Nayra De Ponce

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.

“The record for child #2 was missing documentation of a physical examination. The documentation was five months overdue.”

Rule 8VAC20-800-100-A.

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

“There were no children signed in on the written attendance records and one child was present at the program.”

Rule 8VAC20-800-50-A.

Repeat Violation: A child’s record shall contain Name, home address, and telephone number of each parent who has custody; name, address and telephone number of each custodial parent’s place of employment; and name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached

“Child 1’s record was missing the contact information for on custodial parent, the employment information for one custodial parent, and two emergency contacts. This information was overdue by more than 4 months.”

Rule 8VAC20-800-60-B.

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

“There was no documentation for monthly practice drills being conducted since in February, March, April, May, and June of 2026.”

Rule 8VAC20-800-830-A.

A child’s record shall contain the name and policy number of the child’s medical insurance.

“Child 1’s record was missing the medical insurance policy number. Child 2’s record was missing the name and policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-B.

The provider is required to obtain a completed sworn statement or affirmation.

“Caregiver #1, household #1, household #2, and household #3 did not have documentation of a completed sworn statement.”

Rule 22.1-289.036-B-1.

The provider is required to obtain a completed national criminal background check.c

“Caregiver #1, household #1, household #2, and household #3 did not have documentation of a fingerprinting criminal background check.”

Rule 22.1-289.036-B-2.

The provider is required to obtain a completed central registry search.

“Caregiver #1, household #1, household #2, and household #3 did not have documentation of a central registry background check.”

Rule 22.1-289.036-B-3.

The provider must maintain a record for each caregiver.

“Caregiver #1 did not have a record for the caregiver available during the inspection.”

Rule 8VAC20-800-120-A.

The provider must obtain tuberculosis screening for each caregiver and adult household member.

“Caregiver #1, household #1, household #2, and household #3 did not have documentation of a tuberculosis screening available during the inspection.”

Rule 8VAC20-800-180-A.

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

“There was no written record of the children in attendance at the family day home; there were six children present.”

Rule 8VAC20-800-50-A.

8VAC20-800-210-A

“Based on review of documentation, and interview, the provider did not obtain a minimum of 16 clock hours of training annually. Evidence: the record for provider #1 did not contain documentation of 16 hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-430-A

“Based on observation, children under two years of age had access to stairs. Evidence: Three children under age two were observed in care, and had access to the stairs.”

Rule 8VAC20-800-430-A.

8VAC20-800-50-A

“(Repeat Violation) Based on review of documentation, observation and interview, it was determined that the provider did not ensure all children were accurately included on the attendance report. Evidence: On the attendance record for 3/18/2024, three children were marked in attendance however six children were observed in care.”

Rule 8VAC20-800-50-A.

8VAC20-800-570-A

“Based on observation and review of documentation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: There were six children in care (4 months, 4 months, 22 months, 2, 3 and 4 years) for a total of 17 points.”

Rule 8VAC20-800-570-A.

8VAC20-800-60-A

“(Repeat violation) Based on review of two child records, it was determined that not all records contained all required information. Evidence: the record for child #1 and child #2 (date of first attendance: 3/4/2024) did not contain proof of the child’s age and identity or the parent’s signed acknowledgement of the receipt of the information required by 8VAC20-800-70.”

Rule 8VAC20-800-60-A.

8VAC20-800-830-A

“Based on review of documentation and an interview with the provider, it was determined that the emergency evacuation procedures were not practiced monthly, as required. Evidence: there was no evacuation drill documented for January 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-50-A

“Based on review of documentation, observation and interview, it was determined that the provider did not ensure all children were accurately included on the attendance report. Evidence: On the attendance record for 7/21, only one child was marked in attendance however 4 children were observed in care when the LI arrived.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-B

“Based on observation, not all cribs in use had tight fitting sheets. Evidence: one crib that the provider stated was being used by an infant in care, had a loose sheet. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-800-530-B.

8VAC20-800-60-A

“Based on review of two child records, it was determined that not all records contained all required information. Evidence: the record for child #2 (date of first attendance: 5/30/2023) did not contain the name, address or phone number for a second designated person to contact in case of emergency if the parent cannot be reached or the name and phone number for the child’s physician.”

Rule 8VAC20-800-60-A.

8VAC20-800-100-A

“Based on review of four child records, and interview, it was determined that the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child’s attendance or within 30 days after the first day of attendance. Evidence: the record for child #3 (date of first attendance: 1/23/2023) did not contain documentation of a physical.”

Rule 8VAC20-800-100-A.

8VAC20-800-50-A

“Based on observation and interview, it was determined that the provider did not ensure all children were accurately included on the attendance report. Evidence: There was no attendance record available to review that included the four children who were present.”

Rule 8VAC20-800-50-A.

8VAC20-800-530-B

“Based on observation, not all cribs in use had tight fitting sheets. Evidence: two cribs had loose sheets and there was a child in one of them. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-800-530-B.

8VAC20-800-60-A

“Based on review of four child records, it was determined that not all records contained all required information. Evidence: the records for child #3 (date of first attendance: 1/23/2023) and child #4 (date of first attendance: 1/23/2023) did not contain the addresses for two designated persons to contact in case of emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-A.

8VAC20-800-830-A

“Based on review of documentation and an interview with the provider, it was determined that the emergency evacuation procedures were not practiced monthly, as required. Evidence: there was no documentation of an evacuation drill for January, February or March of 2023.”

Rule 8VAC20-800-830-A.

8VAC20-800-940-A

“Based on observation, the temperatures were not maintained at or below 40 degrees F in the refrigerator and at or below 0 degrees F in the freezer. Evidence: the refrigerator’s temperature measured 42 degrees F and the freezer temperature measured 4 degrees F.”

Rule 8VAC20-800-940-A.

8VAC20-800-320-A

“Based on observation, and interview, the provider failed to ensure that all small appliances were unplugged when not in use. Evidence: a toaster and hotpot in the kitchen were observed plugged in while not in use.”

Rule 8VAC20-800-320-A.

8VAC20-800-330-A

“Based on observation, and interview, the provider failed to ensure there is a landline telephone, excluding a cordless or cell phone, that is available and accessible during the family day homes’ hours of operation. An operable landline telephone is one that does not require electricity to operate. Evidence: a landline telephone was not observed, and the provider stated that she did not have one.”

Rule 8VAC20-800-330-A.

8VAC20-800-680-A

“Based on observation, not all caregivers washed their hands with liquid soap and warm, running water before preparing and serving food. Evidence: a caregiver did not wash their hands before preparing and serving the children their snack.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, caregivers did not ensure children’s hands were washed with liquid soap and warm, running water before eating. Evidence: children did not wash their hands before eating snack.”

Rule 8VAC20-800-680-B.

8VAC20-800-940-A

“Based on observation, the temperatures were not maintained at or below 40 degrees F in the refrigerator and at or below 0 degrees F in the freezer. Evidence: the refrigerator’s temperature measured 44 degrees F and the freezer temperature measured 10 degrees F.”

Rule 8VAC20-800-940-A.