Maria Falcon

The diapering surface is required to be nonabsorbent and washable.

“The outdoor diapering pad had multiple tears in it, making it no longer nonabsorbent and washable.”

Rule 8VAC20-800-690-D.

**REPEAT VIOLATION** The provider is required to maintain an up-to-date record at the home based child care for each enrolled child.

“Child #2 & Child #3 were missing documentation of an annual update of emergency information in their child records.”

Rule 8VAC20-800-780-B.

The provider is required to obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening.

“Caregiver #2’s most recent Report of Tuberculosis on file was expired.”

Rule 8VAC20-800-180-A.

The provider is required to orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #3 did not have documentation on file of orientation by the end of the first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

Annually, the Provider is required to review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review.

“Child #3 and Child #6 did not have documentation on file that the emergency contact information was reviewed and signed by the parent’s within the past year.”

Rule 8VAC20-800-780-B.

The Provider is required to ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

“From approximately 1:45pm-1:48pm, there was only 1 caregiver present with 11 children (37 points), when 3 caregivers were required. From approximately 1:48pm-1:50pm, there were only 2 caregivers present with 11 children (37 points), when 3 caregivers were required.”

Rule 8VAC20-800-570-A.

Bottles are required to be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“There were 3 bottles for 2 different infants in care that did not have the dates on them during the inspection.”

Rule 8VAC20-800-960-E.

The provider is required to obtain, for each adult household member ,a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Household Member #1 had a TB screening on file that expired two weeks ago.”

Rule 8VAC20-800-180-A.

Caregivers are required to obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities, in addition to the first aid and CPR training.

“All 4 caregivers (Caregiver #1, #2, #3, & #4) did not obtain a minimum of sixteen clock hours of training annually for 2024. Each caregiver completed only 2 hours of documented training in 2024.”

Rule 8VAC20-800-210-A.

All employees and household members must submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02.

“The fingerprints results on file for one household member expired approximately one year ago.”

Rule 22.1-289.036-B-2.

The Provider is required to ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

“From approximately 2:15pm-2:20pm, there were only 2 caregivers present with 11 children. The point total was 33, which required 3 caregivers.”

Rule 8VAC20-800-570-A.

A child’s record is required to have documentation of verification of proof of identification of the child within 7 days of enrollment.

“One child did not have documentation of verifying the proof of identification of the child on file at the time of the inspection. The child had been enrolled for more than 7 days.”

Rule 8VAC20-800-60-B.

A working portable battery-operated weather band radio is required to be kept in a designated area and be available to caregivers at all times.

“A working portable battery-operated weather band radio was not available to caregivers at the time of the inspection.”

Rule 8VAC20-800-770.

Based on a review of caregiver records, 1 out of 3 caregivers did not undergo a background check in accordance with subsection B prior to employment.

“Evidence: 1. Caregiver #3 (doh: 9/11/2023) did not have documentation of the results of a search of the child abuse and neglect registry required for Virginia on file at the time of the inspection.”

Rule 22.1-289.035-A.

Based on a review of caregiver records, 1 out of 3 caregivers did not submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02.

“Evidence: 1. Caregiver #3 (doh: 9/11/2023) did not have documentation of fingerprints results (requested by the Provider) on file at the time of the inspection.”

Rule 22.1-289.035-B-2.

Based on a review of documents, the Provider did not ensure compliance with the terms of the current license issued by the department.

“Evidence: 1. On May 28, 2024, the attendance sheet showed that Child B (2 months old) was being cared for by the Provider. 2. The Provider’s current license terms state that the ages for the license are 3 months-3 years & 11 months. The Provider was operating outside of the terms of the current license.”

Rule 8VAC20-800-30-A.

Based on a review of video footage and caregiver interview, caregivers did not provide direct care and supervision of each child at all times.

Rule 8VAC20-800-560-A.

Based on a review of video footage, caregivers did not actively supervise each child during outdoor play to minimize the risk of injury to a child.

“Evidence: 1. Video footage reviewed on 6/25/2024 showed that on 5/28/2024, from approximately 4:42pmuntil 4:54pm, Child A was not actively supervised while outside on the playground.”

Rule 8VAC20-800-560-B.

Based on a review of children’s records, 1 out of 4 children’s records reviewed did not contain the required information.

“Evidence: 1. Child #1 (doe: 1/3/2023) did not have documentation of verification of proof of identity in their file at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on observation, bottles were not labeled with the child’s full name and the date when more than one infant is in care.

“Evidence: 1. 4 bottles in the refrigerator were not labeled with the child’s full name and the date. 2. 2 bottles in the refrigerator had the child’s full name, but there was no date on the bottles.”

Rule 8VAC20-800-960-E.

Based on a review of household member records, all household members did not complete required background checks every five years.

“Evidence: 1. Household member #1 had a sworn statement on file that was dated 9/21/2017 during the time of the inspection.”

Rule 22.1-289.035-A.

Based on a review of assistant’s records, all assistant’s records did not contain the required information.

“Evidence: 1. Assistant #1 (doh: 11/1/2022) did not have documentation of 2 out of 2 required references of character and reputation.”

Rule 8VAC20-800-120-B.

Based on a review of adult household member records, all adult household members did not obtain a report of tuberculosis screening every two years from the date of the first screening or more frequently.

“Evidence: 1. Household member #1 had a tuberculosis screening dated 7/14/2014 during the time of the inspection.”

Rule 8VAC20-800-180-A.

Based on a review of children’s records, 2 out of 4 children’s records reviewed did not have an annual update of emergency information.

“Evidence: 1. Child #1 (doe: 4/30/2020) did not have documentation of an annual update of emergency information at the time of the inspection. 2. Child #3 (doe: 1/18/2022) did not have documentation of an annual update of emergency information at the time of the inspection.”

Rule 8VAC20-800-780-A.

8VAC20-800-60-B

“Base on a review of children’s records, it was determined that one child’s record does not contain all required information. Evidence: Child record B does not include documentation of the parent’s annual review of the child’s emergency contact information. This information was most recently reviewed by the parent on 3/31/2021.”

Rule 8VAC20-800-60-B.