Claudia Roncal

The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed.

“For approximately 50 minutes while the inspector was present there were 23 points using the point systemper one caregiver. This exceeded allowed points by 7.”

Rule 8VAC20-800-570-A.

A child’s record shall contain required information.

“Child B and Child C’s record were missing Information for parents, policies, liability insurance disclosure and emergency preparedness plan signed by parent.”

Rule 8VAC20-800-60-B.

Annually the provider shall review child information with parent and update as needed.

“There was no documentation that Child A’s record had been reviewed by parent. The annual review was overdue by five months.”

Rule 8VAC20-800-780-B.

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

“There was no documentation of required drills being practiced in the months of February, March, April, May, June, July, August of 2026.”

Rule 8VAC20-800-830-A.

Annually the provider shall review with the parent the emergency contact information. \

“1 of 4 children’s records reviewed were missing documentation of an annual review of emergency contacts.”

Rule 8VAC20-800-780-B.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B .

“Child 1 did not have documentation of 18 month immunization record on file as required.”

Rule 8VAC20-800-90-C.

A child’s records was missing required information.

“Child #1’s record is missing emergency preparedness plan signed by parent.”

Rule 8VAC20-800-60-B.

Repeat Violation

“The child’s record did not contain required information. Child A’s record did not have an annual review completed. Due date 2/26/2025 Child B’s record did not have an annual review completed. Due date 4/5/2025”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Caregiver #3, who had been employed for 8 days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee’s first day of employment. Staff #3, who had been employed for 8 days, did not have a central registry search requested. Staff #3 was not working alone with children,”

Rule 22.1-289.035-B-3.

8VAC20-800-120-B

“Assistant records shall contain required information. The record for staff #3 who was employed for 8 days at the time of the inspection did not have documentation of 1 of 2 required references as to character and reputation as well as competency and was not checked before employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of 16 clock hours of training annually. Caregiver #1 and Caregiver #2 did not have documentation of completing training hours for 2023.”

Rule 8VAC20-800-210-A.

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous cleaning materials were under the sink in the bathroom and the safety latch was broken allowing access.”

Rule 8VAC20-800-280.

8VAC20-800-120-B

“Based on record review, caregiver record was incomplete. Evidence: Staff B’s record did not contain documentation of 2 or more references that were checked before employment . ( Date of Hire 1/3/2022)”

Rule 8VAC20-800-120-B.

Repeat Violation

“Based on record review, staff did not have current certification in cardiopulmonary resuscitation (CPR) as required. Evidence: Staff A- CPR expired 7/28/2023 Staff B- CPR expired 1/2022”

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

Repeat Violation

“Based on record review, staff did not have current First Aid Certification as required. Evidence: Staff A - Certification expired 7/28/2023 Staff B - Certification expired 1/2024”

Rule 8VAC20-800-140-B-4.

Based on record review, provider did not obtain a current Report of Tuberculosis form every two years for each caregiver and household member.

“Evidence: Staff B- Tuberculosis Screen Expired 1/14/2024 Household Member- Tuberculosis Screen expired 1/18/2024”

Rule 8VAC20-800-180-A.

Based on record review, required information was incomplete.

“Evidence: Child C’s record is missing parent #1 work address and telephone number, parent #2 work address and telephone number, emergency contact #1 address and telephone number, emergency contact #2 address and telephone number.”

Rule 8VAC20-800-60-B.

Based on record review, The provider did not obtain parent’s written acknowledgement of receipt of information.

“Evidence: Child A- record contained Information for Parents and policies but was not signed by parent at time of enrollment. Child B- Did not have signed receipt of Emergency Preparedness Plan, Liability Insurance Disclosure, or Medication Policy. Child C- Did not have Medication Policy signed by parent. Child B”

Rule 8VAC20-800-70-B.

Based on record review, provider did not have current certification in cardiopulmonary resuscitation ( CPR) as required.

“Evidence: Providers CPR certification expired 7/28/2023.”

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

Based on record review, staff did not have current certification in First Aid as required.

“Evidence: Staff A- First aid certification expired 7/28/2023.”

Rule 8VAC20-800-140-B-4.

Based on record review, the provider did not document annually the review with parent of emergency contact information to ensure information is correct.

“Evidence: Child A Record did not contain documentation of annual review by parent.”

Rule 8VAC20-800-780-B.

Based on observation and interview, the diapering surface was not cleaned and sanitized as required.

“Evidence: Cleaning product of vinager and water does not meet definition of sanitizer as part of the cleaning and sanitizing routine after each use of the diapering surface.”

Rule 8VAC20-800-690-D.

Based upon record review and interview, emergency evacuation procedures were not practiced monthly as required.

“Evidence: Emergency Drills were not practiced/ documented for the months of February, March, April, May June, July and August 2022.”

Rule 8VAC20-800-830-A.

22.1-289.035-A

“Based on staff and household record reviews, background checks were not completed every five years. Evidence: Staff #1 and Household #1’s last Central Registry search was completed in August 2016.”

Rule 22.1-289.035-A.

8VAC20-800-120-B

“Based on review of staff records, one record was incomplete. Evidence: Staff #2’s record did not contain 2 reference checks.”

Rule 8VAC20-800-120-B.