Enma Rivas

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

“The current provisional license and the findings from the most recent inspection, dated 8/19/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member #1 was not completed and was overdue by over 1 year. This was previously cited during the inspection on 8/19/2026 and not corrected.”

Rule 8VAC20-800-180-A.

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

“There was no documentation of attendance for over one month.”

Rule 8VAC20-800-50-A.

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

“The supplemental page from the previous inspection on 1/23/2026 containing confidential information was posted on the parent bulletin board.”

Rule 8VAC20-800-50-C.

Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Child #1 (20 months old) was in a feeding chair waiting for breakfast and the safety strap was not fastened.”

Rule 8VAC20-800-540-A.

Before the child’s first day of attendance, parents shall be provided the required information in writing.

“The parents of Child #2 (enrolled 5 months) were not provided in writing the following required information: requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; and the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

Rule 8VAC20-800-70-A.

Repeat Violation 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 (enrolled over 1 year) did not have a parent’s signature for an annual review of the emergency contact information and is overdue by 1 month.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly.

“There was no documentation of a fire drill for the month of September and the provider stated it had not been done.”

Rule 8VAC20-800-830-A.

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

“Child #1 (20 months old), last documented immunization was over 8 months ago and overdue by 2 months. Child #2 (11 months old), last documented immunization was over 7 months ago and overdue by 1 month.”

Rule 8VAC20-800-90-C.

Repeat Violation The provider shall maintain a record for each caregiver that contains the name, address, and telephone number of a person to be notified in an emergency.

“The record for Caregiver #2 (employed over 2 years) did not contain an emergency contact. This was previously cited during the last inspection on January 23, 2026, and not corrected.”

Rule 8VAC20-800-120-A.

Providers shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Caregiver #1 did not have current CPR certification and had been expired over 2 months.”

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

Providers shall have current certification in first aid.

“Caregiver #1 did not have current certification in first aid and had been expired over 2 months.”

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

Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening.

“-An updated TB screening for Caregiver #2 was completed two months after it expired. -An updated TB screening for Household Member #1 was not completed and was overdue by 1 year.”

Rule 8VAC20-800-180-A.

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

“None of the caregivers (#1 and #2) obtained any training hours in 2024 or 2025 and had no record of recent trainings. This was previously cited during the previous renewal inspection on July 17, 2026, and not corrected.”

Rule 8VAC20-800-210-A.

Repeat Violation Children’s records are required to contain the name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“-The record for Child #2 (enrolled over 1 year) was missing the address of one emergency contact. This was previously cited during the last inspection on January 23, 2026, and not corrected.”

Rule 8VAC20-800-60-B.

Repeat Violation 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 #2 (enrolled over 1 year) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 10 months. -The record for Child #4 (enrolled over 3 years) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 1 year. This was previously cited for Child #4 during the inspection on January 23, 2026 and not corrected.”

Rule 8VAC20-800-780-B.

The provider shall maintain a record for each caregiver with the required information.

“The record for Caregiver #2 (employed over 1 year) was missing the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

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.

Children’s records are required to contain the name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“-The record for Child #3 (enrolled over 1 year) was missing the addresses of two emergency contacts. -The record for Child #4 (enrolled over 1 year) was missing the address of one emergency contact.”

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.

“Records for children #1, #3, #4, and #5 did not have a parent’s signature for an annual review of the emergency contact information. Children #1, #3, #4, and #5 had been in care for over one year and the annual review was overdue by 4 months.”

Rule 8VAC20-800-780-B.

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

“The current license for the family day home was not posted.”

Rule 22.1-289.011-F.

The provider shall maintain a record for each caregiver that contains the name, address, and telephone number of a person to be notified in an emergency.

“The record for Caregiver #2 (employed for 15 months) and Caregiver #3 (employed for 18 months) did not contain an emergency contact.”

Rule 8VAC20-800-120-A.

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

“None of the caregivers (#1,#2 and #3) obtained any training hours in 2024 and had no record of recent trainings.”

Rule 8VAC20-800-210-A.

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

“Poisonous cleaning chemicals and detergents were in the laundry area with the door unlocked in an area accessible to children.”

Rule 8VAC20-800-280.

Small electrical appliances shall be unplugged unless being used.

“A toaster oven in the upstairs kitchen was not unplugged.”

Rule 8VAC20-800-320-A.

Providers must keep a written record of children in attendance each day.

“The attendance records on the date of inspection were last dated July 4, 2025. The provider did not take written attendance after this date.”

Rule 8VAC20-800-50-A.

When topical skin products are used, they shall be kept inaccessible to children.

“Two topical products were contained in a basket on a low shelf near the children’s cubby area and accessible to children.”

Rule 8VAC20-800-750-B.

A working battery-operated flashlight, a working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The provider did not have a working flashlight or portable battery-operated weather radio.”

Rule 8VAC20-800-770.

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

“Child #1, 3 years old, immunizations were overdue by 16 months. Child #3, 2 years old, immunizations were overdue by over 3 months. Child #5, 2 years old, immunizations were overdue by over 13 months.”

Rule 8VAC20-800-90-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

“The last available menu was dated March 2025 and the provider stated the last time the menu was given to parents was in April 2025 and there was no current menu available.”

Rule 8VAC20-800-920.

The provider must maintain a record for each assistant that contains the name, address, and telephone number of a person to be notified in an emergency.

“The record for Assistant #1, employed for 11 months, and Assistant #2, employed for over 1 year, did not include information for an emergency contact.”

Rule 8VAC20-800-120-B.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #2, enrolled for over 5 months, did not contain the addresses of two emergency contacts. The record for Child #3, enrolled for over 4 months, did not contain the addresses of one emergency contact. The record for Child #5, enrolled for over 5 months, did not contain the addresses of two emergency contacts.”

Rule 8VAC20-800-60-B.

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

“Child #4, 20 months old, last documented immunization record was over 14 months ago and was overdue by over 8 months.”

Rule 8VAC20-800-90-C.

8VAC20-800-120-B

“Based on record review, the provider did not ensure caregiver records contained the required information. Evidence: -The records for Staff #2 (date of hire 3/25/24) and Staff #3 (date of hire 1/16/24) did not contain the name, address, and telephone number of a person to be notified in an emergency. -The records for Staff #2 and Staff #3 did not contain documentation that two or more references were checked before employment. The provider stated that only one was checked, but not documented.”

Rule 8VAC20-800-120-B.

Based on record review and provider interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: There was no record of training and the provider stated they have not completed training.”

Rule 8VAC20-800-210-A.

Based on record review, the provider did not maintain written documentation of each caregiver’s applicable education and programmatic experience.

“Evidence: There was no documentation of education and experience on record for Staff #2 and Staff #3.”

Rule 8VAC20-800-230-A.

Based on record review, the family day home did not keep an accurate written record of children in attendance each day.

“Evidence: The daily attendance for 7/26/2024 was already completed with arrival and departure times for 9 children.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not review with the parent the emergency contact information required and obtain the parent’s signed acknowledgment for the review.

“Evidence: -The last update for Child #1 (date of enrollment 1/5/22), was 12/28/21. -The last update for Child #5 (date of enrollment 11/28/22), was 3/24/23. -The last update for Child #6 (date of enrollment 12/5/22), was 9/20/22. -The last update for Child #7 (date of enrollment 2/14/22), was 2/14/22.”

Rule 8VAC20-800-780-B.

8VAC20-800-120-B

“Based on record review, required records were not kept for each caregiver. Evidence: 1. Caregiver #2’s record (Date of hire-01/16/2024) did not contain documentation of an emergency contact and documentation of two or more references as to character and reputation as well as competency. 2. Caregiver #3’s record (Date of hire-01/03/2024) did not contain documentation of an emergency contact and documentation of two or more references as to character and reputation as well as competency.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on record review and interview, the provider did not obtain for each caregiver at the time of hire and prior to coming in contact with children, a current Report of Tuberculosis (TB) Screening form. Evidence: 1. Caregiver #2’s record (Date of hire-01/16/2024) did not contain documentation of a current TB screening form. 2. Caregiver #1 confirmed that Caregiver #2 did not obtain a current Tb Screening.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #3’s(Start date-01/09/23), Child #4’s (Start date-01/04/23, and Child #5’s (Start date-01/04/23) records did not contain documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child. Evidence: 1.Child #5’s record (Start date-01/04/2023) did not contain documentation of additional immunizations. Documentation of the last immunization was dated 11/28/2022.”

Rule 8VAC20-800-90-C.

22.1-289.036-A

Rule 22.1-289.036-A.

22.1-289.036-B-2

“Based on record review and interview, the provider did not obtain a Criminal History Records check for an adult household member. Evidence: 1. Household Member #2’s(18 years old) record did not contain documentation of a Criminal History Records check. 2. Staff #1 confirmed that Household Member #2 did not complete a Criminal History Records at the time of the inspection.”

Rule 22.1-289.036-B-2.

8VAC20-800-170-A

“Based on record review and interview, the provider did not obtain a current Report of Tuberculosis(TB) Screening for each adult household member. Evidence: 1. Household Member #2’s record did not contain documentation of a current Report of Tuberculosis Screening after turning the age of 18. 2. Staff #1 confirmed that Household Member #2 did not obtain a TB Screening after turning the age of 18 to date.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“Based on documentation review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Staff #1 did not obtain a minimum of sixteen clock hours of training annually. Staff #1’s record contained documentation of three hours of the minimum sixteen hours. 2. Staff #1 confirmed that three hours of training was obtained for the year.”

Rule 8VAC20-800-210-A.

Repeat

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #5’s record (Start date-01/03/2022) did not contain documentation of the review of the child’s emergency contact information.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, the provider did not provide required written information for parents before the child’s first day of attendance. Evidence: 1. Child #1’s record (Start date-01/09/2023) did not contain documentation of Provisions of the family day home’s emergency preparedness and response plan and whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation.”

Rule 8VAC20-800-70-A.

22.1-289.035-A

Rule 22.1-289.035-A.

8VAC20-800-50-A

“Based on observation and interview, the family day home did not keep a written record of children in attendance each day. Evidence: 1. Attendance for 01/03/23, 01/04/2023, and 01/05/2023 was not taken and documented. 2. Caregiver #1 confirmed that attendance was not documented for those days.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review, children’s did not contain required information. Evidence: 1. Child #1’s record (Start date-10/12/2022) did not contain documentation of the medical insurance policy number. 2. Child #6’s record (Start date-11/28/2022) did not contain documentation of the medical insurance and policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-B

“Based on record review, the provider did not verify the identity and age of a child. Evidence: 1. Child #6’s record (Start date-11/28/2022) did not contain documentation of proof of age and identity.”

Rule 8VAC20-800-80-B.

8VAC20-800-180-A

“Based on record review and interview, the provider did not obtain for each caregiver subsequent tuberculosis screening. Evidence: 1. Staff #1’s record did not contain documentation of a subsequent tuberculosis screening. The last tuberculosis screening was dated 07/25/2018. 2. Staff #1 confirmed that the tuberculosis screening was not updated.”

Rule 8VAC20-800-180-A.

8VAC20-800-70-A

“Based on record review and interview, the provider did not provide in writing the Provisions of the family day home’s emergency preparedness and response plan to the parents before the child’s first day of attendance. Evidence: 1. Child #1’s record (First date of attendance-01/07/2022) did not contain documentation of the provisions of the Emergency Plan. 2. Staff #1 confirmed that the form was not provided to the parents.”

Rule 8VAC20-800-70-A.