Ana Salcedo Gago

Based on review, 2 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (08/29/2023), documentation of a physical examination was not available for review for: Child # 4, and Child # 5. 2. The start dates for each were: 05/08/2023 for Child #4, and 04/18/2023 for Child #5.”

Rule 8VAC20-800-100-A.

Based on observation and interview, cleaning agents, disinfectants, and deodorizers were observed in an area accessible to the children in care.

“Evidence - 1. On the date of inspection (08/29/2023), cleaning agents, disinfectants, and deodorizers were observed either out on a shelf or within an unlocked cabinet located in the FDH bathroom that the children in care use. 2. The Provider stated (during an interview conducted on the date of inspection) that she has a lock for the cabinet, but it was not in place at the time of observation by the Licensing Inspector (LI).”

Rule 8VAC20-800-280.

Based on observation, household medication were not kept in a locked place.

“Evidence - 1. On the date of inspection (08/29/2023), household medication was observed being stored in a small basket on a counter top within the kitchen of the FDH. 2. The kitchen is off the playroom of the childcare area and in-between that play area and the bathroom that the children in care can use.”

Rule 8VAC20-800-730-D.

Based on review, 1 of 4 children files indicated that the Provider did not obtain a child’s proof of identification within seven business days of the child’s first day of attendance at the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (08/29/2023), the proof of identification for Child # 4 was not available for review. 2. The start date for Child #4 was listed as 05/08/2023.”

Rule 8VAC20-800-80-A.

Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation that a child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before a child may attend the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (08/29/2023), an immunization page for Child #4 was not available for review. 2. The start date for Child #4 was listed as 05/08/2023. Child #4 was in attendance on the date of inspection.”

Rule 8VAC20-800-90-A.

Based on review, 1 of 6 children files indicated that not all of the required information was contained within each child’s record.

“Evidence - 1. On the date of inspection (03/10/2023), at least 2 emergency contacts were not listed for Child #6 (start date - 11/09/2022). 2. Child #6 had the information listed for one emergency contact.”

Rule 8VAC20-800-60-B.

Based on review, 3 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a children (who were not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (03/10/2023), the following children had immunization documentation dated older than 6 months: Child #1 (dated - 06/24/2022); Child #3 (dated - 07/15/2022); and Child #5 (dated - 08/02/2022). 2. All three children listed above were under that age of 2 years on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on review, 2 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

“Evidence - 1. On the date of inspection (03/15/2022), the following were without documentation of a physical examination on file at the Family Day Home: Child #2, and Child #4. 2. The start date for Child #2 was listed as 01/03/2022. The start date for Child #4 was listed as 09/19/2021.”

Rule 8VAC20-800-100-A.