Maria Jimenez

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 or more frequently as recommended by a physician or the local health department.

“Caregiver #1 and Caregiver #2 had a TB screening on file that was expired. Household member #1 had a TB screening on file that was expired.”

Rule 8VAC20-800-180-A.

Child-resistant protective covers shall be installed on all unused electrical outlets accessible to children under 5 years of age.

“Observed one uncovered electrical outlet in the main childcare space.”

Rule 8VAC20-800-320-B.

A child’s record shall contain the following: parent/guardian annual review of emergency contact information.

“Child 1, 2, 3, 4, 5, 10, and 11 did not have documentation of the parent/guardian annual review within the last 12 months.”

Rule 8VAC20-800-60-B.

Topical skin products, such as diaper ointment, shall be labeled with the child’s name.

“2 diaper ointment’s in the child care bathroom that did not have names.”

Rule 8VAC20-800-750-A.

Temperatures shall by maintained at or below 40F in the refrigerator and at or below 0F in the freezer.

“The refrigerator temperature was at 50F and the freezer temperature was at 15F.”

Rule 8VAC20-800-940-A.

All caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: 1. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration

“Caregiver 3 did not have current CPR training. Documentation on file expired in June of 2025.”

Rule 8VAC20-790-250-D-1.

All caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: 2. Current certification in first aid appropriate to the ages of children in care.

“Caregiver 3 did not have documentation of current first aid, which expired in June of 2025.”

Rule 8VAC20-790-250-D-2.

Lockdown procedures shall be practiced at least annually.

“No documentation of practiced within the last 12 months.”

Rule 8VAC20-790-430-A-3.

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

“There was no toilet tissue accessible to children in the bathroom.”

Rule 8VAC20-800-340-C.

Stationary outdoor playground equipment shall: 1.Not be installed over concrete, asphalt, or any other hard surface; 2.Be placed at least six feet from the perimeter of other play structures or obstacles; and 3.Be firmly anchored with ground supports that are covered with materials to protect children from injury.

“The outdoor playground structure was installed on a “deck”, with unsteady wooden planks, in the backyard.”

Rule 8VAC20-800-500-C.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“The facility did not have documentation of the shelter-in-place drill they said they practiced earlier in the year.”

Rule 8VAC20-800-830-C.

Temperatures shall be maintained at or below 40F in refrigerator compartments and at or below 0F in the freezer compartments.

“The temperature in the refrigerator was at 45F and the freezer temperature was at 10F.”

Rule 8VAC20-800-940-A.

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

“Three uncovered outlets were observed on a surge protector in the main play room.”

Rule 8VAC20-800-320-B.

A child’s record shall contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“Child 3 did not have a complete address for either of their emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-790-430-A-3

“Based on provider interviews and review of emergency drill log, the provider did not ensure that lockdown procedures are practiced at least annually. Evidence: the provider stated that they had not conducted a lockdown drill within the past 12 months, and no lockdown drill was documented on their emergency drill log.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-240-A

“Based on observation, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed that there was peeling paint in multiple areas around the basement child care space.”

Rule 8VAC20-800-240-A.

8VAC20-800-830-B

“Based on provider interviews and review of drills, the provider did not ensure that shelter-in-place drills were practiced a minimum of twice per year. Evidence: provider had not practiced a shelter in place drill during the last 12 months.”

Rule 8VAC20-800-830-B.

8VAC20-800-920

“Based on review and provider interview, the provider did not ensure that the menu listed any substituted foods. Evidence: provider stated that the children had lentils and rice, and not the chicken and rice that was posted on the menu.”

Rule 8VAC20-800-920.

8VAC20-800-320-B

“Based on observation, the provider did not ensure that child resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under 5 years. Evidence: observed a surge protector with 5 uncovered outlets in the main play room, accessible to children.”

Rule 8VAC20-800-320-B.

8VAC20-800-60-B

Rule 8VAC20-800-60-B.

8VAC20-800-920

“Based on observation, the provider did not have a menu for the current one-week period. Evidence: observed that the provider did not have a menu for the current one-week period.”

Rule 8VAC20-800-920.

8VAC20-800-940-A

“Based on observation, the provider did not ensure that the temperature in the refrigerator was maintained at 40 degrees F and the temperature in the freezer was maintained at 0 degrees F. Evidence: observed that the temperature in the refrigerator was at 41 degrees F and the temperature in the freezer was at 5 degrees F.”

Rule 8VAC20-800-940-A.

8VAC20-800-120-B

“Based on staff records review, the provider did not ensure for assistants and substitute providers documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff #3 (date of employment 8/17/2023) did not have documentation of two or more references were checked prior to employment.”

Rule 8VAC20-800-120-B.

8VAC20-800-170-A

Rule 8VAC20-800-170-A.

8VAC20-800-180-A

“Based on staff records review, 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 or more frequently as recommended by a physician or the local health department. Evidence: 1. Staff #1 Tuberculosis Screening results expired on 6/28/2023. 2. Staff #2 Tuberculosis Screening results expired on 7/11/2023.”

Rule 8VAC20-800-180-A.

8VAC20-800-200-A

“Based on staff records review, the provider did not ensure the orient substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: 1. Staff #3 (date of employment 8/17/2023) did not have documentation of orientation completed by the end of their first week of assuming job responsibilities.”

Rule 8VAC20-800-200-A.

8VAC20-800-330-A

“Based on observation, the provider did not have a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation. Evidence: 1. The provider did not have a landline to use during hour’s of operation. The provider uses a cell phone for the family day home.”

Rule 8VAC20-800-330-A.

8VAC20-800-60-B

“Based on children records, 2 out of two records, the provider shall obtain 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: 1. Child #1 (date of enrollment 1/31/2022) did not have documentation of a physical examination in the record for review. 2. Child #2 (date of enrollment 11/18/2021) did not have documentation of a physical examination in the record for review.”

Rule 8VAC20-800-60-B.

8VAC20-800-530-B

“Based on a walkthrough observation of the home, the provider did not have a tight-fitting bottom cover. Evidence: 1. The provider has three cribs. One of the cribs did not have a tight-fitting bottom cover.”

Rule 8VAC20-800-530-B.

8VAC20-800-100-A

“Based on children records review, the provider did not obtain 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: 1. Child #2 did not have a physical examination.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-A

“Based on records review, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. Child #1 did not have proof of child’s age and identity.”

Rule 8VAC20-800-60-A.

8VAC20-800-760-A-1

“Based on emergency supplies review, the provider did not obtain a first aid a minimum of first aid supplies in the first aid kit. Evidence: 1. Triangular bandages, First Aid Instructional Manual, thermometer, gloves were missing in the first aid kit.”

Rule 8VAC20-800-760-A-1.

8VAC20-800-100-A

Rule 8VAC20-800-100-A.

8VAC20-800-430-B

“Based on observation, the provider did not ensure accordion expansion gates and pressure mounted gates were not used as protective barriers at stair openings. Evidence: 1. The provider has pressured mounted gates as a barrier located at the bottom of the stairs in the child care area of the home.”

Rule 8VAC20-800-430-B.

8VAC20-800-540-A

“Based on observation, the provider did not ensure high chairs be used according to the manufacturer’s instructions and when occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. Child #4 was sitting in a high chair. The provider did not follow the manufacturer’s instructions and when occupied to use a safety strap shall be used and securely fastened.”

Rule 8VAC20-800-540-A.

8VAC20-800-90-A

“Based on child records review, the provider obtain documentation that the child has been adequately immunized before a child attending the family day home. Evidence: 1. Child #3 (date of enrollment 1/31/2022) did not have written documentation of immunizations in record available for review during the inspection.”

Rule 8VAC20-800-90-A.