Zuleima Orellana

Providers and substitutes shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“The CPR certification for Caregiver #1 and Caregiver #2 expired May 3, 2026. On the date of the inspection, recertification had not been obtained.”

Rule 8VAC20-800-140-B-3.

Providers and substitutes shall have current certification in first aid.

“The first aid certification for Caregiver #1 and Caregiver #2 expired May 3, 2026. On the date of the inspection, recertification had not been obtained.”

Rule 8VAC20-800-140-B-4.

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.

“On the date of the inspection, the emergency plan available was dated 2019. There was no documentation of an annual review.”

Rule 8VAC20-800-800-B.

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

“Child #1 and Child #2 were observed lying in cribs drinking bottles.”

Rule 8VAC20-800-900-B.

REPEAT VIOLATION The provider shall obtain documentation of a physical examination prior to a childs attendance or within 30 days after the first day of attendance.

“The record for Child #1, enrolled for 7 months, did not contain a physical examination.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 and Caregiver #2 did not complete 16 hours of annual training. The most recent documentation of training was dated June 2024.”

Rule 8VAC20-800-210-A.

REPEAT VIOLATION Before a child may attend, the provider shall obtain documentation of immunizations as required by the Code of Virginia and State Board of Health regulations.

“The record for Child #1, enrolled for 7 months, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

Each child day program that is licensed shall develop and implement a plan to test potable water for lead and submit the plan to the Virginia Department of Health (VDH).

“The provider contacted a certified lab in November 2024 to initiate testing but did not submit a plan as instructed. As of the date of the inspection, no further action had been taken towards testing.”

Rule 22.1-289.057-A.

The provider shall obtain documentation of a physical examination prior to a childs attendance or within 30 days after the first day of attendance.

“The record for Child #2 and #3, enrolled for 2 months, did not contain a physical examination.”

Rule 8VAC20-800-100-A.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver#1 and #2 did not have documentation of completing 16 hours of training for 2024.”

Rule 8VAC20-800-210-A.

Providers must keep a written record of chidlren in attendance each day.

“The provider did not take written attendance from February 4, 2025 - May 27, 2025.”

Rule 8VAC20-800-50-A.

Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges.

“Seven out of seven children, ages two and older, were observed on cots during nap time without a bottom cover.”

Rule 8VAC20-800-530-A.

REPEAT VIOLATION Childrens records shall contain parental employment address and phone numbers.

“The record for Child #1, enrolled for more than 10 months, did not have the phone number for each parents place of employment.”

Rule 8VAC20-800-60-B.

Before a child may attend, the provider shall obtain documentation of immunizations as required by the Code of Virginia and State Board of Health Regulations.

“The record for Child #2, enrolled for 2 months, did not contain documentation of immunizations.”

Rule 8VAC20-800-90-A.

All caregivers of the family day home must provide a sworn statement of affirmation disclosing whether he/she has ever been convicted of or is the subject of any pending criminal charges for any offense and whether or not he/she has been the subject of a founded complaint of child abuse or neglect, within or outside the Commonwealth.

“The record for Caregiver #1 and Caregiver #2 contained a sworn statement that expired in 2023. An updated sworn statement was not available to review.”

Rule 22.1-289.036-B-1.

A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

“The family day home did not have a landline telephone that operates without electricity.”

Rule 8VAC20-800-330-A.

REPEAT VIOLATION A child’s record shall contain the following: the first and last dates of attendance and the name, address and telephone number of each custodial parent’s place of employment.

“The record for Child #1 and Child #2, enrolled for more three years, did not contain the first date of attendance. The record for Child #2 did not contain an address for one custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

REPEAT VIOLATION Annually, the provider shall review with the parent the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review.

“The record for Child #1 and Child #2, enrolled for more than 3 years, and Child #3, enrolled for more than 1 year, did not contain documentation of an annual review.”

Rule 8VAC20-800-780-B.

REPEAT VIOLATION The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care.

“A monthly evacuation drill was not practiced for August, September, or October of the current year.”

Rule 8VAC20-800-830-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the telephone number of one custodial parent’s place of employment. 2) The record for Child #3 did not contain the following: the telephone number of one custodial parent’s place of employment; and the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-800-760-A-1

“Based on review of the emergency supplies, the emergency kit did not contain all required components. Evidence: 1) On the date of inspection, the first aid kit did not contain adhesive tape.”

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

8VAC20-800-780-B

“Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent’s signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #2 was dated 06/01/2021 and for Child #3 was dated 08/26/2021.”

Rule 8VAC20-800-780-B.

8VAC20-800-830-A

“Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, the emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of May 2024.”

Rule 8VAC20-800-830-A.

Based on documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements.

“Evidence: 1) The menu available for review was not dated for the current one-week period.”

Rule 8VAC20-800-920.

Based on record review, caregivers did not obtain a minimum of 16 hours of annual training.

“Evidence: Caregiver 1 and 2 did not complete a total of 16 hours of annual training. Caregiver 1 and 2 have no hours of annual training.”

Rule 8VAC20-800-210-A.

Based on interview, it was determined that the firearm in the home was not stored in a locked container, compartment, or cabinet, and apart from the ammunition.

“Evidence: Caregiver 2 stated that the firearm and ammunition were stored in a locked cabinet together.”

Rule 8VAC20-800-270-A.

Based on observation, children under two years of age had access to stairs.

“Evidence: There was no gate at the bottom of the stairs which children under two years old have access”

Rule 8VAC20-800-430-A.

Based upon observations, an infant spent more than 30 minutes of consecutive time during waking hours in a confining piece of equipment.

“Evidence: During the time of the inspection, from 9:50am-1030am Child 1 (7 months) was placed in confined piece of equipment without an intervening time of at least one hour in between them. At about 9:50am, Child 1 was in a feeding table with no food, then a bouncer, then a crib and back to a feeding table until about 10:40am. Child was an a confined space for about 50 minutes.”

Rule 8VAC20-800-600-B.

Based on observation, the caregiver did not wash their hands with liquid soap and warm running water before feeding or helping children with feeding.

“Evidence: Caregiver 1 did not wash their hands before serving snack to the children.”

Rule 8VAC20-800-680-A.

Based upon observations, the caregiver did not ensure that all children’s hands are washed with liquid soap and warm running water before and after eating.

“Evidence: The children sat and were served snack without washing hands. When snack was over, Caregiver 1 did not wash all children’s hands after eating.”

Rule 8VAC20-800-680-B.

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

“Evidence: Caregiver 1 lifted the lid of the garbage can to dispose of diapers and wipes. The garbage can was not foot operated.”

Rule 8VAC20-800-690-E.

Based on observation and record review, topical skin products did not meet all the requirements.

“Evidence: 9 tubes of diaper ointment were not labeled with the child’s name. Children’s records did not include written parent authorization noting any unknown adverse reactions.”

Rule 8VAC20-800-750-A.

Based on record review, shelter in place was not practiced twice a year.

“Evidence: There was no documentation of a shelter in place drill in 2023.”

Rule 8VAC20-800-830-B.

Based on observation, formula brought from home was not labeled in a way that identifies the owner.

“Evidence: he formula for an infant was not labeled.”

Rule 8VAC20-800-890.

Based on observation and record review, the menu was not dated and kept on file for one week at the family day home.

“Evidence: The menu posted was dated for November.”

Rule 8VAC20-800-920.

Based on observation, the drinks used for children in care were not kept in the refrigerator.

“Evidence: Milk brought from home was stored in a lunch bag with a cold pack on the counter.”

Rule 8VAC20-800-940-C.

Based on observation, the bottles in the refrigerator were not labeled with the child’s full name and date.

“Evidence: There were two infants in care and the bottles in the refrigerator were not labeled.”

Rule 8VAC20-800-960-E.

Based on record review, all household members did not submit to fingerprinting.

“Evidence: Household member 1 did not submit to fingerprinting.”

Rule 22.1-289.036-B-2.

Based on record review, all household members did not complete all required background checks when they became 18 years old.

“Evidence: Household member 1 did not complete a sworn statement.”

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

Based on record review, a household member did not complete a child protective services central registry check.

“Evidence: Household member 2 does not have a completed central registry search.”

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

Based on record review, the provider did not obtain documentation of a physical examination within 30 days of attendance.

“Evidence: Child 2 does not have documentation of a physical.”

Rule 8VAC20-800-100-A.

Based on record review, caregivers in the home did not obtain subsequent screenings every two years from the date of the first screening.

“Evidence: Caregiver 1 and 2’s last documented screenings are dated 5/4/2018.”

Rule 8VAC20-800-180-A.

Based on record review, the provider did not ensure all required information was obtained for each child’s record.

“Evidence: Child 1 is missing a second emergency contact and parent work information. Child 2 is missing a second emergency contact.”

Rule 8VAC20-800-60-B.

Based on observation, the bathroom for children was not equipped with disposable towels.

“Evidence: The bathroom did not have disposable towels in place.”

Rule 22VAC40-665-260-A-4.

Based on record review and interview, the provider did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver B stated both caregivers obtained 3 of the 16 required hours of training in areas relevant to their job.”

Rule 8VAC20-800-210-A.