Fredy Guardado

Repeat violation

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver A was not completed and was overdue by 147 days.”

Rule 8VAC20-800-180-A.

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

“An updated TB screening for caregiver #2 was not completed and was overdue by nineteen days.”

Rule 8VAC20-800-180-A.

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

“The monthly emergency evacuation procedure was overdue by one month.”

Rule 8VAC20-800-830-A.

Documentation of the orientation must be signed and dated by the provider and assistant.

“Caregiver #3’s record was missing their documentation of a signed and dated orientation form.”

Rule 8VAC20-800-200-C.

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

“Evacuation drills were not practiced monthly. The last monthly evacuation drill was completed ten months ago.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures must be practiced a minimum of twice per year.

“Shelter-in-place procedures were only practiced once in 2024.”

Rule 8VAC20-800-830-B.

Based on observation, rooms, halls, and stairways used by children in care were not lighted with natural or electric lighting for the children’s safety and comfort.

“Evidence: 1. The electric lighting in the room that infant and toddlers were napping were turned off during nap period. 2. The windows for natural light were covered with curtains. 3. The room was very dark and the inspector was not able to see the infants, toddlers and 3.5 year old children sleeping in their cribs.”

Rule 8VAC20-800-420-A.

Based on observation, cribs were not used for children from birth through 12 months of age.

“Evidence: 1. Two children (3.5 years old and 2.5 years old) were both over the age of 12 months and observed sleeping in cribs. 2. The two children were not provided a cot, rest mat, or bed to sleep.”

Rule 8VAC20-800-520-A.

Repeat violation

“Based on review and interview, the vendor did not maintain a written hard record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Child #2, Child #3, Child #4, Child #10, and Child #11 were in care at the family day home and were not listed on the attendance sheet with arrival times for today.”

Rule 8VAC20-790-180-D.

Based on observation and interviews, the provider exceeded the maximum licensed capacity of the home.

“Evidence: 1. The provider is licensed for a capacity of only 9 children. 2. There were 11 children present.”

Rule 8VAC20-800-40-A.

Based on observation, children were not provided with the appropriate crib, cot, rest mat or bed for resting or napping.

“Evidence: 1. Child #1 (3 years old) was napping on a FISHER PRICE infant rocker. 2. Child #2 (3.5 years old) was napping on a FISHER PRICE infant rocker.”

Rule 8VAC20-800-510-A.

Based on observation, the caregiver did not provide linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“Evidence: Four children were sleeping on mats with no bottom cover.”

Rule 8VAC20-800-530-A.

Based on observation, the provider did not use an infant swing according to the manufacturer’s instructions and when occupied by a child.

“Evidence: 1. FISHER-PRICE infant rockers are intended for use by infants and young toddlers with weight and age limits. 2. Child #1 (3 years old) was napping on a FISHER-PRICE infant rocker. 3. Child #2 (3.5 years old) was napping on a FISHER-PRICE infant rocker.”

Rule 8VAC20-800-540-A.

Based on observation an infant who fell asleep in a play space was not moved promptly to their designated sleeping space.

“Evidence: Child #3 (12 months old) had fallen asleep on an infant rocker and was not moved promptly to their crib.”

Rule 8VAC20-800-590-B.

Based on record review and interviews, the provider did not maintain a record at the family day home for each enrolled child.

“Evidence: 1. There were 2 children present and the provider stated that they started today. 2. Child #10 did not have a record on file. 3. Child #11 did not have a record on file.”

Rule 8VAC20-800-60-A.

Based on observation and interview, provider did not ensure to prevent children from drinking while lying down.

“Evidence: 1.Child#4 (19 months old) was allowed to drink milk while lying down in their crib. 2. Child#4’s milk bottle was found in their crib.”

Rule 8VAC20-800-900-B.

8VAC20-790-180-B

“Based on review and interview, the vendor did not maintain a written hard record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Child #1, Child #2 and Child #6 were in care at the family day home and were not listed on the attendance sheet with arrival times for today. The caregiver stated Child#1 and Child #2 arrived at approximately 7:10am and Child #6 arrived at approximately 6:54am.”

Rule 8VAC20-790-180-B.

8VAC20-800-180-A

“Based on review and interview, the provider did not 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. Evidence: 1. Caregiver #1 had a Tuberculosis Screening or test dated 2/01/2022 and had been more than two years. The caregiver stated they did it, but could not find the copy of it.”

Rule 8VAC20-800-180-A.

8VAC20-800-80-A

“Based on review, the provider did not obtain Verification of the identity and age of the child; and name and location of previous day care programs and schools the child has attended within seven business days of the child’s first day of attendance. Evidence: 1. Child #2’s file (start date 2/01/2021) did not have record of obtaining from the parent verification of the identity and age of the child; and name and location of previous day care programs and schools the child has attended.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-C

“Based on review of two children’s records, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this section. Evidence: 1. Child #2’s file had the last updated immunization record on 2/14/2022 and should have had additional immunizations approximately 6 months later at the age of 18 months.”

Rule 8VAC20-800-90-C.

8VAC20-800-50-C

“Based on observation, the provider failed to keep information contained in a child’s record privileged and confidential. Evidence: 1. The supplemental page from the inspection dated 9/22/2022 was posted on the parent bulletin board and is considered confidential.”

Rule 8VAC20-800-50-C.

8VAC20-800-50-C

“Based on observation, the provider failed to keep information contained in a child’s record privileged and confidential. Evidence: 1. The supplemental page from the inspections dated 10/21/2021 and 4/04/2022 were posted on the parent bulletin board and are considered confidential.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Based on review of two children’s records, the provider did not maintain complete children’s records. Evidence: 1. Child #1 (start date 9/21/2021) did not have one parent’s work address and work phone number. 2. Child #2 (start date 8/22/2022) did not have two emergency contact names, address and phone numbers and proof of child’s age and identity.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-A

“Based on review of two children’s records, the provider did not obtain from the parent verification and age of the child within seven business days of the child’s first day of attendance at the family day home. 1. Child #2 (start date 8/22/2022) did not have record of the child’s proof of birth in the file.”

Rule 8VAC20-800-80-A.

8VAC20-800-800-B

“Based on review, the provider did not complete the review of the emergency plan at least annually and update the plan and document in writing each review. Evidence: 1. The provider had an emergency plan that was last updated on 4/07/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Based on review of two children’s records, 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: 1. Child #2 (start date 8/16/2021) did not have a physical on file.”

Rule 8VAC20-800-100-A.

8VAC20-800-110-B

“Based on review of children’s records, the provider had a child’s immunization record, but the report did not include the signature by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: 1. Child #2 (start date 8/16/2021) had an immunization record that was not signed and dated by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.