Silvia Villarruel

Child day programs that serve preschool-age children shall be equipped with at least 1 carbon monoxide detector.

“There was not a carbon monoxide detector in the home.”

Rule 22.1-289.058.

The provider shall obtain documentation of a physical examination by a physician prior to a child’s attendance or within 30 days after the first day of attendance.

“There was no physical exam on-file for Child #5 who has attended for a period of months.”

Rule 8VAC20-800-100-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, and deodorizers shall be stored away from food in areas inaccessible to children.

“A spray cleaning disinfectant was found in an unlocked lower level cabinet (under the sink) in the bathroom used by children. The safety latch on the cabinet was broken.”

Rule 8VAC20-800-280.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized

“The record for Child #5 did not include documentation of immunizations. The child has been enrolled for a period of months.”

Rule 8VAC20-800-90-A.

General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home.

“The record for Child #3 did not include written parental permission for the child to be taken off the premises. The record For Child #4 did not include written parental permission for the child to be taken off the premises. The permission form on-file was not signed by the parent.”

Rule 8VAC20-800-980-A.

No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“One infant under two years was observed sleeping in a crib with a pillow. One infant under two years was observed sleeping in a crib with a stuffed animal.”

Rule 8VAC20-800-530-F.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“The Tuberculosis screening for Caregiver 2 is expired by 3 days.”

Rule 8VAC20-800-180-A.

Infants shall be placed on their backs when sleeping or napping unless otherwise ordered by a written statement signed by the child’s physician.

“An infant was observed sleeping in a swing in the nap room.”

Rule 8VAC20-800-590-A.

Areas and furnishings of the family day home, inside and outside, shall be maintained in a operable condition.

“The required smoke detector on the child care level required replacement batteries on the date of inspection.”

Rule 8VAC20-800-240-A.

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

“The attendance record for the day documented four children in care when five children were present.”

Rule 8VAC20-800-50-A.

Mattresses, when used, shall be covered with a waterproof material that can be cleaned and sanitized.

“The crib mattress was observed without a waterproof cover.”

Rule 8VAC20-800-530-I.

Repeat violation

“Annually, the provider shall review the emergency contact information with the parent and obtain the parent’s signed acknowledgement of the review. Child 3’s record is three months overdue for an annual review of emergency contact information.”

Rule 8VAC20-800-780-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

“Caregiver 1’s subsequent Tuberculosis screening was due on 3/25/2022.”

Rule 8VAC20-800-180-A.

Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent.

“A confidential page from a previous licensing inspection was posted. The page contains identifying information about children in care.”

Rule 8VAC20-800-50-C.

Information contained in a child’s record shall be privileged and confidential. The provider shall not distribute or release information in a child’s record to any unauthorized person without the written consent of the child’s parent.

“A confidential page from a previous licensing inspection was posted. The page contains identifying information about children in care.”

Rule 8VAC20-800-50-C.

Medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“A tube of prescription topical ointment was observed to be unlocked in the child care area.”

Rule 8VAC20-800-730-D.

Annually, the provider shall review the emergency contact information with the parent and obtain the parent’s signed acknowledgement of the review.

“Child 1 and Child 3’s record were due to be updated in September 2024.”

Rule 8VAC20-800-780-B.

The family day home shall obtain documentation of additional immunizations for a child every six months until the child is two years old.

“Child 4’s (aged 3.5 years) immunization record was last updated when the child was 11 months old.”

Rule 8VAC20-800-90-C.

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

“On the date of inspection, the posted menu was dated for 109/7/24-10/11/24.”

Rule 8VAC20-800-920.

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 was observed without a name or date labeled. One bottle was observed with only the child’s name labeled.”

Rule 8VAC20-800-960-E.

8VAC20-800-60-B

“The provider is required to maintain children’s records containing required information. Child 6’s record did not contain the name and contact information for two emergency contacts, the place of employment and contact numbers for each listed parent’s place of employment, proof of the child’s age and identity, or a written authorization for emergency medical care.”

Rule 8VAC20-800-60-B. From a complaint.

8VAC20-800-70-A

“The provider is required to inform parents, in writing, whether the family day home carries liability insurance. Child 6’s record did not contain documentation that the information was provided.”

Rule 8VAC20-800-70-A. From a complaint.

22.1-289.035-A

“Based on record review, the provider did not obtain a criminal record check for all caregivers every five years. Evidence: Caregiver 2’s criminal record check was last conducted on 8/10/2018.”

Rule 22.1-289.035-A.

8VAC20-800-120-B

“Based on record review, caregiver records did not contain all required information. Evidence: Caregiver 1’s record did not contain the results of two reference checks, or the caregiver’s date of hire.”

Rule 8VAC20-800-120-B.

8VAC20-800-130

“Based on observation and interviews, caregivers were not able to communicate in English. Evidence: Caregiver 1 was unable to answer simple job related questions posed in English.”

Rule 8VAC20-800-130.

8VAC20-800-50-A

“Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: There was no attendance record for 10/5/2023 on the date of inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-C

“Based on observation, information contained in a child’s record was not kept privileged and confidential. Evidence: The supplemental page from the previous monitoring inspection was posted in the facility. This page contains personally identifiable information of the children in care.”

Rule 8VAC20-800-50-C.

8VAC20-800-540-A

“Based on observation, infant seats did not have a safety strap shall be used and securely fastened when occupied by a child. Evidence: A child was observed sitting in a low infant chair with a tray, without the safety strap fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child 2’s record did not contain the address and phone number for an emergency contact, proof that the child’s age and identity had been verifies, or an authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed on 6/10/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-920

“Based on observation, the family day home did not post the menu for the current one-week period. Evidence: A menu was not posted on the date of inspection.”

Rule 8VAC20-800-920.

8VAC20-800-960-E

“Based on observation, bottles were not labeled with the child’s full name and the date. Evidence: Bottles for multiple children were observed in the refrigerator without labels.”

Rule 8VAC20-800-960-E.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Adult 2’s Tuberculosis screening was conducted on 8/12/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Based on record review and provider statement, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Adult 2’s record did not contain documentation of having received training in the preceding twelve months. The provider stated that they had not completed any.”

Rule 8VAC20-800-210-A.

8VAC20-800-540-A

“Based on observation, children sitting in high chairs did not have the safety strap fastened. Evidence: Two children were observed seated in high chairs without the safety strap fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-540-B

“Based on observation, infant walkers are used in the family day home. Evidence: A child was observed using an infant walker.”

Rule 8VAC20-800-540-B.

22.1-289.035-B-2

“Based on record review and provider statement, staff were permitted to work prior to submitting to a criminal background check. Evidence: Staff 2’s record did not contain the results of a criminal record check.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, staff were permitted to work prior to completing a sworn statement of affirmation. Evidence: Staff 2 was permitted to work prior to completing a sworn statement or affirmation to disclose any potential charges or convictions that would prohibit them from working with children.”

Rule 8VAC20-770-60-B.

8VAC20-800-120-A

“Based on provider statement, the provider did not maintain a record for each caregiver. Evidence: On the date of inspection there was no record for Staff 2.”

Rule 8VAC20-800-120-A.

8VAC20-800-120-B

“Based on record review and provided statement, the assistant did not have a record that contained all required information. Evidence: Staff 2 did not have a record on the date of inspection to include: Name; address; verification of age; job title; date of employment; name, address, and phone number of an emergency contact; two or more references; background checks as required by 8VAC20-770; documentation of education and training.”

Rule 8VAC20-800-120-B.

8VAC20-800-200-A

“Based on provider statement, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: Staff 2 was working on the date of inspection and has not received an orientation.”

Rule 8VAC20-800-200-A.

8VAC20-800-320-B

“Based on observation, Child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One outlet accessible to children in care did not have a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly. Evidence: There was no evacuation drill documented for October 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-960-B

“Based on observation, bottles were propped for infants who cannot hold their own bottle. Evidence: An infant was observed sleeping in a swing with a bottle propped by the child’s mouth with a stuffed animal.”

Rule 8VAC20-800-960-B.

8VAC20-800-180-A

“Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The Tuberculosis screening for Adult 3 is dated 3/15/19.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-A

“Based on record review, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: There is no documentation that Adult 2 has received an orientation.”

Rule 8VAC20-800-200-A.

8VAC20-800-430-B

“Based on observation, pressure mounted gates were used as protective barriers at stair openings. Evidence: A pressure mounted gate was observed at the bottom of the stairs in the child care area.”

Rule 8VAC20-800-430-B.

8VAC20-800-800-B

“Based on record review, the provider did not update the emergency plan at least annually and update the plan as needed. Evidence: The most recent emergency plan update is dated 11/20/2020.”

Rule 8VAC20-800-800-B.