) did not have the name, address, and telephone number of each parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not document the required information for proof of age and identity.

“Evidence: -Child #1 (date of enrollment 12/26/23) did not have documentation for the date proof of age and identity was viewed and by who. -Child #2 (date of enrollment 7/22/24) did not have documentation for the date proof of age and identity was viewed and by who. -Child #5 (date of enrollment 7/12/23) did not have documentation for the date proof of age and identity was viewed and by who.”

Rule 8VAC20-800-80-C.

Based on interview, the provider did not ensure to record child injuries or accidents sustained by a child while at the family day home.

“Evidence: The provider stated they tell the parent at pick-up time about injuries but does not record in the child’s record injuries or accidents.”

Rule 8VAC20-800-840-A.

8VAC20-790-250-D-1

“Based on record review, the vendor did not ensure that all caregivers have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The CPR certification in the record for Caregiver #2 was dated 09/29/2021. (exp 09/29/2023)”

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

8VAC20-790-250-D-2

“Based on record review, the vendor did not ensure that all caregivers have current certification in first aid appropriate to the ages of children in care. Evidence: 1) The first aid certification in the record for Caregiver #2 was dated 09/29/2021. (exp 09/29/2023)”

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

8VAC20-790-430-A-3

“Based on documentation review, the vendor did not ensure to practice lockdown procedures at least annually. Evidence: 1) 1) On the date of inspection, the 2023 emergency drills log provided for review, did not have a lockdown drill documented for the month of December 2023.”

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

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 (08/2023) were not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-4

“Based on record review, the provider did not ensure did not ensure that out-of-state Central Registry search results are obtained every five years for employees. Evidence: 1) The most recent out-of-state Central Registry search request results available in the record for Caregiver #2 were dated 04/13/2018.”

Rule 22.1-289.035-B-4.

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 12/26/2023) did not contain the results of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

Rule 8VAC20-800-280.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of required information. Evidence: 1) The record for Child #2 did not contain a written acknowledgement of having received required information regarding the family day home.”

Rule 8VAC20-800-70-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the 2024 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of January 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances and supplies, were not stored away in areas inaccessible to children. Evidence: 1) On the date of inspection, the following items were observed on shelves that were not high enough for them to be inaccessible to children: one bottle of hand sanitizer, a container of Clorox wipes and a can of Lysol spray.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

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

Rule 8VAC20-800-60-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 06/21/2020 and for Child #2 was dated 02/01/2022.”

Rule 8VAC20-800-780-B.

8VAC20-800-940-A

“Based on observation, the provider did not ensure to maintain the temperature at or below 40?F in refrigerator compartments. Evidence: 1) On the date of inspection, the thermometer in the fridge compartment read approximately 50?F”

Rule 8VAC20-800-940-A.

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.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the first date of attendance.”

Rule 8VAC20-800-60-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 06/21/2020.”

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 2023 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of February 2023.”

Rule 8VAC20-800-830-A.

8VAC20-820-120-E-2

“Based on review of required posted documents and interview with the program director, 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 (08/17/2022) were not posted. 2) The inspection findings posted were dated 03/29/2022.”

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

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

“Based on record review and interview, it was determined that the provider did not ensure that Central Registry search results are obtained every five years.. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #1 were dated 02/13/2017. A new Central Registry search request was due on 02/14/2022.”

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

8VAC20-800-210-A

“Based on record review, one caregiver 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 record for Staff #1 contained documentation of having completed the following number of training hours: For the year 2021, four hours and for the year 2022, sixteen hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-280

“Based on observation and interview with the provider, potentially poisonous substances, were not stored in areas inaccessible to children. Evidence: 1) The following materials were observed inside the cabinet under the sink of the care area bathroom: bacterial soap, hand sanitizer, shampoo bottle. The cabinet was not locked, making it accessible to the children. 2) A spray bottle with an unknown substance was observed on the floor of the shower of the bathroom. The provider stated that the bottle contained Lysol disinfectant solution.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the address of one custodial parent’s place of employment and the first date of attendance. The record for Child #4 did not contain the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing required information from the family day home, before the child’s first day of attendance. 1) The record for Child #1 (start date unknown) did not contain documentation of the parents being provided with information on whether or not there is liability insurance as required by ? 22.1-289.050 of the Code of Virginia.”

Rule 8VAC20-800-70-A.

8VAC20-800-920

“Based on interview with the provider and documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1) The menu available for review was not dated for the current one-week period.”

Rule 8VAC20-800-920.

22VAC40-665-410-A-3

“Based on documentation review and interview with the provider, it was determined that lockdown procedures were not practiced at least annually. Evidence: 1) On the date of inspection, the 2021 emergency drills log provided for review, did not have a lockdown drill documented. 2) The provider stated that a lockdown drill was not conducted.”

Rule 22VAC40-665-410-A-3.

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

“Based on record review and interview, it was determined that the program did not ensure that Central Registry search results are obtained every five years. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #1 were dated 02/13/2017.”

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

8VAC20-800-140-B-3

“Based on documentation review, one staff person did not possess a current certification in cardiopulmonary resuscitation (CPR). Evidence: 1) The CPR certification card in the record for Staff #1 was dated 02/29/2020 with an expiration date of 02/29/2022.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-140-B-4

“Based on documentation review, one staff person did not possess a current certification in first aid. Evidence: 1) The first aid certification card in the record for Staff #1 was dated 02/29/2020 with an expiration date of 02/29/2022.”

Rule 8VAC20-800-140-B-4.

8VAC20-800-530-F

“Based on observation, soft bedding was being used under or around infants. Evidence: 1) On the date of inspection, Child #2 (dob 11/04/2021) was observed napping in a crib and was covered by a blanket. Another blanket was observed hanging from the side of the crib.”

Rule 8VAC20-800-530-F.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required documentation. Evidence: 1) The records for Child #1 and Child #2 did not contain the address of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing of all required information before the child’s first day of attendance. Evidence: 1) The records for Child #1 and Child #2 did not contain the Provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan and provider interview, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1. The most recent review of the Emergency Preparedness Plan documented by the provider was dated 03/15/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-920

“Based on documentation review, the menu for the current one-week period was not dated. Evidence: 1) The menu available for review was not dated for the current one-week period.”

Rule 8VAC20-800-920.

8VAC20-820-120-E-2

“Based on review of required posted documents and interview with the program director, the center 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 (08/2021) were not posted. The inspection notice posted was dated 01/21/2021.”

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