Yesenia Morales

All caregivers shall have within 90 days of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“The record for Caregiver #3 did not contain documentation of having current certification in CPR.”

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

All caregivers shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care.

“The record for Caregiver #3 did not contain documentation of having current certification in First aid.”

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

The vendor shall maintain a record of the dates of the practice drills for one year.

“Documentation for a lockdown drill for 2025 was not available for review.”

Rule 8VAC20-790-430-B.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“The record for Caregiver #3 did not contain documentation of having completed orientation training. Caregiver #3 has been working in the HBCC for four months and was present on the date of inspection.”

Rule 8VAC20-800-200-A.

Latex gloves, balloons, and empty plastic bags large enough for a child’s head to fit inside shall be inaccessible to children under five years of age.

“A box of latex gloves, a box of plastic bags and a roll of plastic garbage bags were observed on a table next to the changing area, which was accessible to the children.”

Rule 8VAC20-800-250-E.

Wood burning fireplaces and associated chimneys shall be inspected annually.

“A fireplace inspection was overdue by seven years.”

Rule 8VAC20-800-320-G.

Information contained in a child’s record shall be confidential.

“The last inspection’s Supplemental page was posted on the premises. The Supplemental page contains confidential information.”

Rule 8VAC20-800-50-C.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water when their hands are dirty and before eating.

“Children were observed coming back inside after playing in the backyard and their hands were not washed. Children were also observed eating lunch but their hands were not washed before eating.”

Rule 8VAC20-800-680-B.

When topical skin products are used, written parent authorization shall be obtained at least annually.

“Updated written authorizations for topicals were overdue as follows: *For Child #1, overdue by four months. *For Child #2, overdue by 20 months. *For Child #3, overdue by five months.”

Rule 8VAC20-800-750-A.

When topical skin products are used, the product does not need to be kept locked, but shall be inaccessible to children.

“*A box with 9 topical products (diaper cream and skin lotion)was observed next to the changing table. The products were accessible to the children. *Two topical products (sunscreen and bug spray) were observed on an outside table while the children were playing in the backyard.”

Rule 8VAC20-800-750-B.

When topical skin products are used the product shall not be used beyond the expiration date of the product.

“Three diaper cream products were observed past their expiration dates as follows: *Diaper cream 1 expired since 12/2020. *Diaper cream 2 expired since 01/2025. *Diaper cream 3 expired since 11/2025.”

Rule 8VAC20-800-750-D.

Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“The annual review in the record for Child #4 was overdue by three years and ten months.”

Rule 8VAC20-800-780-B.

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.

“An emergency plan review was overdue by four months.”

Rule 8VAC20-800-800-B.

Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

“Documentation for an evacuation drill for December 2025 and a second shelter-in-place for 2025 was not available for review.”

Rule 8VAC20-800-830-D.

The menu for the current one-week period shall be dated.

“The menu for the current week was not dated.”

Rule 8VAC20-800-920.

22.1-289.035-B-3

“The family day home must request a search of the central registry prior to the employee’s first day of employment. The Family Day Home did not have documentation of the results of a central registry search for Caregiver #2, who was present during the inspection and had been employed for four months.”

Rule 22.1-289.035-B-3.

8VAC20-800-60-B

“Children’s records are required to contain policy number of the child’s medical insurance. The record for Child #5 was missing documentation of the policy number of the child’s medical insurance. The child was present during the inspection and had been in care for two years.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-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 family day home operations and administration. The record for Child #1 did not include the parent acknowledgements of receiving the provisions of the family day home’s emergency preparedness and response plan. Child #1 was present during the inspection and had been attending for one week.”

Rule 8VAC20-800-70-B.

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 record for Child #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #4 had been in care for over a year.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“Family day homes are required to practice the emergency evacuation procedures monthly with all caregivers and children in care during all shifts that children are in care. The Family day home did not practice emergency procedures during the months of April 2025, May 2025, and June 2025.”

Rule 8VAC20-800-830-A.

22.1-289.035-B-1

“Providers are required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Caregiver #2, who has been working for less than a week, was not dated.”

Rule 22.1-289.035-B-1.

8VAC20-800-120-B

“Providers must maintain a record for each caregiver that contains all required information. The record for Caregiver #2 did not contain verification of age and the date and signature for one reference.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. There was no tuberculosis screening for Caregiver 2, who has been caring for children for less than a week.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by six months. The TB screening in the record for Household Member #1 was obtained more than two months past due.”

Rule 8VAC20-800-180-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. The immunizations for Child #2 were dated two weeks after Child #2’s first day.”

Rule 8VAC20-800-90-A.

The family day home is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Evidence: Caregiver #1 who had been employed for seven months, did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Evidence: The fingerprint check results for Caregiver #1 were obtained 15 days after Caregiver #1’s first day of employment.”

Rule 22.1-289.035-B-2.

Providers must request a search of the central registry prior to the employee’s first day of employment.

“Evidence: Caregiver #1, who had been employed for seven months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Providers must maintain a record for each caregiver that contains documentation that two or more references as to character and reputation as well as competency were checked before employment.

“One reference in the record for Caregiver #1 was obtained one day after Caregiver #1’s first date of employment. A second required reference was not obtained.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“Evidence: The tuberculosis screening for Caregiver #1 was obtained 9 days after Caregiver #1’s date of hire.”

Rule 8VAC20-800-170-A.

The family day home is required to practice the emergency evacuation procedures monthly with all caregivers and children in care during all shifts that children are in care.

“The family day home did not practice emergency evacuation procedures in August 2024.”

Rule 8VAC20-800-830-A.

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

“Evidence: 1. Emergency evacuation procedures were not practiced during the months of February and March 2024. 2. The emergency drill log did not contain documentation of an emergency drill completed for February and March 2024. 3. The provider confirmed evacuation drills were not completed during those months.”

Rule 8VAC20-800-830-A.

Based on record review, fingerprint based criminal history record checks were not completed every five years as required for the provider and two household members.

“Evidence: The fingerprint-based criminal history record check results in the record for Caregiver #1, Household member #1, and household member #2 were dated 09/14/2018.”

Rule 22.1-289.036-A.

8VAC20-800-540-B

“Based on the review of the physical plant, the provider has a walker on the playground. Evidence: A walker is on the playground, not in use during the inspection.”

Rule 8VAC20-800-540-B.

8VAC20-800-830-C

“Based on the review of emergency drill records, the provider does not have written documentation of drills conducted. Evidence: The sheet with this years emergency drill could not be located during the inspection.”

Rule 8VAC20-800-830-C.

Based on record review, the provider did not obtain the results of a Virginia central registry check every 5 years.

“Evidence: The most recent Virginia Central Registry check results in the record for Caregiver #1 was dated 11/29/2017. Caregiver stated a new request was sent in December, once the caregiver realized it had expired.”

Rule 22.1-289.036-A.

Based on record review, the provider did not obtain a sworn statement of affirmation and a copy of the results of a search of the central registry for each household member every five years.

“Evidence: 1. The sworn statement in the record for household member #1 was dated 11/4/21. 2. The central registry check results in the record for household member #1 was dated 12/8/16. 3. The central registry check results in the record for household member #2 was dated 6/27/16”

Rule 22.1-289.036-A.

Based on record review, the physical exam obtained for Child #1 was not conducted within required time frames.

“Evidence: 1. Child #1 was 7 months old at the first date of attendance. 2. The physical in the record for Child #1 was dated 2/3/2021, more than 3 months prior to attendance.”

Rule 8VAC20-800-100-B.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child’s first day.

“Evidence: 1. The immunizations in the record for Child #1 (start date 9/7/21) were dated 11/22/21.”

Rule 8VAC20-800-90-A.