Feliza Choquez

The provider shall obtain documentation of a physical examination prior to or within 30 days after the first day of attendance.

“Child F had no physical examination in the record. Attendance has been more than 30 days.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each adult household member a current Tuberculosis screening every two years.

“Household member A did not have documentation of a current TB screening.”

Rule 8VAC20-800-180-A.

Play pens shall be used with no more than one child in it, cleaned and sanitized and with a waterproof pad.

“The play pen in the backyard had two babies in it at the time of inspection. The caregivers placed a third baby in it for a short time as well. There was no waterproof pad within the play pen area and an infant fell backwards and hit his head. The floor of the playpen had a very soiled surface.”

Rule 8VAC20-800-550.

The provider shall ensure that a caregiver does not exceed 16 points for children in care.

“Caregiver A was left out in the backyard for over ten minutes with 11 children, 29 points. A few minutes later, Caregiver B was left out in the backyard for over seven minutes with 11 children, 27 points.”

Rule 8VAC20-800-570-A.

Annually the provider shall review the parent emergency contact information to ensure the information is correct.

“There was no current documentation of an annual review of the emergency contact information. It was last reviewed 23 months prior.”

Rule 8VAC20-800-780-B.

The provider is to obtain a copy of the results of a search of the central registry for any founded complaint of child abuse or neglect for each employee.

“There was no documentation of a central registry search for Staff A.”

Rule 22.1-289.035-B-3.

A child’s record shall contain the information of two designated persons to contact in case of emergency.

“Child D’s record did not have documentation of a second designated person for contact in case of emergency.”

Rule 8VAC20-800-60-B.

Annually, the provider will review with the parent the emergency contact information to ensure it is correct.

“There was no annual review of the emergency contact information for Child B and E.”

Rule 8VAC20-800-780-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 vendor has attendance but does not record when children arrive and depart.”

Rule 8VAC20-790-180-B.

Staff must have the Central registry search submitted by the first day of work.

“The provider has not submitted the central registry form for one staff who has been employed for more than 2 weeks.”

Rule 22.1-289.035-B-3.

Annually the provider will review the emergency information with the parent.

“Two of the children are missing the annual updates in their files. Child 2 and 3.”

Rule 8VAC20-800-780-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: The provider had an attendance record, but did not document the arrival of 1 out of 7 children in attendance.”

Rule 8VAC20-790-180-B.

Based on record review and interview, a caregiver did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: The record for Caregiver #2 did not contain documentation of having a current certification in CPR.”

Rule 8VAC20-790-250-D-1.

Based on record review and interview, a caregiver did not have a current certification in first aid appropriate to the ages of children in care.

“Evidence: The record for Caregiver #2 did not contain documentation of having a current certification in first aid.”

Rule 8VAC20-790-250-D-2.

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

“Evidence: The most recent criminal history result on file for Household Member#1 is dated 3/29/2018 and expired on 3/29/2023.”

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 #1’s tuberculosis test expired on 8/16/2024.”

Rule 8VAC20-800-180-A.

REPEAT VIOLATION Based on observation and interview, small electrical appliances were not unplugged when not being used.

“Evidence: A toaster oven and blender were observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

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: Child #1’s last annual emergency contact review was on 6/5/2023.”

Rule 8VAC20-800-780-B.

Based on record review and interview, the emergency evacuation procedures were not documented.

“Evidence: The provider stated that the June, July, and August 2024 evacuation drills were practiced but not documented.”

Rule 8VAC20-800-830-C.

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: The provider had an attendance record, but did not document the arrival of 3 out of 10 children in attendance.”

Rule 8VAC20-790-180-B.

Based on record review, 1 of 3 caregiver files indicated that the provider has not ensured that each caregiver has submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.

“Evidence: 1. The TB documentation on file for Caregiver #2 is dated 02/08/2024. 2. The Provider stated that Caregiver #2’s employment date was 05/25/2024.”

Rule 8VAC20-800-170-A.

Based on observation, potentially poisonous substances and materials were not stored away in an area inaccessible to children.

“Evidence: A container of Clorox wipes was found on the children’s kitchen playset next to the front door accessible to children.”

Rule 8VAC20-800-280.

Repeat violation

“Based on observation, small electrical appliances were not unplugged when not being used. Evidence: A toaster and electric kettle were observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

Based on observation and interview, the provider did not ensure that a caregiver does not exceed 16 points.

“Evidence: The inspector arrived at approximately 10:10 am and observed 8 children for a total of 19 points with Caregiver #1.”

Rule 8VAC20-800-570-A.

Repeat violation

“Based on record review and interview, it was determined that 1 of 2 caregivers did not complete the 10 hour Virginia Preservice Training within the first 90 days of employment. Evidence: 1. There was no documentation of the Virginia Preservice Training (10 hours) within the first 90 days of employment for Caregiver #2. 2. The date of employment for Caregiver #2 is 1/25/23”

Rule 8VAC20-790-250-B.

Based on staff record review, staff 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.

Repeat violation

“Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician before a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documentation of a physical examination for Child #1 and Child #2 before their first day of attendance. 2. The start date for Child #1 is 06/05/2023 and for Child #2 is 8/2/2023.”

Rule 8VAC20-800-100-A.

Based on record review and interview, the provider failed to obtain updated tuberculosis (TB) tests or screenings for each household member every two years.

“Evidence: The TB test for Caregiver #1 is dated 7/21/2021 and expired on 7/21/2023.”

Rule 8VAC20-800-180-A.

Repeat violation

“Based on record review and interview, the provider did not obtain all the information required for a child’s record. Evidence: 1. Child #3 is missing the name and policy number of the child’s medical insurance. 2. Child #2 is missing the telephone number of the child’s physician.”

Rule 8VAC20-800-60-B.

Repeat violation

Rule 8VAC20-800-70-A.

Based on observation and interview, the provider did not label and obtain written parent authorization for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent.

“Evidence: 1. There was no documentation of written parent authorization for 4 diaper ointments and 1 sunscreen used for the children in care. 2. 3 of 4 diaper ointments were not labeled with the child’s name. 3. 3 of 4 diaper ointments were expired.”

Rule 8VAC20-800-750-A.

Repeat violation

“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: Child #3’s last annual emergency contact review was on 10/05/2022.”

Rule 8VAC20-800-780-B.

Repeat violation

“Based on record review and interview, proof of identity was not obtained within 7 days. Evidence: 1. Child #2 and Child #4 do not have signed documentation of viewing the proof of identity for the child. 2. The start date for Child #2 is 8/21/2022 and Child #4 is 01/10/2022.”

Rule 8VAC20-800-80-A.

Repeat violation

“Based on record review and interview, before a child’s first day of attendance, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. There was no documentation that Child #1 had been adequately immunized before their first day of attendance, as required by Virginia Code ? 32.1-46 A. 2. The start date for Child #1 is 06/05/2023”

Rule 8VAC20-800-90-A.

Based on observation and interview, high chairs, infant carrier seats, or feeding tables with safety waist and crotch straps were not fastened according to the manufacturer’s instructions.

“Evidence: At approximately 9:23 am, Child #5 was observed by the inspector during the inspection not fastened in a high chair that has straps while eating.”

Rule 8VAC20-800-960-A.

Based on record review and interview, it was determined that 1 of 3 caregivers did not complete the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment.

“Evidence: There was no documentation of the Virginia Preservice Training for Child Care Staff class (10 hours) within the first 90 days of employment for Caregiver #2. The date of employment for Caregiver #2 is 1/25/23.”

Rule 8VAC20-790-250-B.

Based on record review, the provider did not 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.

“Evidence: There was no 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 for child #5 (Start Date: 10/8/2020).”

Rule 8VAC20-800-100-A.

Based on record review and interview, documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: Caregiver #3 is missing 1 of 2 references as to character and reputation as well as competency were checked before employment. The date of employment for Caregiver #3 is 5/11/2023.”

Rule 8VAC20-800-120-B.

Based on observation and interview, the provider failed to ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations.

“Evidence: The Inspector was unable to enter a storage space at the family day home due to the door being locked. The provider confirmed that the door was locked and they did not have a key to unlock it during the inspection.”

Rule 8VAC20-800-30-A.

Based on observation, small appliances were not unplugged when not in use.

“Evidence: An electric kettle and a toaster oven were found to be plugged in while not in use.”

Rule 8VAC20-800-320-A.

Based on record review and interview, the provider did not obtain all information required for a child’s record.

“Evidence: 1. Child #1 is missing a second emergency contact 2. Child #2 is missing two emergency contact addresses and phone numbers. 3. Child #3 is missing two emergency contact addresses. 4. Children #2, 3, 4, and 5 are missing two parent work phone numbers.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not provide all the required family day home policies in writing prior to the child’s first day of attendance.

Rule 8VAC20-800-70-A.

Based on medication review and inteview, the provider failed to obtain a written authorization from a parent to administer a medication for a child in care.

“Evidence: There was no written authorization from a parent to administer medication for Child #3 who has emergency medication at the family day home.”

Rule 8VAC20-800-700-A.

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

“Evidence: 1. Child #5’s last annual emergency contact review was on 6/4/2020.”

Rule 8VAC20-800-780-B.

Based on record review and interview, proof of identity was not obtained within 7 days.

“Evidence: Child #2 and Child #3 do not have signed documentation of viewing the proof of identity for the child. The start date for child #2 is 5/30/2023 and the start date for child #3 is 3/2023.”

Rule 8VAC20-800-80-A.

Based on record review and interview, before a child’s first day of attendance, the provider did not obtain documentation that a 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.

“Evidence: There was no documentation that child #3 had been adequately immunized prior to their first day of attendance, as required by Virginia Code ? 32.1-46 A. The start date for child #3 is 3/2022.”

Rule 8VAC20-800-90-A.

Based on record review and interview, the Provider failed to ensure that caregivers who work directly with children shall annually attend the department’s health and safety update course.

“Evidence: 1. The record for Caregiver #1 did not contain a current annual 3-hour updated subsidy training course. The previous 3-hour update training course was completed in July 2021.”

Rule 8VAC20-790-250-F.

Based on a record review and interview, the Provider did not obtain criminal fingerprints for a caregiver prior to the caregiver’s first day.

“Evidence: Caregiver #3 (date of hire 11/3/2022) did not have fingerprinting results on file during the inspection on 11/15/2022.”

Rule 22.1-289.035-B-2.

Based on record review and interview, a caregiver of the family day home did not have a completed sworn statement prior to their first day.

“Evidence: There was no documentation of a sworn statement on file for Caregiver #3 (date of hire 11/3/2022) prior to their first day.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #2 did not have documentation of a physical examination prior to or within 30 days after the child’s first day of attendance. The child’s start date was 5/28/22.”

Rule 8VAC20-800-100-A.

Based on record review and interview, the Provider did not maintain a record for each caregiver.

“Evidence: Caregiver #3 (date of hire 11/3/2022) did not have a record on file during the inspection on 11/15/2022.”

Rule 8VAC20-800-120-A.

Based on record review and interview, the Provider did not keep a written record of children in attendance each day.

“Evidence: At approximately 9:57 am on 11/15/22, the attendance record did not contain documentation of attendance for the day.”

Rule 8VAC20-800-50-A.

Based on records review, the children’s records were not complete.

“Evidence: Child #2’s record was missing the name, address, and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

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

“Evidence: 1. Child #1 emergency contact information was last reviewed on 05/12/2020. 2. Child #3 emergency contact information was last reviewed on 8/17/2021. 3. Child #5 emergency contact information was last reviewed on 7/20/2021.”

Rule 8VAC20-800-60-B.

Based on record review, the Provider did not provide in writing the following information to parents before the child’s first day of attendance.

“Evidence: Child #2 did not have written documentation of the family day home’s medication administration policy or emergency preparedness and response plan prior to the child’s first day of attendance. The child’s start date was 5/28/2022.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the Provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last reviewed in 9/2019.”

Rule 8VAC20-800-800-B.

Based on record review and interview, the Provider did not ensure that monthly evacuation drills were documented.

“Evidence: 1. The evacuation drill for October 2022 was not documented. 2. The Provider stated that the October 2022 evacuation drill had been completed, but, not documented.”

Rule 8VAC20-800-830-C.

Based on observation and interview, the home’s carbon monoxide detector was not working.

“Evidence: The carbon monoxide detector could not be turned on or tested.”

Rule 22.1-289.058.

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

“Evidence: Child #1’s record did not contain documentation of a physical examination. The child first day of attendance was documented as 8/17/2021. Child #2’s record did not contain documentation of a physical examination. The child first day of attendance was documented as 3/21/22. Child #3’s record did not contain documentation of a physical examination. The child first day of attendance was documented as 1/10/2022.”

Rule 8VAC20-800-100-A.

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

“Evidence: 1. Staff #2’s record did not contain documentation that 1 of 2 required references as to character and reputation as well as competency were checked before employment. 2, Staff #3’s record did not contain documentation that 2 required references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Based on observation and interview, the family day home (FDH) did not maintain all equipment in good repair.

“Evidence: 1.During the inspection a smoke alarm was tested, one of the two smoke detectors located outside the kitchen area was inoperable during the inspection..”

Rule 8VAC20-800-240-A.

Based on review of emergency supplies, the first aid kit was incomplete.

“Evidence: The first aid kit was missing 1 of 2 required triangular bandages.”

Rule 8VAC20-800-760-A-1.

Based on review of emergency supplies, a working portable battery-operated weather band radio was not available for review during the inspection.

“Evidence: The provider was unable to locate the portable battery-operated weather band radio during the inspection.”

Rule 8VAC20-800-770.

Based on record review, the provider did not obtain documentation that a child had been adequately immunized before their first day of attendance.

“Evidence: Child #2’s record does not contain immunization records.”

Rule 8VAC20-800-90-A.

Based on record review, the provider did not 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.

“Evidence: Child #1’s record does not contain a physical examination. The child’s first day of attendance was documented as 8/17/2021.”

Rule 22VAC40-111-100-A.

Based on record review, children’s records did not all contain required information.

“Evidence: Child #1’s record is missing a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 22VAC40-111-60-B.

Based on record review, documentation of proof of age and identity was not on file for a child within seven business days of the child’s first day of attendance.

“Evidence: Child #1’s record is missing documentation that proof of age and identity was verified within seven business days of the child’s first day of attendance. The child’s first day of attendance was documented as 8/17/2021.”

Rule 22VAC40-111-80-A.