Linda Obando Quezada

REPEAT VIOLATION: 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 was no physical exam record available for Child #5, who had been in care for over eleven months.”

Rule 8VAC20-800-100-A.

The highest climbing rung or platform on outdoor climbing equipment or top of a slide shall not exceed six feet for school age children and four feet for preschool children.

“The outdoor play equipment accessible to preschool-aged children had elevated components exceeding the maximum allowable height of four feet. The top of the slide measured approximately 4 feet 8 inches above the ground, the highest climbing ladder measured approximately 4 feet 4 inches above the ground, and the platform providing access to the sliding pole provided access over six feet above the ground.”

Rule 8VAC20-800-500-B.

Stationary outdoor playground equipment shall be placed at least six feet from the perimeter of other play structures or obstacles.

“There was only a four-foot perimeter maintained between the stationary playground equipment and surrounding fencing, other play equipment, and barriers.”

Rule 8VAC20-800-500-C.

Outdoor play equipment with platforms and ramps over 30 inches high shall have been designed with guardrails or barriers to prevent falls.

“An opening on an elevated platform of the outdoor play equipment was approximately 56 inches above the ground. The opening was not designed with a guardrail or barrier to prevent falls.”

Rule 8VAC20-800-500-D.

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

“Child #5’s, 19 months old, updated immunization documentation was overdue by five months.”

Rule 8VAC20-800-90-C.

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

“The physical exam record was missing for Child #2 who has been enrolled for approximately ten months.”

Rule 8VAC20-800-100-A.

Repeat violation:

“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. The physical exam record was missing for Child #2 who has been enrolled for approximately four months.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION: Children’s records are required to contain addresses for parent’s employment address and phone number and the policy number for medical insurance.

“The record for Child #3, who had been in care for 3 years and 5 months, was missing one parent’s employment address, employment phone number and the policy number of the child’s medical insurance. The child was present during the inspection.”

Rule 8VAC20-800-60-B.

The program is required to submit to Virginia Department of Health (VDH) and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

REPEAT VIOLATION: 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 #2, #3, #4, #5 and #6. Child #2 had been in care for three months, Child #3 and #4 for one year and three months, Child #5 for three years and four months, and Child #6 for two years and eleven months.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION: Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the center for the past two years and six months, did not have one of two completed reference verifications on file.”

Rule 8VAC20-800-120-B.

REPEAT VIOLATION: The provider shall ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

“The maximum licensed capacity of the home is ten and there were twelve children in care during the inspection.”

Rule 8VAC20-800-40-A.

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

“The provider did not maintain an accurate written record of children in attendance compared to the number of children enrolled. During the inspection, only ten children were recorded in attendance, while twelve children were enrolled and present. Written attendance records from January 13 to January 22 reflected ten children, when twelve children were enrolled and in attendance during this period.”

Rule 8VAC20-800-50-A.

REPEAT VIOLATION: Children’s records are required to contain addresses for emergency contacts, parent’s employment phone numbers, policy number for medical insurance, and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

“The record for Child #2, who had been in care for 3.5 months, was missing the policy number of the child’s medical insurance. Child #3 and #4, who had been in care for one year and 3 months, were missing written authorization for emergency medical care. Child #6, who had been in care for two years and eleven months, was missing the employment phone numbers for both parents and the address of one emergency contact. The children were all present during the inspection.”

Rule 8VAC20-800-60-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 #7’s annual review of the emergency contact information was overdue by seven months.”

Rule 8VAC20-800-780-B.

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

“There was no documentation of immunizations for child #6, who was in care during the inspection and had been in care two years and eleven months.”

Rule 8VAC20-800-90-A.

Based on record review, provider did not obtain a sworn statement or affirmation disclosure prior to first day of employment.

“Evidence: 1. Caregiver #2 was hired in February 2024. 2. The sworn statement or affirmation disclosure statement was completed in March 2024.”

Rule 22.1-289.035-B-1.

Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Evidence: 1. Caregiver #1’s TB Screening form expired in the beginning of August 2024. 2. Caregiver #3’s TB Screening form expired in July 2024.”

Rule 8VAC20-790-180-A.

Based on review of 3 children records, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: All three children files were missing documentation of a physical exam and all three children haven been enrolled for over 2 years.”

Rule 8VAC20-800-100-A.

Based on record review, the assistant provider’s record did not contain the required information.

“Evidence: Caregiver #3, hired in July 2022, did not have documentation that 1 of 2 required references were checked before employment.”

Rule 8VAC20-800-120-B.

Based on observation and record review, 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: The provider is licensed for 10 children. However, there were 11 children in attendance at the family day home.”

Rule 8VAC20-800-40-A.

Based on record review, children’s records did not contain the required information.

“Evidence: Child #2 was missing written parent authorization for emergency medical care.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home.

“Evidence: 1. Child #2 enrolled in February 2022 has no documentation of immunization records. 2. Child #3 enrolled in January 2022 has no documentation of immunization records.”

Rule 8VAC20-800-90-A.

22.1-289.035-B-2

“Based on record review, subsequent criminal background checks were not completed. Evidence: Fingerprinting for Caregiver #1 and Household Member #1 were expired.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, subsequent Sworn Disclosure statements were not available for review. Evidence: The Sworn Disclosure Statements for Caregiver #1 and Household Member #1 were expired.”

Rule 8VAC20-770-60-B.

8VAC20-800-180-A

“Based on observation, a subsequent tuberculosis screening was not obtained in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening. Evidence: For Household Member #1, the latest screening available for review was conducted 9/6/2019, expiring 9/6/2021. The document for a more current screening could not be found.”

Rule 8VAC20-800-180-A.

8VAC20-800-60-B

“Based on review of records, Child A’s record did not include written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: The parent did not sign the written authorization for emergency medical care in the file for Child A.”

Rule 8VAC20-800-60-B.

22.1-289.036-B-2

“Based on record review, criminal history records were not repeated prior to expiration. Evidence: Criminal History Searches (Fingerprints) expired: Adult 1 (expired 3/01/2023)”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-1-a

“Based on record review and Provider interview, the Provider did not maintain documentation of the results of the Virginia Child Abuse and Neglect Central Registry Searches. Evidence: The documentation for Caregiver 1 expired 3/22/2023 and Caregiver 2 & Caregiver 3 did not have the documentation in the file.”

Rule 8VAC20-770-40-D-1-a.