Fabiola Calderon de Canedo

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 4.5 training hours in 2025.”

Rule 8VAC20-800-210-A.

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 parent’s signed acknowledgment of the review.

“At the time of the inspection, the record for Child #1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1? s last annual review is three months overdue.”

Rule 8VAC20-800-780-B.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of the date of employment.

“At the time of the inspection, Caregiver #2 had documentation of a negative tuberculosis screening dated approximately fifty days prior to the date of employment and had been employed for approximately four months.”

Rule 8VAC20-800-170-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period must: be dated, be given to parents or posted in an area accessible to parents; list any substituted food; and be kept on file for one week at the family day home.

“At the time of the inspection on Wednesday, December 10, 2025, there was no menu available for the current one-week period beginning Monday, December 8, 2025. The provider later wrote and posted the menu during the inspection.”

Rule 8VAC20-800-920.

Caregivers who work directly with children shall annually complete the department’s health and safety update course.

“Caregiver #1 did not complete the 2025 annual department’s health and safety update course, and it is overdue by 2 months.”

Rule 8VAC20-790-250-F.

The immunizations received shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization record available for Child #1 was missing a physician’s signature, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household member #3 was not completed and was overdue by four days.”

Rule 8VAC20-800-180-A.

An infant who falls asleep in a play space other than their own crib shall be moved promptly to his designated sleeping space if the safety or comfort of the infant child is in question.

“During the inspection, Child #1 was found sleeping in an infant seat, with a blanket on top and a bottle in their mouth.”

Rule 8VAC20-800-590-B.

Caregivers shall wash their hands with liquid soap and warm running water: After diapering

“During the inspection, it was observed that Caregiver #2 did not wash their hands after diapering Child #4.”

Rule 8VAC20-800-680-A.

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

“During the inspection, it was observed that Child #4 did not wash their hands after having their diaper changed by Caregiver #2.”

Rule 8VAC20-800-680-B.

Infants who cannot hold their own bottles shall be picked up and held for bottle feeding. Bottles shall not be propped.

“During the inspection, it was observed that Child #1’s bottle was propped up with a blanket while sleeping in an infant seat.”

Rule 8VAC20-800-960-B.

Based on caregiver record review, caregivers who work directly with children did not complete the department’s health and safety update course.

“Evidence: Caregiver #1 did not have documentation of completing the health and safety update course for 2023.”

Rule 8VAC20-790-250-F.

Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #1’s last annual emergency contact review was on 8/22/2022. 2. Child #2’s last annual emergency contact review was on 2/6/2022.”

Rule 8VAC20-800-780-B.

Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan.

“Evidence: The last annual review documented was on 5/4/2022.”

Rule 8VAC20-800-800-B.

Based on record review and interview, the provider 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. On 4/26/2023, at approximately 1:23 pm, there were 7 children in care. There was no daily attendance completed for this day. 2. The attendance sheet shown to the inspector also did not have daily attendance completed for Monday, April 24, and Tuesday, April 25, 2023. 3. The provider documented the attendance of all children in care for Wednesday, April 26, 2023, during the inspection.”

Rule 8VAC20-790-180-B.

Based on record review and interview, three of four background checks were not repeated every five years.

“Evidence: 1. The most recent central registry result on file for Household member #2 is dated 4/16/2018 and expired on 4/16/2023. 2. The most recent criminal history result on file for Caregiver #1 is dated 2/20/2018 and expired on 2/20/2023. 3. The most recent criminal history result on file for Caregiver #2 is dated 2/20/2018 and expired on 2/20/2023.”

Rule 22.1-289.035-A.

Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: Household member #2 tuberculosis test expired on 6/12/2022.”

Rule 8VAC20-800-180-A.

Based on observation and interview, the family day home failed to ensure that children under two years of age do not use pillows.

“Evidence: Child #3 (DOB: 6/10/2021) was observed in their crib, laying on a pillow that is attached to a fabric mat, and blanket.”

Rule 8VAC20-800-530-G.

8VAC20-800-70-A

“Based on record review, parents were not notified of the family day home’s discipline policy in writing. Evidence: The discipline policy section on the “Information for Parents” form was blank for Child # 2, 3, and 4.”

Rule 8VAC20-800-70-A.

22VAC40-191-40-D-5-a

“Based on record review and provider statement, The provider did not obtain for Household Member 1 a central registry check within 30 days of Household Member 1 turning 14 years old. Evidence: There was not a central registry check on file for Household Member 1 on the date of inspection. The household member had been 14 for more than 30 days on the date of inspection.”

Rule 22VAC40-191-40-D-5-a.