Yolanda Acho

Providers are required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for caregiver #1, who is currently working, was completed two days after their first day of employment.”

Rule 22.1-289.035-B-1.

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

“Caregiver #1, who had been employed for three weeks, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Providers must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver #1, who had been employed for three weeks, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Caregiver records shall contain documentation of two reference checks.

“Caregiver #1, employed for three weeks, did not have documentation of two reference checks on record.”

Rule 8VAC20-800-120-B.

Documentation of the orientation shall be signed and dated by the provider and assistant.

“There was no documentation of a signed orientation on record for Caregiver #1, who has been employed for three weeks.”

Rule 8VAC20-800-200-C.

Family Day Homes shall have a smoke detector installed on each level of the family day home as required by the Uniform Statewide Build Code and the Statewide Fire Prevention Code.

“The family day home did not have a smoke detector on the main level of the home.”

Rule 8VAC20-800-320-I.

Occupied cribs shall be at least 12 inches from each other.

“Four cribs occupied by, Child #1 (age: 8 months), Child #2 (age: 10 months), Child #3 (age: 6 months) and Child #4 (age: 9 months) were all in a row with no space in-between.”

Rule 8VAC20-800-510-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated.

“The menu posted in the family day home was dated for two weeks ago.”

Rule 8VAC20-800-920.

Infant feeding or activity tables, and high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Child #1 (age:10 months), Child #2 (age: 8 months), Child #3 (age: 13 months), Child #4 (age: 10 months) and Child #5 (age: 11 months), were all eating lunch in floor level high chairs, all five highchairs in use did not have the safety straps secured.”

Rule 8VAC20-800-540-A.

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

“The bottles for Child #1 (age: 10 months) and Child #2 (age: 8 months) were labeled with the children’s full names and did not include the date.”

Rule 8VAC20-800-960-E.

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.

“Child #1, who had been enrolled for six months, had no record of a physical examination.”

Rule 8VAC20-800-100-A.

Cribs shall not be used as a play space for infants.

“Child #2 (age 4 months) was placed on their back in a crib for approximately one minute, the child had a play mirror on their face.”

Rule 8VAC20-800-520-B. From a complaint.

Infant feeding or activity tables, and high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Child #1 (age 4 months) was sitting in a bumbo seat on the floor, the safety straps were not used. Child #3 (age 6 months) was sitting in a floor level high chair, the safety straps were not used.”

Rule 8VAC20-800-540-A. From a complaint.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, in a confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child #2 (age 4 months) was in the bouncy chair for approximately 49 minutes.”

Rule 8VAC20-800-600-B. From a complaint.

8VAC20-800-200-C

“Based on observation and interview, documentation of an orientation was not signed and dated by the provider and the provider and assistant. Evidence: 1. The record for Caregiver #2 did not contain signed documentation of orientation. 2. Caregiver #1 acknowledged that Caregiver #2 had an orientation but did not sign the document. Caregiver #1 and Caregiver #2 signed the documentation of orientation at the time of inspection.”

Rule 8VAC20-800-200-C.

8VAC20-800-570-A

“Based on observation, the Provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1. There were 9 children (35 points) in care with the Provider and one assistant at the time of the inspection.”

Rule 8VAC20-800-570-A.

Based on a review of caregiver records, 1 out of 2 caregivers did not have a current report of tuberculosis screening form every two years from the date of the first screening.

“Evidence: 1. Caregiver #1’s most recent tuberculosis screening form on file was dated 3/23/2021.”

Rule 8VAC20-800-180-A.

Based on a review of caregiver records, 1 out of 3 caregivers did not have a central registry finding within 30 days of employment.

“Evidence: 1. Caregiver #3 (doh: 4/18/2022) did not have a central registry finding on file during the time of the inspection.”

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

8VAC20-770-60-B

“Based on review of two caregiver’s records, one does not contain the required completed sworn statement. Evidence The record for caregiver #1 does not contain a completed sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of two caregiver’s records, one does not contain a central registry finding within 30 days of employment. Evidence The record for caregiver #1 did not contain documentation that a central registry search was conducted within 30 days of employment.”

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

8VAC20-800-120-B

“Based on review of two caregiver’s records, one does not contain documentation of reference checks. Evidence The record for caregiver #1 did not have documentation of two references being checked before first day of employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-B

“Based on review of two caregiver’s records, one does not contain documentation of an orientation. Evidence The record for caregiver #1, does not have documentation that an orientation was given within the first week of employment.”

Rule 8VAC20-800-200-B.

8VAC20-800-50-A

“Based on review of records, the family day home did not keep a written record of children in attendance each day. Evidence A list of children currently in care was not available for review.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on review of three children’s records, three did not contain parental authorization for a child to leave the providers home for a field trip. Evidence The record for child #1, #2 and #3 did not have available for review during the inspection an authorization for a child to leave the providers home on a field trip.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on review of three children’s records, three so not contain documentation of parental permission to apply topical skin products to a child. Evidence The records for child #1, #2 and #3 did not have available for review during the inspection an authorization to apply topical lotions.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-C

“Based on review of three children’s records, two do not contain the required additional immunizations. Evidence The record for child #2 and #3 (under the age of 2), did not have available for review during the inspection an updated immunization record every six months.”

Rule 8VAC20-800-90-C.

8VAC20-800-920

“Based on review of nutritional requirements, a menu for the current one-week period was not updated to reflect what was actually being served to the children. Evidence The posted menu was dated March 2022 and was not updated with what was served the day of the inspection.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, not all bottles were labeled with the child’s full name and current date. Evidence Four bottles were observed without a child’s full name and without the current date.”

Rule 8VAC20-800-960-E.

8VAC20-820-120-E-1

“Based on observation the most recently issued license was not posted in a prominent place for review. Evidence The last licensing inspection was not posted.”

Rule 8VAC20-820-120-E-1.