Marina Rosas

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

“The findings from the most recent inspection, dated 3/27/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“There were no physical exam records available for Child #2 who has been in care for three months.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain two emergency contact addresses and phone numbers.

“The record for Child #2 was missing one emergency contact. The child was present during the inspection and had been in care for three months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“The form that was signed by the Child #2’s parent was not filled out with the provider’s information. Child #2 has been in care for three months.”

Rule 8VAC20-800-70-A.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child #2, who was in care during the inspection and had been in care for three months.”

Rule 8VAC20-800-90-A.

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

“The findings from the most recent inspection dated 8/4/2025 was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“There were no physical exam records available for Child #2 who has been in care for 11 months.”

Rule 8VAC20-800-100-A.

Assistants’ and substitute providers’ records shall contain documentation the two or more references were checked before employment.

“Caregiver #2 who has been working with children for two weeks had documentation of only one reference.”

Rule 8VAC20-800-120-B.

Assistants shall be 16 years of age or older.

“Caregiver #2 who has been caring for children for two weeks did not have age verification documented.”

Rule 8VAC20-800-150-A.

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

“Caregiver #2 has been caring for children for two weeks does not have documentation of completing orientation.”

Rule 8VAC20-800-200-A.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided required information in writing. The parents of Children #1 and #2 were not provided in writing the required information. Child #1 has been in care for one year and Child #2 has been in care for seven months.”

Rule 8VAC20-800-70-A.

The emergency evacuation procedures shall be practiced monthly.

“The last date of an emergency evacuation procedure was in December 2025 and overdue by three months.”

Rule 8VAC20-800-830-A.

REPEAT VIOLATION The license and any documents required shall be posted in a conspicuous place on the licensed Premises.

“The finding from the most recent inspection, dated 1/28/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“There were no physical exam records available for Child C, who had been in care for over 4 months.”

Rule 8VAC20-800-100-A.

Assistants’ and substitute providers’ records shall contain the date of employment.

“Caregiver B did not have a date of hire on record, Provider stated it was June 2025.”

Rule 8VAC20-800-120-B.

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

“The orientation on file of Caregiver B, who has been employed for approximately 2 months, was not dated.”

Rule 8VAC20-800-200-A.

Children shall be protected from materials that could present a choking hazard.

“A child was observed asleep in the crib, with a bib on.”

Rule 8VAC20-800-250-B.

8VAC20-800-60-B

“Children’s records are required to contain parental home and employment addresses and phone numbers. The record for Child B was missing the employment information for one parent. The child was present during the inspection and had been in care for over 3 years. The record for Child C was missing the employment information for one parent. The child was present during the inspection and had been in care for over 4 months.”

Rule 8VAC20-800-60-B.

Before attendance, documentation of immunizations is to be obtained for each child.

“There was no documentation of immunizations for Child C, who was in care during the inspection and had been in care for over 4 months.”

Rule 8VAC20-800-90-A.

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

“The findings from the most recent inspection, dated 8/5/2024, were not posted in a conspicuous place on the premises.”

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.

“There were no physical exam records available for Child #1, who had been in care for over 9 months.”

Rule 8VAC20-800-100-A.

Infant high chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Child #1, 16 months old, Child #2, 15 months old, and Child #3, 13 months old, were observed in a high chair and the safety strap was not used.”

Rule 8VAC20-800-540-A.

Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

“Caregiver #2 was observed changing a diaper and did not wash their hands afterwards.”

Rule 8VAC20-800-680-A.

Before the child’s first day of attendance, parents shall be provided required information in writing.

“The parents of Child #3 and Child #4 were not provided in writing the requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease. Children had been in care for over one year.”

Rule 8VAC20-800-70-A.

Before the child’s first day of attendance, the provider shall obtain the parent’s written acknowledgement of the receipt of the information regarding the requirements if their child becomes ill; and the requirement for the parent to inform the family day home of any reportable communicable disease.

“Child #1, enrolled for 9 months, did not have a parent acknowledgment.”

Rule 8VAC20-800-70-B.

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.

“Records for Child #2, Child #3, and Child #4 did not have a parent’s signature for an annual review of the emergency contact information. Child #2 had been in care for over a year, and their annual review was overdue by 16 days. Child #3 had been in care for over one year and 5 months, and their annual review was overdue by 5 months. Child #4 had been in care for two years and 10 months, and their annual review was overdue by one year and 10 months.”

Rule 8VAC20-800-780-B.

The provider shall document the method of verification of the child’s age and identity.

“The records for Child #1, Child #2, and Child #3 were missing documentation of the method of verification of age and identity.”

Rule 8VAC20-800-80-C.

The emergency evacuation procedures shall be practiced monthly.

“The last date of an emergency evacuation procedure was on 10/4/2024 and overdue by two months.”

Rule 8VAC20-800-830-A.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“The last date of a shelter-in-place procedure was on 1/5/2024 and did not have a second drill completed.”

Rule 8VAC20-800-830-B.

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

“Child #1, 15 months old, last documented immunization was over 9 months ago. Child #2, 16 months old, last documented immunization was over 9 months ago.”

Rule 8VAC20-800-90-C.

Based on observation, the provider did not have the most recent violation notice and inspection summary posted.

“Evidence: The most recent violation notice and inspection summary (date of last inspection 2/23/24) was not posted.”

Rule 22.1-289.011-F.

Based on record review, a sworn statement was not received prior to a caregiver’s employment.

“Evidence: Staff #3 (date of hire 4/1/24) sworn statement was not completed until 5/6/24.”

Rule 22.1-289.035-B-1.

Based on record review, a national fingerprint check was not received prior to a caregiver’s employment.

“Evidence: Staff #3 (date of hire 4/1/24) fingerprint check was not received until 4/16/24.”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain a central registry check prior to a caregiver’s employment and by the end of the 30th day.

“Evidence: Staff #3 (date of hire 4/1/24) did not have record of a central registry check being submitted and there was no evidence the provider followed up by the end of the 30th day.”

Rule 22.1-289.035-B-3.

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

“Evidence: The record for Child #5 (date of enrollment 1/16/24) did not have the name, address, and telephone number of each parent’s place of employment.”

Rule 8VAC20-770-60-B.

Based on record review, the provider did not obtain a form documenting the absence of tuberculosis for a caregiver at the time of hire.

“Evidence: Staff #3 (date of hire 4/1/24) did not have a TB screening until 4/11/24.”

Rule 8VAC20-800-170-A.

Based on record review and interview, the provider did not obtain written parent authorization for topical skin products.

“Evidence: -Child #1 had an ointment authorization form that expired 8/9/2022. -Child #2 had an ointment authorization form that expired 7/11/22. -Child #4 had an ointment authorization form that expired 8/29/22. -Child #3 had a Desitin ointment and no written authorization form. -Child #5 had ?diaper rash cream? and no written authorization form. -Child #6 had A&D ointment and no written authorization form. -Child #7 had a Desitin ointment and Baby Dove lotion and no written authorization form.”

Rule 8VAC20-800-750-A.

Based on observation and interview, the provider did not have a menu listing food to be served for the current one-week period.

“Evidence: The menu for the week of 8/5/24 was not available and the provider stated they had not given it to parents yet.”

Rule 8VAC20-800-920.

22.1-289.011-F

“Based on observation, the provider did not ensure all required documents were posted in a conspicuous place. Evidence: The last inspection was not posted.”

Rule 22.1-289.011-F.

8VAC20-800-800-B

“Based on a review of documentation, the Provider did not ensure the emergency plan was updated and documented in writing. Evidence: The last update on the emergency plan was documented as 09/14/2021.”

Rule 8VAC20-800-800-B.

8VAC20-770-60-C-2

“Based on a review of records, the provider did not ensure the central registry findings were completed within 30 days of employment. Evidence: Assistant #1 date of hire 6/21/2023 and assistant #2 date of hire 11/1/2022 did not have results of a central registry report on site.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-200-A

“Based on a review of records, the provider did not orient assistants by the end of their first week of assuming job responsibilities. Evidence: Assistant #1 date of hire 6/21/2023 and Assistant #2 date of hire 11/1/2022 did not have documentation of orientation during the inspection.”

Rule 8VAC20-800-200-A.

8VAC20-800-780-B

“Based on a review of child records, the provider did not ensure they reviewed with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct and obtain the parents signature. Evidence: Child #1 had an annual review dated 9/9/21. Child #3 had a review dated 8/14/2021. Child #5 had a review dated 8/26/2022.”

Rule 8VAC20-800-780-B.

8VAC20-800-120-B

“Based on a review of records, the assistants record did not contain references. Evidence: Staff 2 (date of hire 01/03/2023) had no documented references.”

Rule 8VAC20-800-120-B.

8VAC20-800-830-A

“Based on a review of the emergency evacuation log, procedures were not practiced monthly. Evidence: The last documented emergency evacuation drill was dated 8/16/2022.”

Rule 8VAC20-800-830-A.

8VAC20-800-830-B

“Based on a review of the shelter-in-place documentation log, procedures were not practiced a minimum of twice per year. Evidence: There was one documented shelter-in-place drill for the 2022 year dated 3/24/2022.”

Rule 8VAC20-800-830-B.

22.1-289.035-B-2

“Based on a review of staff records, they did not submit to fingerprinting prior to employment. Evidence: 1 of 2 staff records did not contain fingerprinting results during the inspection.”

Rule 22.1-289.035-B-2.

8VAC20-770-40-D-4-a

“Based on a review of records, all persons living in the home did not have a sworn statement, a search of central registry, and a criminal history record check. Evidence: 1 of 1 household members did not have a sworn statement, a central registry or criminal history check available during the inspection.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-770-60-B

“Based on a review of staff records, all employees did not have completed sworn statement. Evidence: 2 of 2 employees did not have sworn statements on file during the inspection.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on a review of staff records, the family day home did not have central registry findings on file. Evidence: 2 of 2 staff files did not contain central registry findings during the inspection.”

Rule 8VAC20-770-60-C-2.

8VAC20-800-100-A

“Based on a review of child records, the provider did not obtain documentation of a physical examination by or under the director of a physician prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 2 of 4 child files checked did not contain a physical examination by a physician.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on a review of child records, the child’s record did not contain the following information: Emergency contact information including: Name, home address, and telephone number. Evidence: 1 of 4 child files checked did not have the address for one of their emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregivers did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding; after diapering a child or assisting a child with toileting. Evidence: One caregiver did not wash their hands after diapering a child. 2 caregivers did not wash their hands before feeding or helping children with feeding.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that children’s hands are washed with liquid soap and warm running water: before eating and after toileting or diapering. Evidence: Children did not wash their hands before eating or after diapering.”

Rule 8VAC20-800-680-B.

Based on review, 2 of 4 children files determined that the Provider did not conduct an annual review (with the parent of 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. On the date of inspection (02/15/2022), the most current annual acknowledgement from the Parent of Child #1 was signed - 10/18/2020. 2. The most current annual acknowledgement from the Parent of Child #2 was signed - 07/08/2020.”

Rule 8VAC20-800-780-B.

Based on review, 2 of 4 children files determined 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 (02/15/2022), a current immunization page was not available for review for: Child #2 (dated - 12/01/2020), and Child #3 (dated - 08/02/2021). 2. Based on the information on file, both Child #2, and Child #3 were under 2 years of age on the date of inspection.”

Rule 8VAC20-800-90-C.