Maria Araujo

22.1-289.035-B-3

“The provider must request a search of the central registry prior to the employee’s first day of employment. The results of a central registry search was obtained for Caregiver #2 more than two months after their first day of employment.”

Rule 22.1-289.035-B-3.

8VAC20-800-80-A

“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 #2. The information is overdue by 6 days.”

Rule 8VAC20-800-80-A.

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. A lockdown drill was not conducted during the year 2025.”

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

8VAC20-800-60-B

“*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. The records for Child #1 and Child #2 did not contain addresses or phone number for the place of work of the custodial parents. The record for Child #2 did not contain proof of the child’s age and identity.”

Rule 8VAC20-800-60-B.

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.

“The record for Child #1, enrolled for three months, did not contain a physical examination”

Rule 8VAC20-800-100-A.

*REPEAT VIOLATION* The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (Tb) Screening form every two years.

“Current Tb screenings were four months overdue for Caregiver #2 and two weeks overdue for Household Member #1.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“*REPEAT VIOLATION* The provider shall maintain and keep a separate record for each child enrolled that contains all of the required information. The records for Child #1 and Child #5, enrolled for three months each, were missing phone numbers for the parents’ place of work.”

Rule 8VAC20-800-60-B.

The provider must obtain documentation that the substitute provider have the required qualifications.

“There was no documentation of Staff #4’s qualifications.”

Rule 8VAC20-800-140-B-1.

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

“There was no record of the times that the substitute provider has worked.”

Rule 8VAC20-800-140-D.

A tuberculosis (TB) screening is required for each caregiver every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and was overdue by one month.”

Rule 8VAC20-800-180-A.

*REPEAT VIOLATION* Wood burning stoves and fireplaces and associated chimneys shall be inspected annually.

“The most recent fireplace inspection was overdue by 20 months.”

Rule 8VAC20-800-320-G.

Children’s information shall be privileged and confidential.

“Several Supplemental pages containing confidential information on children were posted in the fdh.”

Rule 8VAC20-800-50-C.

Long-term medications shall be given to a child only with written authorization from the child’s physician and parent.

“There was no authorization form for medication for Child #2, Child #3, Child #4, Child #5 and Child #6.”

Rule 8VAC20-800-700-A.

8VAC20-800-120-B

“Based on record review, caregivers’ records did not contain all required information. Evidence: 1) The record for Staff #4 did not contain the name address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The most recent fireplace inspection was dated 05/02/2023.”

Rule 8VAC20-800-320-G.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #4 was dated 03/09/2023.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review of the Emergency Preparedness Plan documented by the provider was dated 07/17/2023.”

Rule 8VAC20-800-800-B.

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) On the date of inspection, caregivers did not complete the minimum sixteen hours of training during the 2023 calendar year, as follows: Caregiver #2 - 14 hours; Caregiver #3 - 15 hours; Caregiver #4 - 13.5 hours.”

Rule 8VAC20-800-210-A.

8VAC20-800-700-C

“Based on documentation and medication review, the provider did not ensure that, when the medication authorization was not available, that medication was picked up by the parent. Evidence: 1) On the date of inspection, medication for Child #4 and Child #5 was available in the family day home. Authorization forms for this medication was not available for review.”

Rule 8VAC20-800-700-C.

22.1-289.035-B-2

“Based on record review, the provider did not ensure to obtain a fingerprint-based criminal history check determination letter every five years for caregivers. Evidence: 1) The most recent fingerprint-based criminal history check determination letter in the record for Staff #2 was dated 02/16/2018. 2) The most recent fingerprint-based criminal history check determination letter in the record for Staff #3 was dated 03/05/2018.”

Rule 22.1-289.035-B-2.

8VAC20-790-190-B-12

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #2 did not contain a written care plan for each diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The record for Child #3 did contain a written care plan but the form was missing important information.”

Rule 8VAC20-790-190-B-12.

8VAC20-790-250-B

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) On the date of inspection, the record for Staff #4 (start date 11/14/2022) did not contain documentation of having completed the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-790-250-B.

22.1-289.035-B-2

“Based on record review and interview, it was determined that the provider did not ensure that fingerprint-based criminal history check determination letter is obtained every five years for employees. Evidence: 1) Fingerprint-based criminal history check determination letters were due for 3 caregivers: The most recent determination letter available in the record for Staff #1 was dated 02/07/2018; for Staff #2 was dated 02/16/2018; for Staff #3 was dated 03/05/2018.”

Rule 22.1-289.035-B-2.

8VAC20-800-180-A

“Based on record review, the provider did not ensure that caregivers obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) A current Tb screening was due for Staff #2. The Tb screening form in the record for Staff #2 was dated 12/09/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-G

“Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The most recent fireplace inspection was dated 01/05/2022.”

Rule 8VAC20-800-320-G.

8VAC20-790-180-B

“Based on documentation review, the provider did not maintain a written hard copy record of daily attendance that accurately documents the arrival and departure of each child in care as it occurs. Evidence: 1) The record of attendance for the dates of June 21, June 30, July 1 and July 5 did not document the arrival or the departure of children in a consistent way: The arrival of the child would be documented but not the departure or vice versa.”

Rule 8VAC20-790-180-B.

8VAC20-790-190-B-12

“Based on record review, a written care plan was not available for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1) On the date of inspection, the record for Child #1 did not contain a written care plan. The health exam for Child #1 documents a food allergy and emergency medication is available at the fdh.”

Rule 8VAC20-790-190-B-12.

22.1-289.035-B-2

“Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person. Evidence: 1) The record for Staff #4 (hire date 03/21/2022) had a fingerprint-based criminal history check determination letter dated 03/30/2022.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review, it was determined that the provider did not ensure that Central Registry search results were obtained by the end of the 30th day of employment. Evidence: 1) On the date of inspection, the record for Staff #4 (hire date 03/21/2022) did not contain the results of a Central Registry search request. The provider stated that a search request was sent but the record did not contain documentation that a Central Registry search had been requested and no follow up was documented in the record.”

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

8VAC20-800-170-A

“Based on record review, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1) The Report of Tuberculosis Screening in the record for Staff #4 (hire date 03/21/2022) was dated 05/13/2022.”

Rule 8VAC20-800-170-A.

8VAC20-800-210-A

“Based on record review, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1) The record for Staff #2 documented 11.5 hours of training for the 2021 year.”

Rule 8VAC20-800-210-A.

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, outside, were not maintained in a clean, safe, and operable condition. Evidence: 1) In the backyard area, there was a gate with a broken latch so it did not lock. This gate separates the play area from a storage area with plants and gardening tools. 2) In the backyard area, there was a container of activated charcoal and a package of citronella candles on a table. The table was accessible to children.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored away in areas inaccessible to children. Evidence: 1) The inspector observed a bottle of bleach, a bottle of mouthwash and a bottle of pills (medication) inside of a room that serves as storage and laundry room. The door to this area was not locked, making accessible to the children in care.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, unused electrical outlets accessible to children under five years of age did not have child-resistant protective covers. Evidence: 1) In the “nap room”, the inspector observed two electrical outlets that were not in use and did not have protective covers. These outlets were located at a lower area of the wall within reach of children.”

Rule 8VAC20-800-320-B.

8VAC20-800-500-F

“Based on observation, trampolines were used during the hours children are in care. Evidence: 1) A Little Tikes trampoline was observed in the backyard area. Children had access to the trampoline and were allowed to use it.”

Rule 8VAC20-800-500-F.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The records for Child #2, Child #3 and Child #4 did not contain telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands when required. Evidence: 1) On the date of inspection, the inspector observed Staff # 3 diapering a child. After Staff #3 finished changing the child’s diaper, they placed the child on a high chair and continued with other chores without washing their hands first.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands are washed with liquid soap and warm running water when required. Evidence: 1) On the date of inspection, Staff #3 changed Child #5’s diaper. After Staff #3 was finished, they placed Child #5 on a high chair without washing the child’s hands first. 2) Staff instructed the children to sit down at the tables to get ready for snack. Staff served snack and children ate it without washing hands first.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation, the diapering area was not cleaned and sanitized after each use. Evidence: 1) After changing Child’s #5 diaper and returning the child to their chair, Staff #3 went on to do other chores and did not come back to clean and sanitize the diapering area.”

Rule 8VAC20-800-690-D.

8VAC20-800-730-D

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, 2 prescription medication and 1 over the counter medication were observed being stored on a wire shelf on the care area. Although the medication was out of reach of children, it was not locked as required.”

Rule 8VAC20-800-730-D.

Based on observation, record review and interview with the provider, the requirements for the use of topical skin products were not met.

“1) On the date of inspection, the inspector observed various containers of diaper cream and a bottle of “diaper spray” in the diapering area; and various sunscreen containers of sunscreen in the entrance area. 2) Written parent authorization for the use of these products was not available for review in the children’s records. 3) The provider stated that they did not have authorization forms for these skin products.”

Rule 8VAC20-800-750-A.

8VAC20-800-900-B

“Based on observation, children were allowed to eat while walking. Evidence: 1) On the date of inspection, the inspector observed that Child #6 and Child #7 were eating crackers while walking around the care area.”

Rule 8VAC20-800-900-B.

8VAC20-800-920

Rule 8VAC20-800-920.

8VAC20-800-100-A

“Based on record review and interview with the provider, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1) The records for Child #1 (start date 10/20/2021) and Child #2 (start date 09/07/2021) did not contain documentation of a physical examination report. 2) The provider could not locate the physical examination report in the records for Child #1 and #2.”

Rule 8VAC20-800-100-A.