Laura Toledo de Mendoza

The family day home shall keep a written record of children in attendance each day.

“The attendance was not recorded at the time of inspection and had not been recorded for over four months. Caregiver #1 stated that the attendance has not been recorded in over four months.”

Rule 8VAC20-800-50-A.

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 five months.”

Rule 8VAC20-800-180-A.

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

“There was a wooden barrier propped up between another barrier and a shed located on the outdoor playground that had loose wooden panels, split wood, splintering wood and popped nails exposed.”

Rule 8VAC20-800-240-A.

Providers must obtain a completed national criminal background check for each adult household member.

“Household Member #1, did not have a completed national criminal background check and it was overdue by two months.”

Rule 22.1-289.036-B-2.

Providers must obtain a current tuberculosis screening from each adult household member prior to coming into contact with children.

“There was no tuberculosis screening for Household Member #1 and it was over due by two months.”

Rule 8VAC20-790-170-A.

8VAC20-800-100-B

“Based on record review and interview, The physical examination prior to attendance was not conducted within three months for children age seven months through 18 months. Evidence: 1. Child #1 (age: 2 yrs 4 mo) (date of enrollment: 01/30/2023) record contained documentation of a physical examination dated 05/12/2022. 2. Caregiver #1 acknowledged that the physical examination in Child #1’s record was dated 05/12/2022.”

Rule 8VAC20-800-100-B.

8VAC20-800-90-C

“Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years. Evidence: 1. Child #1 (Age: 2 yr 4mo) record contained documentation of immunizations dated 05/05/2023. 2. Caregiver #1 acknowledged that the record for Child #1 contained documentation of immunizations dated 05/05/2023.”

Rule 8VAC20-800-90-C.

Based on record review and interview, the provider failed to keep a written record of children in attendance each day.

“Evidence: Provider stated she has not been keeping a written record of children in attendance each day.”

Rule 8VAC20-800-50-A.

Based on record review, the provider failed to review with the parent the emergency contact information and obtain the parent signed acknowledgement of the review.

“Evidence: Child #2 first day of enrollment was 8/03/2022. There has been no annual review of emergency contact information.”

Rule 8VAC20-800-780-B.

Based on record review and interview, documentation was not maintained of emergency evacuation and shelter-in-place drills.

“Evidence: Provider stated that drills have been completed and she could not locate the documentation. The last drill on file was dated 09/2023.”

Rule 8VAC20-800-830-C.

Based on record review, additional immunizations records were not obtained for a child every six months under the age of two years.

“Evidence: Child #2 (DOB: 4/27/2021) last immunization record on file was dated 7/27/2022.”

Rule 8VAC20-800-90-C.

Based on record review, the provider failed to obtain current Criminal History Background Record checks as required.

“Evidence: Caregiver #1 ( Date of Hire 08/21/2023) Criminal History Search dated 7/5/2022 was not requested by the provider. Caregiver #2 - Criminal history search dated 6/28/2018 expired on 6/28/2023. Caregiver #3- Criminal History search dated 6/27/2018 expired on 6/27/2023.”

Rule 22.1-289.036-B-2.

8VAC20-800-140-B-3

“Based on record review, provider did not have current certification in CPR. Evidence: Provider/ Caregiver #2- CPR certification expired 2/22/2023. Caregiver #3 - CPR certification expired 2/22/2023.”

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

8VAC20-800-140-B-4

“Based on record review, certification for first aid was not current. Evidence: Provider/ Caregiver #2- first aid certification expired 2/22/2023 Caregiver #3- first aid certification expired 2/22/2023”

Rule 8VAC20-800-140-B-4.

Based on record review of caregiver and household member records, the provider failed to obtain a current report of Tuberculosis Screening Form, in accordance with 8VAC20-180-170, every 2 years from the date of the first screening.

“Evidence: Caregiver #1’s ( date of Hire 8/21/2023) Tuberculosis screen on record is 2/4/22. TB screen must be completed within 30 days prior to hire. Caregiver #2’s record does not contain a current TB screen. The last screening expired 4/28/2023 Caregiver #3’s record does not contain a current TB screen. The last screening expired 4/28/2023.”

Rule 8VAC20-800-180-A.