Ghidiani Sanchez

Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition.

“In the backyard, the wooden play structure had three splintering wooden beams, one splintering wooden rail, one rail and one large wooden plank had deteriorating wood, and on the steps leading up to the structure, there was one nail popping out, on the flat side of the nail. The children in care were playing on the wooden play structure at the time of inspection.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances, materials and supplies such as cleaning agents, disinfectants and deodorizers shall be inaccessible to children.

“In the bathroom used by the children in care, one bottle of deodorizer and one bottle of disinfectant that both stated “keep out of reach of children”, were located in an unlocked cabinet under the sink.”

Rule 8VAC20-800-280.

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.

“Records for children #1, #2 and #3, did not have a parent’s signature for an annual review of the emergency contact information. Child #3 had been in care for over a year and their annual update is overdue by six months. Child #2 had been in care for over two years and their annual update was overdue by over a year. Child #1, had been in care for over three years without an annual update.”

Rule 8VAC20-800-780-B.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“Substitute providers, Caregiver #1 and Caregiver #2, did not have record of arrival and departure on each day that the substitute provider worked.”

Rule 8VAC20-800-140-D.

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 seven weeks.”

Rule 8VAC20-800-180-A.

Areas and furnishings of the family day home, inside, shall be maintained in a clean, safe, and operable condition.

“A room occupied by children was not in a safe condition when there were two hot wax warmers, within reach of children.”

Rule 8VAC20-800-240-A.

Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“There were two low uncovered electrical outlets observed in an area occupied by children.”

Rule 8VAC20-800-320-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“This information was not available for child #1, who has been enrolled for over six months.”

Rule 8VAC20-800-80-A.

8VAC20-800-780-B

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“Based on record review, provider failed to obtain for each caregiver a current Report of Tuberculosis Screening form,in accordance with the requirements every two years from the date of the first screening. Evidence: The record for caregiver #3 did not have a current TB screening on file. Last documentation of Tb screening was 9/14/21, expired 9/14/23.”

Rule 8VAC20-800-180-A.

8VAC20-800-830-D

“Based on record review and interview, the provider failed to maintain records of emergency evacuation for one year. Evidence : 1.Last documentation of emergency evacuation was 6/2023. 2. The provider stated drills were conducted and documented, but could not locate documentation at the time of the inspection.”

Rule 8VAC20-800-830-D.

Based on observation and interview, the diapering surface was not sanitized after each use.

“Evidence: 1. There was no sanitizing spray bottle available to disinfect the diapering surface after diapering a child. There was only a container of disinfectant wipes available for use. . 2. Staff #3 used disinfectant wipes to sanitize the diapering surface after changing child #5 diaper. 3. The provider acknowledged they were using the disinfecting wipes after cleaning the diapering surface with soap and water.”

Rule 8VAC20-800-690-D.

8VAC20-800-90-A

“Based on record review, it was determined the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: Child #4 started on 5/22/23and the immunization record is dated 6/19/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-780-B

“Based on record review and interview, annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60-B2 to ensure the information is correct and obtain the parent’s signed acknowledgement of the review. Evidence: The last review was documented on 6/10/21 on the emergency contact information for Child #1. 2. The provider confirmed the last review was on 6/10/21.”

Rule 8VAC20-800-780-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: 1) Child #1 (DOB 12/12/20) record did not have additional immunizations every six months. Last update was 12/31/21.”

Rule 8VAC20-800-90-C.

8VAC20-800-100-A

Rule 8VAC20-800-100-A.

8VAC20-800-750-A

“Based on observation, topical diaper ointments were not labeled with the child’s name. Evidence: 1.Destin ointment was not labeled with a child’s name 2.Baby Rub ointment was not labeled with a child’s name 3.Butt Paste ointment was not labeled with a child’s name 4.Exederm ointment was not labeled with a child’s name 5.Vaseline ointment was not labeled with a child’s name”

Rule 8VAC20-800-750-A.

Based on record review and interview, the provider did not practiced monthly emergency evacuation procedures with all caregivers and children in care during all shifts that children are in care.

“Evidence: 1. Emergency Evacuation record was missing the documentation of an evacuation drill for the month of August. 2. The provider acknowledged the evacuation drill was not conducted in August.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations before a child attends the family day home. Evidence: 1. The immunization record of Child #1 (Start date 7/18/22) is dated 8/8/22. 2. The record of Child #2 (start date 5/2/22) did not contain documentation of an immunization record. 3. The record of Child #3 (start date 8/15/22) did not contain documentation of an immunization record. 4. The provider acknowledged the immunization records were not in the children’s records.”

Rule 8VAC20-800-90-A.

Based on interview, the family day home is not equipped with at least one carbon monoxide detector.

“Evidence: Carbon Monoxide detector was not observed. Upon discussion with provider, it was confirmed there was not a carbon monoxide detector installed in the home. This was previously cited at the last inspection on 3/24/2022.”

Rule 22.1-289.058.

Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children.

“Evidence: 1. Hazard materials labeled “keep out of reach of children” were accessible to children in an unlocked cabinet in bathroom. 2. Deodorizer was located on a counter making it accessible to children.”

Rule 8VAC20-800-280.

Based on observations, child-resistant protective covers were not installed on unused electrical outlets and surge protector.

“Evidence: 1. Electrical outlet did not have a child-resistant protective cover. 2. Surge protector had 2 outlets that did not have protective cover.”

Rule 8VAC20-800-320-B.

Based on observations, equipment used by children was not being used in accordance with the manufacturer’s instructions.

“Evidence: 1. 3 children were observed in highchairs without the straps being used.”

Rule 8VAC20-800-480-D.

Based on record review and interview, documentation of emergency evacuation procedures, drills were not maintained.

“Evidence: The emergency evacuation procedures log did not have April and May drills documented. The provider stated she did complete the drills but forgot to document them.”

Rule 8VAC20-800-830-D.

Based on record review, the family day home did not obtain documentation of additional immunizations once every 6 months for children under the age of two years.

“Evidence: 1. One child’s file did not contain an updated immunization record. 2. Record for child #1 (age 18 months), did not have an updated immunization record every 6 months for children under 2 years of age.”

Rule 8VAC20-800-90-C.

Based on observations, meals and snacks provided by the family day home did not meet the requirements to list any substituted food.

“Evidence: 1. Children were observed eating peanut butter & jelly sandwich and watermelon instead of what was posted on the menu. 2. Posted menu was chicken, rice, mixed vegetables, fruit 3. The substitutions were not documented on the menu.”

Rule 8VAC20-800-920.

22.1-289.058

“Based on interview, the family day home is not equipped with at least on carbon monoxide detector. Evidence: When asked, the provider stated that they did not have a carbon monoxide detector installed.”

Rule 22.1-289.058.

8VAC20-800-480-D

“Based on observation, equipment used by children were not used in accordance with the manufacturer’s instructions. Evidence: An infant was observed in the sleeping room, asleep in a mobile, rocking bassinet. The bassinet included a padded head rest and the head rest was covered with a blanket. The manufacturers warning on the side of the bassinet states that blankets should not be used in the bassinet and that children should never be left unattended while sleeping in the bassinet.”

Rule 8VAC20-800-480-D.

8VAC20-800-60-B

“Based on record review and interview, children’s records did not contain all required information. Evidence: Child #5’s record does not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-880

Rule 8VAC20-800-880.