Carmen Stewart Cruz

***Repeat Violation*** Caregivers shall complete the departments health and safety update course annually.

“Caregiver #1 and caregiver #2 did not have documentation of the annual (2026) health and safety course.”

Rule 8VAC20-790-250-F.

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

“1. Caregiver #1 had one out of 16 hours of documented training. 2. Caregiver #2 did not have documentation of training.”

Rule 8VAC20-800-210-A.

The provider shall ensure that during transportation of children the driver has all required information.

“On August 3, 2026 the provider took two children on a field trip. The driver did not have a copy of each child’s emergency contact information, the name, address, and telephone number of the family day home, and a copy of the parent’s written permission to transport the child.”

Rule 8VAC20-800-990-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.

“The record for child #1 (enrolled for over 14 months) did not have a parent’s signature for annual review of the emergency contact information.”

Rule 8VAC20-800-780-B.

Staff shall complete the departments health and safety update course annually.

“Provider #1 and caregiver #1 did not have documentation of completing the annual health and safety update course for 2024.”

Rule 8VAC20-790-250-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.

“The record for child #1 did not have documentation of a physical examination. Child #1 has been in care for 209 days.”

Rule 8VAC20-800-100-A.

Based on observation and interview, the provider did not ensure that topical skin products are used, as required.

“Evidence: Two children’s diaper creams were observed. The provider stated that a written parent authorization was not obtained prior to use.”

Rule 8VAC20-800-750-A.

Based on review of one children’s records, the provider did not obtain documentation of the child’s physical prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record of Child #1, enrolled 09/13/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

Rule 8VAC20-800-100-A.

Based on review of caregiver records, the provider did not ensure caregivers completed, in addition to 16 hours of training, the department’s health and safety update course annually.

“Evidence: 1. The record of caregiver #1 had documentation of completing the department’s health and safety updated course on 10/30/2021. There was no documentation of the annual health and safety course for the 2022 calendar year. 2. The record of caregiver #2 had documentation of completing the department’s health and safety updated course on 11/11/2021. There was no documentation of the annual health and safety course for the 2022 calendar year.”

Rule 8VAC20-790-250-F.

Based on review of the emergency drill log and interview, the provider did not ensure lockdown procedures were practiced at least annually.

“Evidence: The 2022 emergency response drill log did not have documentation of a lockdown drill. The provider stated a lockdown drill for the 2022 calendar year had not been conducted”

Rule 8VAC20-790-430-A-3.

Based on review of four children’s records, the provider did not obtain documentation of one child’s physical prior to the child’s attendance or within 30 days after the first day of attendance.

“Evidence: The record of Child #4, enrolled 09/13/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

Rule 8VAC20-800-100-A.

Based on review of two caregiver records and interview, the provider did not ensure caregivers obtained 16 hours of training annually in areas relevant to their job responsibilities.

“Evidence: 1. Caregiver #1 and caregiver #2, both had 14 hours of annual training between the period of 02/11/2021 through 02/10/2022 when 16 hours was required. 2. The provider stated that caregiver #1 and caregiver #2 had not completed all 16 hours of annual training.”

Rule 8VAC20-800-210-A.

Based on observation and interview, the provider did not ensure firearms of every type and purpose were stored unloaded in a locked container, compartment, or cabinet, and apart from ammunition.

“Evidence: 1. An unloaded firearm was observed in an unlocked bin on the top shelf of a closet in a bedroom. The bedroom door was locked, however the firearm was not locked in an approved container. 2. The provider acknowledged the firearm was not locked.”

Rule 8VAC20-800-270-A.

Based on observation and interview, the provider did not ensure ammunition was stored in a locked container, compartment, or cabinet during the family day home’s hours of operation.

“Evidence: 1. A box of ammunition was observed being kept unlocked in a case on the top shelf of a closet in a bedroom. The bedroom door was locked however the ammunition was not locked. 2. The provider acknowledged the ammunition was not locked.”

Rule 8VAC20-800-270-B.

Based on review of the emergency drill log and interview, the provider did not ensure shelter-in-place procedures were practiced a minimum of twice per year.

“Evidence: The 2022 emergency evacuation log had one shelter in place drill documented on 02/21/2022 when a minimum of two shelter in place drills is required per year. The provider stated she had only conducted the one shelter in place drill for the 2022 calendar year”

Rule 8VAC20-800-830-B.

Based on review of four children’s records, the provided did not obtain documentation that a child was adequately immunized, before the child attended the family day home.

“Evidence: The record of child #4, enrolled 09/13/2022, did not contain documentation of immunizations exceeding the first day of attendance”

Rule 8VAC20-800-90-A.