Elena Cerro

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.

“One child out of 5 children’s files reviewed is missing the physical examination and has been in care for more than 30 days.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each caregiver and adult household member a current Tuberculosis screening and such screening must be repeated every two years from the date of the first screening.

“A household member needs a subsequent TB screening done, this is a repeat violation. Household member 1 The assistant needs a subsequent TB screening. Staff 2”

Rule 8VAC20-800-180-A.

The child’s record shall contain the following information.

“2 out of 5 children’s records reviewed were missing items in the file. Child 1 and 2 were missing the emergency medical authorization as well as proof of ID. Child 2 was also missing the liability insurance information.”

Rule 8VAC20-800-60-B.

Each caregiver must have a subsequent TB screening done evert two years.

“A household member TB screening was last done 4/19/22 and has not been updated.”

Rule 8VAC20-800-180-A.

A child’s records shall have two emergency contacts.

“The review of 4 children’s record, resulted in two records, Child 1 and 3, missing the second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-L

“Based on the review of the physical plant, the caregiver failed to empty a potty chair promptly. Evidence: A potty char was located in the hallway and the potty chair had not been emptied after use.”

Rule 8VAC20-800-690-L.

Repeat Violation

“Based on interview with the provider, the provider and assistants have failed to get training hours in areas relevant to job responsibilities. Evidence: The provider and assistants have not taken any training hours since the provisional license was issued.”

Rule 8VAC20-800-210-A.

8VAC20-800-40-A

Rule 8VAC20-800-40-A.

8VAC20-800-50-E

“Based on the review of records, one file was not accessible to the inspector during the inspection. Evidence: The provider had a drop in child in care, the child was previously in the providers care and her file is stored in the attic and could not be accessed during the inspection.”

Rule 8VAC20-800-50-E.

8VAC20-800-730-D

“Based on the physical plant review, the provider failed to store medication for household members in a locked place. Evidence: Medication for the provider was found on the kitchen hutch, accessible to children and not in a locked place.”

Rule 8VAC20-800-730-D.

22.1-289.011-F

“Based on the physical plant inspection, the provider failed to post the most recent violation notice and inspection summary in a place where the paperwork could be reviewed by parents. Evidence: The most recent inspection summary and violation notice was taped to the refrigerator in the providers kitchen and area where parents do not come.”

Rule 22.1-289.011-F.

8VAC20-770-40-D-4

“Repeat Violation Based on the review of the household members files, one household member is missing a subsequent central registry check. Evidence: Household member 1 is missing a central registry search, his last search was over 5 vears old. This was cited on 11/9/23 and the provider failed to submit the request for a search within 7 days after the citation. The request for a central registry search was sent on 12/13/23.”

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

8VAC20-770-60-C-2

“Repeat Violation, 2nd repeat. Based on the review of the staff records, one staff, staff 2 is missing the Central registry check. Evidence: The staff has been employed since March 2023 and this was first cited on 4/5/23 and again on 11/9/2023. The staff still does not have a check in the file.”

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

8VAC20-800-140-D

“Based on the review of paperwork, the substitute provider did not keep a time sheet indicating when he was working at the childcare as a substitute. Evidence: The provider is out of the country and another household member is the substitute, The household member failed to record the times he is working at the daycare.”

Rule 8VAC20-800-140-D.

8VAC20-800-210-A

“Repeat Violation. Based on the review of the staff files, the provider has not taken any training in the last 14 months. Evidence: Review of the training records for the provider does not show any trainings attended.”

Rule 8VAC20-800-210-A.

8VAC20-800-50-A

“Based on the review of records, the substitute provider failed to take daily attendance. Evidence: At the inspection, attendance records could not be located for the month of December and no attendance was taken for January 4th and 5th as well as January 8th and 9th.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Repeat violation Based on the review of two children’s records, the provider is missing some of the information to make the child’s file complete. Evidence: 2 children’s files reviewed, information missing from last inspection has not been corrected at this time. One child is missing the immunization record and the physical. The second child is missing the emergency contact addresses.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on the review of the diaper changing pad, the pad is absorbent. Evidence: The pad used for changing diapers are covered with a terry cloth cover making it impossible to sanitize after each diaper change.”

Rule 8VAC20-800-690-D.

8VAC20-800-700-A

“Based on interview with the substitute provider, over the counter medication is being administered as needed without authorization from parents. Evidence: During the inspection, children’s Claritin and Children’s Tylenol was found on site without any child’s name on the container. According to the substitute provider the provider gives this medication to the children after contacting the parents. When asked if they have authorization, the substitute provider showed the decision to administer medication form. No authorization forms on file for either medications.”

Rule 8VAC20-800-700-A.

8VAC20-800-730-A

“Based on the review of the physical plant, medications for children and household members are stored in the same place. Evidence: The providers albuterol and children’s Tylenol and children’s Claritin were found stored on an open shelf of a kitchen cabinet.”

Rule 8VAC20-800-730-A.

8VAC20-800-730-D

“The provider failed to have medications stored in a locked space. Evidence: Albuterol for the provider, children’s Claritin and Children’s Tylenol is stored on a shelf in the kitchen accessible to children.”

Rule 8VAC20-800-730-D.

8VAC20-800-880

“Based on the observation during the inspection the children did not get all of the components required to meet the USDA’s standards for a lunch. Evidence: During the inspection the children did not have any vegetables as part of their lunch.”

Rule 8VAC20-800-880.

8VAC20-800-920

“The provider failed to have a weekly menu posted. Evidence: According to interviews with the assistants and substitute provider the parents are told at the end of every day what the children have eaten. Menus are not given to the parents for a week at a time.”

Rule 8VAC20-800-920.

22.1-289.036-B-2

“Based on the review of household member records, the provider failed to get subsequent records . Evidence: Four out of five household members have criminal records checks that are more than 5 years old. Household member 1,3 and 5.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-4

“Based on the review of household members records, the provider failed to get subsequent background checks for some household members. Evidence: Based on the review of records, household member 1,2,3 and 5 are missing the subsequent child protective service check.”

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

8VAC20-770-60-C-2

“Repeat Violation Based on the review of staff records, the provider failed to get some background checks required for staff. Evidence: The two assistants are missing the central registry check. Staff 2, was missing the check at the last inspection, DOH 3/1/23. Staff 3 is missing the check and has been working at the providers more than 30 days. DOH 4/21/23”

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

8VAC20-800-210-A

“Based on the review of training records and conversation with the provider, she failed to get 16 hours of training in the last licensing period. Evidence: According to the provider she has been taking English classes but no classes related to caring for children.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on the review of 4 children’s records the provider failed to get some information to make the child’s file complete. Evidence: Reviewed of 4 children’s records, Child1, is missing the physical examination and immunization records. Child 4 is missing addresses for the emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on observation during the inspection, the diapering surface is not non absorbent. Evidence: The diaper pad has several small holes that makes the pad absorbent when sanitized.”

Rule 8VAC20-800-690-D.

22.1-289.035-B-2

“Based on the review of staff files, the provider failed to get criminal records checks conducted before the first day of employment. Evidence: The provider has two new assistants, one started on 4/3/23 and the other assistant has been with the provider for a month, according to the provider. Both are missing the fingerprints check that must be done before the first day.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on the review of staff records, the provider failed to get a completed sworn disclosure statement for an assistant. Evidence: The assistant filled out the sworn disclosure statement but did not sign the form.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on the review of staff records, the provider failed to get the central registry check for one staff. Evidence: The provider has n assistant that has been at the home for month, no record of the central registry check having been completed in the last month.”

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

8VAC20-800-130

“Based on the inspection, the assistants can not communicate with the inspector about procedures and the standards. Evidence: Based on interview with the provider and attempted conversation with the two assistants, the assistants can not communicate or understand English.”

Rule 8VAC20-800-130.

8VAC20-800-50-A

“Based on the review of the providers record keeping, attendance records could not be located. Evidence: The provider did not have attendance records for the children in care. An attendance sheet with Thursday filled in and August written on the top was located.”

Rule 8VAC20-800-50-A.

8VAC20-800-680-B

“Based on observation during the inspection, a caregiver failed to wash an infants hands after diapering. Evidence: After the assistant changed the child’s diaper the child was placed on the floor to play. The inspector reminded the assistant that both the assistant and the child needed to wash hand after the diaper change. The provider came to the room and translated for the assistant.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-E

Rule 8VAC20-800-690-E.

8VAC20-800-730-D

“Based on the inspection of the physical plant, the provider failed to have her own and household members medication in a locked place. Evidence: The provider stores household medication on a shelf in the kitchen, the children have a play space with table and chairs at the other end of the kitchen. The medications are stored approximately 3.5 feet above the ground.”

Rule 8VAC20-800-730-D.

8VAC20-800-830-A

“Based on the providers records and interview with the provider, the provider failed to conduct monthly emergency evacuation drills. Evidence: No emergency drills were conducted for Dec, Jan, Feb and March.”

Rule 8VAC20-800-830-A.

8VAC20-800-920

“Based on the inspection of the physical plant, the provider failed to post the menu. Evidence: No menu was posted in the daycare area.”

Rule 8VAC20-800-920.

8VAC20-770-40-C-1-c

“Based on the review of the provider paperwork, the provider failed to have background checks for a household member. Evidence: A family member moved in to the home September 1st, 2022. The provider does not have any background checks on record for the household member. Household member #3.”

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

8VAC20-800-460-D

“Based on the review of records, records for the dog and cats present at the home were not accessible. Evidence: A current rabies vaccination certificate could not be viewed during the inspection. The inspector requested that the providers household members, who owns the animals, would email the certificate but it was not received as of 11/15/22.”

Rule 8VAC20-800-460-D.

8VAC20-800-60-B

“Based on the review of the children’s records, the provider failed to have some items required to make the records complete. Evidence: Based on the review of 3 children’s files the following items are missing: Child 1 is missing the physical Child 3 is missing the first page of the physical and a second emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-960-E

“The provider failed to have bottles labeled with child’s name and date. Evidence: The provider has bottles on the counter in the kitchen, none of the bottles are labeled with name and date. One bottle is breastmilk brought from home, the rest are made by the provider as needed.”

Rule 8VAC20-800-960-E.

22.1-289.035-B-2

“The provider failed to have the assistant submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02. Evidence: A new assistant started on 3/20/22, the assistant does not have any fingerprint background check on file. The provider had an assistant from January to March and does not have any fingerprint results from that staff.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on the review of the staff records, the provider failed to have sworn disclosure statements for the current assistant and a previous assistant. Evidence: The current assistant started on 3/20/22 and the provider do not have the sworn disclosure statement on file. A separate assistant worked from January to March and the provider do not have a sworn disclosure statement on file for that assistant.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-A

“Based on the review of staff records the provider failed to get information for the assistant. Evidence: The assistant does not have any paperwork, no references, no orientation and no emergency contacts, verification of age and job title.”

Rule 8VAC20-800-120-A.

8VAC20-800-130

“Based on the information at the inspection, the assistant is not able to speak read and write English . Evidence: The assistant was not able to speak with the inspector and failed to follow guidance when the inspector told her that she needed to wash hands after diaper changing as well as being told that the children needed to wash hands after diaper changing.”

Rule 8VAC20-800-130.

8VAC20-800-180-A

“Based on the review of the provider records, the provider and a household member (#2) needs subsequent TB screenings Evidence: The TB test for the two were done on 7/24/19 and 10/18/19 and is over 2 years old.”

Rule 8VAC20-800-180-A.

8VAC20-800-280

“Based on the review of the physical plant, the provider did not keep cleaners inaccessible to children. Evidence: Cleaners accessible on the kitchen island.”

Rule 8VAC20-800-280.

8VAC20-800-50-A

“The provider failed to keep a written record of attendance. Evidence: The provider told the inspector that she has not been taking attendance for a while.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-A

“Based on the review of the providers paperwork, the provider failed to have records for some of the children. Evidence: Based on the review of 5 records, child 1 is missing information for parents, information regarding medication administration, physicians information, emergency treatment authorization, a physical and the child’s records for with parents information and emergency contacts, The child started in October 2021. Child 5 doe not have any paperwork and started on February 15th 2022.”

Rule 8VAC20-800-60-A.

8VAC20-800-680-A

“The caregiver failed to wash hands after diaper changing. Evidence: The assistant failed to wash her hands after changing a diaper, the assistant did wear rubber gloves during the diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“The caregiver failed to wash the children’s hands Evidence: Based on the observation during the inspection the children came in from outside and the younger children and infants failed to wash hands, the younger children also did not wash hands before eating and after diaper changing.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on the physical inspection the provider failed to have a non absorbent surface that can be sanitized. Evidence: The provider has a diaper changing pad that is covered with a cloth cover, the diaper changing pad is torn. The cloth and pad is absorbent.”

Rule 8VAC20-800-690-D.

8VAC20-800-690-E

“Based on the review of the physical plant, a hands free diaper pail is not used for disposable diapers. Evidence: During the inspection, the assistant was observed changing a diaper, no step on trash can or other trashcan was available. The assistant tied the diaper up in a bag and at first but it on a shelf below the diaper changing pad, after being asked she took it outside and put it in the trashcan.”

Rule 8VAC20-800-690-E.

8VAC20-800-730-D

“The provider failed to keep household medication in a locked place. Evidence: The provider has a kitchen cupboard with open shelves, the shelves had about 40 bottles of medication belonging to the family of the provider. The children eat in the kitchen and were observed walking around in the kitchen during the inspection. None of the medications are locked up.”

Rule 8VAC20-800-730-D.

8VAC20-800-830-A

“The provider failed to conduct monthly emergency evacuation drills. Evidence: Based on the review of the emergency evacuation drills, and interview with the provider, the provider failed to conduct emergency drills for January, February and March 2022.”

Rule 8VAC20-800-830-A.