Miriam Medina

The provider is required to 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.

“Child #4 did not have documentation of a physical examination on file at the time of the inspection. They have been enrolled for 6 months.”

Rule 8VAC20-800-100-A.

The family day home is required to keep a written record of children in attendance each day.

“The written record of children in attendance on the date of the inspection was not accurate. There were 4 children who were listed as being in attendance and were not present. There were also 4 children who were present and not listed on the attendance for the day.”

Rule 8VAC20-800-50-A.

Soft bedding, such as omforters are not allowed to be used under or around infants.

“A blanket was observed in the crib with Child #5 (under 16 months old) at the time of the inspection.”

Rule 8VAC20-800-530-F.

Before a child may attend the family day home, the provider is required to obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Child #5 did not have documentation of immunizations on file at the time of the inspection. Child #5 has been enrolled for 2 weeks.”

Rule 8VAC20-800-90-A.

REPEAT VIOLATION*** 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.

“The vendor’s attendance sheet on the date of the inspection listed 12 children. 2 of the children listed on the attendance sheet were not actually present. There was a total of 15 children in attendance, which means a total of 5 children who were present were not listed on the attendance sheet for the day. The children’s attendance is not being marked as they arrive with the arrival time.”

Rule 8VAC20-790-180-B.

All employees must submit to fingerprinting prior to employment as described in subdivision B 2 of ? 19.2-392.02. Caregiver #3 did not have submit to fingerprinting within the required timeframe.

“There was no documentation available of the results of fingerprints testing at the time of the inspection for the caregiver.”

Rule 22.1-289.035-B-2.

The Provider is required to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Caregiver #4 did not have documentation of a search of the child abuse and neglect registry or equivalent registry for another state (outside of Virginia) in which the caregiver resided in the preceding 5 years.”

Rule 22.1-289.035-B-4.

Assistants’ and substitute providers’ records shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“There were no references on file for staff #4 at the time of the inspection.”

Rule 8VAC20-800-120-B.

Caregivers are required to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities, in addition to the first aid and CPR training.

“Caregiver #2 did not have documentation on file to show that they obtained a minimum of sixteen clock hours of training annually for 2024.”

Rule 8VAC20-800-210-A.

Areas and furnishings of the family day home, inside and outside, are required to be maintained in a clean, safe, and operable condition.

“The gate used to enter and exit the deck area which leads to the daycare was broken at the time of the inspection. A hinge was broken with exposed nails and the door was falling when unlatched to enter the deck area where the children were at the beginning of the inspection.”

Rule 8VAC20-800-240-A.

The provider is required to ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state or local laws, and other relevant regulations.

“At the time of the inspection, the Provider was over the capacity allowed by the terms of the license. The capacity listed on the Provider’s license is 12 children and the Provider was found to have 15 children in care.”

Rule 8VAC20-800-30-A.

The provider is required to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“The Provider was observed to have 15 children in care at the time of the inspection when the Provider’s maximum licensed capacity is 12 children.”

Rule 8VAC20-800-40-A.

The Provider is required to maintain an up-to-date record at the family day home for each child enrolled.

“Child #1, Child #2, and Child #3 were all missing the Emergency Preparedness Plan. Child #3 was also missing the Information for Parents form.”

Rule 8VAC20-800-60-A.

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.

“The vendor’s attendance sheet on the date of the inspection was missing 3 out of 12 children’s names who had arrived for the day. The previous week’s attendance sheets showed that children have not been consistently written on the attendance sheet and there is no indication of the arrival and departure of each child in care as it occurs.”

Rule 8VAC20-790-180-B.

Within the first 90 days of employment or service all caregivers are required to complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Caregiver #2 and Caregiver #3 did not have documentation on file of completing the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education and they have both been employed for more than 90 days.”

Rule 8VAC20-790-250-B.

All caregivers who work directly with children are required to complete the department’s health and safety update course annually.

“Caregiver #1 did not have documentation of completing the department’s health and safety update course for 2024.”

Rule 8VAC20-790-250-F.

Each employee is required to authorize the family day home to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515.

“Caregiver #1 and Caregiver #2 did not have documentation of the results of a central registry background check on file at the time of the inspection.”

Rule 22.1-289.035-B-3.

The provider is required to obtain, for each caregiver and adult household member ,a current Report of Tuberculosis Screening formevery two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver #1 had a TB screening on file that expired less than one month ago. Household Member #1 and Household member #2 had a TB screening on file that expired less than one month ago.”

Rule 8VAC20-800-180-A.

**REPEAT VIOLATION** A complete child record is required for each child in care.

“Child #2 did not have a completed child record on file at the time of the inspection.”

Rule 8VAC20-800-60-B.

**REPEAT VIOLATION** A complete child record is required for each child in care.

“Child #2 did not have a completed child record on file at the time of the inspection.”

Rule 8VAC20-800-60-B.

**Repeat Violation** The family day home is required to obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

“Child #3’s last documented immunizations on file were obtained 18 months ago. Child #5’s last documented immunizations on file were obtained 17 months ago.”

Rule 8VAC20-800-90-C.

Based on observation, all feeding or activity tables were not used according to the manufacturer’s instructions when occupied by a child and a safety strap was not securely fastened.

“Evidence: 1. An infant (under 16 months) was observed in a bumbo seat that had a safety strap, but the safety strap was not securely buckled.”

Rule 8VAC20-800-540-A.

Based on a review of children’s records, 3 out of 5 records were not up-to-date record.

“1. Child #2’s last annual update of emergency information was on 7/12/2023. 2. Child #4’s last annual update of emergency information was on 8/4/2023. 3. Child #6’s last annual update of emergency information was on 6/4/2022.”

Rule 8VAC20-800-60-A.

Based on a review of children’s records, 1 out of 12 children did not have a record containing the required information.

“Evidence: 1. Child #1 did not have a child file on site with the required information at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on a review of children’s records, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements.

“Evidence: 1. Child #6 (2 years old) had not had updated immunizations obtained by the family day home since 5/5/2022.”

Rule 8VAC20-800-90-C.

Based on observation, all bottles were not labeled with the child’s full name and the date.

“Evidence: 1. In the kitchen area, 3 bottles were observed to have no name and no date for the day. There was more than one infant in care at the time of the inspection.”

Rule 8VAC20-800-960-E.

Based on a review of caregiver records, 1 out of 4 caregivers did not have a tuberculosis screening every two years from the date of the first screening.

“Evidence: 1. Caregiver #3 had a TB screening on file that was dated 2/24/2022. The TB screening must be renewed every 2 years, so it was expired.”

Rule 8VAC20-800-180-A.

Based on a review of children’s records, 1 out of 5 child records reviewed did not contain the required information.

“Evidence: 1. Child #1 did not have documentation of the Emergency Preparedness and Response Plan on file at the time of the inspection.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on a review of children’s records, the provider did not obtain documentation of a physical examination for 1 out of 4 children 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: 1. Child #4 (doe: 10/3/2022) did not have documentation of a physical examination on file at the time of the inspection.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Based on a review of children’s records, the provider did not obtain documentation obtain documentation that all children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #4 (doe: 10/3/2022) did not have documentation of immunizations on file at the time of the inspection.”

Rule 8VAC20-800-90-A.

Based on a review of household member records, the Provider did not obtain a subsequent report of tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Evidence: 1. Household Member #2’s most recent tuberculosis screening was dated 3/7/2020.”

Rule 8VAC20-800-180-A.

Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: 1. There were 14 children receiving care in the family day home during the start of the inspection.”

Rule 8VAC20-800-40-A.

Based on a review of children’s records, 2 out of 4 children did not have acknowledgement of the review of the annual review of emergency contact information required to ensure the information is correct.

“Evidence: 1. Child #1’s (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020. 2. Child #2’s (doe: 1/4/2018) last annual update of emergency contact information was on 7/7/2020.”

Rule 8VAC20-800-780-B.

Based on a review of children’s records, 1 out of 2 children’s records did not include documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child #1 (doe: 6/28/2021) did not have documentation of a physical examination report on file during the inspection.”

Rule 8VAC20-800-100-A.