Madelaine Cuello

Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The emergency contact information in the record of Child #2 was last reviewed 21 months ago; the emergency contact information in the record of Child #4 was last reviewed thirteen months ago; and the emergency contact information in the record of Child #5 was last reviewed over two years ago.”

Rule 8VAC20-800-780-B.

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

“An updated TB screening for Caregiver #2 was not completed and was overdue by five months.”

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 and update to the emergency plan.

“The home’s emergency plan was last reviewed in August 2025.”

Rule 8VAC20-800-800-B.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The record of daily attendance for 07/21/25, and several weeks prior did not document the arrival and departure of each child in care each week. Five children were observed in care on 07/21/25.”

Rule 8VAC20-790-180-B.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“The record of Child #3 indicated the child has a diagnosed food allergy, but a written care plan is not on file. Child #3 was in attendance during the inspection.”

Rule 8VAC20-790-190-B-12.

(Repeat Violation) A child’s record shall contain the required information.

“Child #2, enrolled for over four months, did not contain the address for the two emergency contacts listed or the parent’s signed acknowledgment of the receipt of the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-60-B.

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

“The emergency evacuation procedures have not been practiced since January 7, 2025.”

Rule 8VAC20-800-830-A.

(Repeat Violation) A child’s record shall contain the required information.

“Child #1, enrolled for 22 days, Child #2, enrolled for more than one month, and Child #3, enrolled for more than two months, did not contain the parent’s signed acknowledgment of the receipt of the provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-60-B.

Based on a review of documentation and interviews, 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. The record of daily attendance for the week of August 26, 2024, was reviewed on 08/29/24. The record of daily attendance did not document the arrival and departure of each child in care that week. The record of daily attendance for 08/29/24 did not document the arrival of each child in care that day. The inspector observed four children in care. 2. During interviews, Caregiver #1 acknowledged the arrival and departure of each child in care has not been documented.”

Rule 8VAC20-790-180-B.

Based on a review of five children’s records and interviews, the provider did not ensure four children’s records contained the required information.

Rule 8VAC20-800-60-B.

Repeat Violation

“Based on observation and interview, the provider did not post the most recent inspection of the family day home. Evidence: The findings of the most recent inspection of the family day home was not posted; the documentation of the last inspection was stored in a folder.”

Rule 22.1-289.011-F.

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 02/14/22, had a physical dated 01/10/23.”

Rule 8VAC20-800-100-A.

Based on observation and interview it was determined that children were not always diapered on a nonabsorbent surface that can be cleaned and sanitized.

“Evidence: The diaper changing pad had a small tear which makes the pad no longer nonabsorbent.”

Rule 8VAC20-800-690-D.

Based on observation and interview, the provider did not ensure a thermometer was present to monitor the temperature in the refrigerator or the freezer.

“Evidence: The refrigerator and freezer being used to store food for the children in care did not contain a thermometer to monitor the temperature.”

Rule 8VAC20-800-940-B.

Based on observation and interview, the provider did not post the most recent inspection of the family day home.

“Evidence: The findings of the most recent inspection of the family day home was not posted; the documentation of the last inspection was stored in a folder.”

Rule 22.1-289.011-F.

Based on observation and interview, the provider did not ensure that the home, built prior to 2015, was equipped with a carbon monoxide detector.

“Evidence: An interview revealed that the provider thought the smoke detector, located in the day care area of the home, was a carbon monoxide detector.”

Rule 22.1-289.058.

Based on observation, potentially poisonous substances such as disinfectants, were not stored in areas inaccessible to children.

“Evidence: There was a container of disinfectant wipes and an air freshener spray located on top of a toy shelf, accessible to children.”

Rule 8VAC20-800-280.

Based on observation the provider did not ensure small electrical appliances were unplugged when not in use.

“Evidence: In the kitchen a toaster and coffee machine were plugged in and not in use.”

Rule 8VAC20-800-320-A.

Based on observation and measurement the provider did not ensure that stationary playground equipment was placed at least six feet from the perimeter of other play structures.

“Evidence: A slide exit attached to the stationary playground structure was 46 inches away from the trampoline.”

Rule 8VAC20-800-500-C.

Based on observation and interview the provider did not ensure that trampolines were not used during the hours children are in care.

“Evidence: An interview with the provider revealed, the trampoline was used by children in her care, ages six to eight-years-old. The standard requires that trampolines are not used during the hours children are in care.”

Rule 8VAC20-800-500-F.

Based on interview, the provider did not have a written emergency preparedness and response plan.

“Evidence: The provider stated that the emergency preparedness plan has not been completed yet but it is being worked on.”

Rule 8VAC20-800-800-A.

8VAC20-800-60-B

“Based on a review of documentation, the provider did not ensure that all of the children’s records contained the required information. Evidence: Child A and B’s records were missing child’s full name, nickname (if any), sex, address, and birth date; emergency contact information; first and last dates of attendance; proof of the child’s age and identity. Child C’s record was missing the insurance policy number and information for parents.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on a review of documentation, the provider did not ensure that an emergency evacuation practice drill was conducted on a monthly basis. Evidence: The provider did not have any documentation of monthly practice drills being conducted.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on a review of documentation, the provider did not ensure that shelter-in-place procedures were conducted twice a year. Evidence: The provider did not have documentation of a shelter-in-place drills being conducted.”

Rule 8VAC20-800-830-B.

8VAC20-790-430-A-3

“Based on a review of documentation, the provider did not conducted an annual lock down drill.”

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

8VAC20-800-60-B

“Based on a review of documentation, the provider did not ensure that all of the children’s records contained the required information. Evidence: Child A and child B’s records were missing the medical insurance name and policy number. Child C’s record was missing the parent’s work place information and one emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on a review of documentation, the provider did not ensure that an emergency evacuation drill was conducted on a monthly basis. Evidence: There was no emergency practice drill documented for November 2022.”

Rule 8VAC20-800-830-A.