Blanca Salguero-Ramos

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.

“Child 1’s record did not contain a physical examination. The child has been enrolled for forty-five months.”

Rule 8VAC20-800-100-A.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“Child 4 did not have a record.”

Rule 8VAC20-800-60-A.

Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

“Child 4 has no record of immunization and has attended the home based child care for four days.”

Rule 8VAC20-800-90-A.

The family day home shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements every six months until the age of two years.

“Child 2’s updated immunization records are overdue by eleven months. Child 3’s immunizations are overdue by eleven months.”

Rule 8VAC20-800-90-C.

Repeat violation

“Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles. A child was observing eating a cheese puff while in a crib.”

Rule 8VAC20-800-900-B.

REPEAT VIOLATION REPEAT VIOLATION General written permission is required from each child’s parent for any off-premises activity.

“The record for Child 1 and Child 2 did not include this permission. The provider reports taking walking trips with the children on a regular basis.”

Rule 8VAC20-800-980-A.

Children shall not be allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“A filled bottle was observed in a crib.”

Rule 8VAC20-800-900-B.

REPEAT VIOLATION General written permission is required from each child’s parent for any off-premises activity.

“The record for Child 2 did not include this permission. The provider reports taking walking trips with the children on a regular basis.”

Rule 8VAC20-800-980-A.

General written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home.

“Child 1 and Child 2’s record did not contain written permission for regularly scheduled trips. The provider confirmed that children are taken to a park regularly.”

Rule 8VAC20-800-980-A.

Children over the age of two shall not have access to stairs with three or more risers that do not have protective barriers or guardrails on each side.

“The stairs accessible from the child care area were observed open at the bottom and on the side leaving three risers exposed.”

Rule 8VAC20-800-430-C.

8VAC20-790-430-A-3

“Lockdown procedures shall be practiced at least annually. No lockdown drill has been documented.”

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

8VAC20-800-800-B

“The provider shall review the emergency plan at least annually and update the plan as needed. The most recent review of the emergency plan was documented on 12/20/2022.”

Rule 8VAC20-800-800-B.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. No shelter in place drills have been documented within the past year.”

Rule 8VAC20-800-830-B.

8VAC20-800-50-A

“Based on record review, the family day home failed to keep a written record of children in attendance each day. Evidence: On the date of inspection there was not a written record of attendance. The last documented date of attendance was 2/15/2024.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“Based on record review, children’s records did not contain all required information. Evidence: Child 2’s record did not contain the name and place of employment for each listed parent.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-E

“Based on observation, the family day home did not have a diaper disposal system that is either foot operated or used in such a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: There was no hands free method of diaper disposal on the date of inspection. The provider stated that it had broken.”

Rule 8VAC20-800-690-E.

8VAC20-800-60-B

“Based on the review of three children’s records, the provider failed to get some of the information to make the file complete. Evidence: Three children’s records reviewed.1 child is missing one emergency contact and 2 are missing 2 emergency contacts.”

Rule 8VAC20-800-60-B.

8VAC20-800-170-B

“Based on record review it was determined that the TB Screenings were completed outside of 30 days requirement. Evidence: 1. Provider had TB Screening forms available for review. Her screening form and her household members were all conducted over 6 months before application date.”

Rule 8VAC20-800-170-B.