Lucia Martinez

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

“An updated TB screening for Household member #1 was not completed and was overdue by five months.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the required information.

“The record for Child #1, in care for two months, was missing the address for two emergency contacts, the policy number of the child’s medical insurance, and the employment phone number for both parents. The record for Child #3, in care for two weeks, was missing the employment information for both parents and first day of attendance.”

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 provisions of the family day homes emergency preparedness and response plan.

“There was no parent acknowledgement available for Child #1, who has been in care for two months.”

Rule 8VAC20-800-70-A.

Documentation shall be maintained of emergency evacuation.

“The emergency evacuation drills for June, July, August, and September were not documented.”

Rule 8VAC20-800-830-C.

Repeat violation

“When meals or snacks are provided by the family day home, the menu for the current one week period shall be given or posted in an area accessible to parents. At the time of the inspection, there was no menu available for review.”

Rule 8VAC20-800-920.

Daily age-appropriate activities shall include opportunities for vigorous outdoor play.

“Children are not provided opportunities for vigorous outdoor play because the outdoor play space is used for storage.”

Rule 8VAC20-800-580-C.

Before attendance, documentation of immunizations is to be obtained for each child.

“The documentation of immunizations for Child #3 was obtained 15 days after first day of attendance.”

Rule 8VAC20-800-90-A.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #3, 17 months old, last documented immunization was over seven months ago.”

Rule 8VAC20-800-90-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given or posted in an area accessible to parents.

“At the time of the inspection, there was no menu available for review.”

Rule 8VAC20-800-920.

A landline telephone shall be available, operable, and accessible during the family day home’s hours of operation.

“There was no working landline telephone in the household.”

Rule 8VAC20-800-330-A.

A child’s record shall contain the child’s first day of attendance, telephone number of each parent who has custody, and address and telephone of each custodial parents place of employment.

“The record for Child # 1 (in care for four years) was missing both parents full address for place of employment and one parent’s phone number. The record for Child #2 ( in care for over three years) was missing the employment phone number for one parent. The record for Child #5 (in care for at least seven months) was missing documentation of the first day of attendance.”

Rule 8VAC20-800-60-B.

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

“The parents of children #4 (in care for four months), and #5 (in care for at least seven months) were not provided in writing the following required information: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; schedule of fees and payment plans; check in and check out procedures, and provisions of the family day home’s emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

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 annual review for Child #1( in care for four years) was overdue by nine months. The annual review for Child #2 (in care for over three years) was overdue by over one year.”

Rule 8VAC20-800-780-B.

22.1-289.036-A

“The family day home is required to have employees undergo a background check every five years. The most recent central registry check for Caregiver #1 was completed three months past due. The sworn statement in the record for Household member #1 was completed more than five years ago. The sworn statement is overdue by 5 months.”

Rule 22.1-289.036-A.

22.1-289.057-A

“Licensed family day homes are required to develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including kitchen taps and sinks known to be or visibly used for consumption. The provider has not developed a plan to test potable water.”

Rule 22.1-289.057-A.

8VAC20-800-60-B

“Children’s records are required to contain the child’s first date of attendance, name and policy number of the child’s medical insurance, and documentation of proof of the child’s age and identity. The record for Child #5 was missing the above information. The child was present during the inspection and had been in care for over a month.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Child #1 were not provided in writing the following required information: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; schedule of fees and payment plans; check in and check out procedures, and provisions of the family day home’s emergency preparedness and response plan. Child #5 had been in care for over a month.”

Rule 8VAC20-800-70-A.

8VAC20-800-780-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 annual review for Child #1 was overdue by two months. The annual review for Child #2 and Child #4 was overdue by 5 months. The annual review for Child #3 was overdue by 2 weeks.”

Rule 8VAC20-800-780-B.

8VAC20-800-240-A

“Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition. The children’s outdoor play area was not in a safe condition. There were stacks of cinderblocks and bricks along the perimeter of the play area. A building containing lawn equipment was not locked and accessible to children. The steps children use to enter the play area contained chipped wood.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous materials were inside an unlocked building and on the staircase that children use to enter the outdoor play area from the home.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“The provider is required to review the emergency plan at least annually and update the plan as needed. The review of the emergency plan was 5 months overdue.”

Rule 8VAC20-800-800-B.

Based on observation and record review, the arrival of one child was not documented as it occurred on the written record of daily attendance.

“Evidence: 1. 4 children were in care at 8:40am. Only 3 children were marked present on the written record of daily attendance.”

Rule 8VAC20-790-180-B.

Based on record review, the provider did not obtain a current report of tuberculosis screening every two years for 1 household member.

“Evidence: 1. The most recent tuberculosis screening in the record for Household Member #1 was dated 4/28/2022.”

Rule 8VAC20-800-180-A.

Repeat Violation

“Based on observation and provider interview, the provider did not provide all required daily age-appropriate activities. Evidence: The provider is not providing the children with opportunities for vigorous outdoor play daily. The provider stated she has not been taking the children outside during the day, as the area she typically uses, the backyard of the home, is not available due to the space being utilized for storage.”

Rule 8VAC20-800-580-C.

Based on record review, 1 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #1 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain the parent’s written acknowledgement of the receipt of information for 1 child.

“Evidence: 1. The record for Child #2 did not contain written acknowledgement of the receipt of the provisions of the family day home’s emergency preparedness and response plan”

Rule 8VAC20-800-70-B.

Based on record review, the provider did not review the emergency plan at least annually.

“Evidence: 1. The most recent review of the emergency plan was dated 5/3/2023.”

Rule 8VAC20-800-800-B.

Repeat violation

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: 1. An evacuation drill was not completed in April 2024.”

Rule 8VAC20-800-830-A.

Based on observation, the menu for the current one-week period was not posted.

“Evidence: 1. Meals and snacks are provided by the family day home. 2. The posted menu was dated for the previous week (5/5-5/10)”

Rule 8VAC20-800-920.

22.1-289.036-A

“Based on record review, the provider did not obtain the results of a search of the Central Registry for 1 of 2 caregiver/household member records every 5 years as required. Evidence: The results of the search of the Central Registry for Household Member #1 were dated 09/18/2018.”

Rule 22.1-289.036-A.

Based on observation and provider interview, the provider did not provide all required daily age-appropriate activities.

“Evidence: The provider is not providing the children with opportunities for vigorous outdoor play daily. The provider stated she has not been taking the children outside during the day, as the area she typically uses, the backyard of the home, is not available due to the space being utilized for storage.”

Rule 8VAC20-800-580-C.

Based on record review, the provider did not review annually with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review for 2 children.

“Evidence: 1. The most recent documented review of the emergency contact information for Child #1 was dated 12/20/2021. 2. The most recent documented review of the emergency contact information for Child #2 was dated 11/18/2020.”

Rule 8VAC20-800-780-B.

Based on record review, emergency evacuation procedures were not practiced monthly.

“Evidence: 1. The most recent evacuation drill was dated 07/06/2023.”

Rule 8VAC20-800-830-A.

Based on record review, shelter in place procedures were not practiced a minimum of twice per year.

“Evidence: The most recent shelter in place drill was completed on 11/12/2022.”

Rule 8VAC20-800-830-B.

Based on observation and provider interview, the provider did not provide all required daily age-appropriate activities.

“Evidence: The provider is not providing the children with opportunities for vigorous outdoor play daily. The provider stated she has not been taking the children outside during the day, as the area she typically uses, the backyard of the home, is not available due to the space being utilized for storage.”

Rule 8VAC20-800-580-C.

Based on record review, the provider did not review annually with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review for 3 children.

“Evidence: 1. The most recent documented review of the emergency contact information for Child #1 was dated 1/3/2022. 2. The most recent documented review of the emergency contact information for Child #2 was dated 11/18/2020. 3. The most recent documented review of the emergency contact information for Child #3 was dated 5/03/2019,”

Rule 8VAC20-800-780-B.

Based on observation, children were allowed to drink while walking and lying down.

“Evidence: 1. Provider was observed giving the children milk prior to naptime. Child #1 was observed walking while drinking milk. Child #2 was observed lying on the couch while drinking.”

Rule 8VAC20-800-900-B.

8VAC20-800-50-A

“8Based on review of the written attendance record, the provider did not ensure all children were included on the written attendance record. Evidence: 1) The written attendance record showed 5 children in care, however there were 6 children present in the family day home.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not obtain the parents’ written acknowledgement of the receipt of all required information for 2 of 2 children’s records reviewed.

Rule 8VAC20-800-70-B.

Based on record review, the provider did not maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.

“Evidence: 1. Upon arrival at the home, there were seven children in care. The attendance sheet indicated only 5 children were present at that time.”

Rule 8VAC20-790-180-D.

Based on record review and provider interview, 1 of 2 caregivers did not complete the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education within the first 90 days of employment.

“Evidence: 1.There was no documentation in the record for Caregiver #1 of the completed training. 2.The provider confirmed Caregiver #1 has not yet completed the training.”

Rule 8VAC20-790-250-B.

Based on record review, 1 of 2 caregivers did not complete department’s health and safety update Course as required.

“Evidence: 1. The record for Caregiver #2 did not contain documentation of the health and safety update course.”

Rule 8VAC20-790-250-F.

Based on record review, the provider did not obtain the results of a fingerprint-based criminal history record check for 1 caregiver, prior to the first date of employment.

“Evidence: 1. The fingerprint-based criminal history record check results in the record for Caregiver #1 (employment date 1/11/2022) was dated 1/25/2022.”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain a Sworn Statement or Affirmation for 1 Caregiver prior to the first date of employment.

“Evidence: 1.The record for Caregiver #1 (employment date 1/11/2022) did not contain documentation of a sworn statement.”

Rule 8VAC20-770-60-B.

Based on record review, the provider did not obtain the results of Central Registry search by the end of 30th day of employment.

“Evidence: 1.The Central Registry check results in the record for Caregiver #1 were dated 8/15/2022.”

Rule 8VAC20-770-60-C-2.

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

“Evidence: 1. The provider stated Child #1 began attending the family day home in ?March or April? of 2022. 2. The physical in the record for Child #1 was dated 07/1/2022.”

Rule 8VAC20-800-100-A.

Based on record review, 1 caregiver record did not contain all required information.

“Evidence: 1.The provider stated Caregiver #1 began employment on 1/11/2022. 2.The record for Caregiver #1 did not contain the following: -Address; -Verification of age; -Job title; -Date of employment or volunteering; -Name address and telephone number of a person to be notified in an emergency; -documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

Based on record review, 1 Caregiver record did not contain documentation that the provider provided orientation training to the assistant by the end of their first week of assuming job responsibilities.

“Evidence: 1.The provider stated Caregiver #1 began employment on 1/11/2022. 2.There was no documentation of orientation in the record for Caregiver #1.”

Rule 8VAC20-800-200-C.

Based on record review, 1 of 2 children’s records did not contain all required information.

“Evidence: 1.The record for Child #1 did not contain the first date of attendance. 2. The record for Child #1 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain the parents’ written acknowledgement of the receipt of all required information for 2 of 2 children’s records reviewed.

Rule 8VAC20-800-70-B.

Based on observation and provider interview, required telephone numbers were not posted in a visible area.

“Evidence: 1. The following required information was not posted in the Family Day Home: -A 911 or local dial number for police, fire, and emergency medical responders; -The responsible person for emergency backup care -The regional poison control center.”

Rule 8VAC20-800-790.

Based on record review, the provider did not obtain from the parent, within seven business days of the child’s first day of attendance, verification of the identity and age of the child for 2 children.

“Evidence: 1.Provider stated Child #1 began attending the family day home in ?March or April? of 2022. The documentation in the record for Child #1 does not contain the signature of the provider or the date the proof of identification was reviewed. 2. Child #2 began attending the family day home on 4/11/2022. The documentation in the record for Child #2 does not contain the signature of the provider or the date the proof of identification was reviewed.”

Rule 8VAC20-800-80-A.

Based on record review and provider interview, the family day home did not have a written emergency preparedness and response plan.

“Evidence: 1. Documentation of the emergency preparedness and response plan was not available for review during the inspection. 2.The provider stated she didn’t know where the plan was.”

Rule 8VAC20-800-800-A.

Based on record review, 1 of 2 children’s records reviewed did not contain documentation that a child has been adequately immunized before the child began attending the family day home.

“Evidence: 1.The provider stated Child #1 began attending the family day home in ?March or April? of 2022. 2. The immunizations in the record for Child #1 were dated 07/1/2022.”

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 within 30 days after the first day of attendance.

“Evidence: 1. The record for Child #1 (start date 4/8/2021) did not contain documentation of a physical examination.”

Rule 22VAC40-111-100-A.

Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Evidence: The most recent tuberculosis screening in the record for Household Member #1 was dated 5/8/2019.”

Rule 22VAC40-111-180-A.

Based on record review, 2 of 2 children’s records did not contain all required information.

Rule 22VAC40-111-60-B.

Based on record review, parents were not provided in writing the information required in 8VAC20-800-70A before the child’s first day of attendance.

“Evidence: 1. The written acknowledgement of the information required by 8VAC20-800-70A4-5, and A16 in the record for Child #1 (start date 4/8/2021)were dated 12/01/2021, after the child’s first date of attendance. 2. The record for Child #1 did not contain written acknowledgement of the information required in 8VAC20-800-70A1-3, 6-15, and 17-19.”

Rule 22VAC40-111-70-A.

Based on record review, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60B to ensure the information is correct and obtain the parent’s signed acknowledgment of the review annually for 1 child.

“Evidence: The emergency contact information in the record for Child #2 was last reviewed in 2019.”

Rule 22VAC40-111-780-B.

Based on record review, the provider did not obtain from the parent verification of the identity and age of the child within seven business days.

“Evidence: 1. The proof of identification for Child #1 (start date 5/10/2021) was dated 12/01/2021.”

Rule 22VAC40-111-80-A.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

“Evidence: The record for Child #1 (start date 4/8/2021) did not contain documentation of immunizations.”

Rule 22VAC40-111-90-A.