Mary Ugarte

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form.

“Household member #1 had a TB test expired by six months.”

Rule 8VAC20-800-180-A.

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

“The violation notice from 01/22/2026 was not posted in the family day home.”

Rule 22.1-289.011-F.

REPEAT VIOLATION The family day home shall keep a written record of children in attendance each day.

“Attendance was on available for 04/08/2026, 04/09/2026, and 04/10/2026.”

Rule 8VAC20-800-50-A.

A caregiver shall be physically present on site and provide direct care and supervision of each child at all times.

“On 04/10/2026, Child #1 (aged 7 months) was observed alone in the living room asleep in a bouncer seat with a bottle in the seat.”

Rule 8VAC20-800-560-A.

The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Caregiver #3, who is currently working, was dated two weeks after their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver #2 has been employed for more than 2 months and did not have completed fingerprints on record. Caregiver #3 has been employed for more than 2 weeks and did not have completed fingerprints on record.”

Rule 22.1-289.035-B-2.

A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.

“The substitute provider (caregiver #2) was in charge of the children during the inspection and a substitute provider log was not available.”

Rule 8VAC20-800-140-D.

The provider shall obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening.

“Caregiver #2 has been hired for more than 2 months and did not have a Report of Tuberculosis screening on record. Caregiver #3 has been hired for more than 2 weeks and did not have a Report of Tuberculosis screening on record.”

Rule 8VAC20-800-170-A.

Small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons shall be unplugged.

“There was a curling iron plugged in, in the bathroom in the childcare area in the basement.”

Rule 8VAC20-800-320-A.

The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“The bathroom did not have toilet tissue and paper towels.”

Rule 8VAC20-800-340-C.

The family day home shall keep a written record of children in attendance each day.

“Written attendance was not available for 1/19/2026 - 1/22/2026.”

Rule 8VAC20-800-50-A.

Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall: Be dated.

“A dated menu for the current week was not available during the inspection.”

Rule 8VAC20-800-920.

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.

“Child #2 was observed sleeping in an infant bouncer seat inside their crib.”

Rule 8VAC20-800-540-A.

The diapering surface shall be: Nonabsorbent.

“There was a cloth cover on the diapering station.”

Rule 8VAC20-800-690-D.

Systemic deficiency repeat violation

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. The emergency evacuation drill for June 2025 was not completed.”

Rule 8VAC20-800-830-A.

Systemic deficiency repeat violation

“Menus. When meals or snacks are provided by the family day home, the menu for the current one-week period shall:1. Be dated; and posted or placed in an area accessible to parents. The menu for the month of June was posted in the family day home.”

Rule 8VAC20-800-920.

Repeat violation

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. Two sets of bottles were not labeled with the date.”

Rule 8VAC20-800-960-E.

The most recent violation notice and inspection summary shall be posted in a conspicuous place.

“The violation notice and inspection summary from 07/31/2024 was not posted.”

Rule 22.1-289.011-F.

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.

“Child #3 was enrolled for 15 months and did not have a physical examination on record. Child #4 was enrolled for 2 months and did not have a physical examination on record.”

Rule 8VAC20-800-100-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually.

“Caregiver #1 had 12 hours of training documented for 2024.”

Rule 8VAC20-800-210-A.

REPEAT VIOLATION Documentation shall be maintained of emergency evacuation drills.

“Documentation was not maintained for December 2024.”

Rule 8VAC20-800-830-C.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated.

“The menu posted did not have a date on it.”

Rule 8VAC20-800-920.

8VAC20-800-780-B

“Based on a review of child records, the provider did not obtain all required annual updates. Evidence: Child #2 had an annual update that expired 05/30/2024. Child #3 had an annual update that expired 02/17/2023.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-C

“Based on a review of documentation, the provider did not maintain documentation of emergency evacuation drills. Evidence: The last documented emergency evacuation drill was 4/15/2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-960-E

“Based on observation, the provider did not ensure bottles were labeled with the child’s full name and date, if more than one infant is in care. Evidence: 1 out of 3 bottles was not labeled with the child’s full name. 3 out of 3 bottles were not dated.”

Rule 8VAC20-800-960-E.

22.1-289.036-A

“Based on a review of records, the provider did not ensure required repeat background checks were renewed every 5 years. Evidence: Household member #1 did not have Central Registry results on record during the inspection.”

Rule 22.1-289.036-A.

8VAC20-800-340-C

“Based on observation, the provider did not ensure all supplies required in the bathroom were available. Evidence: There were no paper towels located in the bathroom.”

Rule 8VAC20-800-340-C.

8VAC20-800-680-A

“Based on observation, the provider did not ensure caregivers washed hands with liquid soap and warm running water at required times. Evidence: Caregiver #1 was observed changing a diaper without washing hands before or after the diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, the provider did not ensure that children’s hands were washed with liquid soap and warm running water at required times. Evidence: Caregiver #1 did not wash the child’s hands after the diaper change.”

Rule 8VAC20-800-680-B.

22.1-289.035-B-2

“Based on a review of caregiver files, all employees did not submit to fingerprinting background check in accordance with subdivison B prior to employment. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have fingerprinting results on file during the inspection.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on a review of caregiver files, all employees did not complete a sworn statement or affirmation prior to becoming employed. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a sworn statement on file during the inspection.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-A

“Based on a review of files, 1 of 3 files indicated that the provider did not maintain a record for each caregiver. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have a file available during the inspection.”

Rule 8VAC20-800-120-A.

8VAC20-800-120-B

“Based on a review of caregiver files, assistants’ records did not contain the required information. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have references available during the inspection.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

“Based on a review of caregiver files, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver #4 (date of hire 1/6/2023) did not have documentation of a Tuberculosis test/screening during the inspection.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on a review of caregiver and household members the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: 1. Caregiver #1 had a Tuberculosis test dated 09/16/2018. 2. Household member #1 had a Tuberculosis test dated 9/26/2018.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-A

“Based on a review of child files, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #8 did not have a file available during the inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on a review of child files, a child’s record did not contain the required information. Evidence: Child #1 was missing 1 of 2 emergency contacts. Child #8 was missing 2 of 2 emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-830-C

“Based on a review of the family day home and provider interview, documentation was not maintained of emergency evacuation and shelter-in-place drills. Evidence: There was no drill log available during the inspection. The provider confirmed that they have completed the drills but they could not find the log that contained documentation.”

Rule 8VAC20-800-830-C.

8VAC20-800-90-A

“Based on a review of child files, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia. Evidence: Child #8 (start date 1/6/2023) did not have immunizations on file during the inspection.”

Rule 8VAC20-800-90-A.

Based on review and interview, 1 of 3 staff files indicated that within the first 90 days of employment or service a caregiver did not complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education.

“Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion was not available for Staff #2 in reference to the Virginia Preservice Training for Child Care Staff (10 hour course). 2. The start date for Staff #2 was listed as 03/30/2022.. 3. The Provider stated (during an interview conducted on the date of inspection) that Staff #2 is currently in the process of completing this course.”

Rule 8VAC20-790-250-B.

Based on review, 2 of 3 staff files indicated that a certificate of completion was not available for the (3 hours) department’s annual health and safety update course.

“Evidence - 1. On the date of inspection (07/07/2022), a certificate of completion for the annual health and safety course was not available for review for: Staff #1 and Staff #3. 2. Both Staff #1 and Staff #3 have been employed by the FDH for more than 1 year.”

Rule 8VAC20-790-250-F.

Based on review, 1 of 3 staff files indicated that an employee of a licensed Family Day Home (FDH) does not have a completed sworn statement or affirmation form (SDS) on site.

“Evidence - 1. On the date of inspection (07/07/2022), a SDS was not available for review for Staff #2. 2. The start date for Staff #2 was listed as - 03/30/2022.”

Rule 8VAC20-770-60-B.

Based on review, 1 of 3 staff files indicated that 1 of 2 references was on file for Staff #2.

“Evidence - 1. On the date of inspection (07/07/2022), only 1 reference was reviewed for Staff #2. 2. The start date for Staff #2 was listed as 03/30/2022.”

Rule 8VAC20-800-120-A.

Based on review, 1 of 3 staff files indicated that documentation of an orientation training was not available for Staff #2.

“Evidence - 1. On the date of inspection (07/07/2022), documentation of the orientation training for Staff #2 was not available for review. 2. The start date for Staff #2 was listed as - 03/30/2022.”

Rule 8VAC20-800-200-A.

Based on observation, the outdoor playground equipment was stationed over a hard surface.

“Evidence - 1. On the date of inspection (07/07/2022), the two structures of playground equipment located in the backyard of the FDH was located over hard decking. 2. The children in care were observed playing over it on the date of inspection.”

Rule 8VAC20-800-500-C.

Based on review, 1 of 9 enrolled children did not have an up-to-date record at the Family Day Home (FDH).

“Evidence - 1. On the date of inspection (07/07/2022), Child #9 was without a complete child’s record. 2. The start date for Child #9 was listed as 06/30/2022.”

Rule 8VAC20-800-60-A.

Based on review, the Provider did not document in writing each annual review (and update as needed) to the Emergency Preparedness and Response Plan (EP&RP).

“Evidence - 1. On the date of inspection (07/07/2022), the last written documentation of a review for the EP&RP was dated - 01/07/2020. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-800-B.

Based on review, 1 of 9 children files indicated that the FDH did not obtain additional immunizations for a child (who was not exempt from the immunization requirements) under two years of age, every 6 months.

“Evidence - 1. On the date of inspection (07/07/2022), the immunization page on file for Child #8 was dated - 11/29/2021. 2. This was confirmed on the date of inspection by the Provider.”

Rule 8VAC20-800-90-C.

Based on review, the department’s 3 hour health and safety update course was not completed this year for the applicable staff person.

“Evidence - 1. On the date of inspection (01/25/2022), the annual health and safety training was not completed by Staff #1. 2. The Virginia Pre-Service training was completed on 10/19/2018.”

Rule 22VAC40-665-230-H.

Based on review and interview, a caregiver did not obtain a minimum of (16) sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 01/25/2022) that only 1 hour has been completed for Staff #1. 2. This training certificate obtained by Staff #1 was observed to be from an approved online training. 3. Staff #2 and Staff #3’s hours of annual training shall be determined after one full year of employment.”

Rule 8VAC20-800-210-A.

Based on review, 2 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for 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 (01/25/2022) the following children were without an update to their immunization records: Child #2 (most recent update - 06/03/2021), and Child #4 (most recent update - 02/01/2021). 2. The Provider confirmed this finding on the date of inspection.”

Rule 8VAC20-800-90-C.

Based on observation, 2 of 2 bottles observed being refrigerated were labeled with the child’s full name, but not today’s the date.

“Evidence - 1. On the date of inspection (01/25/2022), there were a total of (3) infants in care. 2. These two bottles were for Child #4, and Child #8.”

Rule 8VAC20-800-960-E.