Ms. Marcela Rodriguez-Camacho

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, signed by a physician, physicians’ designee, or an official of the local health department, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The record for Household Member #1 contained a TB test that expired 6 months ago.”

Rule 8VAC20-800-180-A.

The diapering surface shall be separate from the kitchen, food preparation areas, or surfaces used for children’s activities; nonabsorbent and washable; and cleaned and sanitized after each use.

“The diaper changing pad on the diapering station had 3 tears in it so it was not nonabsorbent.”

Rule 8VAC20-800-690-D.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“The bottles for Child #1, Child #2 and Child #3 were not labeled with the child’s name or date.”

Rule 8VAC20-800-960-E.

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

“There was no attendance record on the date of inspection. The provider did not take written attendance on March 31, 2026.”

Rule 8VAC20-800-50-A.

Repeat Violation

“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 #9 did not have a parent’s signature for an annual review of the emergency contact information. Child #9’s most recent documented annual review was more than two years overdue.”

Rule 8VAC20-800-780-B.

Assistant’s and substitute providers’ records shall contain documentation that two or more references were checked before employment.

“Caregiver B’s record did not contain documentation of completed reference checks.”

Rule 8VAC20-800-120-B.

Annually, the provider shall obtain parents’ signed acknowledgment of review of emergency contact information.

“Child #1 and Child #3’s most recent documented review of emergency contact information was dated 9/12/24.”

Rule 8VAC20-800-780-B.

A child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Evidence: The record for Child #4, only contained one emergency contact. The standard requires two.”

Rule 8VAC20-800-60-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of identity and age of the child.

“Evidence: The record for Child #1, did not have documentation of proof of identity. Child #1 has been enrolled in the program for one year.”

Rule 8VAC20-800-80-A.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“Evidence: The last monthly emergency evacuation drill was dated 4/24/25.”

Rule 8VAC20-800-830-A.

8VAC20-800-170-A

“Based on review of documentation, and an interview with the provider, not all caregivers had, at the time of hire and prior to coming into contact with children, a current report of TB screening documenting the absence of tuberculosis. Evidence: the record for caregiver #3 did not contain documentation of a negative TB screening/test.”

Rule 8VAC20-800-170-A.

8VAC20-800-50-A

“(Repeat Violation) Based on review of documentation, it was determined that the family day home did not ensure all children were accurately included on the attendance report. Evidence: There were six children listed on the attendance record for 10/11/23. The provider added the other five children to the list after the LI arrived.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-B

“Based on observation and interview, not all cribs being used for infants had a tight-fitting bottom cover. Evidence: five out of five cribs had loose sheets. The provider stated that three of the cribs are being used by infants (age 12 months, age 13 months and age 15 months). The LI observed two infants in these cribs. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-800-530-B.

8VAC20-800-830-C

“Based on review of documentation, and an interview with the provider, it was determined that the emergency evacuation procedures are not documented as required. Evidence: there was no documentation of evacuation drills in January, June or August of 2023.”

Rule 8VAC20-800-830-C.

8VAC20-800-50-A

“Based on the provider interview, the provider did not ensure that a written record of attendance was maintained each day. Evidence: reviewed the attendance record and found that the provider did not maintain attendance for the current week (10th-14th).”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required information. Evidence: reviewed 4 children’s records and found that Child 1 did not have documentation of a medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Based on review, the provider did not ensure that before a child attends a family day home, the provider obtains documentation of immunization records. Evidence: reviewed 4 children’s records and found that Child A did not have documentation of an immunization record.”

Rule 8VAC20-800-90-A.

8VAC20-800-830-B

“Based on review, the provider did not ensure that shelter-in-place procedures were practiced a minimum twice per year. Evidence: reviewed the provider’s emergency drill log and found that there was no documentation of a shelter-in-place drill within the past 12 months.”

Rule 8VAC20-800-830-B.

8VAC20-800-920

“Based on review, the provider could not provide documentation that they menu for the one-week period was posted and made available to parents. Evidence: reviewed the provider’s records and parent board and did not see documentation of a menu for the current one-week period.”

Rule 8VAC20-800-920.

8VAC20-820-120-E-2

“Based on observation, the provider did not ensure that the most recent inspection report was posted in a conspicuous location. Evidence: observed that the most recent inspection report posted was dated 9/8/20 and the most recent inspection of the facility occurred on 5/17/22.”

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

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child resistant protective covers were installed on all unused electrical outlets accessible to children under 5 years of age. Evidence: observed in the main play room, an uncovered electrical outlet.”

Rule 8VAC20-800-320-B.

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: observed that there were 13 children in care. The provider is currently licensed with a capacity of 12 children.”

Rule 8VAC20-800-40-A.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required information. Evidence: reviewed 3 children’s records and found that Child 1 only had 1 emergency contact with an address.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Based on observation, the provider did not ensure that within seven business days of the child’s first day of attendance at the family day home, the provider obtained from the parent, documentation of proof of identification. Evidence: Reviewed 3 children’s records and found that Child 2 has been in care for over seven days and did not have documentation of proof of identity.”

Rule 8VAC20-800-80-A.