Rosa Avellaneda

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.

“There were no physical exam records available for Child #10, who had been in care for over two months.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain the child’s medical policy insurance number, and the information for emergency medical authorization.

“The record for Child #4 was missing the policy number for the listed medical insurance. Child #4 was present during the inspection and had been in care for nine months. The record of Child #10 had an incomplete written emergency medical authorization, missing the provider’s name, child’s name, and date for signature. Child #10 was present during the inspection and had been in care for two months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding the home-based child care operations and administration.

“There were no parent acknowledgements available for two children who were provided care for the past year. Child #4 was missing signed acknowledgements for Medication Administration Policy form, the Provisional form for the EP&RP, Non-Prescription Topical Skin form, Declaration Liability form, and Information for Parents form. Child #6 was missing signed acknowledgements for Medication Administration Policy form, and the Declaration Liability form.”

Rule 8VAC20-800-70-B.

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 #6 did not have a parent’s signature for an annual review of the emergency contact information. The current review was 28 days past due (since the last review conducted in 2025).”

Rule 8VAC20-800-780-B.

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

“This information was not available for Child #10 who was provided care for the past two months.”

Rule 8VAC20-800-80-A.

The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“A child, child 6, is missing the physical examination by a physician and has been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

A child’s record must have two emergency contacts.

“One child, child 6 is missing a second emergency contact.”

Rule 8VAC20-800-60-B.

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

“Child 6 is missing a signed document for information regarding the providers liability insurance.”

Rule 8VAC20-800-70-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“One child. child 6 is missing a record of the immunizations and has been in care for more than 30 days.”

Rule 8VAC20-800-90-A.

A provider must get TB screenings for staff every two years.

“Staff 2 and staff 3 are missing subsequent TB screening. Previous test was 2 years old end of September 2025”

Rule 8VAC20-800-180-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“One child in care is missing the immunization records, the child started care this month.”

Rule 8VAC20-800-90-A.

The provider shall ensure that each caretaker does not exceed 16 points, by using the point system.

“On the day of the inspection the providers point total for children in care was 34, to points more than allowed.”

Rule 8VAC20-800-570-A.

A child’s record shall have two emergency contacts.

“One child, child 1, out of 4 children’s records revied was missing a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on the review of children’s records the provider failed to get a physical for one child. Evidence: Reviewed 4 children’s records and child 1 is missing a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on the review of records, the provider failed to get some information to make a child’s record complete. Evidence: Based on the review of 4 children’s files, one child, child 4 is missing the address for 2 emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on the review of four children’s records, the provider failed to get physical examination records for some of the children. Evidence: reviewed 4 children’s records. Child 1, Child 2 and Child 3 are missing the physical examination and they have all been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on the review of the staff records, the provider failed to get a TB screening for one of the staff caring for the children. Evidence: The assistant, Staff B is missing a TB screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“Based on the review of the training hours for the caregivers, the provider failed to make sure all caregivers have 16 hours of annual training. Evidence: Interview with the caregiver and review of the training records indicates that the assistant, Staff B is missing 16 hours of training in the last year.”

Rule 8VAC20-800-210-A.

22.1-289.035-A

“Based on the review of three staff records, the provider failed to get the required subsequent background checks. Evidence: The providers criminal records check expired on 3/26/23. The provider CPS check expired on 8/8/2021. No subsequent checks have been done.”

Rule 22.1-289.035-A.

22.1-289.036-A

“Based on the review of three staff records the provider failed to get subsequent background checks for a household member. Evidence: The household member has a criminal records check that expired on 3/26/23 and a cps check that expired on 11/01/21. No subsequent checks have been conducted”

Rule 22.1-289.036-A.

8VAC20-770-40-D-1-b

“Based on the review of the providers records, the provider failed to get a CPS check done for an assistant . Evidence: The provider did not get a CPS check for staff 3 at the time of the beginning of the staffs employment. The staff has been at the home since May 2022.”

Rule 8VAC20-770-40-D-1-b.

8VAC20-800-60-B

“Based on the review of children’s records, the provider failed to have all the information needed to make the file complete. Evidence: Based on the review of three children’s files the following information was missing: Child 2 is missing a second emergency contact and the parents work location. Child 3 is missing a second emergency contact.”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“The provider failed to get the criminal records check for a staff before employment. Evidence: Based on review of the new assistants records, the provider failed to get the criminal records check for the assistant before employment started.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-A

“Based on the providers records, the provider failed to get some of the required paperwork for a new assistant. Evidence: Staff 2 hire date 4/26/22 is missing the following information to make her paperwork complete: First day orientation in writing and one reference.”

Rule 8VAC20-800-120-A.

8VAC20-800-130

“The provider failed to hire an assistant that speaks, reads and writes English. Evidence: Based on discussion with the provider and the assistant, the assistant can not speak, read or write English at this time.”

Rule 8VAC20-800-130.