Miriam Ayala

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The current license was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The provider must request a search of the central registry prior to the employee’s first day of employment.

“Staff #3, who had been employed for over three months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Immunizations records are required to be signed and dated by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization records for Child #2 and Child #3 were not signed.”

Rule 8VAC20-800-110-B.

Poisonous materials shall be stored in an area inaccessible to children.

“Poisonous cleaning chemicals were unlocked in a kitchen cabinet accessible to children. Children pass through the kitchen to access the outdoor play area.”

Rule 8VAC20-800-280.

A child’s record shall contain the policy number of the child’s medical insurance.

“The record for Child # 4, in care for over five months, was missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #1 did not have a parent’s signature for an annual review of the emergency contact information and is overdue by one year and eight months.”

Rule 8VAC20-800-780-B.

Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child.

“This information was not available for Child #4 who has been in care for over five months.”

Rule 8VAC20-800-80-A.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 10/6/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained eight hours of training in 2025.”

Rule 8VAC20-800-210-A.

Potentially poisonous substances, materials and supplies such as, disinfectants, shall be inaccessible to children.

“Disinfectant was found in a drawer accessible to children.”

Rule 8VAC20-800-280.

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.

“There were no protective covers on five unused surge protector outlets that were accessible to children. At the time of the inspection, four children under the age of five were present in care.”

Rule 8VAC20-800-320-B.

The provider shall comply with the requirements or recommendations made by the fire prevention or building officials to eliminate fire hazards.

“The fire extinguisher’s pressure gauge indicated that it required recharging.”

Rule 8VAC20-800-320-I.

A child’s record shall contain the policy number of the child’s medical insurance.

“The record for Child # 4, in care for over one year, was missing the medical insurance policy number.”

Rule 8VAC20-800-60-B.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“The bottles for Child #2 and Child #4 were not labeled with the child’s full name and the date.”

Rule 8VAC20-800-960-E.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2, who had been employed for seven days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #2 TB was dated six months prior to date of employment and has been employed for seven days.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“The provider shall obtain for each caregiver a current report of Tuberculosis (TB) Screening for caregiver, every two years. Caregiver # 1’s TB screening was obtained in January 2023. A current screening was not obtained since that date.”

Rule 8VAC20-800-180-A.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. 1. Peeling paint was found on the wall in the area where the cribs are located and on the wall with the thermostat. 2. Standing water was found on a small plastic chair and box in the outside patio where children were observed playing. A child was observed playing with the water.”

Rule 8VAC20-800-240-A.

8VAC20-800-540-A

“Equipment used by children shall be assembled, maintained, and used in accordance with the manufacturer’s instructions. A child was observed placed in an infant swing that has been recalled effective October 2024.”

Rule 8VAC20-800-540-A.

The family day home must obtain results of a central registry search (CRS) for adult household members.

“The provider stated that Household Member # 1 started residing in the home approximately 3 months ago (August 2024). The CRS for Household Member # 1 has not been obtained to this date.”

Rule 22.1-289.036-B-3.

Repeat violation

“Records for assistants shall include documentation of two reference checks. Caregiver # 1’s first day of employment was 9/30/24. Only one reference check was completed for Caregiver # 1.”

Rule 8VAC20-800-120-B.

The provider shall have a current certification in cardiopulmonary resuscitation (CPR).

“The provider’s CPR certification expired on 9/24/24.”

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

The provider shall have a current certification in first aid.

“The provider’s first aid certification expired on 9/24/24.”

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

22.1-289.035-B-2

“Repeat Violation Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 first day of employment was 12/28/23. 2. Staff # 1’s fingerprint results were obtained on 1/3/24.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-2

“Repeat Violation Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 first day of employment was 8/21/23. 2. Staff # 1’s fingerprint results were obtained on 8/30/23.”

Rule 22.1-289.035-B-2.

8VAC20-800-120-B

“Based on records review, the provider did not obtain two written reference checks for an assistant prior to the first day of employment. Evidence: 1. Caregiver # 1’s first day of employment was 8/21/23. 2. The provider did not obtain 2 reference checks for Caregiver # 1 to this date.”

Rule 8VAC20-800-120-B.

8VAC20-800-240-A

“Based on observation, furnishings inside the house were not maintained in a safe condition. Evidence: The right cabinet door for the diaper changing table has a broken corner posing an injury hazard for the children.”

Rule 8VAC20-800-240-A.

8VAC20-800-690-E

“Repeat Violation Based on observation, soiled disposable diapers were not being disposed off in a plastic-lined storage system. Evidence: Two foot pedal diaper pails used for diaper disposal were not lined by plastic trash bags.”

Rule 8VAC20-800-690-E.

8VAC20-790-250-D-1

“Based on records review, a caregiver did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Caregiver # 1’s first day of employment was 7/11/22. 2. Caregiver # 1 did not have a current certification in CPR.”

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

8VAC20-790-250-D-2

“Based on record review, a caregiver at the family day home did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Caregiver # 1’s first day of employment was 7/11/22. 2. Caregiver # 1 did not have current certification in first aid.”

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

8VAC20-800-320-B

“Based on observation, electrical outlets were not covered by child resistant protective covers. Evidence: Two electrical outlets in the classroom upstairs where the children were eating morning snack were not covered by outlet covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-340-C

“Based on observation, the bathroom did not have paper towels. Evidence: The upstairs bathroom used by the children did not have paper towels. The children were observed using assigned cloth towels to dry their hands after handwashing.”

Rule 8VAC20-800-340-C.

8VAC20-800-690-E

“Based on observation, soiled disposable diapers were not being disposed off in a plastic-lined storage system. Evidence: The foot pedal diaper pail that was being used for diaper disposal was not lined by a plastic trash bag. The diapers were being disposed off directly in the diaper pail.”

Rule 8VAC20-800-690-E.

8VAC20-800-70-A

“Based on records review, a child’s records did not include complete written information for parents. Evidence: Child # 1’s record had the liability insurance form but the form had not been completed and signed.”

Rule 8VAC20-800-70-A.

8VAC20-800-960-E

“Based on observation, infant bottles were not labeled with each infant’s full name and date. Evidence: 1. There were 2 infants in care, for whom milk bottles were on site. 2. None of the bottles were labeled with their full name and date.”

Rule 8VAC20-800-960-E.

8VAC20-790-250-B

“Based on record review, caregivers did not complete the Virginia Preservice Training within the first 90 days of employment. Evidence: 1. Staff # 1’s first day of employment was 11/29/21 2. The provider stated that Staff # 1 had not completed the training.”

Rule 8VAC20-790-250-B.

8VAC20-790-430-A-3

“Based on staff interview, the provider did not practice lockdown procedures annually. Evidence: The provider stated that she had not completed the lockdown drill in 2021, and a drill was also not completed in 2022 to this date.”

Rule 8VAC20-790-430-A-3.

22.1-289.035-B-2

“Based on records review, the provider did not obtain results of a fingerprint based criminal record for employees prior to the first day of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. Staff # 1?s fingerprint results were obtained on 7/18/22. 3. Staff # 2?s fingerprint results have not obtained to this date.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on records review and staff interview, the provider did not obtain a complete Sworn Disclosure Statement for new employees prior to the first day of employment. Evidence: 1. The provider stated that Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The SDS for both staff members was not obtained to this date. The forms in the records were blank.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on staff interview and records review, the provider did not obtain results of the central registry search for Virginia for employees within 30 days of employment. Evidence: 1. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she has not submitted the central registry forms for either of the staff members.”

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

8VAC20-800-120-A

“Based on records review and staff interview, the provider did not maintain a complete record for each employee. Evidence: 1. The provider stated that Staff # 2?s first day of employment was 7/11/22. 2. Staff # 2?s record had blank forms, Staff # 2?s first day of employment was not documented in her record either.”

Rule 8VAC20-800-120-A.

8VAC20-800-120-B

“Based on records review and staff interview, records for assistants did not contain complete information. Evidence: 1. Staff # 1?s record was missing the following: date of employment and emergency contact information. 2. Staff # 1 and Staff # 2?s first day of employment was 7/11/22. 3. The provider stated that she had not completed reference checks for both staff to this date. Their records had blank forms used for checking references.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on records review, the provider did not obtain a current tuberculosis (TB) screening prior to coming into contact with the children. Evidence: Staff # 2?s first day of employment was 7/11/22. Staff # 2?s most recent TB screening was date 1/29/19.”

Rule 8VAC20-800-170-A.

8VAC20-800-200-A

“Based on record review and staff interview, the provider did not complete orientation training with employees by the end of their first week of assuming job responsibilities. Evidence: 1. Staff # 2?s first day of employment was 7/11/22. 2. The provider stated that she had not completed orientation training with Staff # 2. The form in Staff # 2?s record was blank.”

Rule 8VAC20-800-200-A.

8VAC20-800-280

“Based on observation, potentially poisonous materials were not stored out of reach of children. Evidence: A bottle of sanitizing solution was kept in a bin by the front door on the floor. The sanitizing solution was within reach of children.”

Rule 8VAC20-800-280.

8VAC20-800-60-B

“Based on records review, children’s records were not complete. Evidence: Child # 1’s record was missing the following information: emergency contact information, persons authorized to pick up and parent’s work numbers.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-A

“Based on staff interview and record review, the provider did not practice evacuation drill each month. Evidence: 1. The evacuation drill log only had documentation for January 2022. 2. The provider stated that she had not done any evacuation from 02/22 through 06/22.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on staff interview, the provider did not practice shelter in place drills twice a year. Evidence: The provider stated that she had not completed 2 shelter in place from 08/21 through 08/22.”

Rule 8VAC20-800-830-B.

22.1-289.035-B-4

“Based on records review and staff interview, the provider did not obtain results of an out of state central registry and sex offender search for an employee who has resided outside of Virginia within the last 5 years. Evidence: 1. Caregiver # 1’s VA central registry form indicated that she resided in Maryland. 2. Caregiver # 1 stated that she lived in Maryland for approximately three months at the end of 2019 and the beginning of 2020 before she moved to Virginia.”

Rule 22.1-289.035-B-4.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. Child # 2’s first day of enrollment was 3/17/17. 2. Documentation of a physical exam for Child # 2 was not on file.”

Rule 8VAC20-800-100-A.

8VAC20-800-500-F

“Based on observation and staff interview, the family day home had a trampoline during the hours that children were in care. Evidence: A medium sized trampoline was found in the backyard. The provider stated that she was not aware that trampolines could not be used for the children.”

Rule 8VAC20-800-500-F.

8VAC20-800-530-B

“Based on observation, cribs used by children did not have tight fitting bottom covers. Evidence: Two cribs were observed to have crib sheets that were too large for the crib mattress. The extra material was creating folds in the crib sheets.”

Rule 8VAC20-800-530-B.

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan annually. Evidence: The most recent date that the emergency plan was reviewed was on 2/17/20.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-A

“Based on records review, the provider did not obtain immunization records for children in care before their first day of enrollment. Evidence: 1. Child # 1’s first day of enrollment was 8/9/21. 2. Child # 1’s record did not have the immunization record on file.”

Rule 8VAC20-800-90-A.