Lorena Ricci Castillo

8VAC20-800-180-A

“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. 1. The provider’s TB screening expired two days ago. 2. Household member #1’s TB screening expired 3 months ago.”

Rule 8VAC20-800-180-A.

8VAC20-800-210-A

“Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. The provider stated that no training were completed during the last year.”

Rule 8VAC20-800-210-A.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. Shelter in place drills were not practiced in 2025 and to this date.”

Rule 8VAC20-800-830-B.

8VAC20-800-320-G

“Wood burning stoves and fireplaces and associated chimneys shall be inspected annually. The wood burning fireplace in the daycare area was last inspection 18 months ago.”

Rule 8VAC20-800-320-G.

8VAC20-800-60-B

“REPEAT VIOLATION Based on records review, information in children’s records was not complete. Evidence: 1. Child # 1, Child # 2 and Child # 3’s records were missing the medication policy form. 2. Information in Child # 2’s record was not annually updated.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. First day of enrollment for the children enrolled are as follows: Child # 1: 9/6/22; Child # 2: 8/15/22. 2. Documentation of a physical exam was not obtained for Child # 1 and Child # 2.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on records review, the family day home did not keep a written record of attendance for children in care. Evidence: Written attendance for children was last kept through 5/10/23. No written attendance was recorded after that date.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on records review, information in children’s records was not complete. Evidence: Child # 1, Child # 2 and Child # 3’s records were missing the following information: medical insurance information, medical policy number, liability insurance form, medication policy form, and provisions for emergencies.”

Rule 8VAC20-800-60-B.

8VAC20-800-100-A

“Based on records review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. First day of enrollment for the children enrolled are as follows: Child # 1: 8/15/22; Child # 2: 1/1/22; Child # 3: 8/2021 and Child # 4: ?. 2. Documentation of a physical exam was not obtained for any of the four children.”

Rule 8VAC20-800-100-A.

8VAC20-800-60-B

“Based on records review, information in children’s records was not complete. Evidence: Child # 1, Child # 2, Child # 3 and Child # 4’s record was missing the medical insurance information and the policy number.”

Rule 8VAC20-800-60-B.

8VAC20-800-680-B

“Based on observation, the caregiver did not ensure that children’s hands were washed after diapering. Evidence: The provider changed Caregiver # 1’sdiaper, but did not wash Child # 1’s hands after the diapering was completed.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“Based on observation, the diapering surface was not cleaned after being used. Evidence: The provider changed Child # 1’s diaper on the diaper changing pad. The provider did not use soap and water to clean the pad, prior to using the disinfectant solution.”

Rule 8VAC20-800-690-D.

8VAC20-800-70-A

“Based on records review, children’s files were not complete. Evidence: 1. Child # 1, Child # 2, Child # 3 and Child # 4’s records were missing information related to the following: medication administration policy, liability insurance policy, and provisions of the family day home’s emergency preparedness plan.”

Rule 8VAC20-800-70-A.

8VAC20-800-320-G

“Based on observation and staff interview, wood burning fireplaces were not inspected annually. Evidence: 1. The family day home has two wood burning fireplaces, one in the basement and the other on the main level of the home. 2. An annual inspection to verify that the fireplaces were properly installed, maintained and cleaned as needed, was not completed for either fireplace.”

Rule 8VAC20-800-320-G.

8VAC20-800-330-A

“Base don staff interview and observation, the family day home did not have a landline telephone available, excluding a cordless or cell phone. Evidence: The family day home does not have a landline phone that operates without electricity or is not a cell phone.”

Rule 8VAC20-800-330-A.

8VAC20-800-430-A

“Based on observation, children under the age of two years and not developmentally ready to climb or descend stairs, have access to stairs. Evidence: 1. The provider had two children under the age of two who were not ready to climb or ascend stairs without supervision. 2. The stairs in the backyard leading to the deck did not have a protective gate, granting access to the stairs to these children.”

Rule 8VAC20-800-430-A.

8VAC20-800-690-E

“Based on observation, the family day home did not have a foot operated diaper disposal system. Evidence: The diaper pail that was being used at the family day home had a top cover that would need to be opened by hand.”

Rule 8VAC20-800-690-E.