Berta Reyes

The provider is required to have caregivers and household members undergo a background check every 5 years.

“Household Member #1 was 13 days overdue for a subsequent national criminal history background check. The provider stated a request for a recheck had not been submitted.”

Rule 22.1-289.036-A.

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

“The CPR certification for Caregiver #1 and #2 had been expired for 3 days. As of the date of the inspection, neither caregiver had scheduled a recertification class.”

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

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

“The first aid certification for Caregiver #1 and #2 had been expired for 3 days. As of the date of the inspection, neither caregiver had scheduled a recertification class”

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

Areas and furnishing of the home, inside and outside, shall be maintained in a safe and operable condition.

“The outdoor slide is missing the bolts connecting it to the swing set making it unsturdy. The mulch underneath the outdoor swing has thinned, exposing the tarp underneath which poses a tripping hazard.”

Rule 8VAC20-800-240-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY A childs record shall contain the following: name, address, and telephone number of each custodial parents place of employment; name, address, and telephone number of 2 designated persons to contact in case of emergency if the parent cannot be reached; name and policy number of the childs medical insurance; and authorization for emergency medical care.

Rule 8VAC20-800-60-B.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Before the child’s first day of attendance, parents shall be provided required information in writing.

“The record for Child #1, enrolled for 3 months, and Child #2, enrolled for 19 months, did not contain the policies for termination of care, a general daily schedule, check in and out procedures, or a schedule of fees and payment plans. The record for Child #3, enrolled for almost 15 months, did not contain a general daily schedule. The record for Child #1, #2, and #3 did not contain the provisions of the providers emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

REPEAT VIOLATION Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the departments health and safety update course.

“Caregiver #1 and #2 did not have documentation of completing the departments health and safety update course for 2023, 2024, or 2025.”

Rule 8VAC20-790-250-F.

REPEAT VIOLATION A childs record shall contain the following information: name, address, and telephone number of each custodial parents place of employment; name and policy number of the childs medical insurance.

“The record for Child #1, enrolled for 8 months, did not contain employment information for 1 parent or the policy number of their medical insurance. The record for Child #2, enrolled for more than 12 months, did not contain the policy number of their medical insurance.”

Rule 8VAC20-800-60-B.

SYSTEMIC DEFICIENCY Before the child’s first day of attendance, parents shall be provided required information in writing.

“The parents of Child #1, enrolled for 8 months, and Child #2, enrolled for more than12 months, signed an incomplete Child Information form that did not specify the following: schedule of fees and payment plans, hours and days of operation, holiday closures, discipline policies, provision of food, general daily schedule, policies for termination of care, and the name and schedule of the assistant/subsitute provider, The record for Child #1 and Child #2 did not contain the provisions of the family day homes emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

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

“The record for Child #2, enrolled for more than 12 months, did not contain documentation of an annual review.”

Rule 8VAC20-800-780-B.

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

“An emergency evacuation drill was not practiced in November or December of 2025.”

Rule 8VAC20-800-830-A.

Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the departments health and safety updated course.

“Caregiver #1 and #2 did not have documenttion of completing the departments health and safety updated course for 2023 and 2024.”

Rule 8VAC20-790-250-F.

The provider must obtain the results of a central registry search ( CPS ) for each household member within 30 days of the first day of residence.

“Household member #1, a resident for approximately 4 months, did not have results of a central registry search.”

Rule 22.1-289.036-B-3.

A childs record shall contain the following information: name, address, and telephone number of each custodial parents place of employment; name and policy number of the childs medical insurance.

“The record for Child #1, enrolled for more than 2 months, did not contain employment information for 1 parent or the policy number of their medical insurance. The record for Child #2, enrolled for 7 months, did not contain the policy number of their medical insurance.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION Before the child’s first day of attendance, parents shall be provided required information in writing.

“The parents of Child #1, enrolled for more than 2 months, and Child #2, enrolled for 7 months, signed the Child Information form; however, it was not completed by the provider and did not provide the following: schedule of fees and payment plans, hours and days of operation, holiday closures, discipline policies, provision of food, general daily schedule, policies for termination of care, name and schedule of assistant/subsitute provider, and provisions of the family day homes emergency preparedness and response plan.”

Rule 8VAC20-800-70-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and State Baord of Health.

“Child #1 was in attendance for 7 days before immunizations were obtained.”

Rule 8VAC20-800-90-A.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“The record for Child #1, enrolled for two months, did not contain documentation that parents were provided the policy for the administration of medication.”

Rule 8VAC20-800-70-A.

Based on record review and interview, a person over the age of 18 years living in the home of the licensed family day home provider did not have a central registry check.

“Evidence: Household members #1 and #2 did not have documentation of a central registry check on file.”

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

Based on record review and interview, a current certification in cardiopulmonary resuscitation (CPR) was not issued within the past two years.

“Evidence: Caregiver #1 received CPR certification in April 2022, which expired in April 2024. A new certification was not obtained.”

Rule 8VAC20-800-140-B-3.

Based on record review, the provider did not obtain for each adult household member a current report of tuberculosis screening.

“Evidence: Household member #1 did not have a current report of a tuberculosis screening.”

Rule 8VAC20-800-180-A.

Based on observation, outside furnishings of the family day home were not maintained in a safe and operable condition.

“Evidence: Two sections of the outdoor tunnel slide are loose or broken, making the slide unsafe. 1. There is an unbolted section near the top of the slide. 2. The bottom section of the slide near the landing is broken which could entangle or snag clothing or skin.”

Rule 8VAC20-800-240-A.

Based on record review and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.

“Evidence: 1) Child #2 and #3 did not have complete employment information for each custodial parent. 2) Child #3 did not have a second emergency contact listed.”

Rule 8VAC20-800-60-B.

Based on record review and interview, the provider did not obtain the 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 at the family day home.

“Evidence: Child # 3 with an enrollment date of 8/21/2023 did not have documentation of previous day care programs and schools attended.”

Rule 8VAC20-800-80-A.

Based on review of children’s records, a second designated person to contact in case of an emergency if the parent cannot be reached was not found in children’s records.

“Evidence: There was no second emergency contact for child #1.”

Rule 8VAC20-800-60-B.

Based on review of household residents information, the provider did not obtain updated criminal history checks for themselves and household members.

“Evidence: Criminal history records checks were expired for the provider and household member #3 and household member #5.”

Rule 22.1-289.036-B-2.

Based on review of children’s records, the provider did not obtain documentation that the child had been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home.

“Evidence: Immunization records were not available to review for Child #1.”

Rule 8VAC20-800-90-A.

8VAC20-770-40-D-1-b

“Based on interview and confirmed with file review, the provider did not obtain a updated central registry finding for their assistant staff every five years. Evidence: 1. Staff#1 had a central registry finding dated 9/13/2016.”

Rule 8VAC20-770-40-D-1-b.

8VAC20-770-40-D-4-a

“Based on file review and confirmed with interview with provider, the provider did not obtain a updated sworn statement for 2 household members every five years. Evidence: 1. Household member #1 and #2 had signed sworn statements that did not include the question, “Have you lived outside of Virginia in the past five years?””

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

22.1-289.058

“Based on interview, the provider did not have a carbon monoxide detector and serves preschool-age children. Evidence: 1. The provider stated she did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-770-40-D-1-c

“Based on interview, the provider did not obtain a updated central registry finding for one household member every five years. Evidence: 1. Household member #1 had a central registry finding dated 9/13/2016.”

Rule 8VAC20-770-40-D-1-c.

8VAC20-800-180-A

“Based on interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: 1. The provider stated Household #2 had not received an updated TB test or screening. Last date of test or screening was on 8/17/2018.”

Rule 8VAC20-800-180-A.

8VAC20-800-760-A-1

“Based on observation, the provider’s first aid kit did not contain the minimum requirements. Evidence: 1. The first aid kit was missing the antiseptic cleaner and tweezers.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-770

“Based on interview, the provider did not have a working battery-operated flashlight and did not have a working portable battery-operated weather band radio, and extra batteries. Evidence: 1. The provider stated she sent household member #1 to pick up batteries for the radio and flashlight.”

Rule 8VAC20-800-770.

8VAC20-820-120-E-2

“Based on observation and interview, the provider did not post the most recent inspection findings from 7/26/2021. Evidence: 1. The provider stated she did not have the inspection findings from 7/26/2021 on the parent bulletin board.”

Rule 8VAC20-820-120-E-2.