Natalia Gonzalez

Repeat Violation Children’s records are required to contain parental work phone numbers.

“The record for Child #6 was missing the work phone number for one parent. The child was present during the inspection and had been in care for ten months.”

Rule 8VAC20-800-60-B.

Repeat Violation The family day home shall have a written emergency preparedness and response plan.

“The Caregiver stated she did not know where the emergency preparedness and response plan was located.”

Rule 8VAC20-800-800-A.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #1, 32 months old, last documented immunization was over 17 months ago and needed an updated immunization record..”

Rule 8VAC20-800-90-C.

The vendor shall have a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures.

“The vendor had an emergency preparedness plan that did not address lockdown procedures.”

Rule 8VAC20-790-420-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 two months and three weeks.”

Rule 8VAC20-800-180-A.

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 and Caregiver #2 did not complete 16 hours of training in 2025.”

Rule 8VAC20-800-210-A.

Children’s records are required to contain the child’s medical insurance policy number.

“The record for Child #1 was missing the medical insurance policy number. The child was present during the inspection.”

Rule 8VAC20-800-60-B.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The provider’s emergency plan was last updated on 10/30/2024.”

Rule 8VAC20-800-800-B.

Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

“The provider had the 2026 drill record only and did not have the 2025 drill record.”

Rule 8VAC20-800-830-D.

The vendor shall 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 was taking daily attendance, but did not document the arrival and departure of each child as it occurs.”

Rule 8VAC20-790-180-B.

Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Caregiver #2 had not completed the Health and Safety update Course since 7/25/2024 and was past due by approximately 3 months.”

Rule 8VAC20-790-250-F.

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

“A play kitchen set had a sink with a hole in the base approximately the size of a quarter. An outdoor play structure had one missing board on the top platform, two boards that were splintering/had deteriorating wood, the paint was peeling on some boards and the base under the slide had wood that was deteriorating. In the play area inside, the paint was chipping near the window and wall to the left.”

Rule 8VAC20-800-240-A.

Repeat Violation Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from the 4/15/2025 inspection was posted with the summary and inspection report on the parent bulletin board. This page is considered confidential.”

Rule 8VAC20-800-50-C.

An assistant 18 years of age or older who meets the requirements for a substitute provider may act as the substitute provider when the provider is absent from the home for more than two hours.

“The Assistant did not meet the requirements for a substitute provider and was caring for children for more than two hours when the provider was absent from the home. The Assistant stated the provider would be returning tomorrow.”

Rule 8VAC20-800-150-E.

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.

“One unused outlet under the Alphabet Center area was not covered with a protective cover.”

Rule 8VAC20-800-320-B.

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page from the 5/30/2024 inspection and 12/03/2024 inspection were posted on the parent bulletin board. This page is considered confidential.”

Rule 8VAC20-800-50-C.

Children’s records are required to contain the parent’s work phone number and insurance policy numbers.

“The record for Child #1 and Child #2 were missing the employment work phone numbers for both parents and the insurance policy number..The children were present during the inspection and had been in care for one year and 7 months,.”

Rule 8VAC20-800-60-B.

The first kid did not contain the minimum requirements.

“The provider’s first aid kit was missing the 2nd triangular bandage.”

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

The responsible person for emergency backup care was not posted in a visible area close to the telephone:

“The assistant stated the responsible person for emergency backup care was not posted.”

Rule 8VAC20-800-790.

The family day home shall have a written emergency preparedness and response plan.

“The Assistant stated she did not know where the emergency preparedness and response plan was located.”

Rule 8VAC20-800-800-A.

In addition to satisfactory completion of first aid training and CPR training, caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 only had 12.5 annual training hours completed.”

Rule 8VAC20-800-210-A.

REPEAT VIOLATION Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“Two bottles of hand sanitizer labeled “Keep out of reach of children” were accessible to children.”

Rule 8VAC20-800-280.

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. The Family Day Home did not practice emergency evacuation procedures in the months of October and November 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-570-A

Rule 8VAC20-800-570-A. From a complaint.

8VAC20-800-280

“Based on observation, the provider did not ensure potentially poisonous substances, such as cleaning agents were stored away from areas inaccessible to children. Evidence: Under the sink in the bathroom that the children use, there was several cleaning supplies unlocked and accessible to children. The cleaning supplies included bleach, windex, and Clorox.”

Rule 8VAC20-800-280.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands were washed with liquid soap and warm running water at required times. Evidence: Caregiver 1 changed a child’s diaper and did not wash their hands or the child’s hands when the diaper change was completed.”

Rule 8VAC20-800-680-B.

8VAC20-790-250-F

“Based on a review of caregiver records, the provider did not ensure that caregivers who work directly with children have annually, the department’s health and safety updated course. Evidence: Caregiver #2 had a health and safety course dated 8/3/2022.”

Rule 8VAC20-790-250-F.

8VAC20-800-140-B-3

“Based on a review of caregiver records, the provider did not ensure current certification in cardiopulmonary resuscitation (CPR) issued within the past two years and current certification in first aid. Evidence: Caregiver #1 and Caregiver #2 had CPR and first aid certifications that expired on 6/19/2023.”

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

8VAC20-800-180-A

“Based on a review of caregiver records, the provider did not obtain a current Report of Tuberculosis Screening form, every two years from the date of the first screening for one caregiver. Evidence: Caregiver #1 had a TB test dated 8/31/2021 which expired on 8/31/023.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“Based on observation, the provider did not ensure areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The wooden play structure outside had one missing step on the bottom of the ladder and a broken step at the top of the ladder.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on observation, the provider did not ensure the family day home had a written record of children in attendance each day. Evidence: Attendance was not available on 09/08/2023 and the week prior, 09/01/2023-09/07/2023.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation, the provider did not ensure that each caregiver does not exceed 16 points. Evidence: The inspection arrived at approximately 9:05 am and observed 12 children for a total of 29 points with Caregiver #2. Caregiver #2 was alone with the children until Caregiver #1 arrived to the family day home at approximately 9:30 am.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-690-L

“Based on observation, the provider did not ensure that when toilet chairs are used they are emptied promptly, cleaned and sanitized after each use. Evidence: Two toilet chairs in the bathroom had urine in them.”

Rule 8VAC20-800-690-L.

8VAC20-800-70-B

“Based on a review of child records, he provider did not ensure the 2 records contained the parent’s written acknowledgment of the receipt of the information. Evidence: Child #2 and Child #3 (date of enrollment 9/4/2023) were missing the parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

Rule 8VAC20-800-70-B.

8VAC20-800-700-B

“Based on a review of medication and documentation, the provider did not ensure medication had written authorization. Evidence: Child #3 did not have written authorization for emergency medication.”

Rule 8VAC20-800-700-B.

8VAC20-800-830-C

“Based on a review of documents, the provider did not ensure documentation was maintained of monthly emergency evacuation drills. Evidence: The last documented emergency evacuation drill was dated 6/19/2023. No drills were documented for August and September 2023.”

Rule 8VAC20-800-830-C.

8VAC20-800-960-E

“Based on observation, the provider did not ensure bottles were labeled with the child’s full name and the date when more than one infant was in care. Evidence: 1 of 3 sets of bottles did not contain the child’s name. 2 of 3 sets of bottles did not contain the date.”

Rule 8VAC20-800-960-E.

8VAC20-800-320-B

“Based on observation of the physical plant, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: Several unused electrical outlets did not have child-resistant protective covers in the room closest to the exit door that leads to the drive way.”

Rule 8VAC20-800-320-B.

8VAC20-800-460-D

“Based on a review of documentation and provider interview, the provider did not maintain documentation of the current rabies vaccination. Evidence: 1. There was no documentation of current rabies vaccination for 2 of 2 dogs. 2. The provider confirmed that she did not have documentation of the rabies vaccination.”

Rule 8VAC20-800-460-D.

8VAC20-800-480-D

“Based on observation, equipment used by children was not used in accordance with the manufacturer’s instructions. Evidence: One child was observed sitting at the table in the toddler seat not strapped in with the provided safety buckle.”

Rule 8VAC20-800-480-D.

8VAC20-790-250-F

“Based on a review of caregiver and provider records and provider interview, caregivers who work directly with children did not have the annual update for the health and safety. Evidence: Caregiver A did not have the annual health and safety update during the inspection. The provider confirmed they did not have the training.”

Rule 8VAC20-790-250-F.

8VAC20-770-60-B

“Based on a review of records, an employee was providing employment services before the provider had the person’s completed sworn statement. Evidence: Assistant B (DOH 10/3/2022) did not have a sworn statement filled out during the inspection.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on a review of assistants’ records, they did not contain and emergency contact. Evidence: There was no emergency contact on file for assistant B.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“Based on a review of the assistant’s records, the form was not completed within the last 30 days before their hire date. Evidence: Assistant B (Date of hire 10/3/2022) had a TB test dated 06/04/2022.”

Rule 8VAC20-800-170-B.

8VAC20-800-200-A

“Based on a review of the assistant’s records, the provider did not orient the assistant by the end of their first week assuming job responsibilities. Evidence: Assistant B had no documentation of orientation in their file.”

Rule 8VAC20-800-200-A.

8VAC20-800-50-A

“Based on a review of the family day home, a required document was not maintained. Evidence: A written record of children in attendance was not maintained.”

Rule 8VAC20-800-50-A.

8VAC20-800-500-D

“Based on observation of the outside play area, the sandbox was not covered. Evidence: The sandbox area located under the play equipment was not in use and was not covered.”

Rule 8VAC20-800-500-D.

8VAC20-800-60-B

“Based on a review of children’s records, the record did not contain all of the required information. Evidence: Child 1 did not have proof of birth or their parent’s work address listed in their paperwork.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on a review of documentation, emergency evacuation drills were not documented. Evidence: Emergency evacuation drills were not documented for July 2022 - September 2022.”

Rule 8VAC20-800-830-C.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the date. Evidence: 2 of 2 sets of bottles reviewed did not have the date on them.”

Rule 8VAC20-800-960-E.

8VAC20-800-180-A

“Based on review of household records, 1 subsequent TB risk assessment screening has not been completed. Evidence: A subsequent TB screening for Household #1 has not been completed.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“Based on observation of the family day home, two areas were not maintained in a safe manner. Evidence: One support beam for the playground equipment nearest to the swings was splitting, cracking and appeared dry rotted. One step leading to the climbing platform was splitting, cracking and appeared dry rotted.”

Rule 8VAC20-800-240-A.

8VAC20-800-50-A

“Based on review of the family day home, a required document was not maintained. Evidence: A written record of children in attendance was not maintained.”

Rule 8VAC20-800-50-A.

8VAC20-800-500-D

“Based on observation of the outside play area, the sandbox was not covered. Evidence: The sandbox area located under the play equipment was not in use and was not covered.”

Rule 8VAC20-800-500-D.

8VAC20-800-830-A

“Based on review of fire evacuation drills, monthly fire evacuation drills have not been completed. Evidence: A monthly fire evacuation drill has not been completed since March 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on review of shelter in place procedures, shelter in place procedures have not been practiced. Evidence: Two shelter in place procedures practice drills have not been conducted in 2021.”

Rule 8VAC20-800-830-B.

8VAC20-790-180-B

“Based on observation of the program space, the record of attendance was not maintained. Evidence: No record of attendance that included the arrival and departure times was found.”

Rule 8VAC20-790-180-B.

8VAC20-800-100-A

“Based on review of child records, a physical examination was not obtained for one child. Evidence: Child #2 began care on 10/02/2020. A physical exam was not on tile.”

Rule 8VAC20-800-100-A.

8VAC20-800-170-A

“Based on review of household records, an initial TB screening was not completed. Evidence: Household member #1 is over the age of 18 years, a TB screening was not obtained.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on review of staff records, subsequent TB screenings were not completed. Evidence: 1. Staff #1’s last TB screening is dated 5/2019. 2. Household #2 did not have a subsequent TB screening on file.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“Based on review of recordkeeping, one record was not maintained. Evidence: The provider did not have a written record of attendance.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review of child records, one record was incomplete. Evidence: Child #2’s record did not have a signed liability insurance acknowledgement.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on review of topical ointments, an authorization for one ointment was not obtained. Evidence: Child #1 has a topical ointment on site. A parent authorization was not obtained for this ointment.”

Rule 8VAC20-800-750-A.

8VAC20-800-780-B

“Based on review of child records, an annual review with parents was not completed. Evidence: Child #3’s emergency contacts were not reviewed annually. Last documentation was in 1/2020.”

Rule 8VAC20-800-780-B.

8VAC20-800-80-B

“Based on review of child records, verification of proof of identity was not found. Evidence: Provider has not obtained a proof of identity for Child #1.”

Rule 8VAC20-800-80-B.

8VAC20-800-830-A

“Based on review of the provider’s emergency evacuation drills, a monthly drill was not conducted. Evidence: The provider failed to conduct an emergency evacuation drill during the month of July.”

Rule 8VAC20-800-830-A.

8VAC20-800-90-A

“Based on review of child records, immunization documentation was not obtained before children began care. Evidence: Child #1 began care on 08/12/21. Immunizations were not obtained until 09/07/2021. Child #2 began care on 10/21/2020. No immunizations were on file.”

Rule 8VAC20-800-90-A.