Maria Arevalo

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“Current Tb screening for Caregiver #2 was almost 60 days overdue.”

Rule 8VAC20-800-180-A.

Potentially poisonous substances shall be stored in areas inaccessible to children.

“Potentially poisonous substances were observed in an area of unlocked low cabinets located in front of the bathroom.”

Rule 8VAC20-800-280.

The first aid kit shall contains a first aid instructional manual.

“The first aid kit did not contain a first aid instructional manual.”

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

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“Documentation of emergency drills included dates up until April 2026. Emergency drills practiced from May 2026 through August 2026 had not been recorded in the log.”

Rule 8VAC20-800-830-C.

A copy of the most current inspection notice shall be posted in a conspicuous place on the licensed premises.

“The most current inspection report for 10/07/2025 was not posted.”

Rule 22.1-289.011-F.

Information contained in a child’s record shall be privileged and confidential.

“The supplemental page for the 04/30/2025 inspection was posted. Supplemental page includes confidential information and shall not be posted.”

Rule 8VAC20-800-50-C.

Temperatures shall be maintained at or below 40?F in refrigerator compartments and at or below 0?F in the freezer compartments.

“The refrigerator compartment’s temperature was 45?F and the freezer temperature was 10?F.”

Rule 8VAC20-800-940-A.

8VAC20-800-100-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2, who had been enrolled for seven months.”

Rule 8VAC20-800-100-A.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“Current Tb screenings were 30 days overdue for Caregiver #1, Household Member #1 and Household Member #2”

Rule 8VAC20-800-180-A.

Child-resistant protective covers shall be installed on all unused electrical outlets.

“One unused electrical outlet located in the main room of the fdh did not have a protective cover.”

Rule 8VAC20-800-320-B.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“The records for Child #1 and Child #2 were missing the telephone number of one parent’s place of employment.”

Rule 8VAC20-800-60-A.

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 most recent review of the emergency plan was dated 11/20/2023.”

Rule 8VAC20-800-800-B.

Potentially poisonous substances shall be stored away from food in areas inaccessible to children.

“One air freshener was plugged in near the front entrance on a wall that the children has access to. Three bottles of air freshener spray were located on top of a table next to the dining room.”

Rule 8VAC20-800-280.

Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

“Three unused electrical outlets with no protective covers were observed in the dining room area. At the time of entrance, children were taking their nap in the dining room.”

Rule 8VAC20-800-320-B.

A child shall be provided with an individual crib, cot, rest mat, or bed for resting or napping.

“At the time of entrance, four children were sleeping on the floor and two children were sleeping on bean bag chairs.”

Rule 8VAC20-800-510-A.

The provider shall maintain an up to date record for each child enrolled that contains all the required information.

“Child #1’s record (enrolled for two months) was missing the name, address and telephone number of two designated persons to contact in case of an emergency; and the Liability insurance declaration form was not signed by the parent. Child #2’s (enrolled for 30 months) and #3’s (enrolled for 19 months) records were missing the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Children shall not be allowed to eat or drink while walking, running, or playing.

“Children were given candy and they started chewing while walking and playing around in the room.”

Rule 8VAC20-800-900-B.

Latex gloves, balloons, and empty plastic bags large enough for a child’s head to fit inside shall be inaccessible to children under five years of age.

“Empty plastic bags and two boxes of latex gloves were being stored on a low shelf of the changing table.”

Rule 8VAC20-800-250-E.

The diapering surface shall be nonabsorbent and washable.

“The diapering mat had a rip of approximately one inch which made the surface not nonabsorbent.”

Rule 8VAC20-800-690-D.

Poisonous materials shall be stored in an area inaccessible to children.

“The fire extinguisher was observed on the floor next to the entrance to the children’s play area. A sanitizing spray was observed inside an unlocked cabinet in the hallway next to the bathroom. The following products were observed in the bathroom in areas accessible to children: hair spray can, body scrub, contact lens cleaning solution, and body lotion.”

Rule 8VAC20-800-280.

Caregivers shall wash their hands with liquid soap and warm running water before preparing and serving food.

“The Provider was observed serving snack to the children without washing her hands first.”

Rule 8VAC20-800-680-A.

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

“The children were observed moving from the play area to sitting at a table and eating snack. They did not wash their hands before eating.”

Rule 8VAC20-800-680-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“A bottle of cough syrup (Robitussin) and a bottle of melatonin tablets were observed inside an unlocked cabinet in the hallway next to the bathroom.”

Rule 8VAC20-800-730-D.

Based on record review, documents required by the Superintendent was not posted in a conspicuous place on the licensed premises.

“Evidence: The most recent violation notice was not posted in a conspicuous place.”

Rule 22.1-289.011-F.

Based on interview, a caregiver was not able to speak English as necessary to communicate effectively with emergency responders.

“Evidence: Caregiver 2 did not speak English to communicate effectively with emergency responders.”

Rule 8VAC20-800-130.

Repeat violation

“Based on record review, the written record of children in attendance was not taken. Evidence: At the start of inspection, Child 6 was not documented on the attendance sheet.”

Rule 8VAC20-800-50-A.

Based on observation and interview, a first aid kit was not accessible on field trips.

“Evidence: The provider stated they did not take a first aid kit with them to the park where they took the children.”

Rule 8VAC20-800-760-A.

Based on record review, the menu posted was not for the current one week period.

“Evidence: The menu posted stated it was from March 2024.”

Rule 8VAC20-800-920.

Based on interview and record review, the provider did not obtain a general written permission slip for each child to be taken off the premises of the family day home.

“Evidence: Child 1, 2, and 3 went to the park with the provider and did not have permission slips in their record.”

Rule 8VAC20-800-980-A.

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

“Evidence: Child 7 entered into care in August 2023 and does not have a physical on file.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not obtain for each caregiver a current report of tuberculosis screening form every two years from the most recent screening.

“Evidence: Caregiver B had a tuberculosis screening/test last conducted in November 2021.”

Rule 8VAC20-800-180-A.

Based on observation, the outdoor play area was within 30 feet of an above ground pool and did not have a non-climbable barrier at least four feet high.

“Evidence: The above ground pool was located adjacent to a plastic play structure. The above ground pool has no fence or barrier preventing access to children.”

Rule 8VAC20-800-260-B.

Based on observation, cleaning products were not stored away from food in areas inaccessible to children.

“Evidence: 1) In the kitchen area, 2 cleaning products were kept next to bananas and accessible to children. 2) In the entrance area, two deodorizers and aerosol cleaners were observed on shelves accessible to children. 3) An opened bottle of floor cleaner was observed next to the bouncer where an infant was sleeping.”

Rule 8VAC20-800-280.

Systemic deficiency

“Based on observation, sharp objects were accessible to children. Evidence: 1) In the kitchen area, a box cutter and blade were on a bar height counter accessible to children. 2) There was no gate preventing access to the kitchen where knives and other sharp kitchen utensils are stored.”

Rule 8VAC20-800-290.

Based on observation, the bathroom did not meet all requirements.

“Evidence: The bathroom did not have liquid soap and paper towels.”

Rule 8VAC20-800-340-C.

Repeat violation systemic violation

“Based on observation, the provider exceeded the maximum licensed capacity of the home. Evidence: The provider is licensed for 7 children. During the inspection, there were 19 children in care.”

Rule 8VAC20-800-40-A.

Based on observation, children under 2 years of age had access to stairs.

“Evidence: There was no gate at the stairs to prevent access to one child under two years of age.”

Rule 8VAC20-800-430-A.

Based on record review and interview, the provider did not have documentation of the current rabies vaccination.

“Evidence: The provider did not have documentation of the current rabies vaccination for the dog.”

Rule 8VAC20-800-460-D.

Based on observation, animal food dishes and water dishes were accessible to children.

“Evidence: The dog’s food bowl and water bowl were placed on a pee pad. The pee pad was in front of the changing table accessible to children.”

Rule 8VAC20-800-460-I.

Based on observation, all animal excrement was not removed promptly.

“Evidence: The dog’s pee pad was soiled with urine (dried) and not removed promptly.”

Rule 8VAC20-800-460-J.

Based on observation, the provider did ensure all equipment used by children was age and size appropriate for the children.

“Evidence: Child 18 (2 yrs old) was placed in a bouncer to sleep.”

Rule 8VAC20-800-480-B.

Repeat violation systemic deficiency

“Based on record review and interview, the provider did not keep a written record of children in attendance each day. Evidence: The attendance sheet was inaccurate. There were 7 children listed on the attendance sheet but only 6 of those children were present because Child 5 on the attendance sheet was not listed. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, and 20 were not listed on the attendance sheet.”

Rule 8VAC20-800-50-A.

Systemic deficiency

“Based on observation, children were not provided with an individual cot or rest mat for resting. Evidence: There were 3 children sleeping on the floor with no mat or cot. There were 2 children sleeping on bean bag chairs.”

Rule 8VAC20-800-510-A.

Systemic deficiency

“Based on observation, children napping did not have a top and bottom cover. Evidence: There were 4 children observed sleeping on a cot or the floor with no bottom cover.”

Rule 8VAC20-800-530-A.

Based on observation, an infant in a bouncer was not securely fastened with safety straps.

“Evidence: Child 7 (11 mos) was swaddled in a blanket, placed in a bouncer and was not securely fastened with the safety straps.”

Rule 8VAC20-800-540-A.

Based on observation, the caregiver did not provide direct care and supervision of each child while sleeping.

“Evidence: Child 7 (11 mos) was asleep in a bedroom with the door closed. Caregivers did not check the room every 15 minutes to conduct an in-person observation.”

Rule 8VAC20-800-560-A.

Based on observation, an infant who falls asleep in a space other than their own crib or mat was not moved promptly to their designated sleeping space.

“Evidence: Child 7 (11 mos) was swaddled and sleeping in a bouncer and not in their designated crib.”

Rule 8VAC20-800-590-B.

Repeat violation systemic deficiency

“Based on record review and interview, the provider did not maintain a record for each enrolled child. Evidence: There were 19 children present. Child 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, and 20 did not have a file at the family day home. A total of 12 children did not have a record.”

Rule 8VAC20-800-60-A.

Based on observation, medications for the caregiver and household members were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1) Two adult medications were stored on the kitchen counter accessible to children. 2) One adult medication was stored in the refrigerator accessible to children.”

Rule 8VAC20-800-730-D.

Based on observation and interview, a topical skin product did not meet all requirements.

“Evidence: A diaper cream utilized did not have a permission by the parents and was not labeled.”

Rule 8VAC20-800-750-A.

Based on observation, a topical cream was accessible to children.

“Evidence: One diaper cream was kept on a low shelf of the changing table accessible to children.”

Rule 8VAC20-800-750-B.

Based on observation and interview, emergency evacuation procedures were not practiced monthly.

“Evidence: There was no documentation for an April and May 2024 drill. The provider confirmed no drills were conducted in those months.”

Rule 8VAC20-800-830-A.

Based on 2 records reviewed, the family day home did not obtain documentation of additional immunizations for a child every 6 months.

“Evidence: Child 7 did not have an updated immunization every 6 months. The last immunization record collected was 10/30/2023.”

Rule 8VAC20-800-90-C.

Based on observation, the provider exceeded the maximum licensed capacity of the home.

“Evidence: Based on observation, the provider is not of good character and reputation. Evidence: 1) At the start of inspection, the provider stated there were only 7 children (23 points) in care with 2 staff supervising. 2) Upon further inspection, household member 1 was sitting outside with 6 additional children (9 points) waiting for the inspection to be completed. Provider stated that she knew she was caring for more children than she was licensed for. 3) There were 13 children in care (32 points) on the date of inspection.”

Rule 8VAC20-800-40-A. From a complaint.

Based on record review and interview, the family day home provider did not keep a written record of children in attendance each day.

“Evidence: The provider stated they did not have a written attendance record on vthe date of inspection”

Rule 8VAC20-800-50-A. From a complaint.

Based on interview, the provider did not maintain an up-to-date record for each enrolled child.

“Evidence: Children 1, 2, 3, 4, 5 and 6 did not have a record at the home.”

Rule 8VAC20-800-60-A. From a complaint.

Based on record review, a background check was not completed every five years from the most recent completed check.

“Evidence: 1) Household member 1 has a completed fingerprint based background check on 04/20/2018. 2) Household member 2 has a completed fingerprint based background check on 04/25/2018. 3) Household member 2 has a completed fingerprint based background check on 04/23/2018.”

Rule 22.1-289.035-A.

Based on record review, one background check was not completed every five years from the most recent completed check.

“Evidence: Caregiver 1 has a completed fingerprint based background check on 04/23/2018.”

Rule 22.1-289.036-A.

Based on interview and record review, provider did not obtain for each caregiver and adult household member a current report of tuberculosis.

“Evidence: Household member 1-3 and Caregiver 1 did not obtain a current report of tuberculosis screening from every two years from the date of the first screening. Caregiver stated repeat checks were not completed.”

Rule 8VAC20-800-180-A.

Based on record review, all household members did not undergo a background check every five years.

“Evidence: Household member 1 and 2 have a central registry search which was last conducted on July 13, 2017.”

Rule 22.1-289.035-A.

Based on observation, soft bedding was used under and around an infant while sleeping.

“Evidence: Child 1 was observed wrapped up in a thick blanket and sleeping on top of a boppy in a crib.”

Rule 8VAC20-800-530-F.

Based on record review, the provider did not sure each child’s record was maintained with all required information.

“Evidence: Child 1 is missing parent work phone numbers, doctor’s name and phone numbers, insurance information, two emergency contacts and written authorization to provide emergency medication attention if needed.”

Rule 8VAC20-800-60-B.

Based on observation, caregivers did not wash hands with liquid soup and running water prior to meals.

“Evidence: 1) Caregiver 1 did not wash hands prior to giving a child a snack. 2) Caregiver 1 did not wash hands prior to serving and spoon feeling all the children lunch.”

Rule 8VAC20-800-680-A.

Based on observation, caregivers did not ensure children washed their hands with liquid soap and warm running water before eating.

“Evidence: 1) Caregiver 1 did not wash a child’s hands prior to being offered a cookie. 2) Caregiver 1 did not wash children’s hands prior to the children eating their lunch.”

Rule 8VAC20-800-680-B.

Based on record review, the provider did not provide in writing all required information.

“Evidence: Child 1’s family was not provided in writing the program’s emergency preparedness plan.”

Rule 8VAC20-800-70-A.

Based on observation and record review, children’s bottles were not labeled with the name and date.

“Evidence: Children’s bottles were observed with no name or date.”

Rule 8VAC20-800-960-E.

Based on observation, an employee did not have completed sworn statement.

“Evidence: Caregiver 2 did not have a completed sworn statement. (Start date 12/10/2021)”

Rule 8VAC20-770-60-B.

Based on record review and observation, the provider did not obtain a central registry report within 30 days for caregiver.

“Evidence: Caregiver 2 does not have a central registry background check completed within 30 days of hire. (Date of hire 12/10/2021)”

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

Based on record review, the provider did not 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.

“Evidence: Child 1 and 2 do not have documentation of a physical examination within 30 days after the first day of attendance. (Child 1 and 2, Start date: 11/8/2021)”

Rule 8VAC20-800-100-A.

Based on record review, the assistant’s record was not complete.

“Evidence: The assistant’s record is missing one reference.”

Rule 8VAC20-800-120-B.

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

“Evidence: In the area behind the stair well, there were several power tools accessible to children.”

Rule 8VAC20-800-240-A.

Based on interview, the family day home did not keep a written record of attendance each day.

“Evidence: The provider stated attendance was not taken for the day.”

Rule 8VAC20-800-50-A.

Based on observation, soft bedding was used under and around an infant while sleeping.

“Evidence: Child 3 was observed with 1 blanket under him and 3 other blankets in the crib with the child.”

Rule 8VAC20-800-530-F.

Based on observation, infant walkers were being used.

“Evidence: One infant walker was in use by Child 1 and a second infant walker was observed though not in use.”

Rule 8VAC20-800-540-B.

Based on record review, the child’s record did not contain all the required information.

“Evidence: Child 1 is missing child’s emergency contacts, parent work and contact information, doctor’s name and phone number, insurance policy name and number, first day of attendance, and any known allergies/medical concerns.”

Rule 8VAC20-800-60-B.

Based on record review, the parents were not provided in writing all the information required.

“Evidence: The provider stated the parent was provided the files but has not returned the signed documentation regarding policies including but not limited to check in check out procedures, discipline policy, termination policy, fees, holidays and substitute provider.”

Rule 8VAC20-800-70-A.

Based on record review, emergency evacuation drills were not practices monthly.

“Evidence: The provider stated emergency evacuation drills were conducted monthly but there is no documentation to support.”

Rule 8VAC20-800-830-A.

Based on observation, infant formula was not prepared according to manufacturer’s instructions.

“Evidence: An opened bottle of infant formula was observed on a counter. Manufacturer’s instructions state once opened the formula must be refrigerated.”

Rule 8VAC20-800-960-D.

Based on observation, baby food was served from the original container.

“Evidence: Caregiver 2 was observed feeding children from the orginal container.”

Rule 8VAC20-800-960-K.