Maria Chavez Casalino

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children and the form shall have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department..

“The tuberculosis screening or test for Caregiver 3, who has been caring for children for over four months, was dated two months and one week before hire.”

Rule 8VAC20-800-170-B.

‘Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

“One child’s crib was not in a safe condition when there was splintered/chipped wood on the top of the crib rail.”

Rule 8VAC20-800-240-A.

Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent.

“The Supplemental Information page of the inspection is considered confidential. The supplemental information page for the 1/30/2025 inspection was posted on the provider’s bulletin board.”

Rule 8VAC20-800-50-C.

A first aid kit with all required items shall be in the family day home, accessible to outdoor play areas, on field trips, in vehicles used for transportation and wherever children are in care.

“The first aid kit in the home did not contain the following required item: a second triangular bandage.”

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

8VAC20-800-690-D

“The diapering surface shall be non absorbent. The diaper pad had two tears making it an absorbent surface.”

Rule 8VAC20-800-690-D.

8VAC20-800-140-B-1

“A substitute provider must have (i) A high school program completion or the equivalent or (ii) evidence of having met the requirements for admission to an accredited college or university. The provider stated over the phone that Caregiver # 2 was the substitute provider in her absence. Caregiver # 2 did not have documentation of a high school diploma or anything equivalent to that, on file.”

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

8VAC20-800-150-C

“An assistant 18 years of age or older shall not be left alone with children in care for more than two hours per day. The attendance record showed that on 7/7/25, Caregiver # 1 who is an assistant was by herself with one child for 2 hours and 30 minutes.”

Rule 8VAC20-800-150-C.

8VAC20-800-150-D-1

“An assistant supervising children alone must have Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Caregiver # 1 was alone with children in care after 3 pm on 7/3/25 and 7/7/25. Caregiver # 1’s school transcript listed her CPR training but there was no documentation of the date of completion and if it was intended for the age group in care.”

Rule 8VAC20-800-150-D-1.

8VAC20-800-150-D-2

“An assistant supervising children alone must have current certification in first aid as appropriate to the age of the children in care. Caregiver # 1 was alone with children in care after 3 pm on 7/3/25 and 7/7/25. Caregiver # 1’s school transcript listed her first aid training but there was no documentation of the date of completion and if it was intended for the age group in care.”

Rule 8VAC20-800-150-D-2.

8VAC20-800-540-A

“Safety straps were not in use while a high chair was in use by a child. Child # 1 was observed seated in a high chair. Child # 1 was not buckled using the safety straps.”

Rule 8VAC20-800-540-A.

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis (TB) Screening. Caregiver # 1’s TB screening was obtained 2 months after the hire date.”

Rule 8VAC20-800-170-A.

8VAC20-800-120-B

“The provider must maintain a complete file for assistants. Caregiver # 1’s record was missing information for an emergency contact person and documentation of orientation training.”

Rule 8VAC20-800-120-B.

8VAC20-770-40-C-1-c

“Based on staff interview, the provider did not obtain a Sword Disclosure Statement (SDS) for each adult household member. Evidence: 1. Household Member # 1 reached the age of 18 years a few months ago. 2. The provider stated that Household Member # 1did not complete a SDS to this date.”

Rule 8VAC20-770-40-C-1-c.

8VAC20-800-690-D

“Based on observation, the diapering surface was not non-absorbent. Evidence: Two diaper changing pads had tears on the surface making them an absorbent surface.”

Rule 8VAC20-800-690-D.

8VAC20-800-50-A

“Based on records review and staff interview, the family day home did not keep an accurate written attendance for children in care. Evidence: The attendance records for 10/7/22 and 10/31/22 showed that at 8:45 am there were 11 children in care. The provider stated that one of the school age children leaves at approximately 8:35 am, and the time documented for both days was incorrect.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-C

“Based on observation and staff interview, linens for children were not assigned for individual use. Evidence: 1. The sheets and the cots used for nap time were not labeled or assigned in any other way for each child. 2. The provider stated that the cots with the sheets were not specifically assigned to each child.”

Rule 8VAC20-800-530-C.

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: The emergency drill log showed that an evacuation drill was not practiced for the month of October 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-530-A

“Based on observation, cots when being used for napping by children did not have linens consisting of a top cover and a bottom cover. Evidence: 4 children were observed napping on cots. They only had a top cover.”

Rule 8VAC20-800-530-A.

22.1-289.035-A

Rule 22.1-289.035-A.