Emina Trionfi

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Caregiver #1 and Caregiver #2 did not complete sixteen clock hours of training in 2025.”

Rule 8VAC20-800-210-A.

REPEAT VIOLATION The provider shall obtain for each caregiver and adult household member a current tuberculosis (TB) screening every two years from the date of the first screening.

“1. Caregiver #2 most recent TB screening is dated 6/23/2023. The screening has been expired for approximately 8 months. 2. Household member #1 most recent TB screening is dated 6/20/2023. The screening has been expired for approximately 8 months.”

Rule 8VAC20-800-180-A.

Information contained in a child’s record shall be privileged and confidential.

“The Supplemental page, containing children’s information, was posted on the parent board of the family day home. The Supplemental page clearly states “DO NOT POST”.”

Rule 8VAC20-800-50-C.

REPEAT VIOLATION Children’s records shall contain all required information.

“1. Child #3s record does not contain a second emergency contact. 2. Child #4s record does not contain documentation that the provider has verified the childs age and identity. 3. Child #7s record does not contain the families medication insurance policy number.”

Rule 8VAC20-800-60-B.

To prevent chocking, grapes must be cut for children under four years of age.

“Three children, ages 2 years, 3 years and 3 years were observed eating whole, uncut grapes.”

Rule 8VAC20-800-900-A.

The provider shall obtain for each caregiver and adult household member a subsequent tuberculosis (TB) screening every two years from the date of the first screening.

“1. Caregiver #1’s most recent TB screening is dated 6/20/2023. 2. Caregiver #2’s most recent TB screening is dated 6/23/2023. 3. Household member #1’s most recent TB screening is dated 6/20/2023. 4. The provider confirmed that updated TB screenings had not been completed.”

Rule 8VAC20-800-180-A.

Child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under five years of age.

“Two unused outlets were observed in the children’s play area without protective covers. Seven out of seven children observed in care are under the age of five.”

Rule 8VAC20-800-320-B.

REPEAT VIOLATION Children’s records shall contain all required information.

“Child #1’s record does not contain the addresses of two emergency contacts or the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

Topical skin products such as diaper ointments shall be labeled with each child’s name.

“An unlabeled diaper cream was observed at the diaper changing table. The provider stated that the diaper cream belonged to child #1.”

Rule 8VAC20-800-750-A.

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times.

“The providers battery-operated weather band radio did not work when turned on.”

Rule 8VAC20-800-770.

Children’s records shall contain all required information.

“Child #1’s record did not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home were not maintained in a clean, safe and operable condition. Evidence: The soft climbing structure for infants to explore on has several large rips and holes.”

Rule 8VAC20-800-240-A.

8VAC20-800-430-A

“Based on observation, children under two years of age have access to stairs. Evidence: During the inspection, the children were observed playing in the providers backyard. The children have access to a large set of stairs that descend into the providers basement as well as stairs that lead up to the providers deck. There were 3 children observed in care under the age of two years.”

Rule 8VAC20-800-430-A.

8VAC20-800-680-A

“Based on observation, caregiver hand washing requirements were not met. Evidence: Caregivers were observed serving the children a morning snack outside. Caregivers hands were not washed before serving the children bananas and crackers.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, children’s hand washing requirements were not met. Evidence: The children were observed eating a morning snack outside. The children’s hands were not washed prior to eating.”

Rule 8VAC20-800-680-B.

22.1-289.035-B-2

“Based on record review and interview, the provider failed to ensure that each caregiver submitted to a fingerprinting background check prior to coming into contact with children. Evidence: Caregiver #3s record does not contain fingerprint results. The provider confirmed that the caregiver has not completed the fingerprint background check and that the caregiver was working with the children in the family day home in the previous week.”

Rule 22.1-289.035-B-2. From a complaint.

8VAC20-800-120-B

“Based on record review and interview, caregivers records did not contain all required information. Evidence: Caregiver #3s record does not contain proof of education or documentation of two reference checks. The provider confirmed that they have not completed reference checks for the caregiver.”

Rule 8VAC20-800-120-B. From a complaint.

8VAC20-800-140-D

“Based on interview, substitute providers do not record and sign the time of arrivals and departures on each day that the substitute provider works in the providers absence. Evidence: The provider stated that they were present at the family day home the previous Friday, 12/1/2023, and that the substitute provider did not record the times of their arrival and departure of the family day home.”

Rule 8VAC20-800-140-D. From a complaint.

8VAC20-800-170-A

“Based on interview, the provider failed to obtain a current report of tuberculosis (TB) from each caregiver prior to coming into contact with children. Evidence: The provider stated that they have not obtained a TB screening from caregiver #3 and that the caregiver was working with children in the family day home the previous week.”

Rule 8VAC20-800-170-A. From a complaint.

8VAC20-800-320-B

“Repeat Violation Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. Two outlets against child #2’s crib did not have protective covers. 2. One outlet next to the nap room door did not have a protective cover. 3. One outlet next to the map table did not have a protective cover. 4. Two outlets next to the couch did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-50-C

“Based on observation, children’s information was not kept privileged and confidential. Evidence: The supplemental from the most recent inspection which clearly states “DO NOT POST” was posted within the inspection notice.”

Rule 8VAC20-800-50-C.

8VAC20-800-570-A

“Repeat Violation Based on observation and interview, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: The provider was observed working alone with 7 children (18 points); Child #1, 3 years. Child #2, 11 months. Child #3, 3 years. Child #4, 3 years. Child #5, 15 months. Child #6, 17 months, Child #7, 6 years.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-B

“Repeat Violation Based on record review, childrens records did not contain all required information. Evidence: Child #6 record does not contain documentation that the family has received the providers emergency preparedness plan.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on record review, documentation of emergency evacuation drills was not maintained. Evidence: There is no fire drill documented for the month of October.”

Rule 8VAC20-800-830-C.

8VAC20-800-920

“Repeat Violation Based on observation, menu requirements were not met. Evidence: There is not food menu posted.”

Rule 8VAC20-800-920.

8VAC20-800-320-B

“Based on observation, protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: There were 2 outlets observed near the couch, 2 outlets observed next to the lamp shelf, 2 outlets observed in the nap room and 1 outlet observed in the hallway, all without protective covers installed.”

Rule 8VAC20-800-320-B.

8VAC20-800-480-D

“Based on observation equipment was not assembled and maintained in accordance with the manufacturer’s instructions. Evidence: A crib was observed in the nap room with the base and mattress sitting directly onto the floor. The crib was not assembled per the manufacturers safety instructions. A blanket and Minnie mouse stuffed animal were observed in the crib.”

Rule 8VAC20-800-480-D.

8VAC20-800-570-A

Rule 8VAC20-800-570-A.

8VAC20-800-920

“Based on observation, a weekly food menu was not posted. Evidence: Caregiver #2 was observed feeding the children an afternoon snack (bananas and crackers). There was no food menu posted.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with each child’s full name and date when more than one infant was in care. Evidence: Three bottles were observed sitting on high chairs. One bottle was not labeled with a name or date. Two bottles were not labeled with the date.”

Rule 8VAC20-800-960-E.

8VAC20-800-320-B

“Based on observation, protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: There was one unused outlet that did not have a protective cover next to a shelf in the children’s play area.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child #7 and Child #9’s records did not contain documentation of the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-880

“Based on observation, the family day home did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The children were observed eating oatmeal with yogurt mixed in. The children were not offered a full serving of fruit or milk.”

Rule 8VAC20-800-880.

8VAC20-800-890

“Based on observation and interview, food containers brought from home were not clearly labeled in a way that identifies the owner. Evidence: A container of pasta was observed sitting on a shelf. The container was not labeled with a child’s name. The provider confirmed that the pasta belonged to an enrolled child that brings their own food.”

Rule 8VAC20-800-890.

22.1-289.036-A

“Based on record review and interview, the applicant for the family day home has not obtained the results of a central registry background check every five years for each adult household member. Evidence: The most recent central registry background check results for Household member #1 is dated 1/18/2017. The provider confirmed that a repeat central registry background check had not been completed.”

Rule 22.1-289.036-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents, were not stored in areas inaccessible to children. Evidence: There was a bottle of bleach observed on the floor next to the toilet in the children’s bathroom.”

Rule 8VAC20-800-280.

8VAC20-800-40-A

“Based on observation and interview, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: The provider is licensed for a maximum of 12 of children in care at any one time. At the time of the inspection, the provider confirmed that there were 13 children in care.”

Rule 8VAC20-800-40-A.

8VAC20-800-690-D

“Based on observation, the diaper changing surface did not meet the requirements. Evidence: The diaper changing mat had several tears on the top surface, and was not non-absorbent and cannot be properly sanitized.”

Rule 8VAC20-800-690-D.

8VAC20-800-180-A

“Based on record review and interview, the provider has not obtained a subsequent tuberculosis (TB) screening for each caregiver and adult household member every two years. Evidence: 1. The providers most recent TB screening is dated 1/26/2020. 2. Household member #1’s most recent TB screening is dated 1/23/2020.”

Rule 8VAC20-800-180-A.