Tomas Vargas Santos

22.1-289.035-A

“The provider shall obtain repeat background checks every five years for an employee that has resided outside of Virginia within the last five years. 1. Caregiver #1 stated and their record indicated that they have resided outside of Virginia in the last five years. 2. Caregiver #1’s most recent out of state sex offender search was overdue by 7 months. 3. Caregiver #1’s Virginia central registry search was overdue by 6 months.”

Rule 22.1-289.035-A.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. There were more than one infants present during the inspection. 5 infant bottles with milk were found without today’s date.”

Rule 8VAC20-800-960-E.

The Family Day Home is required to have caregivers undergo a background check every five years.

“The most recent National Fingerprint Check for Caregiver #3 was overdue by two months and three weeks.”

Rule 22.1-289.035-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 and Caregiver #2 were not completed and were overdue by two months.”

Rule 8VAC20-800-180-A.

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 #4, who had been in care for over 11 months.”

Rule 8VAC20-800-100-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“Child #1 had a physical examination and immunization record that was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 and staff #2 was overdue by 4 1/2 months..”

Rule 22.1-289.035-A.

8VAC20-800-830-D

“Based on review of drill records and interview, the provider did not maintain a record of all emergency evacuation drills. Evidence: 1. The provider stated the evacuation drill was completed for the month of February, but did not document the drill.”

Rule 8VAC20-800-830-D.

Repeat Violation

“Based on review of two caregivers records, the provider did not obtain for each caregiver a current report of tuberculosis screening form every two years. Evidence: 1. Caregiver #1 and caregiver #2 both had a tuberculosis screening form dated 11/07/2021 and had not been updated.”

Rule 8VAC20-800-180-A.

8VAC20-800-180-A

“Based on review of four caregivers records, the provider did not obtain for each caregiver a current report of tuberculosis screening form every two years. Evidence: 1. Caregiver #4 had a tuberculosis screening form dated 2/02/2021 and had not been updated.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-C

“Based on observation, information contained in a child’s record was not kept confidential. Evidence: 1. In the provider’s office, the supplemental page was posted on the wall for the inspection dated 10/26/2021 and 3/24/2022. The supplemental page is considered confidential.”

Rule 8VAC20-800-50-C.

8VAC20-800-800-B

“Based on review, the provider did not review the emergency plan at least annually, updated the plan as needed and document in writing each review and update to the emergency plan. Evidence: 1. The provider’s emergency plan was reviewed last on 9/26/2021.”

Rule 8VAC20-800-800-B.

8VAC20-800-210-A

“Based on review of training, the caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. The provider stated that caregiver #1 and caregiver #2 will complete the training by next month.”

Rule 8VAC20-800-210-A.