Rosmery Salinas

Providers must obtain a completed national criminal background check within 30 days of a household member turning 18 years old.

“Household Member #1, who turned 18 four months ago, did not have a completed national criminal background check.”

Rule 22.1-289.036-B-2.

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 78 days.”

Rule 8VAC20-800-180-A.

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

“The sworn statement for Caregiver #3, who is currently working, was not signed or dated.”

Rule 22.1-289.035-B-1.

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 #3 and #4, who had been attending for 57 days, did not have documentation of their physical examination in their record.”

Rule 8VAC20-800-100-A.

Assistant provider records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Staff #3, who had been working for 57 days, only had record of one reference check.”

Rule 8VAC20-800-120-B.

A child’s record shall contain the name and policy number of the child’s medical insurance.

“Child #3 and #4 did not have the policy number included in their record. Both children have been attending for more than 2 months.”

Rule 8VAC20-800-60-B.

A child shall not be left unattended on a changing table during diapering.

“An infant under the age of 12 months was left unattended on a changing table during diapering for a period of 10 seconds, while the caregiver grabbed extra clothes for them.”

Rule 8VAC20-800-690-A.

8VAC20-800-100-A

“Based on review of children’s records, the providers did not obtain documentation of a physical examination under the direction of a physician within 30 days after the first day of attendance. Evidence The record for child #1 (first day of attendance 5/1/23) and child #2 (first day of attendance 8/15/22) do not contain documentation of a physical examination under the direction of a physician within 30 days of first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-690-D

“Based on observation, the diapering surface is not nonabsorbent. Evidence The diapering surface is ripped exposing nonabsorbent materials.”

Rule 8VAC20-800-690-D.

22.1-289.035-B-2

“Based on review of caregiver records, the caregiver did not submit to a fingerprint check before their current fingerprint check expired. Evidence The fingerprint check for caregiver #4 expired in April 3 , 2023. Caregiver #4 did not submit a new fingerprint check.”

Rule 22.1-289.035-B-2.

22.1-289.036-B-2

“Based on review of caregiver records, the provider did not submit to a fingerprint check before their current fingerprint check expired. Evidence The fingerprint check for caregiver #3 expired in April 3 , 2023. Caregiver #3 did not submit a new fingerprint check.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4

“Based on review of household member (HHM) records, all HHM over the age of 18 years of age did not complete a sworn statement, or complete a criminal history record check. Evidence. HHM #1 has not signed a sworn statement or completed a criminal history record check.”

Rule 8VAC20-770-40-D-4.

8VAC20-770-40-D-5

“Based on review of household members (HHM), not all HHM aged 14 years of age and older completed a search of the central registry. Evidence HHM #2 over the age of 14, did not complete a search of the central registry.”

Rule 8VAC20-770-40-D-5.

8VAC20-800-170-A

“Based on review of household member (HHM) records, the provider did not obtain for each adult HHM a current report of tuberculosis screening, Evidence HHM#1 does not have a current report of tuberculosis screening on file.”

Rule 8VAC20-800-170-A.

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence The capacity of the home is 12 children at any one time. When the inspector arrived there were 13 children in care. The written daily attendance sheet listed 13 children in care on 9/18/2023 and 9/19/2023.”

Rule 8VAC20-800-40-A.

8VAC20-800-50-A

“Based on review of daily attendance, the family day home did not keep a written record of children in attendance each day. Evidence The written record of children in attendance for 9/20/2023 listed 9 children currently in care. There were actually 13 in attendance.”

Rule 8VAC20-800-50-A.

8VAC20-800-780-B

“Based on review of children’s records, the provider did not review the children’s record annually with the parent/guardian. Evidence The record for child #1 was not reviewed annually, it was reviewed with the parent/guardian on 9/14/2022.”

Rule 8VAC20-800-780-B.

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the standards and terms of the current license issued by the department. Evidence The provider did not comply with the terms of the current license issued by the department. Provider had 15 children in care when inspector arrived. Provider is licensed to care for a total of 12 children. Provider was over capacity by 3 children. Provider was told to reduce her capacity by 3 immediately.”

Rule 8VAC20-800-30-A.

8VAC20-800-540-B

“Based on observation, infant walkers were accessible to children on the outside play area. Evidence On the cement area of the playground two infant walkers were accessible to the children.”

Rule 8VAC20-800-540-B.

8VAC20-800-60-A

“Based on review of children’s records, the provider did not maintain an up to date record for each enrolled child. Evidence Child #1 did not have a record available for review.”

Rule 8VAC20-800-60-A.

8VAC20-800-770

“Based on review of emergency supplies, an emergency flashlight were not kept in a designated area and available to caregivers at all times. Evidence A working battery operated flashlight was not kept in a designated area or available to caregivers at all times.”

Rule 8VAC20-800-770.

8VAC20-800-60-B

“Based on review of 3 children’s records, two did not contain the required information. Evidence The record for child #1 (first day of attendance 9/19/22) did not contain proof of identity. The record for child #2 (first day of attendance 8/23/22) did not contain the permission for emergency treatment form.”

Rule 8VAC20-800-60-B.

22.1-289.035-B-2

“Based on review of 3 caregiver records, 1 did not submit to fingerprinting. Evidence Caregiver #3 did not submit to fingerprinting before their first day of employment.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on review of 3 caregiver records, 3 do not have a current central registry finding. Based on review of 1 household member record, 1 does not have a current central registry finding within 30 days of turning 14 years. Evidence The record for caregiver #1 and #2 have expired central registry findings The record for caregiver #3 does not have any central registry finding within 30 days of first day of employment.”

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

8VAC20-800-60-B

“Based on review of 5 children records, 1 record did not contain the required information. Evidence The record for child #2 did not contain an address for one emergency contact, and no information for a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on review of 5 children records, 2 records for children under the age of 2 did not have additional immunizations every six months. Evidence The records for child #1 and #3 (both under the age of two) did not have additional immunization records every six months.”

Rule 8VAC20-800-90-C.

22VAC40-111-120-A

“Based on review of three staff records, one record is incomplete. Evidence: The record for staff #1 does not contain documentation of name, address, verification of age, job title, date of employment, emergency contact information, and reference checks.”

Rule 22VAC40-111-120-A.

22VAC40-191-60-B

“Based on review of three staff records, one does not contain documentation of a completed sworn statement or affirmation. Evidence: The record for staff #1 does not contain documentation of a completed sworn statement or affirmation.”

Rule 22VAC40-191-60-B.

22VAC40-191-60-C-2

“Based on review of three staff records, one does not contain documentation of a follow up central registry report. Evidence: The record for staff #2 does not contain documentation of a non expired central registry report. Current documentation in report expired 9/8/2021”

Rule 22VAC40-191-60-C-2.

63.2-1720.1-B-2

“Based on review of 3 staff records, one does not contain documentation of an eligible fingerprint before first day of employment. Evidence: The record for staff #1 does not contain documentation of an eligible fingerprint before the first day of employment.”

Rule 63.2-1720.1-B-2.