Yesenia Cafferatta Vargas

8VAC20-800-170-A

“Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The tuberculosis screening for Caregiver 2 who has been caring for children since 7/7/25 was dated 7/14/2025.”

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #3 was not completed and was overdue by one month.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-B

“Child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Two outlet boxes in the nap room that were accessible to children did not have protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-90-C

“Documentation of additional immunizations is required once every six months for children under the age of two years. Child #2, 21 months old, last documented immunization was over 11 months ago.”

Rule 8VAC20-800-90-C.

A child’s record shall contain documentation of the annual review of the child’s emergency contact information.

“Child #2 has been in care for one year and seven months and did not have a completed annual review. Child #4 has been in care for one year and three months and did not have a completed annual review.”

Rule 8VAC20-800-60-B.

Based on record review, the provider did not obtain an updated criminal background check every five years.

“Evidence: Staff #1?s record did not contain an updated criminal history record check as the last criminal history search record expired on March 13th, 2024.”

Rule 22.1-289.035-A.

Based on record review and interview, the provider did not obtain a results of a criminal history record check and a search of the child abuse and neglect registry from any state in which the staff member had resided in the preceding five years.

“Evidence: As per provider statement and review of Staff #2?s record, the staff member had lived outside of the state of Virginia in the preceding five years, and no out of state record search had been obtained for child abuse and neglect and criminal history”

Rule 22.1-289.035-B-4.

Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: The record for child #2 (under two years old) did not contain documentation of an updated immunization record once every six months. Immunization record on file was dated 6/1/23.”

Rule 8VAC20-800-90-C.

Based on observation, rest mats could not be cleaned and sanitized as needed.

“Evidence: The waterproof material of the rest mats were torn exposing therefore the materials was not able to be cleaned and sanitized.”

Rule 8VAC20-800-510-E.