Rosalina Huaman

Assistant caregiver’s records shall be maintained with required information.

“Caregiver 2’s record did not contain a date of hire or verification of the caregiver’s age.”

Rule 8VAC20-800-120-B.

The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. The form shall have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department.

“The Tuberculosis screening for Caregiver 2 was completed four months prior to the date of hire. The provider did not have a documented date of hire for Caregiver 2 in the record, but stated Caregiver 2 was hired in January 2026.”

Rule 8VAC20-800-170-B.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“The wall base around the shower in the bathroom used by children was observed to have deteriorated, exposing the damaged wall and visible dark mold.”

Rule 8VAC20-800-240-A.

A provider shall ensure that no caregiver supervises more than 16 points. Children are assigned points based on age: 4 points for each child from birth through 15 months, 3 points for each child 16 through 23 months, 2 points for each child 2 through 4 years, 1 point for each child 5 through 9 years, and 0 points for each child 10 years and older. An additional caregiver is required if the total exceeds 16 points.

“On the date of inspection, Caregiver 2 was supervising seven children totaling 20 points outdoors without another caregiver present. Caregiver 1 and 3 were upstairs in the residential portion of the house “washing bottles” according to Caregiver 1.”

Rule 8VAC20-800-570-A.

Caregivers shall wash their hands with liquid soap and warm running water after diapering children.

“Caregiver 2 was observed diapering two children outdoors. The caregiver did not wash their hands between children and rinsed their hands with water from an outdoor spigot after diapering both children.”

Rule 8VAC20-800-680-A.

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

“Caregiver 2 was observed diapering two children. Neither children’s hands were washed after diapering.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“The outdoor bench was used to change two children’s diapers. The bench was neither cleaned nor sanitized between or after diapering.”

Rule 8VAC20-800-690-D.

The family day home shall obtain documentation of additional immunizations for a child every six months until the child reaches the age of two.

“Child 1’s immunizations are overdue by thirteen months. Child 4’s immunizations are overdue by five months.”

Rule 8VAC20-800-90-C.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“On the date of inspection, Caregiver 2 was working in the facility as a substitute provider. Required documentation of the substitute provider;s arrival and departure times was not available for review.”

Rule 8VAC20-800-140-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 practice was documented for December 2025.”

Rule 8VAC20-800-830-A.

Providers are required to have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver 1’s certification has been expired for seven months.”

Rule 8VAC20-800-140-B-3.

8VAC20-800-180-A

“The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department Caregiver 2’s Tuberculosis Screening is overdue by seventy-two days.”

Rule 8VAC20-800-180-A.

A child’s record shall contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

“Child 3’s record did not contain written authorization to obtain emergency medical care.”

Rule 8VAC20-800-60-B.

The family day home shall keep a written record of children in attendance each day.

“On the date of inspection ten children were present and nine children were recorded on the attendance.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-C

“Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent. The supplemental page from the previous licensing inspection was posted in public view in the family day home. THe page contains identifying information about children in care.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Children’s records shall be maintained with all required information. Child 4’s record did not contain the child’s health insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Children’s medication was observed stored in an unlocked cabinet in the child care area.”

Rule 8VAC20-800-730-D.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. Four bottles were observed without a label with the date.”

Rule 8VAC20-800-960-E.

22.1-289.035-A

“All caregivers shall undergo required background check prior to employment and every five years thereafter. Caregiver 5’s record contains a central registry check conducted on 6/12/2019.”

Rule 22.1-289.035-A.

22.1-289.035-B-1

“The provider shall obtain a sworn statement or affirmation from caregivers disclosing whether they ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Caregiver 3’s record does not contain a sworn disclosure statement.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“The provider is required to obtain the results of a national criminal record check for all caregivers prior to employment. Caregiver 2’s criminal record check results were obtained 25 days after the documented hire date.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“The provider is required to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Caregiver 2 self reported living in Maryland within the preceding five years. No background checks from Maryland were requested and results were not obtained.”

Rule 22.1-289.035-B-4.

8VAC20-800-100-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. Child 5’s record did not contain documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Caregiver 2’s Tuberculosis screening was conducted 22 days after the documented hire date.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Caregiver 3 obtained 9 clock hours of training in 2023.”

Rule 8VAC20-800-210-A.

8VAC20-800-530-B

“SYSTEMIC DEFICIENCY REPEAT VIOLATION Cribs used by infants shall have a tight fitting bottom cover. One crib observed, had a loose fitting sheet.”

Rule 8VAC20-800-530-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided in writing information about the provider’s policies and procedures. Child 3 and Child 5’s record did not contain documentation that the parents were informed of the provider’s medication policy.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The emergency plan was last updated on 1/27/2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-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. Child 5’s record did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-240-A

“Based on observation, areas outside the family day home were not maintained in a safe condition. Evidence: The turf covering on one of the cement steps leading to the family day home entrance was observed to be ripped at the riser and hanging loosely above the step beneath it, creating a tripping hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: At the beginning of the inspection, approximately 10:20am, the attendance sheet for the day had 12 children’s names listed and there were 12 children present at the family day home. At 10:36am the attendance document was reviewed and Child 6 and Child 7’s names had been blacked out. Child 6 and Child 7 remained in attendance throughout the duration of the inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-C

“Based on observation, information contained in a child’s record was not kept privileged and confidential. Evidence: The supplemental page of licensing inspections dated 7/24/23, 2/8/23, and 5/22/22 were observed posted on the bulletin board. The page contains personally identifying information about children enrolled in the family day home and is labeled “CONFIDENTIAL DO NOT POST”.”

Rule 8VAC20-800-50-C.

8VAC20-800-530-B

“Based on observation, cribs used by children did not have a tight-fitting bottom cover. Evidence: Four cribs were observed with loose bottom sheets.”

Rule 8VAC20-800-530-B.

8VAC20-800-570-A

Rule 8VAC20-800-570-A.

8VAC20-800-60-A

“Based on record review, the provider failed to maintain an up-to-date record at the family day home for each enrolled child. Evidence: There was not a record for Child 6 or Child 7 on the date of inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child 2 and 3’s record did not contain an annual review of information. 2. Child 3 ands 5’s record did not contain a health insurance policy number. 3. Child 5’s record did not list the name, address, and phone number for either listed parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-600-B

“Based on observation, infants and toddlers were confined for more than 30 minutes of consecutive time during waking hours. Evidence: Child 4 was observed in a bouncy seat at approximately 10:20am and remained there until at least the end of the inspection at 11:10am.”

Rule 8VAC20-800-600-B.

8VAC20-800-830-B

“Based on record review, the provider failed to practice shelter-in-place procedures at least twice per year. Evidence: There was one documented shelter-in-place drill conducted in 2023.”

Rule 8VAC20-800-830-B.

8VAC20-800-900-B

“Based on observation, children were allowed to drink while walking. Evidence: Children were observed walking while drinking out of sippy cups.”

Rule 8VAC20-800-900-B.

22.1-289.036-B-2

“Based on record review, house hold members over the age of 18 did not have a criminal record check on file. Evidence: On the date of inspection Adult 4’s record did not contain the results of a criminal record check.”

Rule 22.1-289.036-B-2.

8VAC20-770-60-B

“Based on record review, employment was given to a staff member who had not completed a sworn statement or affirmation. Evidence: Staff 2’s record did not contain a signed sworn statement or affirmation statement.”

Rule 8VAC20-770-60-B.

8VAC20-800-180-A

“Based on record review, the provider failed to obtain for each adult household member a Report of Tuberculosis Screening form every two years. Evidence: Adult 5’s record contained a Tuberculosis screening dated 6/14/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on record review, staff failed to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Staff 1’s record contained 6 documented hours of training. 2. Staff 3’s record contained 10 documented hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-C

“Based on observation, children’s records were not kept privileged and confidential. Evidence: The supplemental page of the previous licensing inspection was posted on a bulletin board in the family day home. The supplemental page contains personally identifiable information about children in care.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child 4 and Child 6’s record did not contain the children’s health insurance policy number. 2. Child 6’s record states the child has a dairy allergy but does not contain steps to take in the event of an exposure to the allergen.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing all required information prior to the child’s first date of attendance. Evidence: 1. The medication policy in Child 1’s record did not accurately explain the family day home’s administration of medication policy. The form stated that the provider will not administer any medications. 2. Child 3 and 7’s record contain an unsigned medication administration policy.”

Rule 8VAC20-800-70-A.

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Children’s acetaminophen was observed in a low unlocked cabinet in an area accessible to children.”

Rule 8VAC20-800-730-D.

8VAC20-800-90-C

“Based on record review, the family day home failed to obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: Child 1, 2, and 6’s record did not contain updated immunizations for children under the age of two.”

Rule 8VAC20-800-90-C.

8VAC20-800-960-E

“Based on observation, infant’s bottles were not labeled with the date. Evidence: Two bottles were observed in the refrigerator without a labeled date.”

Rule 8VAC20-800-960-E.

8VAC20-800-210-A

“Based on record review, staff did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities in addition to CPR training. Evidence: 1. Staff 1’s record contained 7 hours of documented training. 2. Staff 2’s record contained 3.5 hours of documented training. 3. Staff 3s record contained 0 hours of documented training.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-A

“Based on record review and provider statement, the family day home did not keep a written record of children in attendance each day. Evidence: On the date of inspection, Child 5 was listed on the attendance as having arrived for care that day. The provider stated that the child was not in care, and had last been in attendance on Monday.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-B

“Based on observation, cribs did not have a tight-fitting bottom cover. Evidence: Four cribs were observed with oversized loose fitting sheets.”

Rule 8VAC20-800-530-B.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent emergency contact information required in 8VAC20-800-60- B-2 was correct, or receive a signed acknowledgement of the review. Evidence: Child 4’s emergency information was last reviewed on 8/15/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Based on record review, the provider did not obtain documentation of additional immunizations every six months for children under two years of age. Evidence: Child 4’s last documented immunizations are dated 12/6/21, when the child was approximately five months old.”

Rule 8VAC20-800-90-C.

8VAC20-800-940-A

“Based on observation, temperatures were not maintained at or below 40?F in refrigerator compartments. Evidence: The refrigerator was 45 degrees Fahrenheit, based on a reading of the thermometer at the beginning and at the end of the inspection.”

Rule 8VAC20-800-940-A.

8VAC20-800-120-C

“Based on record review, substitute provider records did not also contain documentation of the time of arrivals and departures as required by 8VAC20-800-140 D. Evidence: On the date of inspection the provider was not present and the substitute provider was assuming the role of primary caregiver. There was no documentation present to document the times when the substitute provider was assuming the role of the provider.”

Rule 8VAC20-800-120-C.

8VAC20-800-240-A

“Based on observation, areas of the family day home were not maintained in a safe and operable condition. Evidence: 1. Artificial turf in the outside play area was overlapping and folded in areas creating a tripping hazard. 2. Artificial turf on the stairs leading to the downstairs child care area was observed completely peeling off of the riser creating a tripping hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were not kept in an area inaccessible to children. Evidence: Liquid bleach was observed on a low shelf in the laundry room adjacent to the child care area. The door to the laundry room was open at the time of inspection.”

Rule 8VAC20-800-280.

8VAC20-800-530-B

“Based on observation, cribs used by infants did not have a tight fitting bottom cover. Evidence: Three cribs were observed with loos fitting bottom covers.”

Rule 8VAC20-800-530-B.

22VAC40-665-240-A

“Based on observation, not all areas of the family day home were maintained in a safe condition. Evidence: A plank on the wooden fence in the outdoor child care area was observed to be splitting and splintering.”

Rule 22VAC40-665-240-A.

8VAC20-800-120-C

“Based on record review, the substitute provider’s record did not contain all required information. Evidence: The provider was not at the family day home at the beginning the inspection. There was no record present on the date of inspection of the time that the substitute provider was acting in the role of provider.”

Rule 8VAC20-800-120-C.

8VAC20-800-530-B

“Based on observation, some of the cribs in the child care area di not have a tight fitting bottom cover. Evidence: Four cribs were observed with a loosely fitting sheets.”

Rule 8VAC20-800-530-B.

8VAC20-800-730-D

“Based on observation, not all medications except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, were kept in a locked place using a safe locking method that prevents access by children. Evidence: A box containing infant acetaminophen was observed unlocked on the high counter in the rear of the child care area.”

Rule 8VAC20-800-730-D.

8VAC20-800-940-A

“Based on observation, temperatures were not maintained at or below 40?F in refrigerator compartments. Evidence: The refrigerator in the child care area was at a temperature of 45 degrees.”

Rule 8VAC20-800-940-A.