Carlos Avila

A child’s record shall contain the following information: name address and number of 2 emergency contacts, and medical insurance policy numbers.

“1) Child 3 did not have documentation of an address for their second emergency contact. 2) Child 2 did not have documentation of medical insurance policy number.”

Rule 8VAC20-800-60-B.

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

“Child 1 and 3 did not have documentation of verification of proof of identity.”

Rule 8VAC20-800-80-A.

When meals and snacks are provided, the menu for the current one-week period shall: be dated, and list substituted foods.

“The menu posted had Mozzarella sticks, ravioli, and spinach, but the children at rice, meatballs, mushrooms, and corn.”

Rule 8VAC20-800-920.

Lockdown procedures shall be practiced at least annually.

“The provider’s last documented lockdown drill was in January 2024.”

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

The applicant for licensure did not have documentation of a subsequent central registry check, 5 years after the first check.

“Provider did not have documentation of a subsequent central registry check. The last documented check was on 7/8/2020.”

Rule 22.1-289.036-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates.

“The main level bathroom had an unlocked cabinet, under the sink, with Lysol spray, and scrubbing bubbles, both marked to keep out of reach of children.”

Rule 8VAC20-800-280.

Medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“The main level bathroom had an unlocked medicine cabinet with a bottle of children’s liquid Tylenol.”

Rule 8VAC20-800-730-D.

Each child day program that is licensed pursuant to this chapter and any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler-style and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, home economics room sinks, teacher’s lounge sinks, nurse’s office sinks, classroom sinks in special education classrooms, and sinks known to be or visibly used for consumption.

“The provider did not create or submit a plan for testing their water for lead to the Virginia Department of Health by 1/1/2025.”

Rule 22.1-289.057-A.

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 last documented review of the emergency preparedness plan was dated 1/27/2024.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Based on review, the provider did not ensure that they obtained documentation of children’s physical examinations prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: reviewed 6 children’s records and found that Child 1 did not have documentation of a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-210-A

“Based on review, the provider did not ensure that they completed 16 hours of annual ongoing training. Evidence: reviewed the provider’s records and found that they only completed 7.5 hours of annual ongoing training during 2022-2023 and 7 annual clock hours from 2023-2024.”

Rule 8VAC20-800-210-A.

8VAC20-800-280

“Based on observation, the provider did not ensure that hazardous materials were kept inaccessible to children. Evidence: observed that there was a bottle of bleach water accessible to children on a shelf/cabinet near the kitchen area.”

Rule 8VAC20-800-280.

8VAC20-800-730-D

“Based on observation, the provider did not ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: observed a first aid kit on shelf near the kitchen area and found that there were multiple packets of antacids, aspirin, and acetaminophen inside.”

Rule 8VAC20-800-730-D.

8VAC20-800-760-A-1

“Based on observation, the provider did not ensure that the first aid kit was complete and contained the required minimum items. Evidence: observed that the first aid kit was missing a second triangular bandage.”

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

Based on observation and interview, small electrical appliances were not unplugged when not in use.

“Evidence: The home’s toaster oven was not unplugged and was not in use at the time of the inspection.”

Rule 8VAC20-800-320-A.

Based on observation, cots when being used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“Evidence: At the time of the inspection, three cots used for napping were observed not having bottom covers.”

Rule 8VAC20-800-530-A.

Based on observation of the diapering area, the foot-operated receptacle used to dispose of soiled diapers is not hands-free.

“Evidence: The foot petal on the foot-operated trash can was broken, preventing the trashcan lid from opening on its own.”

Rule 8VAC20-800-690-E.

Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #2’s last annual emergency contact review was on 1/31/2022. 2. Child #3’s last annual emergency contact review was on 7/18/2022. 3. Child #4’s last annual emergency contact review was on 7/11/2021.”

Rule 8VAC20-800-780-B.

Based on observation, menus were not dated.

“Evidence: The menu posted in the home was not dated.”

Rule 8VAC20-800-920.

Based on record review, not all children’s record contained general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home.

“Evidence: Child #1’s record did not contain general written permission for walking.”

Rule 8VAC20-800-980-A.

Based on record review and interview, background checks were not repeated every five years.

“Evidence: 1. The most recent criminal history result on file for Caregiver #1 is dated 4/20/2018 and expired on 4/20/2023.”

Rule 22.1-289.035-A.

Based on review of documentation, the provider did not ensure that pets had current vaccination for rabies.

“Evidence: The most recent rabies vaccination documentation reviewed during the inspection for the provider’s cat indicated that an update was due on 2/9/2022.”

Rule 8VAC20-800-460-C.

Based on observation, it was determined that stationary outdoor play equipment was installed over a hard surface.

“Evidence: A stationary slide and climbing playset were placed on a hard surface (dirt) without protective surfacing material underneath the equipment. There was no resilient surfacing present.”

Rule 8VAC20-800-500-C.

Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“Evidence: 1. Child #5’s last annual emergency contact review was on 1/24/2022.”

Rule 8VAC20-800-780-B.

Based on interview, the provider did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. Child #1, 2, 3, and 4 were present during the inspection, but were not checked in on 1/27/2023. 2. When asked about attendance, the provider stated that “I have not taken it yet because child #4 just got here 10 minutes before you guys showed up.””

Rule 8VAC20-790-180-B.

Based on review of children’s records, the provider did not maintain complete children’s records.

“Evidence: There was no documentation of the family day homes emergency preparedness and response plan for child #1.”

Rule 8VAC20-800-70-A.

Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last reviewed on 2/23/2019.”

Rule 8VAC20-800-800-B.

Based on observation and interview, the provider failed to post on the premises the most recent inspection of the home.

“Evidence: The family day home’s most recent inspection of the home was not posted.”

Rule 8VAC20-820-120-E-2.

Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #3 did not have documentation of a physical examination prior or within 30 days after the child’s first day of attendance. Child’s start date was 1/31/22.”

Rule 8VAC20-800-100-A.

Based on observation, potentially poisonous substances and materials were not stored away in an area inaccessible to children.

“Evidence: In a bathroom, a container of bleach was located in a cabinet below the sink accessible to children.”

Rule 8VAC20-800-280.

Based on observation, children under two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs.

“Evidence: A protective barrier was not used to prevent Child #1 (DOB: 10/2/2020) who is under two years of age access to stairs. The provider did have a gate, however, it was not installed at the time of the inspection.”

Rule 8VAC20-800-430-A.

Based on record review and interview, the family day home did not keep a written record of children in attendance.

“Evidence: The provider stated that he did not record attendance today, 7/11/2022.”

Rule 8VAC20-800-50-A.

Based on record review, the provider did not review with the parent the emergency contact information to ensure the information is correct and did not obtain the parent’s signed acknowledgment of the review, annually.

“Evidence: Child #1 emergency contact information was last reviewed on 4/26/2021”

Rule 8VAC20-800-780-B.

Based on record review, within seven business days of the child’s first day of attendance at the family day home, the provider did not obtain from the parent verification of the identity and age of the child.

“Evidence: Child #1 did not have documentation of proof of identity and age. Child’s start date was 4/26/21”

Rule 8VAC20-800-80-A.

Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed.

“Evidence: The emergency plan was last reviewed on 2/23/2019.”

Rule 8VAC20-800-800-B.

Based on observation, children were allowed to eat while walking.

“Evidence: 2 out of 3 children were observed eating while walking around the play area.”

Rule 8VAC20-800-900-B.

Based on review of emergency drills, lockdown drills were not practiced annually.

“Evidence: A lockdown drill was not documented in 2021.”

Rule 22VAC40-665-410-A-3.

Based on review of emergency drills, fire drills were not practiced monthly.

“Evidence: There was no documentation to verify that an evacuation drill was practiced in September 2021.”

Rule 8VAC20-800-830-A.

Based on record review, the Family Day Home did not obtain documentation of additional immunizations once every six months for a child under the age of two years.

“Evidence: Child #2’s record contains an immunization record that was last updated on 2/2/2021.”

Rule 8VAC20-800-90-C.