Gloria Fuentes

An assistant who is left alone with children shall have current certification in cardiopulmonary resuscitation (CPR).

“Caregiver #2 was observed working alone with two children. Caregiver #2’s CPR certification has been expired for 24 days.”

Rule 8VAC20-800-150-D-1.

An assistant who is left alone with children shall have current certification in first aid.

“Caregiver #2 was observed working alone with two children. Caregiver #2’s first aid certification has been expired for 24 days.”

Rule 8VAC20-800-150-D-2.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #2’s subsequent TB screening is overdue by two months.”

Rule 8VAC20-800-180-A.

In addition to satisfactory completion of first aid training and CPR training, 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

“Any individual required to undergo a background check must submit to fingerprinting prior to employment. Caregiver #2, who has been employed for two months, did not submit to fingerprinting.”

Rule 22.1-289.035-B-2.

Each child day program that is licensed and serves preschool-age children shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority.

“The family day home did not develop and implement a plan to test potable water.”

Rule 22.1-289.057-A.

Equipment of the family day home, outside, shall be maintained in a safe condition.

“There were two ride on cars with broken, cracked plastic in multiple areas, creating sharp, jagged edges.”

Rule 8VAC20-800-240-A.

The provider shall ensure that the home’s activities, services and facilities are conducive to the welfare of children in care.

“Child #5 (age: 1 year) was observed sleeping in a stroller that was leaning backwards, propped against a chair.”

Rule 8VAC20-800-30-E.

Repeat violation

Rule 8VAC20-800-60-B.

When topical skin products are used, written parent authorization shall be obtained at least annually and the product, if provided by the parent, shall be labeled with the child’s name.

“A topical skin product belonging to Child #3 was provided by the parent and was not labeled with the child’s name. There was no written parent authorization for the product. A topical skin product belonging to Child #5 was provided by the parent and was not labeled with the child’s name. There was no written parent authorization for the product.”

Rule 8VAC20-800-750-A.

Any individual required to undergo a background check shall provide a sworn statement or affirmation prior to employment.

“Caregiver #1, who has been employed for one week, provided a sworn statement 4 days late.”

Rule 22.1-289.035-B-1.

Any individual required to undergo a background check must submit to fingerprinting prior to employment.

“Caregiver #1, who has been employed for one week, did not submit to fingerprinting.”

Rule 22.1-289.035-B-2.

The family day home must request results of a search of the central registry for an applicant for employment prior to employment.

“The family day home did not request results of a search of the central registry for Caregiver #1, who has been employed for one week.”

Rule 22.1-289.035-B-3.

Assistants’ records shall contain documentation that two or more references were checked before employment.

“Caregiver #1, who has been employed for one week, did not have documentation that two or more references were checked.”

Rule 8VAC20-800-120-B.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #2’s subsequent TB screening was overdue by one month.”

Rule 8VAC20-800-180-A.

A child’s record shall contain the name and policy number of the child’s medical insurance.

“Child #3’s record did not contain the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

The family day home shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #5’s (age: 21 months) updated immunization record is overdue by 3 months.”

Rule 8VAC20-800-90-C.

Based on observation, the family day home did not ensure the diapering surface was nonabsorbent.

“Evidence: At the time of inspection, the diapering surface used in the basement daycare area had a cloth covering.”

Rule 8VAC20-800-690-D.

Based on observation, the family day home did not ensure that soiled diapers and wipes were disposed of in a storage system that is used in a way that neither the caregiver’s hand nor the soiled diaper touches the exterior surface during disposal.

“Evidence: There was a foot-operated trash can used for disposing diapers in the basement daycare area. However, the trash can was inoperable, causing caregivers to use their hands to open the trash can and dispose of diapers.”

Rule 8VAC20-800-690-E.

Repeat violation

“Based on record review, the family day home failed to ensure that all employees submit to fingerprinting and obtain results prior to employment and every five years thereafter. Evidence: 1. Caregiver #1?s most recent fingerprinting results were dated 04/20/2018. 2. Caregiver #2 (start date: 08/10/2023) did not have results of fingerprinting on file. 3. Caregiver #3 (start date: October 2022) did not have results of fingerprinting on file.”

Rule 22.1-289.035-B-2.

Based on record review, not all adults living in the family day home underwent background checks every five years.

“Evidence: 1. Household Member #1?s most recent Sworn Disclosure Statement was dated 09/23/2017. 2. Household Member #2?s most recent Sworn Disclosure Statement was dated 01/15/2018. 3. Household Member #1?s most recent fingerprinting results were dated 05/21/2018. 4. Household Member #2?s most recent fingerprinting results were dated 5/30/2018. 5. Household Member #2?s most recent central registry search results were dated 02/27/2018.”

Rule 22.1-289.036-A.

Repeat violation

“Based on record review, the provider failed to obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form. Evidence: Caregiver #2 (start date: 08/10/2023) did not have a Report of Tuberculosis Screening form on file.”

Rule 8VAC20-800-170-A.

Based on record review, the provider failed to obtain from each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Evidence: 1. Caregiver #1?s most recent TB screening form was dated 03/19/2021. 2. Household Member #1?s most recent TB screening was dated 03/19/2021.”

Rule 8VAC20-800-180-A.

Based on observation, potentially poisonous substances were accessible to children.

“Evidence: 1. There were two containers of sanitizing wipes and two sanitizing sprays in a cabinet under the sink located in the downstairs bathroom that is used by the children. The cabinet had a child lock that was inoperable. 2. There was a multi-purpose cleaner, a glass cleaner, two containers of bleach, one outdoor fogger and one ant/roach under the sink in the laundry room, accessible to children.”

Rule 8VAC20-800-280.

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

“Evidence: The provider’s maximum licensed capacity is 12. At the time of inspection, there were 13 children present.”

Rule 8VAC20-800-40-A.

Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment.

“Evidence: 1. The provider stated that Caregiver #1 is a re-hire and began working at the family day home again in October 2022, after being gone for two years. 2. Caregiver #1 (re-hire date: October 2022) did not have results of fingerprinting on file before working at the family day home. 3. The provider stated that Caregiver #2 began working at the family day home at the end of November 2022. 4. Caregiver #2 (start date: November 2022) had fingerprint results dated 02/08/2023.”

Rule 22.1-289.035-B-2.

Based on record review and provider interview, an employee of the family day home was employed before the home had the person’s completed sworn statement.

“Evidence: 1. The provider stated that Caregiver #1 is a re-hire and began working at the family day home again in October 2022, after being gone for two years. 2. Caregiver #1 (re-hire date: October 2022) had a sworn statement that was dated 11/16/2022. 3. The provider stated that Caregiver #2 began working at the family day home at the end of November 2022. 4. Caregiver #2 (start date: November 2022) did not have a completed sworn statement on file.”

Rule 8VAC20-770-60-B.

Based on record review, the provider did not obtain from each caregiver, prior to coming into contact with children, a current Report of Tuberculosis Screening form.

“Evidence: 1. The provider stated that Caregiver #1 is a re-hire and began working at the family day home again in October 2022, after being gone for two years. 2. Caregiver #1 (re-hire date: October 2022) had a Report of Tuberculosis Screening form that was dated 01/07/2023. 3. The provider stated that Caregiver #2 began working at the family day home at the end of November 2022. 4. Caregiver #2 (start date: November 2022) had a Report of Tuberculosis Screening form that was dated 01/09/2023.”

Rule 8VAC20-800-170-A.

Based on record review, documentation of orientation was not signed and dated by the assistant.

“Evidence: 1. Caregiver #1 did not sign and date their documentation of orientation. 2. Caregiver #2 did not sign and date their documentation of orientation.”

Rule 8VAC20-800-200-C.

Based on record review and interview, the provider did not obtain a copy of the results of a search of the child abuse and neglect registry for a caregiver from any state in which the individual has resided in the preceding five years.

“Evidence: Caregiver #3 (start date: 11/25/2020) currently resides out of state. The provider stated that a search of the child abuse and neglect registry from that state had not been conducted.”

Rule 22.1-289.035-B-4.

Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance.

“Evidence: The provider did not have documentation of a physical examination for Child #3 (start date: 01/06/2022).”

Rule 8VAC20-800-100-A.

Based on observation, not all small electrical appliances were unplugged while not being used by the caregiver or with children under close supervision.

“Evidence: A toaster oven, located in the kitchen, was plugged in while not being used.”

Rule 8VAC20-800-320-A.

Based on observation, an infant seat safety strap was not used and securely fastened, when the seat was occupied by a child.

“Evidence: The infant seat safety strap was not used and securely fastened as Child #5 sat in it.”

Rule 8VAC20-800-540-A.

Based on record review, the provider did not obtain all required information for children’s records.

Rule 8VAC20-800-60-B.

Based on record review, written parent authorization noting any known adverse reactions was not obtained at least annually when topical skin products were used.

“Evidence: 1. The provider did not have a written authorization form for Child #6?s sunscreen. 2. The provider did not have a written authorization form for Child #7?s diaper cream.”

Rule 8VAC20-800-750-A.

Based on record review, the provider did not obtain documentation that each child has been adequately immunized before the child may attend the family day home.

“Evidence: The provider did not have documentation of immunizations for Child #1 (start date: 08/01/2022).”

Rule 8VAC20-800-90-A.

8VAC20-800-120-B

“Based on a reveiw of caregiver records, it was determined the files for each assistant/substitute caregiver do not contain all required information. Evidence: 1 - The file for assistant caregiver A does not include the information for an emergency contact person. 2 - The file for the substitute caregiver does not include documentation of qualifications.”

Rule 8VAC20-800-120-B.

8VAC20-800-60-B

“Based on a review of children’s records, it was determined that two records do not contain all required information. Evidence: 1 - Child record B does not include the parent’s medical insurance name and policy number. 2 - Child record C does not include the policy number for the parent’s medical insurance.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“Based on provider interviews and observations of the child care space, it was determined that the diapering surface was not cleaned and sanitized after each use as required. Evidence: It was reported to the Inspector that the diaper changing pad is cleaned with pre-packaged cleaning wipes in between each use. This method does not clean and sanitize the diapering surface as required.”

Rule 8VAC20-800-690-D.

8VAC20-800-960-E

“Based on observations, it was determined that all infant bottles were not labeled with the child’s full name and the date. Evidence: The bottles for one infant were not labeled with the child’s name and current date.”

Rule 8VAC20-800-960-E.