Varinia Vergara

A child’s record is required to have documentation of verification of proof of identification of the child within 7 days of enrollment.

“Child #3 did not have documentation of verifying the proof of identification of the child on file at the time of the inspection. The child had been enrolled for more than 7 days.”

Rule 8VAC20-800-60-B.

Soft bedding, such as pillows, quilts, and comforters are not allowed to be used under or around infants.

“A blanket was observed in the crib with an infant (under 16 months old) at the time of the inspection.”

Rule 8VAC20-800-530-F.

Based on observation, soft bedding was used around infants.

“Evidence: 1. Child #1 (under 16 months old) was observed in a crib with a boppy pillow and a blanket around them.”

Rule 8VAC20-800-530-F.

Based on observation, the Provider did not ensure that a caregiver does not exceed 16 points.

“Evidence: 1. There were 7 children (19 points) with 1 caregiver during the time of the inspection. The Provider was not present during the inspection and the Assistant was over her points.”

Rule 8VAC20-800-570-A.

Based on a review of children’s records, 1 out of 2 records did not contain the required information.

“Evidence: 1. Child #2 did not have an Information for Parents form and Provisions of the Emergency Preparedness Plan form filled out at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on a review of documents, the menu for the current one-week period was not being followed.

“Evidence: 1. The menu for lunch on the day of the inspection listed “chicken breast w/quinoa mix, vegetables & strawberries.” What was being served for lunch at the time of the inspection was noodle soup and milk. There were no substitutions listed on the menu.”

Rule 8VAC20-800-920.

Based on a review of caregiver records, all caregivers did not submit to fingerprinting prior to employment.

“Evidence: 1. Caregiver #2 (doh: 4/6/2023) did not have documentation of fingerprints background check results at the time of the inspection.”

Rule 22.1-289.036-B-2.

Based on a review of caregiver records, all caregiver records did not contain the required information.

“Evidence: 1. Caregiver #2 (doh: 4/6/2023) did not have documentation of 2 of 2 required references of character prior to employment.”

Rule 8VAC20-800-120-B.

Based on observation and caregiver interview, 1 out of 2 caregivers were unable to communicate with emergency personnel.

“Evidence: 1. Caregiver #2 was unable to communicate with emergency personnel at the time of the inspection.”

Rule 8VAC20-800-130.

Based on a review of caregiver records, the Provider did not orient the assistant by the end of the first week of assuming job responsibilities.

“Evidence: 1. Caregiver #2 (doh: 4/6/2023) did not receive orientation (no documentation) training by the end of the first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

Based on observation, the bathroom did not contain paper towels for hand washing.

“Evidence: 1. There were no paper towels available in the bathroom for hand washing at the time of the inspection.”

Rule 8VAC20-800-340-C.

Based on observation, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home.

“Evidence: 1. At the time the inspector arrived to the family day home (at approximately 10:15am), there were 10 children (27 points) in care. The family day home is only licensed to provide care for up to 5 children.”

Rule 8VAC20-800-40-A.

Based on observation, all children were not provided an individual crib, cot, or rest mat for resting or napping.

“Evidence: 1. There were 3 cribs observed that were not identified for individual use at the time of the inspection.”

Rule 8VAC20-800-510-A.

Based on a review of children’s records, 3 out of 3 records reviewed did not contain the required information.

“Evidence: 1. Child #1 (doe:10/25/2022), Child #2 (doe: 8/1/2022), and Child #3 (doe: 8/24/2022) did not have documentation of verification of proof of ID on file at the time of the inspection.”

Rule 8VAC20-800-60-B.

Based on observation, caregivers did not ensure that children’s hands were washed with liquid soap and warm running water.

“Evidence: 1. 3 children in highchairs were given a snack to eat and were observed eating the snack without washing their hands.”

Rule 8VAC20-800-680-B.

Based on a review of child records, 1 out of 3 children did not have documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Evidence: 1. Child #2 (doe: 8/1/2022) did not have documentation of immunizations on file at the time of the inspection.”

Rule 8VAC20-800-90-A.

Based on observation, children were allowed to drink while lying down.

“Evidence: 1. Upon arrival to the family day home, Child #3 (infant) was observed lying down drinking a bottle in a crib.”

Rule 8VAC20-800-900-B.

Based on observation, high chairs with safety waist and crotch straps were not fastened according to the manufacturer’s instructions.

“Evidence: 1. There were 3 children observed in highchairs without any of the buckles fastened during the time of the inspection.”

Rule 8VAC20-800-960-C.

Based on observation, bottles were not labeled with the child’s full name and the date when more than one infant is in care.

“Evidence: 1. A bottle was located on the shelf in the living room with no name/date on it and a second bottle was located in a crib with no name and date on it. There were two infants in care at the time of the inspection.”

Rule 8VAC20-800-960-E.

Based on observation, a working portable battery-operated weather band radio was not available.

“Evidence: 1. The portable battery-operated radio that the Provider had on site was not in working condition during the inspection.”

Rule 8VAC20-800-770.

Based on observation, bottles were not refrigerated and labeled with the child’s full name and date when more than one infant is in care.

“Evidence: 1. There were 2 bottles for 2 different children in care that did not have the full name and date on them.”

Rule 8VAC20-800-960-E.

Based on file review, no sworn statement was completed prior to 1st day of employment in FDH

“Evidence: Caregiver #3 did not have sworn statement on file.”

Rule 8VAC20-770-60-B.

Based on file review, no criminal history records check was completed prior to 1st day of employment

“Evidence: Caregiver #3 did not have criminal history records check on file.”

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

Based on file review, the provider did not obtain from each caregiver at the time of hire a current report of Tuberculosis screening form.

“Evidence: Caregiver #3 did not have current report of Tuberculosis screening form.”

Rule 8VAC20-800-170-A.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children.

“Evidence: The electrical outlet between the crib and changing table did not have child-resistant protective covers.”

Rule 8VAC20-800-320-B.

Based on observation, the crib being used by child #1 did not have a tight-fitting bottom cover.

“Evidence: Bottom cover of crib mattress was loose.”

Rule 8VAC20-800-530-B.

Based on observation, the crib being used by child #1 contained soft bedding.

“Evidence: A pillow was found in the crib being used by an infant.”

Rule 8VAC20-800-530-F.

1) Based on observation, infant carrier seats were not used according to the manufacturer’s instructions and a safety strap was not used when occupied by a child.

“1) Evidence: Child #1 was observed not strapped into seat when inspectors entered room. 2) Evidence: High chair was missing safety strap and was being used to seat a child.”

Rule 8VAC20-800-540-A.

Based on file review and discussion with provider, there was not complete records for each enrolled child

“Evidence: Child #3 in care at the family day home did not have a complete file on record.”

Rule 8VAC20-800-60-B.