Maria Ramos Vigil

Each adult household member shall provide a sworn disclosure statement disclosing whether they have ever been convicted of or is the subject of any pending criminal charges for any offense within or outside the Commonwealth and whether or not he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Household member #1 turned 18 years of age in April of 2026. The provider has not obtained a sworn disclosure statement.”

Rule 22.1-289.036-B-1.

Each adult household member shall submit to fingerprinting.

“Household member #1 turned 18 years of age in April 2026. The household member has not obtained fingerprint results.”

Rule 22.1-289.036-B-2.

REPEAT VIOLATION SYSTEMIC DEFICIENCY 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.

“Child #1 (date of enrollment: 5/28/2024) record does not contain documentation of a physical exam. This was previously cited at the most recent inspection, on 2/10/2026.”

Rule 8VAC20-800-100-A.

The provider shall obtain a current report of tuberculosis (TB) from each adult household member.

“Household member #1 turned 18 years of age in April 2026. The provider has not obtained a TB screening.”

Rule 8VAC20-800-170-A.

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

“An unused electrical outlet was observed without a cover above the sink in the childrens bathroom.”

Rule 8VAC20-800-320-B.

SYSTEMIC DEFICIENCY The family day home shall obtain subsequent background check results for each caregiver and household member every five years.

“Household member #1 most recent central registry background check is dated 3/31/2020. The background check has been expired for approximately 10 months.”

Rule 22.1-289.036-A.

REPEAT VIOLATION SYSTEMIC VIOLATION 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.

“Child #1 (date of enrollment: 5/28/2024) record does not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

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

“An unused electrical outlet was observed without a cover above the sink in the childrens bathroom.”

Rule 8VAC20-800-320-B.

The provider shall review the emergency plan at least annually and update the plan as needed.

“The most recent documented review of the emergency plan is dated 6/17/2024.”

Rule 8VAC20-800-800-B.

The family day home shall obtain subsequent background check results for each caregiver every five years.

“Caregiver #1s most recent fingerprint background check is dated 5/15/2020. The background check has been expired for approximately 3 weeks.”

Rule 22.1-289.035-A.

The family day home shall obtain a central registry background check for each caregiver within the first 30 days of employment.

“Caregiver #3s (date of hire: 3/1/2023) record does not contain documentation of a central registry background check.”

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

REPEAT VIOLATION 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.

“Child #10 (date of enrollment: 9/3/2024), child #11 (date of enrollment: 5/28/2024) and child #12 (date of enrollment: 8/16/2024) records do not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

No soft bedding of any kind shall be used under or around infants including, but not limited to, pillows, quilts, comforters, sheepskins, or stuffed toys.

“Child #1 (15 months) was observed sleeping in a crib with a pillow.”

Rule 8VAC20-800-530-F.

REPEAT VIOLATION Swings shall be used according to the manufacturers instruction and when occupied by a child, a safety strap shall be used and securely fastened.

“Child #12 was observed asleep in a swing. The safety strap was not being used to buckle the child into the swing.”

Rule 8VAC20-800-540-A.

The provider shall ensure that a caregiver does not exceed 16 points by using the following point system to determine if an additional caregiver is needed: 1. Children from birth through 15 months of age count as four points each; 2. Children from 16 months through 23 months of age count as three points each; 3. Children from two through four years of age count as two points each; 4. Children from five years through nine years of age count as one point each;

“Caregiver #1 and caregiver #3 were observed supervising 13 children (37 points) without a third caregiver. The caregivers were over the supervision requirements by 5 points for approximately 30 minutes during the inspection.”

Rule 8VAC20-800-570-A.

SYSTEMIC DEFICIENCY The family day home shall obtain documentation of additional immunizations every 6 months for children under the age of 2 years.

“Child #8s (15 months) most recent immunizations are dated from then the child was 6 months old. Updated immunizations have been overdue for approximately 3 months.”

Rule 8VAC20-800-90-C.

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.

“Child #2 (date of enrollment: 9/3/2024), child #3 (date of enrollment: 8/7/2024) and child #4 (date of enrollment: 5/28/2024) records do not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #3s record does not contain documentation that the provider has received orientation training.”

Rule 8VAC20-800-200-A.

REPEAT VIOLATION Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“Various cleaning agents were observed in the cabinet under the sink in the children’s bathroom. The lock on the cabinet was hanging open during the inspection.”

Rule 8VAC20-800-280.

The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

“The childrens bathroom did not have paper towels.”

Rule 8VAC20-800-340-C.

High chairs shall be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“Four out of four children observed eating lunch in high chairs were not strapped into the chairs with the safety straps.”

Rule 8VAC20-800-540-A.

Childrens records shall contain all required information.

“1. Child #2s record does not contain contact information for either parent and two emergency contacts, the families medical insurance information, the providers liability declaration, the providers emergency preparedness plan. 2. Child #3s record does not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening every two years for each caregiver. Evidence: 1. Caregiver #1s most recent TB screening is dated 3/10/2022. 2. Caregiver #3s most recent T’B screening is dated 3/4/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-A

“Based on record review, the provider did not orientate each caregiver by the end of their first week assuming job responsibilities. Evidence: Staff #2 and staff #3s caregivers records did not contain documentation of orientation training.”

Rule 8VAC20-800-200-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning age and deodorizers, were not stored in areas inaccessible to children. Evidence: A bottle of bleach cleaner and an air freshener was observed on an open shelf above the toilet in the childrens bathroom.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, child resistant protective covers were not installed on all unused electrical outlets accessible to children. Evidence: Two unused outlets were observed above the sink in the childrens bathroom without protective covers.”

Rule 8VAC20-800-320-B.

8VAC20-800-100-A

“Repeat Violation. Based on record review, the provider did not obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment: 3/21/2021) record does not contain a physical exam. 2. Child #8 (date of enrollment: 9/5/2023) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: An unused outlet in the infant nap room, under the window, did not have a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

“Repeat Violation. Based on record review, children’s records did not contain all required information. Evidence: 1. Child #3s record does not contain the information for parents form. 2. Child #5s record does not contain a second emergency contact. 3. Child #7s record does not contain the information for parents form, verification of the providers emergency plan and insurance liability declaration.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-A

“Based on observation, caregiver hand washing requirements were not met. Evidence: The provider was observed changing four children’s diapers. The provider did not wash their hands at the end of each diaper change.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, children’s hand washing requirements were not met. Evidence: Four children were observed having their diapers change. Four out of four children’s hands were not washed after their diaper change.”

Rule 8VAC20-800-680-B.

22.1-289.035-B-2

“Based on record review and interview, each caregiver did not submit to fingerprinting prior to employment. Evidence: Caregiver #2’s record did not contain valid fingerprint results. The documentation on record was transferred from a previous employer.”

Rule 22.1-289.035-B-2.

22.1-289.036-B-4

“Based on interview, the Provider has not obtained an out-of-state central registry background check for each household member that has resided outside of the state of Virginia within the last five years. Evidence: 1. The Provider and Household member #1’s sworn disclosure statements state that they resided in Maryland within the last five years. The Provider stated that they submitted the Maryland central registry background checks, but results were not received. The Provider stated that they did not contact the local agency to inquire about the background check requests.”

Rule 22.1-289.036-B-4.

8VAC20-770-40-D-5-a

“Based on interview, the provider did not obtain a central registry background check for a person residing in the home within 30 days of becoming 14 years old. Evidence: The provider confirmed that a Household member #4 turned 14 years old in April 2022. The provider stated that they completed a central registry background check for the household member, but the results were not received. The provider stated that they did not contact the local agency to inquire about the background check request.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-770-60-C-2

“Based on record review and interview, each caregiver does not have a central registry finding without 30 days off employment. Evidence: Caregiver #2 (date of hire: 9/6/2022) record did not contain a valid central registry finding. The documentation on record was transferred from a previous employer.”

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

8VAC20-800-100-A

“Based on record review, the provider has not obtained 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 (date of enrollment: 3/2/2021), Child #2 (date of enrollment: 3/2/2021), Child #3 (date of enrollment: 4/26/2021) and Child #5’s (date of enrollment: 7/29/2021) and Child #6 (date of enrollment: 9/26/2022) records do not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on record review and interview, assistants records did not contain all required information. Evidence: Caregiver #2’s record did not contain documentation of two references. The provider stated that she was provided with two reference letters but then returned them to the assistant.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-B

“Based on record review, tuberculosis (TB) screenings for new employees were not completed within the 30 days prior to employment. Evidence: Caregiver #2 (Date of hire: 9/6/2022) TB screening is dated 3/30/2021.”

Rule 8VAC20-800-170-B.

8VAC20-800-210-A

“Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver #1 did not complete any training in 2022.”

Rule 8VAC20-800-210-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child #4’s record does not contain a second emergency contact. 2. Child #5’s record does not contain two emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing all required information. Evidence: 6 out of 6 children’s records did not contain documentation signed by parents whether or not the family day home has liability insurance.”

Rule 8VAC20-800-70-A.

8VAC20-800-830-B

“Based on interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: The provider stated that they practiced one shelter-in-place drill in 2022.”

Rule 8VAC20-800-830-B.

8VAC20-800-830-C

“Based on interview, documentation of emergency evacuation and shelter-in-place drills was not maintained. Evidence: The provider stated that they did not document when the 2022 shelter-in-place drill was practiced.”

Rule 8VAC20-800-830-C.

8VAC20-770-40-D-4-a

“Based on record review and interview, the provider has not obtained a sworn disclosure statement for each household member over 18 years old. Evidence: Household member #1, Household member #2 and household member #3’s records do not contain sworn disclosure statements. The provider confirmed that the household members have not completed the background check.”

Rule 8VAC20-770-40-D-4-a.

8VAC20-770-40-D-5-a

“Based on interview, the provider did not obtain a central registry background check for a person residing in the home within 30 days of becoming 14 years old. Evidence: The provider confirmed that a Household member #4 turned 14 years old in April 2022. The provider stated that they did not complete a central registry background check for the household member.”

Rule 8VAC20-770-40-D-5-a.

8VAC20-770-60-B

“Based on record review and interview, each employee has not completed a sworn disclosure statement. Evidence: The provider’s record does not contain a sworn disclosure statement. The provider confirmed that they had not completed the background check.”

Rule 8VAC20-770-60-B.

8VAC20-800-100-A

“Based on record review, the provider has not obtained 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 (date of enrollment: 3/2/2021), Child #2 (date of enrollment: 3/2/2021), Child #3 (date of enrollment: 4/26/2021) and Child #5’s (date of enrollment: 7/29/2021) records do not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-180-A

“Based on record review, the provider did not 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 or more frequently. Evidence: 1. Caregiver #1’s most recent TB screening is dated 3/10/2020. 2. Household member #1’s most recent TB screening is dated 3/10/2020. 3.Household member #2’s most recent TB screening is dated 3/10/2020. 4. Household member #3’s most recent TB screening is dated 3/10/2020.”

Rule 8VAC20-800-180-A.

8VAC20-800-320-A

“Based on observation, small electrical appliances were not unplugged when not being used by the caregiver or with children under close supervision.”

Rule 8VAC20-800-320-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child #1, Child #2 and Child #3’s records did not contain a second emergency contact. 2. Child #1, Child #2 and Child #3’s records did not contain an address for their emergency contact.”

Rule 8VAC20-800-60-B.

8VAC20-800-70-A

“Based on record review, parents were not provided in writing all required information. Evidence: 5 out of 5 children’s records did not contain documentation signed by parents whether or not the family day home has liability insurance.”

Rule 8VAC20-800-70-A.