Liliana Torres Serpa

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.

“Child #7 had been picked up for the day and it was not documented on the attendance sheet.”

Rule 8VAC20-790-180-B.

The provider shall obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form consistent with it documenting the absence of tuberculosis in a communicable form.

“Household member #1had an incomplete form from the doctor.”

Rule 8VAC20-800-170-A.

A child’s record shall contain the following information: results of the health examination for the child and documentation of the review of the child’s emergency contact information.

“Child #1 enrolled for over 2 months didn’t have a physical examination on record. Child #3 had an annual review of the child’s emergency contact information that was over 3 months overdue.”

Rule 8VAC20-800-60-B.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“3 of 6 children were observed laying on their cot drinking out of bottles and sippie cups.”

Rule 8VAC20-800-900-B.

A copy of the provisional license shall be prominently displayed by the provider at each public entrance of the subject facility and shall be printed in a clear and legible size and style.

“The copy of the provisional license was posted behind the door to the family day home. When the door is open the license is blocked from view.”

Rule 22.1-289.020.

Providers must obtain a completed sworn disclosure statement prior to the employee’s first day of employment.

“Caregiver #2, who had been working with the children for one month, did not have a completed sworn disclosure statement.”

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, who had been working with children for one month, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver #2, who has been working with children for 1 month, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Repeat violation

“The provider shall maintain a record for each caregiver. Caregiver #2 did not have a record for review.”

Rule 8VAC20-800-120-A.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“There was no tuberculosis screening for Caregiver #2, who has been working with children for one month.”

Rule 8VAC20-800-170-A.

The provider shall orient the assistant by the end of their first week of assuming job responsibilities.

“Caregiver #2 has been working with the children for 1 month and did not orientation training.”

Rule 8VAC20-800-200-A.

Potentially poisonous substances, such as cleaning agents, shall be stored away in areas inaccessible to children.

“Disinfectant wipes were on a lower table by the bathroom within reach of children.”

Rule 8VAC20-800-280.

The provider shall be of good character and reputation.

“Caregiver #1 mislead inspectors by not providing factual details to specific questions that were asked about caregiver #2 and additional adults in the home.”

Rule 8VAC20-800-30-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 without written consent of the child’s parent.

“The supplemental page from the inspection on 12/13/2024 was posted in the family day home reveling confidential information.”

Rule 8VAC20-800-50-C.

Caregivers shall wash their hands with liquid soap and warm running water after diapering.

“Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering child #5.”

Rule 8VAC20-800-680-A.

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

“Child #5 did not have their hands washed with liquid soap and warm running water after their diaper change.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“The diapering surface was not cleaned and sanitized after the diaper change of child #5.”

Rule 8VAC20-800-690-D.

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

“The menu posted ended on 3/17/2025. The remainder of the week was not posted.”

Rule 8VAC20-800-920.

Caregivers who work directly with children shall, complete the department’s health and safety update course, annually.

“Caregiver #1 had a health and safety course that was overdue for more than 5 months.”

Rule 8VAC20-790-250-F.

A person 14 years of age and older who is living in the home must have a search of the central registry.

“Household member #1 is over 14 years old and did not have a search of the central registry on record.”

Rule 8VAC20-770-40-D-5.

The provider shall maintain a record for each caregiver.

“Caregiver #2 did not have a record available.”

Rule 8VAC20-800-120-A.

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

“Caregiver #1 did not have any annual training hours documented. Caregiver #2 had 12.5 annual training hours documented.”

Rule 8VAC20-800-210-A.

Infant feeding or activity tables, shall be used according to the manufacturer’s instructions. When occupied by a child, a safety strap shall be used and securely fastened.

“Two children were observed sitting in an infant feeding table without straps on.”

Rule 8VAC20-800-540-A.

Repeat violation

“The provider shall maintain an up-to-date record for each enrolled child. Child #2 was enrolled for 8 days and did not have a complete record available.”

Rule 8VAC20-800-60-A.

A child’s record shall contain the following information: Address and telephone number of each custodial parent’s place of employment.

“Child #4 did not have the work phone number and work address for one custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

8VAC20-800-60-A

“Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-90-A

“Based on a review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. First day of attendance was 07/15/2024.”

Rule 8VAC20-800-90-A.

8VAC20-800-180-A

“Based on a review of records, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1 had a TB test that expired on 12/21/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-A

“Based on a review of records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #4 did not have a record on file during the inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-780-B

“Based on a review of child records, the provider did not obtain annually updated emergency contact information. Evidence: Child #3 had an annual update that expired on 11/29/2023.”

Rule 8VAC20-800-780-B.

8VAC20-800-120-B

“Based on a review of assistants records, the provider did not ensure the record contained the required information. Evidence: Caregiver #2 did not have 2 references documented in their record.”

Rule 8VAC20-800-120-B.

22.1-289.011-F

“Based on observation, the provider did not ensure the current license was posted at all times in a place that is conspicuous to the public. Evidence: The current license was not posted in the family day home.”

Rule 22.1-289.011-F.

8VAC20-800-150-A

“Based on observation the provider did not ensure the Assistants were 16 years of age or older. Evidence: Household Member #1 (age 13) was in charge of the children (ages 21 months, 3 years, 4 years, and 7 years) for approximately 10 to 30 minutes.”

Rule 8VAC20-800-150-A.

8VAC20-800-280

“Based on observation, the provider did not ensure poisonous substances, such as, cleaning agents were in areas inaccessible to children. Evidence: There was a bottle of Clorox and a bottle of All Purpose Cleaner in an unlocked lower cabinet in the bathroom used by children.”

Rule 8VAC20-800-280.

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the standards and the terms of the current license issued by the department. Evidence: 1. The provider failed to ensure compliance with the standards when 4 children were left in the care of a 13 year old household member. 2. The household member is not qualified as they do not have the required education, experience, age or training.”

Rule 8VAC20-800-30-A.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age. Evidence: The two outlets closest to the door in the napping room did not have child-resistant protective covers installed.”

Rule 8VAC20-800-320-B.

8VAC20-800-340-C

“Based on observation, the provider did not ensure the bathroom contained required supplies. Evidence: There were no paper towels in the bathroom that the children use.”

Rule 8VAC20-800-340-C.

8VAC20-800-560-A

Rule 8VAC20-800-560-A.

8VAC20-800-60-A

“REPEAT VIOLATION Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-90-A

“REPEAT VIOLATIONS Based on review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. Date of attendance was 8/15/2023 & 8/16/2023.”

Rule 8VAC20-800-90-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 A was missing physician’s name and address and parental agreements.”

Rule 8VAC20-800-60-A.

8VAC20-800-770

“Based on observation and caregiver interview, a working battery-operated flashlight, and extra batteries were not kept in a designated area and available to the caregiver at all times. Evidence: There was no flashlight available during the inspection. Caregiver confirmed that she did not have one available.”

Rule 8VAC20-800-770.

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 A (start date 1/3/2023) did not have immunizations on file during the inspection.”

Rule 8VAC20-800-90-A.

22.1-289.035-A

“Based on a review of records, caregiver records do not contain documentation of repeated central registry searches ( CPS ) in the allowable 5 year time frame. Evidence: 1 0f 1 record reviewed contained documentation of CPS searches dated 4/6/2017 (expired) (Caregiver A)”

Rule 22.1-289.035-A.

8VAC20-800-240-A

“Based on observation, the family day home was not maintained in a clean, safe, and operable condition. Evidence: There was no smoke detector available on the basement level of the house.”

Rule 8VAC20-800-240-A.

8VAC20-800-680-B

“Based on observation, children did not wash hands with liquid soap and warm running water. Evidence: The children 5 of the 6 children present did not wash hands before eating.”

Rule 8VAC20-800-680-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the month of June 2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-760-A-1

“Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment. Evidence: 1) On the date of inspection, triangular bandages were not available in the first aid kit.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent signed acknowledgements of the review of the emergency contact information in the records for Child #1 and Child #2 were both dated 11/20/2020.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1) The most recent review documented by the provider was dated 12/27/2020.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) The emergency drills log provided for review, did not show emergency drills documented for the months of November 2021 and December 2021.”

Rule 8VAC20-800-830-A.