Maria Sanchez-Cerro

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“The provider is on vacation and the two assistants are caring for the children. There is not a substitute log of hours worked”

Rule 8VAC20-800-140-D.

To safely perform medication administration practices listed in 8VAC20-800-710 whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who is trained in MAT or is a nurse.

“The home based childcare has a emergency medication on site. None of the staff are currently trained to give the emergency medication.”

Rule 8VAC20-800-220-A.

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

“The home did not have a record of attendance for the children in care. Could not locate attendance for July and August 2026.”

Rule 8VAC20-800-50-A.

The diapering surface shall be non absorbent.

“The diapering surface has a small hole making it absorbent when cleaned.”

Rule 8VAC20-800-690-D.

Prescription and nonprescription medications shall be given to a child with written authorization from the parent.

“The emergency medication has an allergy action plan but not a form from the parents authorizing the use of the medication.”

Rule 8VAC20-800-700-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The emergency drills from February to July 2026 has not been recorded.”

Rule 8VAC20-800-830-C.

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

“Staff #2 (who had been employed for approximately ten days) had a completed national criminal background check on file. However, the check indicated that it was addressed to Staff #2’s previous employer, and not the current provider on site.”

Rule 22.1-289.035-B-2.

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

“Staff #3 did not complete the department’s health and safety update course (3-hours) for 2025.”

Rule 8VAC20-790-250-F.

The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Documentation of a physical exam was not available for Child #6, who had been in care for over 5 months.”

Rule 8VAC20-800-100-A.

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

“Child #4, 21 months old, last documented immunization was over 12 months ago.”

Rule 8VAC20-800-90-C.

Based on review, 1 of 3 staff files indicated that the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form(in accordance with the requirements in 8VAC20-800-170) every two years.

“Evidence - 1. On the date of inspection (09/11/2024), TB documentation for Staff #2 was dated - 08/14/2022). 2. Staff #2 was providing care for the children in attendance on the date of inspection.”

Rule 8VAC20-800-180-A.

Based on review, 1 of 12 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (09/11/2024), the policy number for the listed medical insurance policy name for Child #2 was not available. 2. The start date for Child #2 was listed as 08/12/2024.”

Rule 8VAC20-800-60-B.

Based on review, 1 of 12 children files indicated that the emergency contact information and the parent’s written authorization for emergency medical care was not annually reviewed with the parents (as required in 8VAC20-800-60 B 2) to ensure the information is correct, and obtained the parent’s signed acknowledgment of this review.

“Evidence - 1. On the date of inspection (09/11/2024), that last review for the emergency information listed for Child #6 was dated - 08/03/2023. 2. Child #6 was in attendance on the date of inspection.”

Rule 8VAC20-800-780-B.

Based on review and interview, 1 of 7 household member records indicated that a person 14 years of age and older did not have a search of the central registry ( CPS check) available.

“Evidence - 1. On the date of inspection (09/07/2023) Household Member #2 did not have a CPS check available. 2. The Provider stated (during an interview on the date of inspection) that she thought it was the fingerprint check that was needed and went forward to obtain that background check instead.”

Rule 8VAC20-770-40-D-5.

Based on review, 2 of 12 children files indicated that before a child may attend the Family Day Home (FDH), the Provider did not obtain documentation that each 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).

“Evidence - 1. On the date of inspection (09/07/2023), immunization pages for Child #4, and Child #5 were not available for review. 2. The start date was the same for both children - 09/05/2023. Both Child #4, and Child #5 were in attendance at the date and time of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 3 staff files indicated that within the first 90 days of employment or service all caregivers the Virginia Preservice Training for Child Care Staff sponsored by the Department of Education was not completed.

“Evidence - 1. On the date of inspection (03/30/2023), a certificate of completion of the Virginia Preservice (10 hour) training was not available for review for Staff #2. 2. The start date for Staff #2 was listed as 08/16/2022.”

Rule 8VAC20-790-250-B.

Based on review, 1 of 3 staff files reviewed indicated that the annual department’s health and safety update course was not completed for 2022.

“Evidence - 1. On the date of inspection (03/30/2023), it was determined that a certificate of completion for the 2022 Annual Health and Safety Update course was not available to review for Staff #1. 2. This course is the 3 hours Health and Safety course.”

Rule 8VAC20-790-250-F.

Based on review, 1 of 12 children files indicated that the Family Day Home (FDH) did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection, 08/17/2022, documentation of a physical examination for Child #12 was unavailable for review. 2. The start date for Child #12 was listed as 05/09/22. Child #12 was in attendance on the date of inspection.”

Rule 8VAC20-800-100-A.

Based on review, 3 of 12 children files indicated that not all of the required information / documentation was contained within each record.

“Evidence - 1. On the date of inspection, 08/17/2022, Proof of Identification was not available for Child #2, Child #3, and Child #12. 2. Their start dates were listed as: For Child #2 - 02/28/22, for Child #3 - 05/09/22, and for Child #12 - 05/09/22. All three children were in attendance on the date of inspection.”

Rule 8VAC20-800-60-B.

Based on review, the Provider did not review the Emergency Preparedness and Response Plan (EP&RP) annually (updating plan as needed), and document in writing each review and update to the emergency plan.

“Evidence - 1. On the date of inspection (02/18/2022), the last documented review of the EP&RP was dated - 10/16/2019. 2. The EP&RP for the family day home was observed posted on the parent bulletin board.”

Rule 8VAC20-800-800-B.