Tatiana Fernandez Quisbert

Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

“The record for Child #5 (enrolled one year and 10 months) did not have a parent’s signature for an annual review of the emergency contact information and was overdue by 5 months.”

Rule 8VAC20-800-780-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“There was no fire drill conducted in the month of June.”

Rule 8VAC20-800-830-A.

Repeat Violation Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #2 (2 years old), last documented immunization was over six months ago and overdue by two weeks.”

Rule 8VAC20-800-90-C.

Repeat Violation 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.

“During the inspection, three children were present and had not been signed in on the attendance record.”

Rule 8VAC20-790-180-B.

Lockdown procedures shall be practiced at least annually.

“There was no record of a lockdown drill being conducted.”

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

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

“-The record for Child #1 (enrolled for 2 days) was missing the name, address, and telephone number of one emergency contact. -The record for Child #2 (enrolled for 2 days) was missing the name, address, and telephone numbers of two emergency contacts.”

Rule 8VAC20-800-60-B.

Diaper ointments shall not be used beyond the expiration date of the product.

“Two diaper ointments for Child #3 had expired and were used beyond the date of expiration.”

Rule 8VAC20-800-750-D.

Documentation of additional immunizations is required once every six months for children under the age of two years.

“Child #3 (20 months old), last documented immunization was over 9 months ago.”

Rule 8VAC20-800-90-C.

Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care.

“One bottle for Child #1 did not have a date. One bottle for Child #2 did not have a name or date.”

Rule 8VAC20-800-960-E.

The family day home is required to obtain a completed sworn statement prior to the caregiver’s first day of employment.

“The sworn statement for Caregiver #3, who has been employed for over one month, was not signed or dated.”

Rule 22.1-289.035-B-1.

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.

“The vendor did not complete attendance as it occurred during the inspection.”

Rule 8VAC20-790-180-B.

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.

“The record for Child #1, who had been in care over four months, did not contain documentation of a completed physical exam.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain written authorization for emergency medical care should an emergency occur, and the parent cannot be located immediately.

“The record for Child #3 was missing the written authorization for emergency medical care. The child was present during the inspection and had been in care for over five months.”

Rule 8VAC20-800-60-B.

The provider shall ensure high chairs with safety waist and crotch straps are fastened according to the manufacturer’s instructions for children under 12 months of age who are not held while being fed.

“Child #2, 8 months old, was in a high chair eating breakfast without safety straps fastened.”

Rule 8VAC20-800-960-C.

Based on observation, the provider did not ensure the diapering surface was nonabsorbent and washable.

“Evidence: There were two rips in the diapering pad surface.”

Rule 8VAC20-800-690-D.

Based on documentation review and interview, the provider did not maintain documentation of shelter-in-place drills.

“Evidence: The provider did not document the shelter-in-place drill that was conducted.”

Rule 8VAC20-800-830-C.

8VAC20-800-60-B

“Based on a review of records, child records did not contain all required information. Evidence: 2 of 6 records reviewed were missing: *Second emergency contact information (Child 4) *Complete address of second emergency contact. (Child 3)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-B

“Based on a review of records, the provider did not obtain written acknowledgment of receipt of information regarding policies and procedures. Evidence: 2 of 6 records reviewed were missing: Written acknowledgment of the Declaration of Liability Insurance. (Children #3, 6)”

Rule 8VAC20-800-70-B.

22.1-289.035-B-2

“Based on a review of records, one staff record does not contain documentation of a nationwide fingerprint search prior to employment. Evidence: There are no fingerprint results on file for Staff A. (Date of Hire: mid June)”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on a review of records, staff records are incomplete. Evidence: There is no completed Sworn Disclosure Statement (SDS) on file for Staff A. (Date of Hire: Mid June).”

Rule 8VAC20-770-60-B.

8VAC20-800-120-B

“Based on a review of records, one staff record does not contain all required information. Evidence: Staff A’s record does not include documentation of: *Emergency contact *Education/Experience *Date of employment *Two references”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on a review of records, one staff record does not contain documentation of orientation by the end of the first week of assuming job responsibilities. Evidence: There is no documentation of orientation available for review for Staff A. (Date of hire: Mid June)”

Rule 8VAC20-800-200-A.

8VAC20-800-60-A

“Based on a review of records, the provider did not maintain an up-to-date record for one child. Evidence: 1 of 5 records reviewed was not updated annually. The record is dated 1/14/2020. (Child 2)”

Rule 8VAC20-800-60-A.

8VAC20-800-60-B

“Based on a review of records, child records do not contain all required information. Evidence: 5 child records were reviewed. Missing information includes: *Emergency contact information (Child 5) *Parent signature (Child 5)”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on a review of records, written acknowledgment of current policies and procedures was not maintained. Evidence: 5 child records were reviewed. *1 of 5 did not contain documentation of acknowledgment of the termination policy, medication administration policy and having provided the parent with the DSS website address for inspection results. (Child 5) *The Information for parents form was not updated to remove an assistant that is no longer employed. (Child 1)”

Rule 8VAC20-800-70-A.

8VAC20-800-900-A

“Based on observation, food that is a choking hazard to children under 4 years of age was served for snack. Evidence: Whole baby carrots were served to 4 children for snack. All children present eating snack were under the age of 4years of age.”

Rule 8VAC20-800-900-A.

8VAC20-800-920

“Based on observation, the menu posted is not dated. Evidence: The USDA food program menu posted on the bulletin board is not dated.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, infant bottles were not dated. Evidence: 2 of 2 bottles inspected were labeled with the child’s name; however, there was not date on the bottles.”

Rule 8VAC20-800-960-E.

22.1-289.036-A

“Based on a review of records, resident records do not contain documentation of repeated background searches within the allowable 5 year time frame. Evidence: 2 of 4 records reviewed contained expired Central registry Searches ( CPS ). *Household Member (HHM) #2 has a search dated 8/22/2016 (expired 8/22/2021) *HHM #3 has a search result dated 8/16/2016 (expired 8/16/21). 3 of 4 records did not contain documentation of a repeated Sworn Disclosure Statement (SDS). *All SDS forms are dated 8/11/16 (HHM#1,2, 3)”

Rule 22.1-289.036-A.

8VAC20-800-320-A

“Based on Direct observation, small appliances were not unplugged while not in use. Evidence: A toaster was plugged in, in the kitchen while not in use.”

Rule 8VAC20-800-320-A.

8VAC20-800-70-A

“Based on a review of records, child records do not contain documentation of written acknowledgment of all policies and procedures. Evidence: 2 of 2 records reviewed did not contain an updated Provisions of the Emergency Preparedness plan. The form needed to be updated when the provider moved. (children A,B).”

Rule 8VAC20-800-70-A.

8VAC20-800-830-D

“based on a review of records, documentation of emergency evacuation drills was not available for review. Evidence: The log of the drills could not be located during the inspection. The provider has moved and could not find the record of drills.”

Rule 8VAC20-800-830-D.