Claudia Robles Arias

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Upon review of the home’s attendance record on 8/25/2026 at approximately 10:47 am, it was determined that Child #4 was not signed in. Staff #1 stated that the child arrived at approximately 8:00 am.”

Rule 8VAC20-790-180-B.

Providers and substitute providers shall have current certification in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Caregiver #1 did not have a current CPR and first aid certification. The record contained certifications that expired over one month ago.”

Rule 8VAC20-800-140-B-3.

The vendor shall maintain, in a way that is accessible to all caregivers, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential.

“The vendor had an undated allergy list posted in plain sight on the refrigerator.”

Rule 8VAC20-790-170-G.

The vendor shall obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #2, enrolled for three days, has diagnosed food allergies. The vendor did not have a written care plan from the child’s physician.”

Rule 8VAC20-790-190-B-12.

Caregivers who work directly with children shall annually complete the department’s health and safety update course.

“Caregiver #1 completed their annual health and safety update over five months late.”

Rule 8VAC20-790-250-F.

Children’s records are to be maintained by the provider and contain the required information.

“The record of child #5, enrolled for three days, was missing the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

Repeat violation

“The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Four children were not signed out on the written attendance record on 10/15/2024.”

Rule 8VAC20-790-180-B.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The inspection findings from the most recent inspection which occurred on 6/13/2024 were not posted.”

Rule 22.1-289.011-F.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The record of caregiver #3, who had been employed for 27 days, did not contain a current sworn statement.”

Rule 22.1-289.035-B-1.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Caregiver #3, who had been employed for 27 days, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children. The form shall have been completed within the last 30 days and be signed by a physician, physicians’ designee, or an official of the local health department.

“The record of caregiver #2 contained a TB screening dated 12/15/2023.”

Rule 8VAC20-800-170-B.

Based on a review of documentation, observations, and interviews, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: On June 13, 2024, the inspector observed 13 children in care at approximately 9:15am. The daily attendance record reviewed only indicated 11 children were in care. During interview, Caregiver #1 confirmed the daily attendance record for June 13 did not document the arrival and departure of each child in care as it occurred.”

Rule 8VAC20-790-180-B.

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

“Evidence: On June 13, 2024, the inspector observed 13 non-resident children in care. The family day home’s licensed capacity is for 12 children. During interview on June 14, Caregiver #1 acknowledged the family day home exceeded the maximum licensed capacity of the home on June 13.”

Rule 8VAC20-800-40-A.

Based on a review of documentation, observations, and interviews, the provider did not keep a written record of children in attendance each day.

“Evidence: On June 13, 2024, the inspector observed 13 children in care at approximately 9:15am. The daily attendance record reviewed only indicated 11 children were in care. During interview, Caregiver #1 confirmed the daily attendance record for June 13 did not have a complete list of all children in attendance that day.”

Rule 8VAC20-800-50-A.

Based on a review of documentation, observations, and interviews, the provider did not ensure that a prescription medication shall be given to a child only with written authorization from the parent.

“Evidence: On June 13, 2024, a prescription medication was observed for Child #6. The written authorization on file was signed by the parent, but it did not indicate the family day home was authorized to administer the medication. The medication administration log reviewed for Child #6 indicates the medication was administered from 04/26/24 through 05/29/24.”

Rule 8VAC20-800-700-A.

(Repeat Violation) Based on a review of documentation and interviews, the provider did not ensure documentation of emergency evacuation drills was maintained.

Rule 8VAC20-800-830-C.

Based on a review of documentation and interviews, the vendor did not maintain a record of the dates of the practice drills for one year.

“Evidence: The emergency response drills for 2023 were reviewed. Documentation of a lockdown drill was not documented. During interviews, Caregiver #1 stated the lockdown procedures were practiced annually, but documentation of the drill was not maintained as required.”

Rule 8VAC20-790-430-B.

Based on a review of documentation and interviews, the provider did not ensure documentation of emergency evacuation and shelter-in-place drills were maintained.

Rule 8VAC20-800-830-C.

Based on a review of five children’s records and interview, the provider did not obtain documentation that one child had been adequately immunized before the child attended the family day home.

“Evidence: The record of Child #1, date of attendance 08/22/23, did not contain documentation of the immunization records. During interview, Caregiver #1 confirmed that the immunization records were not in the record.”

Rule 8VAC20-800-90-A.

Based on a review of five children’s records and interview, the provider did not ensure one child’s record contained the required information.

“Evidence: 1) The record for Child #4, date of attendance 09/06/22, did not contain the address for the second emergency contact listed. 2) During interview, Caregiver #1 confirmed the record for Child #4 did not have the address for the second emergency contact listed. Each child record should contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

Based on a review of the emergency evacuation and shelter-in-place drill log and interview, the provider did not maintain the required documentation.

“Evidence: 1) The last documented evacuation drill was on 06/22/22. 2) During interview, Caregiver #1 reported the drills were practiced in July and August, but they were not documented as required.”

Rule 8VAC20-800-830-D.

22VAC40-111-240-A

“Based on observation, the family day home did not ensure area and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The provider’s fence contained several protruding screws. The screws where out of reach of children in care. However, the fence is climbable and the protruding screws could puncture a child’s skin if the fence is climbed.”

Rule 22VAC40-111-240-A.

8VAC20-800-730-D

“Based on observation, the provider did not ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The bathroom had one bottle of medication located in an unlocked cabinet. 2. The first aid kit contained medication. The first aid kit was located in an unlocked closet.”

Rule 8VAC20-800-730-D.