Cintia Alvarado

Lockdown procedures shall be practiced at least annually.

“Based on records reviewed during the inspection, the lockdown procedures had not been practiced since 7/8/25 and were overdue by seven weeks. The provider confirmed that a practice lockdown drill had not been completed.”

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

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.

“During the inspection, Child #2 (age 23 months), was observed seated and eating in a highchair without a safety strap securely fastened around them.”

Rule 8VAC20-800-540-A.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“The parents of Children #1, #3, and #4 were not provided in writing the required information on provisions of the family day home’s emergency preparedness and response plan. The parents of Child #3 were also not provided in writing required information on whether or not there is liability insurance in force on the family day home operation. Child #1 and Child #3 had been in care for three months. Child #4 had been in care for one week.”

Rule 8VAC20-800-70-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 and update to the emergency plan.

“According to the documentation reviewed during the inspection, the emergency plan had not had an annual review since 8/26/2025 and was overdue by one week.”

Rule 8VAC20-800-800-B.

When topical skin products such as diaper ointment are used, the product shall be kept in an area that is inaccessible to children.

“During the inspection, there was one topical product being stored in an unsecured drawer under the changing table that was accessible to children.”

Rule 8VAC20-800-750-B.

When topical skin products such as diaper ointment and lotion are used, the product shall not be used beyond the expiration date on the product.

“At the time of the inspection, child #2 had an expired tube of Aquaphor available for use. The product expired seven months ago.”

Rule 8VAC20-800-750-D.

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

“No evacuation drill was completed for the month of December 2025. The provider stated that she forgot to conduct the December drill.”

Rule 8VAC20-800-830-A.

8VAC20-800-330-A

“A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The landline was not working at the time of the inspection.”

Rule 8VAC20-800-330-A.

When topical skin products such as diaper ointment are used a written parent authorization noting any known adverse reactions shall be obtained at least annually.

“Records for Child #2, #5 and #6 did not have written parent authorization for diaper ointment. Child #2 and Child #6 have been in care for over 5 months, and Child #5 has been in care for over 7 months without parent authorization to apply diaper ointment.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunization for a child once every six months for children under the age of two years. Evidence: 1. The record for Child #1 (DOB 05/2021) did not have additional immunizations. Last update was 12/06/22.”

Rule 8VAC20-800-90-C.

8VAC20-790-180-B

“Based on record review and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Child #6 and #7 were not signed out on the daily attendance sheet upon departure from the family day home. They left for school at approximately 8:25am. 2. The vendor acknowledged that Child #6 and #7 were not signed out on the daily attendance sheet.”

Rule 8VAC20-790-180-B.

8VAC20-800-50-E

“Based on a review of written daily attendance records, and an interview with the provider, the provider failed to keep a written record of children’s attendance for each day of operation during recent months. Evidence: 1. There were no attendance records to review except for the current week of the inspection. 2. When the daily attendance record was asked for, the provider stated that she has not been keeping the attendance records and discarded them each week.”

Rule 8VAC20-800-50-E.

22.1-289.036-A

“Based on record review and interview, it was determined that the applicant and one adult living in the family day home did not have a repeat background check every five years. Evidence: 1. Caregiver #1 central registry expired on 01/16/2023. 2. HHM #1 central registry expired on 01/19/2023. 3. The provider acknowledged the central registry had expired on both persons.”

Rule 22.1-289.036-A.

8VAC20-800-210-A

“Based on record review and interview, the caregiver did not obtain a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Caregiver #2 did not have documentation of 16 hours of annual training. The caregiver had a total of 3 three hours of annual training. 2. The provider acknowledged caregiver #2 had not completed 16 hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-340-C

“Based on observation, disposable towels were not used in the bathroom. Evidence: 1. Caregiver #2 dried three (3) children’s hands (Child #1, #4 and #5) with the same cloth after their hands were washed. 2. There were no disposable paper towels seen in the bathroom.”

Rule 8VAC20-800-340-C.

8VAC20-800-780-B

“Based on record review, it was determined the provider failed to annually review with the parent the emergency contact information to ensure the information is correct. Evidence: 1. Child #1 last documented review on the emergency contact information was 1/4/2020. 2. Child #2 last documented review on the emergency contact information was 7/7/21. 3. Child #3 last documented review on the emergency contact information was 06/15/2020”

Rule 8VAC20-800-780-B.

8VAC20-800-50-A

“Based on record review and interview with the provider, a written record of children in attendance was not maintained for each day. Evidence: 1. At the time of inspection (8/23/22) three school-age children (Child #3 Child #4 Child #5) were not written on the attendance sheet. 2. The provider acknowledge they did not write the children on the daily attendance sheet.”

Rule 8VAC20-800-50-A.

8VAC20-800-920

“Based on observation and interview with the provider, the menu for the current week was not given to parents or posted or placed in an area accessible to parents. Evidence: 1. Menu was not posted. 2. The provider acknowledge she did not have a menu for the week.”

Rule 8VAC20-800-920.