Ms. Erika Pinto

(Repeat Violation) The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, signed by a physician, physicians’ designee, or an official of the local health department, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The record for Household member #1 and Caregiver #1 contained Tuberculosis screenings that expired 5 months ago.”

Rule 8VAC20-800-180-A.

Within the first 90 days of employment, all caregivers shall complete Virginia Preservice Training for Child Care Staff.

“Caregiver #2’s record did not contain documentation of completed VA Preservice Training.”

Rule 8VAC20-790-250-B.

Caregivers shall annually complete the department’s health and safety update training course.

“Caregiver #1’s annual health and safety update training was more than ten months overdue.”

Rule 8VAC20-790-250-F.

Assistants’ and substitute providers’ records shall contain all required information.

“Caregiver 2’s record did not contain documentation of the caregiver’s address, verification of age, job title, date of employment, emergency contact information and two completed reference checks.”

Rule 8VAC20-800-120-B.

The provider shall obtain a current TB screening form, every two years, for each caregiver and adult household member.

“Caregiver #1’s most recent TB screening for was more than four months overdue. Caregiver #3’s most recent TB screening was more than two weeks overdue.”

Rule 8VAC20-800-180-A.

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

“Caregiver #2’s record did not contain documentation of completed orientation.”

Rule 8VAC20-800-200-A.

The vendor must maintain a written hard copy record of daily attendance that documents the arrival and departure of children.

“The attendance sheet did not document children’s arrival and departure times.”

Rule 8VAC20-790-180-B.

Areas and furnishings of the family day home must be maintained in a clean, safe, and operable condition.

“The diaper changing table had areas of chipped wood and peeling paint. The toilet tank in the children’s bathroom was missing the cover, exposing plumbing inside the toilet tank.”

Rule 8VAC20-800-240-A.

Potentially poisonous substances, materials and supplies must be stored in areas inaccessible to children.

“Chemical containing containers of Minoxidil and Sensodyne were found in an unlocked cabinet inside the children’s bathroom.”

Rule 8VAC20-800-280.

All caregivers are required to complete Virginia Preservice Training within 90 days of subsidy approval.

“Caregiver #3 has not completed Preservice Training. The training was required by 12/23/24.”

Rule 8VAC20-790-250-B.

The family day home is required to keep a written record of children in attendance each day.

“On 4/9/25 at approximately 10:30am, the attendance record contained documentation of seven children in care. There were eight children in care at the time.”

Rule 8VAC20-800-50-A.

(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Household Member B was overdue by more than two months.”

Rule 8VAC20-800-180-A.

8VAC20-800-100-A

“Based on review of four child records, the provider did not obtain documentation of a physical examination by a physician for each child within 30 days of attendance. Evidence: The physical on record for Child D, with a start date of 5/3/22, was dated 8/17/22.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“REPEAT VIOLATION Based on review of three caregiver and two adult household member records, the provider did not obtain documentation of a current tuberculosis (TB) screening for each caregiver and adult household member every two years from the date of the last screening. Evidence: The most recent TB screening on record for Caregiver B was dated 9/2/21. The most recent TB screening on record for Household Member A was dated 10/16/21.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on review of three caregiver records, the provider did not ensure that all caregivers obtained a minimum of 16 hours of training annually in areas relevant to their job responsibilities. Evidence: The record for Caregiver A contained documentation of four hours of annual training. The record for Caregiver C contained documentation of three hours of annual training.”

Rule 8VAC20-800-210-A.

8VAC20-800-830-D

“Based on review of documentation and interview, the provider did not ensure that records of emergency evacuation and shelter-in-place drills were maintained for one year. Evidence: The provider could not locate the drill log for 2023 in order to show documentation of two shelter-in-place drills conducted.”

Rule 8VAC20-800-830-D.

8VAC20-800-90-A

“REPEAT VIOLATION Based on review of four child records, the provider did not obtain documentation that each child had been adequately immunized before attending the family day home. Evidence: The immunizations on record for Child D, with a start date of 5/3/22, were dated 8/17/22.”

Rule 8VAC20-800-90-A.

8VAC20-800-180-A

“Based on review of three caregiver records, the provider did not obtain a current Report of Tuberculosis (TB) Screening form, every two years from the date of the first screening for each caregiver. Evidence: The most recent TB screenings on record for Caregiver #1 and Caregiver #2 were dated 9/2/21. The most recent TB screening on record for Caregiver #3 was dated 9/1/21.”

Rule 8VAC20-800-180-A.

8VAC20-800-690-E

“Based on observation, soiled disposable diapers and wipes were not disposed of in a leak-proof or plastic- lined storage system that is either foot-operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: The licensing inspector observed soiled disposable diapers/pull-ups and wipes in the open bathroom trashcan, and the trashcan did not contain a lid and was not foot-operated.”

Rule 8VAC20-800-690-E.

8VAC20-800-90-A

“Based on review of two child records, the provider did not obtain documentation that a child had been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations before the child attended the family day home. Evidence: The immunizations on record for Child B, with a start date of 8/7/23, were dated 9/15/23.”

Rule 8VAC20-800-90-A.

8VAC20-800-830-A

“Based on review of documentation and interview with the provider, the provider did not ensure that emergency evacuation procedures were practiced monthly. Evidence: The emergency evacuation drill log did not contain documentation of drills conducted in June, July, August, or September and the provider stated that drills were not completed in July, August, or September.”

Rule 8VAC20-800-830-A.

8VAC20-800-210-A

“Based on interview with the provider, the provider did not ensure that all caregivers obtained a minimum of sixteen hours of annual training relevant to their job responsibilities. Evidence: The provider reported that Caregiver #1 had not completed any training in the past year.”

Rule 8VAC20-800-210-A.

8VAC20-800-80-A

“Based on review of two child records, the provider did not obtain verification of the identity and age of a child within seven business days of the child’s first day of attendance. Evidence: The record for Child A, with a start date of 1/17/22, did not contain verification of the identity and age of the child.”

Rule 8VAC20-800-80-A.

8VAC20-800-830-C

“Based on interview with the provider, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: Documentation of drills was not made available to the Inspector and the provider reported that they knew the log was not up to date.”

Rule 8VAC20-800-830-C.

8VAC20-800-920

“Based on observation and interview with the provider, the menu for the current one-week period was not available. Evidence: There was no menu available during the inspection and the provider reported that she had not created one for the week.”

Rule 8VAC20-800-920.