Idalia Vigil Gomez

The provider shall obtain a subsequent tuberculosis (TB) screening every two years from the date of the initial screening.

“Caregiver #2s most recent TB screening is dated 5/2/2024. The TB screening has been expired for approximately 1 month.”

Rule 8VAC20-800-180-A.

High chairs 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 #2, child #5 and child #6 were observed sitting in high chairs to eat lunch. The provider buckled the children into the chair using the waist strap, but did not use the shoulder straps.”

Rule 8VAC20-800-540-A.

REPEAT VIOLATION Children’s records shall contain all required information.

“Child #7s record does not contain the families medical insurance policy number or the phone number for their emergency contact.”

Rule 8VAC20-800-60-B.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child #7s record does not contain documentation of immunizations. The child has been enrolled at the family day home for approximately 4.5 months.”

Rule 8VAC20-800-90-A.

To assist in preventing choking, uncut grapes shall not be served to children under the age of four years.

“Child #2 (2 years), child #5 (2 years) and child #6 (1 year) were observed eating uncut grapes.”

Rule 8VAC20-800-900-A.

Children’s records shall contain all required information.

“Child #1s record does not contain the families medication insurance policy number.”

Rule 8VAC20-800-60-B.

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.

“Child #6 (date of enrollment:: 1/21/2025), child #11 (date of enrollment:: 11/5/2024) and child #12s (date of enrollment:: 11/5/2024) records do not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

The provider shall obtain a subsequent tuberculosis (TB) screening every two years for each caregiver.

“The most recent documented TB screening for staff #2 is dated 4/28/2023. An updated TB screening is overdue by approximately 5 weeks.”

Rule 8VAC20-800-180-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review.

“The most recent documented review of the providers emergency plan is dated 5/13/2024.”

Rule 8VAC20-800-800-B.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child #11 and child #12s records do not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for each caregiver every two years. Evidence: Caregiver #2s most recent TB screening is dated 1/31/2022.”

Rule 8VAC20-800-180-A.

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: There was not gate at the bottom of the providers stairs where the child care program takes place. The youngest child playing downstairs is under the age of two.”

Rule 8VAC20-800-430-A.

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturers instructions. Evidence: Two children were observed sitting in high chairs eating a morning snack. The children were not buckled into the seats.”

Rule 8VAC20-800-480-D.

8VAC20-800-50-A

“Based on interview, the family day home does not keep a written record of children in attendance each day. Evidence: When asked for todays attendance, the provider stated that she hadn’t completed attendance that day.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-E

“Based on interview, records were not maintained and made accessible to the departments representative for two years. Evidence: When asked for documentation of last weeks attendance, the provider stated that they do not keep their weekly attendance records.”

Rule 8VAC20-800-50-E.

8VAC20-800-530-G

“Based on observation, children under two years of age were permitted to use pillows. Evidence: Child #1 (18 months old) was observed in a crib with a pillow.”

Rule 8VAC20-800-530-G.

8VAC20-800-60-B

“Based on record review children’s records do not contain all required information. Evidence: Child #3’s record does not contain two emergency contacts, authorization for medical attention, documentation that the parents have been informed of the providers policies, emergency procedures or documentation of liability declaration.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that each child has been adequately immunized before attending the family day home. Evidence: Child #3’s record does not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-70-A

“Based on record review and interview, parents were not provided in writing the required information before each child’s first day of attendance. Evidence: Child #6s record contained a blank “Information for parents” form. The provider did not notify the parents the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider.”

Rule 8VAC20-800-70-A. From a complaint.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3 (date of enrollment 7/2/2021) record did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

Based on record review, assistant records did not contain all required information.

“Evidence: Staff #3 record did not have contain name, address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

Based on record review, documentation of the orientation was not signed and dated by the provider and assistant.

“Evidence: Staff #2 record did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

8VAC20-800-320-B

“Based on observation, Child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.”

Rule 8VAC20-800-320-B.

Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #1 (16 months old) most recent documented immunization record is dated 10/2021.”

Rule 8VAC20-800-90-C.