Mercedes Martell

Repeat Violation

“Caregivers who work directly with children are required to complete at least 16 hours of training annually, to include the departments health and safety update course. Evidence: Caregiver #1’s most recent health and safety update course was dated November 2023. The training is two years overdue.”

Rule 8VAC20-790-250-F.

The family day home shall have a written emergency preparedness and response plan.

“The family day home did not have a written emergency preparedness and response plan.”

Rule 8VAC20-800-800-A.

The emergency evacuation procedures shall be practiced monthly.

“The family day home provider did not have documented emergency evacuation drills for February and March 2026.”

Rule 8VAC20-800-830-A.

Repeat Violation

“Caregivers who work directly with children are required to complete at least 16 hours of training annually, to include the departments health and safety update course. Evidence: Caregiver #1?s most recent health and safety update course was dated November 2023. The training is two years overdue.”

Rule 8VAC20-790-250-F.

Caregivers who work directly with children are required to complete at least 16 hours of training annually, to include the department’s health and safety update course.

“Caregiver #1 reported that they have not completed the department’s health and safety update course. The caregiver was required to complete the training by November 2023.”

Rule 8VAC20-790-250-F.

The provider is required to orient the assistant by the end of their first week of assuming job responsibilities.

“There was no orientation documentation on record for Caregiver #2, who has been employed for more than six weeks.”

Rule 8VAC20-800-200-A.

Child records shall contain all of the required information.

“The records for Child A and Child B did not contain the name, address, and phone number of a second emergency contact who can be reached in case of an emergency if the parent cannot be reached. The record for Child B did not contain the phone number of the parents place of employment.”

Rule 8VAC20-800-60-B.

The vendor is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At approximately 2:55pm on 10/24/24, the attendance contained documentation of nine children present. There were only eight children present at the time.”

Rule 8VAC20-790-180-B.

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

“There were no sworn statements on record for Caregiver B, who had been employed for more than two weeks, or for Caregiver C, who had been employed for more than one month.”

Rule 22.1-289.036-B-1.

2 The provider must obtain documentation of the results of a fingerprint-based, national criminal background check prior to the employee’s first day of employment.

“Caregiver B, who had been employed for more than two weeks, and Caregiver C, who had been employed for more than one month, did not have the results of a national criminal background check on record for the provider.”

Rule 22.1-289.036-B-2.

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

“Caregiver B, who had been employed for more than two weeks, and Caregiver C, who had been employed for more than one month, did not have a central registry search requested.”

Rule 22.1-289.036-B-3.

Providers must maintain a record for each caregiver that contains required documentation.

“The record for Caregiver B, who had been employed for more than two weeks, and the record for Caregiver C, who had been employed for more than one month, did not contain references or documentation of orientation training.”

Rule 8VAC20-800-120-B.

The provider shall obtain from each caregiver at the time of hire a current tuberculosis (TB) screening form documenting the absence of TB in a communicable form.

“The TB screening on record for Caregiver B was dated more than two weeks after employment.”

Rule 8VAC20-800-170-A.

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

“The TB screening on record for Caregiver A was more than six months past due.”

Rule 8VAC20-800-180-A.

Children shall not be allowed to eat or drink while lying down.

“A toddler was observed in their crib with a bottle. Several other children were observed to have bottles or sippy cups with them in their sleeping location, which is considered a choking hazard.”

Rule 8VAC20-800-900-B.

8VAC20-800-180-A

“Based on review of two caregiver records, the provider did not obtain for each caregiver a current tuberculosis (TB) screening every two years. Evidence: The most recent TB screening on record for Caregiver A was dated 4/13/22. The most recent TB screening on record for Caregiver B was dated 4/20/22.”

Rule 8VAC20-800-180-A.

8VAC20-800-460-C

“Based on review of two pet records, the provider did not ensure to maintain current rabies vaccination for dogs. Evidence: The pet records contained documentation that the rabies vaccination for both pets expired on 3/24/24.”

Rule 8VAC20-800-460-C.

8VAC20-800-60-B

“REPEAT VIOLATION Based on review of four child records, the provider did not obtain all of the required documentation for child records. Evidence: The record for Child C did not contain the work place name, address, and phone number for the parent, or the address of a second emergency contact if a parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on review of four child records, the provider did not obtain documentation of additional immunizations for children every six months for children under the age of two years. Evidence: The records for Child A, Child B, Child C and Child D did not contain updated immunizations for children every six months until their 2nd birthday.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

“Based on review of four child 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: The physical on record for Child D, with a start date of 6/5/23, was dated 9/11/23.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-830-B

“Based on documentation review, the provider did not ensure that shelter-in-place procedures were practiced a minimum of twice per year. Evidence: The most recent shelter-in-place documented on the emergency drill log was dated 10/23/22.”

Rule 8VAC20-800-830-B.

8VAC20-800-920

“Based on observation, the provider did not ensure that the menu for the current week was posted or placed in an area accessible to parents. Evidence: The posted menu was dated October 30th- November 10th.”

Rule 8VAC20-800-920.

8VAC20-770-40-D-5-a

“Based on review of one household member record, the provider did not obtain documentation of the results of a search of the central registry for one household member within 30 days of turning 14-years-old. Evidence: There was no documentation of central registry results on record for Household Member #1, with a date of birth of 2-22-09.”

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

22.1-289.035-A

“Based on review of three caregiver records, the provider did not obtain the results of a search of the central registry for a caregiver every five years from the date of the last check. Evidence: The central registry on record for Caregiver B was dated 4/21/17.”

Rule 22.1-289.035-A.

8VAC20-800-200-C

“Based on review of three caregiver records, the provider did not ensure that documentation of orientation was signed and dated by the provider and assistant. Evidence: The record for Caregiver A did not contain documentation of orientation.”

Rule 8VAC20-800-200-C.

8VAC20-800-90-C

Rule 8VAC20-800-90-C.

8VAC20-800-50-A

“Based on documentation review and interview with the provider, the provider did not keep a written record of children in attendance each day. Evidence: At approximately 1:12pm on Thursday, 1/13/22 the provider reported that the attendance had not been completed that week.”

Rule 8VAC20-800-50-A. From a complaint.

22.1-289.035-A

“Based on record review and interview with the provider, the provider did not ensure that the results of a central registry check were obtained every five years for a caregiver. Evidence: The most recent central registry check on record for Caregiver #1 was dated 7/14/16.”

Rule 22.1-289.035-A.

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain a current tuberculosis (TB) screening every two years for each caregiver. Evidence: The most recent TB screening on record for Caregiver #1 was dated 5/25/18. The most recent TB screening on record for Caregiver #2 was dated 6/14/18.”

Rule 8VAC20-800-180-A.