Ms. Sandra Eguez

The family day home shall keep a written record of children in attendance each day.

“Evidence: There were eight children in attendance, the written record reflected six. The attendance record had not been updated for three hours.”

Rule 8VAC20-800-50-A.

Cribs being used by infants shall have a tight-fitting bottom cover.

“Evidence: The crib sheets for Child #1, eight-months-old, and Child #4, nine-months-old had wrinkles and were not tight-fitting. Child #1 and Child #2 were observed in their cribs at the time of the inspection.”

Rule 8VAC20-800-530-B.

No soft bedding of any kind shall be used under or around infants.

“Evidence: Child #4 was observed in their crib with a blanket.”

Rule 8VAC20-800-530-F.

Wood burning fireplaces and associated chimneys shall be inspected annually to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“Evidence: The most recent fireplace inspection on file was one year and a half ago.”

Rule 8VAC20-800-320-G.

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.

“Evidence: 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 one year and five months ago.”

Rule 8VAC20-800-780-B.

The family day home shall obtain documentation of additional immunizations; once every six months for children under the age of two years.

“Evidence: The record for Child #4, who was 1 year and 11 months at the time of the inspection most recent immunization on file was dated 10 months ago.”

Rule 8VAC20-800-90-C.

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

“There were several large wrinkles in the carpet under the table where the children eat, posing a trip hazard.”

Rule 8VAC20-800-240-A.

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

“There were nine children in attendance, the written record reflected eight.”

Rule 8VAC20-800-50-A.

Based on review of three staff records, the provider did not ensure that the results of a national fingerprint-based criminal history check were obtained prior to employment for one staff member.

“Evidence: The record for Staff #3, with an employment date of 03/21/24, did not contain documentation of the results of a national fingerprint-based criminal history check.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the provider did not obtain a sworn statement or affirmation from an employee prior to hire.

“Evidence: There was no documentation of a sworn statement on record for Staff #2 at the time of inspection.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the provider did not ensure that the record for an assistant contained all required documents.

“Evidence: The record for Staff #2 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.

Based on record review, not all Report of Tuberculosis (TB) Screening forms were completed within the last 30 days of staff’s start date.

“Evidence: The record for Staff #3, with an employment date of 03/21/24, contained a TB screening form dated 03/21/23.”

Rule 8VAC20-800-170-B.

Based on record review and interview, staff did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within 90 days of employment.

“Evidence: The record for Staff #2, with a start date of 08/28/23 and Staff #3, with a start date of 04/03/23, did not contain documentation of the Virginia Preservice Training for Child Care Staff certificate of completion.”

Rule 8VAC20-790-250-B.

Based on review and interview with the provider, lockdown procedures were not practiced at least annually.

“Evidence: There was no documentation of a lockdown drill on the drill log. An interview with the provider revealed they were unaware a lockdown drill was required.”

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

Based on a review of 5 files and an interview, it was determined that one child’s file did not have a physical within 30 days of attendance.

“Evidence: The record for Child #5, with a start date of 04/06/23, had a physical dated 07/10/23.”

Rule 8VAC20-800-100-A.

Based on review of documentation and interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current report of Tuberculosis (TB) screening.

“Evidence: The TB test submitted for Caregiver #3, with a start date of 04/03/23, was dated 04/11/23.”

Rule 8VAC20-800-170-A.

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of a physical examination prior to a child’s first day of attendance or within 30 days after the first day of attendance. Evidence: Reviewed 3 children’s records and found that Child 2 did not have documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on review, the provider did not ensure that all household members had documentation of a TB screening. Evidence: reviewed the provider’s records and found that Household member 1 did not have documentation of a TB screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“Based on review, the provider did not ensure that children’s records were maintained with the required minimum information. Evidence: reviewed 3 children’s records and found that Child 1 and 3 did not have documentation of a second emergency contact name, number and address.”

Rule 8VAC20-800-60-B.

8VAC20-800-700-A

“Based on review, the provider did not ensure that children given prescription medication, also have documentation of medication authorization from a parent or a physician. Evidence: reveiwed the provider’s records and found that 1 child with an inhaler that is used as needed did not have documentation of signed (by parent or physician) medication authorization.”

Rule 8VAC20-800-700-A.