Patricia Moya Cortez

Every applicant for licensure of a family day home shall undergo a background check every five years.

“1. The applicants original central registry background check is dated 8/11/2021. The results of a repeat central registry search was dated 10/6/2026. The background check was expired for approximately 2 months. 2. The applicants original criminal history background check is dated 9/14/2021. The results of a repeat central registry have not been received. The background check has been expired for approximately 1 month.”

Rule 22.1-289.036-A.

The provider shall have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“The providers CPR certification has been expired for approximately one week.”

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

The provider shall have current certification in first aid, as appropriate to the age of the children in care.

“The providers first aid certification has been expired for approximately one week.”

Rule 8VAC20-800-140-B-4.

REPEAT VIOLATION The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #2’s most recent TB screening is dated 9/25/2024. The screening has been expired for approximately two weeks.”

Rule 8VAC20-800-180-A.

The provider shall obtain a subsequent tuberculosis (TB) screening every two years from the date of he initial screening.

“The providers most recent TB screening is dated 3/25/2024. The screening has been expired for approximately 1 month.”

Rule 8VAC20-800-180-A.

The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“The most recent documented review of the emergency preparedness plan is dated 11/14/2024. It has been approximately 17 months since the last emergency plan review.”

Rule 8VAC20-800-800-B.

Children’s records shall contain all required information.

“Child #3’s record does not contain the address of the families first emergency contact, a second emergency contact, and the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

Furnishings of the family day home shall be maintained in a clean, safe and operation condition.

“There was a broken ride on toy observed in the providers backyard. The long plastic body of a worm ride-on toy was split in half and posed as a hazard.”

Rule 8VAC20-800-240-A.

The family day home may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the medication is in labeled and in the original container.

“Emergency medication for child #2 was observed stored in a zip lock bag. The medication was not in the original container and did not contain a prescription labeled identifying that the medication was prescribed to the child.”

Rule 8VAC20-800-710.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication is kept in an open basket in the coat closed in the hallway. The medication is not locked using a safe locking method.”

Rule 8VAC20-800-730-D.

Temperatures shall be maintained at or below 40?F in refrigerator compartments.

“The temperature of the providers refrigerator was 69?F.”

Rule 8VAC20-800-940-A.

The provider shall obtain documentation of a physical examination prior to each child’s attendance or within 30 days after the first day of attendance.

“The records for child #1 and child #2, who have been enrolled for more than 30 days, did not contain a physical exam.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION The provider shall 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

“Household member #1’s most recent TB screening is dated 9/1/2022.”

Rule 8VAC20-800-180-A.

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

“The most recent review of the providers emergency preparedness plan was dated 5/13/2023.”

Rule 8VAC20-800-800-B.

The family day home shall obtain documentation of additional immunizations every six months for each child under the age of two years.

“The record for child #1 and child #2, who are both under the age of two years, did not have updated immunizations.”

Rule 8VAC20-800-90-C.

8VAC20-800-180-A

“Repeat violation. Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening every two years. Evidence: The providers most recent TB screening is dated 9/1/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-50-A

“Repeat violation. Based on record review, the family day home does not keep an accurate record of children in attendance each day. Evidence: There were 6 children’s names documented on the providers daily attendance, there were 7 children present during the inspection. The 6 children’s names did not match the names of the children present.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation, the provider did not ensure to not exceed 16 points. Evidence: The provider was observed supervising two infants (8 points) and five two year old through four year old children (10 points), for a total of 18 points.”

Rule 8VAC20-800-570-A.

8VAC20-800-940-A

“Repeat violation. Based on observation, refrigerator temperatures were not maintained at or below 40 degrees. Evidence: The thermostat on the refrigerator was 42 degrees during the inspection.”

Rule 8VAC20-800-940-A.

8VAC20-800-180-A

“Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening every two years. Evidence: The providers most recent TB screening is dated 9/1/2021.”

Rule 8VAC20-800-180-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers were not stored away in areas inaccessible to children. Evidence: Several cleaning agents were observed in the cabinet under the sink in the children’s bathroom. The cabinet was not locked.”

Rule 8VAC20-800-280.

8VAC20-800-430-A

“Based on observation, children under two years of age have access to stairs. Evidence: There is no safety gate at the bottom of the staircase where the family day home program takes place. Child #5 (9 months old) was observed in care during today’s inspection.”

Rule 8VAC20-800-430-A.

8VAC20-800-50-A

“Based on record review and interview, the family day home did not keep an accurate written record of children in attendance. Evidence: Upon a review of the attendance documented during todays inspection and the children present in the home, it was confirmed that the provider had not written the correct children’s names on the attendance sheet.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Systemic Deficiency Based on record review, children’s record did not contain all required information. Evidence: Child #2s record does not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-A

“Based on observation, topical skin products were used after they expired. Evidence: Child #7’s topical cream expired 7/2022.”

Rule 8VAC20-800-750-A.

8VAC20-800-940-A

“Based on observation, refrigerator temperatures were not maintained at or below 40 degrees. Evidence: The thermostat on the refrigerator was 43 degrees during the inspection.”

Rule 8VAC20-800-940-A.

8VAC20-800-960-E

“Based on observation, bottles were not dated. Evidence: Two out of two bottles belonging to child #5 were not dated.”

Rule 8VAC20-800-960-E.

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the terms of the current license issued by the department and with relevant state or local laws. Evidence: The Provider currently has a capacity to care for a maximum of 7 enrolled children at once. There were 8 children observed at the family day home during today’s inspection.”

Rule 8VAC20-800-30-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child #3?s record contained one emergency contact. 2. Child #6?s record contained one emergency contact and did not contain the family’s medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-D

“Based on observation, over the counter topical ointments were used beyond the expiration date of the product. Evidence: Child #3’s over-the-counter skin ointment expired 11/2021. The ointment was observed in a basket next to the diaper changing station.”

Rule 8VAC20-800-750-D.

8VAC20-800-800-B

“Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The most recent documented review of the Providers emergency preparedness plan is dated 4/23/2022. The Provider stated that they did not know they needed to review the plan annually.”

Rule 8VAC20-800-800-B.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every six months for each child under the age of two years. Evidence: Child #8 (21 months) most recent documented immunizations are dated 8/16/2022.”

Rule 8VAC20-800-90-C.

8VAC20-800-460-C

“Based on record review, a dog was not vaccinated for rabies. Evidence: The Provider’s dog’s most recent vet records showed that the dogs rabies vaccination expired 1/31/2023.”

Rule 8VAC20-800-460-C.

8VAC20-800-500-E

“Based on observation, sandboxes were not covered when not in use. Evidence: There was a large sandbox area of the providers backyard. The sandbox was not covered.”

Rule 8VAC20-800-500-E.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child #2 and Child #3’s records did not contain addresses for their emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-750-D

“Based on observation, over the counter topical ointments were used beyond the expiration date of the product. Evidence: Child #3’s Aquaphor expired 11/2021.”

Rule 8VAC20-800-750-D.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every six months for each child under the age of two years. Evidence: Child #2 (21 months old) most recent immunizations are from when the child was 6 months old.”

Rule 8VAC20-800-90-C.

8VAC20-820-120-E-6

“Based on observation and interview, a copy of a special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: The licensees special order advising consumers of serious and persistent violations was not posted at the public entrance of the family day home. The Provider confirmed that they have not posted the special order.”

Rule 8VAC20-820-120-E-6.

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

“Based on record review, the provider has not obtained a sworn disclosure statement from each adult household member. Evidence: Household member #1 turned 18 years old in April 2022. The provider did not have a sworn disclosure statement in the household members record.”

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

8VAC20-800-100-A

“Based on record review, the provider has not obtained documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #4s (first date of enrollment: 4/25/2022) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-A

“Based on record review and interview, the provider has not maintained a record for each caregiver. Evidence: During the inspection, Caregiver #2 was not able to locate their record. The caregiver stated that they believed it should have been with the rest of the records, but it could not be located.”

Rule 8VAC20-800-120-A.

8VAC20-800-140-D

“Based on interview, the substitute provider did not record and sign the time of arrivals and departures on each day that the substitute provider worked. Evidence: 1. The provider was not home during the inspection and Caregiver #2 stated that they were out of town. 2. When asked about the recording of time present, the provider confirmed that the substitute providers had not been logging their time.”

Rule 8VAC20-800-140-D.

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the terms of the current license issued by the department and with relevant federal, state or local laws. Evidence: The provider currently has a capacity to care for a maximum of 7 enrolled children at once. There were 10 children observed at the family day home during today’s inspection. This was previously cited on 4/22/2022”

Rule 8VAC20-800-30-A.

8VAC20-800-50-C

“Based on observation, information contained in a child’s record was not kept privileged and confidential. Evidence: The Supplemental page from the inspection dated 4/22/2022 was posted on the providers parent board at the family day home. The Supplemental page contains the information of children and staff records and clearly states “confidential” and “DO NOT POST”.”

Rule 8VAC20-800-50-C.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child #1’s record does not contain a second emergency contact. 2. Child #3’s record does not contain the addresses of both emergency contacts. 3. Child #5’s record does not contain the addresses of both emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-880

“Based on observation, the family day homes did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The USDA recommends that children are served a full serving of a fruit and a vegetable at lunch. The children were served ravioli with mixed fruit and milk. The children were not served a vegetable.”

Rule 8VAC20-800-880.

22.1-289.035-B-2

“Based on record review and interview, each caregiver has not submitted fingerprint results prior to the first day of employment. Evidence: Caregiver #3’s record does not contain fingerprint results. Caregiver #3 was observed working with the children during today’s inspection.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“Based on record review and interview, the provider did not obtain an out-of-state sex offender registry search for each employee that has resided outside of the state of Virginia within the last 5 years. Evidence: Caregiver #2’s sworn disclosure statement documents that they have resided in Maryland within the last five years. The caregiver #2’s record does not contain the results of a Maryland sex offender registry search. The provider confirmed that they have not completed a Maryland sex offender registry search for caregiver #2.”

Rule 22.1-289.035-B-4.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical exam for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 1/21/2022) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-120-B

“Based on record review and interview, assistant records did not contain all required information. Evidence: Caregiver #3’s record does not contain two references or the name and phone number of someone to be contacted in case of an emergency.”

Rule 8VAC20-800-120-B.

8VAC20-800-280

“Based on observation, potentially poisonous substances, such as cleaning agents, were not stored inaccessible to children. Evidence: There is a cleaning disinfectant that is stored in a cup holder attached to the infant changing table. A child was observed having their diaper changed with the disinfectant attached to the table.”

Rule 8VAC20-800-280.

8VAC20-800-30-A

“Based on observation, the provider did not ensure compliance with the terms of the current license issued by the department and with relevant federal, state or local laws. Evidence: The provider currently has a capacity to care for a maximum of 7 enrolled children at once. There were 10 children observed at the family day home during today’s inspection.”

Rule 8VAC20-800-30-A.

8VAC20-800-60-A

“Based on interview, the provider did not maintain a record for each enrolled child. Evidence: The provider did not have a record for Child #4 and Child #5 during today’s inspection.”

Rule 8VAC20-800-60-A.

8VAC20-800-680-B

“Based on observation, hand washing requirements were not met. Evidence: Children were observed waking up from nap, sitting down at the table and being served snack. The children’s hands were not washed prior to eating.”

Rule 8VAC20-800-680-B.

8VAC20-800-70-A

“Based on record review, parents were not provided with all required information before each child’s first day of attendance. Evidence: 5 out of 5 children’s records do not contain documentation that the parents were informed of the providers medication policies and whether or not the provider has liability insurance.”

Rule 8VAC20-800-70-A.

8VAC20-800-800-A

“Based on interview, the family day home does not have a written emergency preparedness and response plan. Evidence: When asked for the providers emergency preparedness plan, the provider confirmed that they had not yet established a plan.”

Rule 8VAC20-800-800-A.

8VAC20-800-920

“Based on observation and interview, a menu was not available. Evidence: The children were observed being served and eating an afternoon snack. The provider confirmed that they do not have an established weekly menu.”

Rule 8VAC20-800-920.

Based on inspection of Family Day Home it was determined that 911 and local poison control numbers were not posted as required.

“Evidence: During inspection emergency numbers were not posted in home.”

Rule 22VAC40-111-790.

Based on the request and review of required documentation it was determined that all background checks were not maintained.

“Evidence: During inspection provider did not have the results of a criminal history check from the state of Maryland which was the state that issued their ID less than 5 years prior to application.”

Rule 63.2-1721.1-B-4.