Gloria Elizabeth Franco

REPEAT VIOLATION Caregivers who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training, to include the department’s health and safety update course.

“Caregiver #1 obtained 14 hours of training and has not attended the departments annual health and safety training in the past 12 months. Caregiver #2 has not obtained any training hours and has not attended the departments annual health and safety training in the past 12 months.”

Rule 8VAC20-790-250-F.

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

“The findings from the most recent inspection, dated 10/20/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

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

Rule 22.1-289.035-B-3.

Caregivers who work directly with children shall annually attend at least 16 hours of training, to include he department’s health and safety update course.

“Caregiver #1 attended 8 hours of training and did not attend the department’s health and safety update course in 2025.”

Rule 8VAC20-790-250-F.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The tuberculosis screening for Caregiver 3, was completed 8 days after hire and coming in contact with children.”

Rule 8VAC20-800-170-A.

REPEAT VIOLATION The provider shall obtain for each caregiver a tuberculosis (TB) screening every two years from the last screening.

“An updated TB screening for Caregiver #1 was not completed and is overdue by over a month.”

Rule 8VAC20-800-180-A.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills that includes identity of the person conducting the drill and the number of caregivers participating.

“Drill record for 2026 dates did not have identity of the person conducting the drill and the number of caregivers participating.”

Rule 8VAC20-800-830-C.

Documentation of additional immunizations is required once every six months for children under the age of two years. ’

“Child #4, who turned 2 years old while in care, last documented immunization was over 9 months ago.”

Rule 8VAC20-800-90-C.

The provider shall obtain for each caregiver a current Report of Tuberculosis Screening form every two years.

“The TB report for caregiver #1 is overdue by six months.”

Rule 8VAC20-800-180-A.

Annually, the provider shall review with the parent the emergency contact information and obtain the parent’s signed acknowledgment of the review.

“There was not documentation that provider had reviewed emergency contact information with parent of a child who has been attending for 18 months.”

Rule 8VAC20-800-780-B.

The provider shall verify the identity and age of a child by viewing approved document within seven business days of child’s first day of attendance.

“Provider did not view approved documentation until four months after first day of attendance.”

Rule 8VAC20-800-80-B.

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

“There was no record of attendance completed for days provider stated there were children present on 3/20-26 or day of inspection, 3/27.”

Rule 8VAC20-800-50-A.

When diaper ointment are used, written parent authorization noting any known adverse reactions shall be obtained at least annually.

“Provider does not have written authorization noting any known adverse reactions, for use of diaper ointment that has been used on child #2.”

Rule 8VAC20-800-750-A.

Whenever the family day home has agreed to administer prescription medications or nonprescription medications, the administration shall be performed by a caregiver who has satisfactorily completed an approved training program for this purpose and is retrained at three-year intervals.

“Child in attendance requires emergency medication. The provider has agreed to administer prescription medications. Caregiver has not been retrained, since 4/2021.”

Rule 8VAC20-800-220-B.

Children’s records are required to contain information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.

“Child #1’s record did not have actions to take in an allergy emergency situation.”

Rule 8VAC20-800-60-B.

The family day home shall have a written emergency preparedness and response plan that includes emergency evacuation, emergency relocation, and shelter-in-place procedures; addresses the most likely to occur scenarios, including but not limited to fire, severe storms, flooding, tornadoes, and loss of utilities; and includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.

“The provider did not have an emergency preparedness plan and stated they were not aware of the requirement.”

Rule 8VAC20-800-800-A.

8VAC20-800-210-A

“Based on record review and interview, one caregiver did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: The most recent training documentation available for review for Caregiver #1 was completed in 2022.”

Rule 8VAC20-800-210-A.

8VAC20-800-730-D

“Based on observation and interview, medications were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.Medications for Child #1 were observed in the child’s backpack. The backpack was unlocked and hanging in the child’s cubby, accessible to children. 2.Caregiver #1 stated the medication for Child #1 has been kept in the child’s backpack throughout the day and is returned to the parent when Child #1 is picked up each day.”

Rule 8VAC20-800-730-D.

8VAC20-800-750-A

“Based on record review, written parent authorization noting any known adverse reactions was not obtained at least annually for topical skin products for 2 of 3 children. Evidence: 1.The most recent written parent authorization for topical skin products in the record for Child #1 was dated 6/2/2022. 2.The most recent written parent authorization for topical skin products in the record for Child #3 was dated 8/24/2022.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-C

“Based on record review, The family day home did not obtain documentation of additional immunizations for a child every six months for a child under the age of two years. Evidence: 1.The most recent documentation of immunizations in the record for Child #2 (19 months old) was dated 7/6/2023.”

Rule 8VAC20-800-90-C.

Based on observation, the home did not maintain a nonabsorbent diapering surface.

“Evidence: The diapering mat was no longer nonabsorbent due to a tear in the material.”

Rule 8VAC20-800-690-D.

Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age.

“Evidence: 1. Two unused electrical outlets were observed without a protective cover in the bathroom used by children. 2. One unused electrical outlet was observed without a protective cover in the main programming area, behind a high chair.”

Rule 8VAC20-800-320-B.

Based on record review, the provider did not obtain a fingerprint based background check for each staff member prior to their first day of employment.

“Evidence: Staff#1’s record did not include a fingerprint record check prior to their first day of employment. The staff member’s first day of employment was documented as 10/11/2022”

Rule 22.1-289.035-B-2.

Based on record review, the provider did not obtain a physical examination for each enrolled child within 30 days of attendance.

“Evidence: The records for Child #1 and Child #2 (DOE: 8/22/2022) did not contain physical examinations.”

Rule 8VAC20-800-100-A.

Based on record review, the provider did not obtain for each staff member a Report of Tuberculosis (TB) Screening form documenting the absence of tuberculosis in a communicable form prior to coming into contact with children.

“Evidence: Staff #2’s (DOH: 10/11/2022) record does not contain a TB screening form documenting the absence of tuberculosis prior to coming into contact with children.”

Rule 8VAC20-800-170-A.

Based on record review, children’s records did not all contain required information.

“Evidence: 1.Child #1’s record was missing a second emergency contact. 2.Child #3’s record was missing a second emergency contact, work phone numbers for both parents and the mother’s place of employment.”

Rule 8VAC20-800-60-B.

Based on observation and interview, topical skin products were not labeled with the child’s name.

“Evidence: Two containers of diaper ointment were not labeled with the child’s name.”

Rule 8VAC20-800-750-A.

Based on record review and interview, the provider did not obtain from each adult household member residing in the home a current report of tuberculosis (TB) documenting the absence of tuberculosis in a communicable form.

“Evidence: Household member #1’s record does not contain documentation of a TB screening.”

Rule 8VAC20-800-170-A.

Based on review of children’s records, the provider does not have documentation that parents were provided in writing required information before the child’s first day of attendance.

“Evidence: The record for Child #1, #2, #3, #4 and #5 were missing the Liability Insurance Declaration form and the Information for Parents form.”

Rule 8VAC20-800-70-A.

Based on review of medications, prescription medication was not maintained in the original, labeled container.

“Evidence: The prescription medication for Child #3 was not in the original container with a prescription labeled attached.”

Rule 8VAC20-800-710.

Based on observation, not all topical skin products were labeled with the child’s name.

“Evidence: There were two diaper ointment/creams in the diaper station that were not labeled with a child’s name.”

Rule 8VAC20-800-750-A.