Marco Quino

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The emergency plan review is overdue by 8 months.”

Rule 8VAC20-800-800-B.

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

“No emergency evacuation drill was conducted in July 2024 or January 2025.”

Rule 8VAC20-800-830-A.

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

“The bathroom had cloth towels that were used by each child.”

Rule 8VAC20-800-340-C.

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

“The posted menu was dated 10/14/2024 to 10/18/2024.”

Rule 8VAC20-800-920.

Based on a review of caregiver records, all Assistants’ records did not contain the required information.

“Evidence: 1. Caregiver # 1 (doh: 1/3/2024) did not have documentation on file of 2 out of 2 required references prior to employment at the FDH.”

Rule 8VAC20-800-120-B.

8VAC20-800-180-A

“Based on a review of records, the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening every two years from the date of the first screening. Evidence: 1. Caregiver #2 had a tuberculosis screening on file dated 8/9/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-40-A

“Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. There were 11 children (24 points) present at the time of the inspection. The family day home allows for a capacity of 9 children.”

Rule 8VAC20-800-40-A.

8VAC20-800-830-A

“Based on a review of records and Provider interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: 1. There was no documentation on file of a July (2023) emergency evacuation drill at the time of the inspection. 2. The Provider stated that a July emergency evacuation drill was not conducted.”

Rule 8VAC20-800-830-A.

Based on an interview with the Provider, the Provider exceeded 16 points per caregiver.

“Evidence: 1. From 2:00pm-3:00pm, the Provider stated that their assistant left from the family day home, leaving the Provider over the points allotted per caregiver. The Provider had 8 children (20 points) by himself during this time period.”

Rule 8VAC20-800-570-A.

Based on file review, caregiver #2 had not submitted fingerprints to obtain criminal history record before first day of employment.

“Evidence: Caregiver #2 did not have a eligible fingerprint record search before their first day of employment.”

Rule 22.1-289.035-B-2.

Based on review of two caregivers records, one record did not have results of a central registry search within 30 days of employment.

“Evidence: Caregiver #2 did not have a central registry finding within 30 days of employment.”

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

Based on file review, caregivers did not maintain 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #1 did not have any annual training hours documented for 2021. Caregiver #2 only had 14 hours of annual training documented for 2021.”

Rule 8VAC20-800-210-A.

Based on observation, areas of the family day home were not maintained in a safe and operable condition.

“Evidence: A section of fence contained a broken gate that was not mounted to the fence.”

Rule 8VAC20-800-240-A.

Based on interview with provider, the family day home was not keeping written record of children in attendance each day.

“Evidence: No written record of children’s attendance was produced by provider.”

Rule 8VAC20-800-50-A.

Based on observation, outdoor playground equipment was placed less than 6 feet from the perimeter of other play structures or obstacles.

“Evidence: Playground equipment placed less than 6 feet from fence and other playground equipment.”

Rule 8VAC20-800-500-C.

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

“Evidence: Playground equipment was installed on top of compacted sand.”

Rule 8VAC20-800-500-C.

Based on observation, children were not provided with an individual crib, cot, rest mat or bed for resting or napping.

“Evidence: Cots were not labeled for each child’s use.”

Rule 8VAC20-800-510-A.

Based on observation, high chairs were not used according to the manufacturer’s instructions.

“Evidence: Safety straps should be used whenever a child in placed in a highchair. There were three high chairs that did not have the safety straps available for use.”

Rule 8VAC20-800-540-A.

Based on observation of diapering, soiled disposable diapers were not disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in a way that neither the caregiver’s hand nor the soiled diaper touches the exterior surface of the storage system during disposal.

“Evidence: The trashcan used for disposing disposable diapers did not have a functioning footpedal”

Rule 8VAC20-800-690-E.

Based on file review, the provider did not review the emergency plan annually.

“Evidence: There was no written documentation that the emergency plan had been reviewed since 2017.”

Rule 8VAC20-800-800-B.

Based on review of menu, the provider did not list any substituted food.

“Evidence: Menu was not updated with food substitutes.”

Rule 8VAC20-800-920.

Based on observation, the findings of the most recent inspection were not posted at the facility.

“Evidence: The most recent inspection from 8/31/2021 was not posted at the facility.”

Rule 8VAC20-820-120-E-2.