Miryam Galarza

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.

“There was no physical exam record available for Child #1 who has been in care for over four months.”

Rule 8VAC20-800-100-A.

Infant carrier seats, swings, strollers, 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.

“Four children were observed sitting in a high chair without the safety strap securely fastened.”

Rule 8VAC20-800-540-A.

A The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed: 1. Children from birth through 15 months of age count as four points each. 2. Children from 16 months through 23 months of age count as three points each. 3. Children from two through four years of age count as two points each.

“Caregiver #1 was observed supervising 6 children (18 points) without a second caregiver. The caregiver was over the supervision requirements by 2 points for approximately 45 minutes.”

Rule 8VAC20-800-570-A.

Repeat violation

“A child’s record shall contain the required information. The record for Child #3 was missing the name and policy number of the medical insurance and has been in care for over one year. The record for Child #5 was missing the first date of attendance.”

Rule 8VAC20-800-60-B.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“4 out of 6 children’s hands were not washed with liquid soap and warm running water before eating.”

Rule 8VAC20-800-680-B.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 9/11/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Assistants’ and substitute providers’ records shall contain a name, address, and telephone number of a person to be notified in an emergency and documentation of education.

“The record for Assistant Caregiver #2 was missing an emergency contact and documentation of education and has been employed for over two months.”

Rule 8VAC20-800-120-B.

The provider must orient assistants by the end of their first week of assuming job responsibilities.

“Assistant Caregiver #2 provided care for children for over two months without receiving orientation.”

Rule 8VAC20-800-200-A.

Children’s records are required to contain name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached and the policy number of the child’s medical insurance.

“The record for Child #3 was missing a second emergency contact and the policy number of the medical insurance. The child was present during the inspection and had been in care for 24 days.”

Rule 8VAC20-800-60-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #3, who was in care during the inspection and had been in care 23 days.”

Rule 8VAC20-800-90-A.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Attendance for children 1-3 did not have attendance documented as it occurred.”

Rule 8VAC20-790-180-B.

8VAC20-790-250-F

“Caregivers who work directly with children shall complete the department’s health and safety update course annually. The record for Caregiver #1 did not contain documentation of the health and safety update course.”

Rule 8VAC20-790-250-F.

A child’s record shall contain the first date of attendance.

“Child #3 did not have the first date of attendance.”

Rule 8VAC20-800-60-B.

8VAC20-800-80-C

“The provider shall document in the child’s record the method of verification of the child’s age and identity. The records for Child #1 and Child #3 did not contain documentation verifying the date of when the original birth certificate was seen by the provider.”

Rule 8VAC20-800-80-C.

8VAC20-790-180-B

“The provider is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. At the time of inspection, 5 children were present and the attendance had not been completed.”

Rule 8VAC20-790-180-B.

8VAC20-790-430-A-3

“Lockdown procedures are required to be practiced at least annually. The provider did not complete a lockdown drill during the year 2024.”

Rule 8VAC20-790-430-A-3.

22.1-289.035-A

“Caregivers and household members are required to complete a sworn statement every five years. The most recent sworn statement in the records for Caregiver #1 and Household Member #1 were overdue by two months.”

Rule 22.1-289.035-A.

8VAC20-800-240-B

“The provider is not permitted to use equipment that has been recalled or identified by the U.S. Consumer Product Safety Commission as being hazardous. During the inspection, three recalled bumbo seats were identified in the family day home. The provider was informed that the bumbo seats were recalled and not permitted for use in the Family Day Home. After being informed of the recall, the provider placed three children in the recalled bumbo seats for storytime.”

Rule 8VAC20-800-240-B.

8VAC20-800-60-A

“An up to date record for each child enrolled shall be maintained by the provider and contain all required information. The record for Child #5 was missing the following: phone number of the parent’s place of employment for both parents, the policy number of the child’s medical insurance, and the name, address and telephone number of one of two designated persons to contact in case of an emergency if the parent cannot be reached. The child was present during the inspection and had been in care for a month.”

Rule 8VAC20-800-60-A.

Based on record review, the provider did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. 4 children were present in the family day home. 2. The arrival of each child present was not documented.”

Rule 8VAC20-790-180-B.

Based on record review and interview, the provider did not maintain a record for each caregiver.

“Evidence: 1. The provider stated Caregiver #2 was not present but is currently employed by the provider. 2. The provider did not have a record available for review for Caregiver #2. 3. The provider stated she gave the record to the provider to complete missing information.”

Rule 8VAC20-800-120-A.

Based on record review and observation, the provider did not ensure compliance with the home’s policies regarding medication.

“Evidence: 1. The provider did not obtain written authorization to administer prescription and non prescription medication for one child. 2. The provider did not ensure medication is in it’s original container.”

Rule 8VAC20-800-30-B.

Based on record review, the family day home did not keep a written record of children in attendance each day.

“Evidence: 1. Attendance was not documented on the date of the inspection. 2. The last documented record of children in attendance was dated 8/14/2024.”

Rule 8VAC20-800-50-A.

Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. The provider was in possession of medication for Child #3. The medication was located in the child’s belongings, not in a locked place.”

Rule 8VAC20-800-730-D.

Based on observation, requirements for topical skin products were not met.

“Evidence: 1. Two topical skin products were not labeled with the child’s name. 2. The provider stated the parents had provided a new container and they had not yet been labeled. 3. Written authorization for one topical skin product was not obtained annually from the parent of Child #3. The authorization expired on 8/08/2023.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not review the emergency plan at least annually and document in writing each review to the plan.

“Evidence: 1. The last documented review of the emergency plan was dated 5/10/2023.”

Rule 8VAC20-800-800-B.

Based on record review and provider interview, a fingerprint-based criminal history record check was not obtained for 1 caregiver prior to first day of employment.

“Evidence: 1. 1. There was no documentation of a fingerprint-based criminal history record check for Caregiver #1. 2. Provider stated Caregiver #1 did not complete a a fingerprint-based criminal history record check.”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain a completed sworn statement for 2 caregivers.

“Evidence: 1. Caregiver #1 has not completed a sworn statement. 2. The sworn statement in the record for Caregiver #2 did not contain a date of completion.”

Rule 8VAC20-770-60-B.

Based on record review and provider interview, the provider did not maintain a record for 1 of 2 caregivers present.

“Evidence: 1. The provider stated Caregiver #1’s first day at the family day home was “last week”. 2. The provider stated she did not have a record for Caregiver #1.”

Rule 8VAC20-800-120-A.

Based on record review, 2 of 3 caregiver records did not contain all required information.

“Evidence: 1. The provider did not document the 1st date of employment for Caregiver #1 and Caregiver #2. 2. The provider did not have documentation of the name address and telephone number of a person to be notified in an emergency for Caregiver #1 and Caregiver #2.”

Rule 8VAC20-800-120-B.

Based on observation and caregiver interviews, 1 of 3 caregivers was not able to speak English as necessary to carry out assigned job responsibilities and communicate with emergency responders.

“Evidence: 1. Caregiver #1 was unable to communicate with licensing inspector during inspection. 2. Caregiver #3 stated Caregiver #1 was not able to speak English.”

Rule 8VAC20-800-130.

Based on record review and provider interview, the provider did not orient 2 caregivers by the end of their first week of assuming job responsibilities.

“Evidence: 1. Provider stated Caregiver #1 began employment “last week”. 2. Provider stated Caregiver #2 began employment “at the end of March or first of April”. 3. There was no documentation of orientation training for Caregiver 1 and Caregiver #2. 4. Provider stated orientation training was not completed for Caregiver #1 and Caregiver #2.”

Rule 8VAC20-800-200-A.

Based on observation, the provider did not ensure the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“Evidence: 1. The provider is currently licensed to provide care for 5 children at one time. 2. Upon arrival, there were 6 children in care in the family day home.”

Rule 8VAC20-800-40-A.

Based on record review and provider interview, the family day home did not keep a written record of children in attendance.

“Evidence: 1. Provider stated a record of attendance had not been completed for the current week.”

Rule 8VAC20-800-50-A.

Based on record review, 2 of 4 children’s records did not contain all required information.

“Evidence: 1. The records for Child #1 and Child #2 did not contain the name and policy number of the child’s medical insurance,”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not review annually with the parent the emergency contact information required to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review for 1 of 4 children.

“Evidence: 1. The most recent review of emergency contact information in the record for Child #4 was dated 8/8/2022”

Rule 8VAC20-800-780-B.

Based on record review, Caregiver #1 did not complete the department’s health and safety update course annually.

“Evidence: 1. The record for Caregiver #1 did not contain documentation of the health and safety update course.”

Rule 8VAC20-790-250-F.

Based on record review, the provider did not review the emergency plan at least annually and document each review of the emergency plan.

“Evidence: The most recent documented review of the emergency plan for the family day home was dated February 2022.”

Rule 8VAC20-800-800-B.

Based on observation and provider interview, the provider did not ensure that services were conducive to the welfare of one child in care.

Rule 8VAC20-800-30-E. From a complaint.

Based on observation, two cribs used by infants did not have a tight fitting bottom cover.

“Evidence: 1. Child #1 and Child #2 were both observed sleeping in their assigned cribs. 2. The bottom cover in the cribs occupied by Child #1 and Child #2 were not tight fitting. The bottom covers in both of the cribs were observed to be loose, allowing material to gather on the surface of the mattress.”

Rule 8VAC20-800-530-B. From a complaint.