Alondra Sanchez

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 #5s record does not contain a physical exam. The child has been enrolled for approximately 22 months.”

Rule 8VAC20-800-100-A.

Prescription medication shall be in the original container and contain a prescription label with the childs name, dosage and frequency of administration.

“Emergency medication for child #4 was observed in a safety bag. The medication was not in the original contain and did not contain a prescription label.”

Rule 8VAC20-800-710.

REPEAT VIOLATION Bottles shall be refrigerated and labeled with the child’s full name and the date.

“Three bottles for child #3 did not contain the date.”

Rule 8VAC20-800-960-E.

Documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The most recent inspection report of the family day home was not posted.”

Rule 22.1-289.011-F.

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 #8 has been enrolled for approximately 3 months and the child record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

Providers are required to have current certification in cardiopulmonary resuscitation (CPR) training.

“The providers CPR training expired on 7/20/2025 and was not renewed.”

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

Providers are required to have current certification in first aid training.

“The providers first aid training expired on 7/20/2025 and was not renewed.”

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

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

“Caregiver #3’s most recent TB’s screening is dated 9/27/2025. The TB screening has been expired for approximately 2 months and has not been renewed.”

Rule 8VAC20-800-180-A.

REPEAT VIOLATION Topical products shall not be kept beyond the expiration date.

“5 expired over-the-counter topical products were observed in the diaper changing area.”

Rule 8VAC20-800-750-D.

Bottles shall be refrigerated and labeled with the child’s full name and the date.

“Three bottles for child #8 did not contain the date.”

Rule 8VAC20-800-960-E.

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 #1 (enrolled approximately 10 months) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION Topical products shall not be kept beyond the expiration date of the product.

“A diaper cream observed for child #2 expired 3/2025 and a topical cream for child #3 expired 4/2024.”

Rule 8VAC20-800-750-D.

REPEAT VIOLATION Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the child’s age and identity.

“The provide has not verified the age and identity of child #1 (enrolled for approximately 10 months).”

Rule 8VAC20-800-80-A.

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 #2 (enrolled approximately 2 months) and child #3 (enrolled for approximately 20 months) records do not contain physical exams.”

Rule 8VAC20-800-100-A.

REPEAT VIOLATION The family day home shall keep a written record of children in attendance each day.

“The family day homes daily attendance documented that there were 9 children present on the day of the inspection. There were 11 children present in the home.”

Rule 8VAC20-800-50-A.

Children’s records shall contain all required information.

“Child #1 and child #12 records do not contain the first date of enrollment.”

Rule 8VAC20-800-60-B.

Topical products shall not be kept beyond the expiration date of the product.

“A diaper cream observed for child #10 expired 7/2024.”

Rule 8VAC20-800-750-D.

Within seven business days of the child’s first day of attendance at the family day home, the provider shall obtain from the parent verification of the child’s age and identity.

“The provide has not verified the age and identity of child #2 (enrolled for approximately 2 months).”

Rule 8VAC20-800-80-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.

“Child #2 record does not contain documentation that the child has received immunizations.”

Rule 8VAC20-800-90-A.

8VAC20-800-100-A

“REPEAT VIOLATION Based on record review, the provider did not obtain documentation of a physical exam within the first 30 days of attendance. Evidence: Child #1s (date of enrollment: 3/16/2023) record does not contain documentation of a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on record review, the family day home does not keep a written record of children in attendance each day. Evidence: Daily attendance has not been recorded since 6/25/2024.”

Rule 8VAC20-800-50-A.

8VAC20-800-720-B

“Based on observation, medication was kept beyond the expiration date. Evidence: Child’s Benadryl expired 2/2024, Zyrtec expired 2/2024 and 2 topical ointments expired 1/2024 and 6/2024.”

Rule 8VAC20-800-720-B.

8VAC20-800-730-D

“Based on observation, medications were not kept in a locked place using a safe locking method that precents access by children. Evidence: Four medications were observed in child #6s cubby in the children’s bathroom. The medication was not locked.”

Rule 8VAC20-800-730-D.

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 children were not served milk with lunch.”

Rule 8VAC20-800-880.

22.1-289.011-F

“Based on observation, documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection of the family day home was not posed.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“Repeat Violation Based on record review, the provider did not obtain documentation of a physical examination for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 3/16/2022) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-280

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: A spray bottle of Lysol was observed in the cabinet under the sink in the childrens bathroom. The cabinet was not locked.”

Rule 8VAC20-800-280.

8VAC20-800-320-B

“Based on observation, child-resistant protective covers were not installed on all unused electrical outlets. Evidence: An unused outlet next to the sink in the children’s bathroom did not have a protective cover.”

Rule 8VAC20-800-320-B.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure that childrens hand washing requirements were met. Evidence: The children were observed receiving hand sanitizer prior to eating a morning snack. The children did not wash their hands with soap and water before eating.”

Rule 8VAC20-800-680-B.

8VAC20-800-750-D

“Based on observation, topical products were used beyond the expiration date. Evidence: Child #2s diaper cream expired 2/2021”

Rule 8VAC20-800-750-D.

8VAC20-800-800-B

“Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The most recent review of the emergency preparedness plan was 4/11/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-100-A

“Based on record review, the provider did not obtain documentation of a physical examination for each child within the first 30 days of attendance. Evidence: Child #3 (date of enrollment: 3/16/2022) record does not contain a physical exam.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child #4’s record did not contain the families medical insurance policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Based on observation and interview, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: The provider confirmed that there was emergency medication at the family day home for a child with allergies. The medication as being stored in the prescription box inside the child’s cubby. The medication was not locked to prevent access by children.”

Rule 8VAC20-800-730-D.

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations every 6 months for each child under two years of age. Evidence: Child #5 (23 months) most recent documented immunizations are from when the child was 6 months old.”

Rule 8VAC20-800-90-C.

Based on observation, the family day home failed to keep a written record of children in attendance each day.

“Evidence: Provider did not have a written records of children in attendance on the date of inspection.”

Rule 8VAC20-800-50-A.

Based on a review of children’s records, the family day home did not obtain all required records for children enrolled.

“Evidence: Child #1, Child #3 and Child #5’s records did not have documentation of the telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on a review of children’s records, the provider failed to obtain all required documentation for each child enrolled.

“Evidence: Child # 1, #3 and #5’s records do not contain documentation of the telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-A.

Based on observation, the provider failed to ensure that caregivers shall wash their hands with liquid soap and warm running water after diapering a child with toileting.

“Evidence: After changing three children’s diapers, Caregiver #2 changed gloves, but did not wash her hands with soap and running water after each diaper change.”

Rule 8VAC20-800-680-A.

Based on observation, the provider failed to ensure that caregivers shall make certain that children’s hands are washed with liquid soap and warm running water after toileting or diapering.

“Evidence: Based on observation, Caregiver #2 failed to wash children’s hands with soap and running water after toileting/diapering.”

Rule 8VAC20-800-680-B.

Based on observation, the provider failed to ensure that the diapering surface shall be cleaned and sanitized after each use.

“Evidence: Caregiver #2 did not clean and sanitize the diaper surface was not cleaned and sanitized after each use.”

Rule 8VAC20-800-690-D.

Based on observation, the family day home did not keep a written record of children in attendance each day.

“Evidence The provider did not have documentation of attendance for the month of September.”

Rule 8VAC20-800-50-A.

Based on a review of children’s records, the provider did not obtain all required documentation for each child enrolled.

“Evidence: Child #1 and #3’s records do not have documentation of the names of persons other than the custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Based on discussion with provider and observation, the provider failed to practice emergency evacuation procedures each month.

“Evidence: The provider did not have documentation of practicing emergency evacuation procedures for June, July, August or September 2022”

Rule 8VAC20-800-830-A.

Based on observation, the findings of the most recent inspection of the family day home was not posted.

“Evidence: The most recent inspection for the family day home was not posted.”

Rule 8VAC20-820-120-E-2.

8VAC20-800-50-A

“Based on observation, the provider failed to ensure that a written record of children’s attendance is created each day.”

Rule 8VAC20-800-50-A.

8VAC20-800-50-A

“Based on observation, the provider failed to ensure that the family day home shall keep a written record of children in attendance each day.”

Rule 8VAC20-800-50-A.

8VAC20-800-760-A

“Based on an observation of the first aid kit, the provider failed to ensure that the first aid kit has all required supplies.”

Rule 8VAC20-800-760-A.

8VAC20-800-760-A

“Based on observation, the provider failed to ensure that the first aid kit contains all required items.”

Rule 8VAC20-800-760-A.