Jessica Aquino Barzola

Each immunization report shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The record for child # 3 has immunization records not signed.”

Rule 8VAC20-800-110-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given to parents or posted or placed in an area accessible to parents.

“The current week’s menu was not posted or shared with parents. The menu posted was dated week of 8/24/2026 and menu is not repeated.”

Rule 8VAC20-800-920.

Child’s record shall contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The records for child #3 and child #5 did not have a second emergency contact person. The record for child #4 did not have address for emergency contacts.”

Rule 8VAC20-800-60-B.

The provider shall obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

“Report of Tuberculosis Screening form for caregiver and adult household members were last completed over two years ago.”

Rule 8VAC20-800-180-A.

When topical skin products such as diaper ointment are used, written parent authorization noting any known adverse reactions shall be obtained.

“Child#1’s diaper ointment provided by parent, that caregiver uses, did not have written parent authorization or note any known adverse reactions.”

Rule 8VAC20-800-750-A.

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

“Child #1, 24 months old, last documented immunization was over 6 months ago.”

Rule 8VAC20-800-90-C.

Lockdown procedures shall be practiced at least annually.

“No documentation and verbal confirmation that Vendor did not practice lockdown procedure annually.”

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

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“Provider conducted one Shelter in place drill in the past year.”

Rule 8VAC20-800-830-B.

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

“Evidence: Child #1’s record is missing the child’s medical insurance policy number.”

Rule 8VAC20-800-60-B.

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

“Evidence: Child#1’s record was missing the family day home’s policies for the administration of medication and the Liability Insurance Declaration form.”

Rule 8VAC20-800-70-A.

Based on record review, the provider did not obtain documentation that a child had been adequately immunized prior to their first day of attendance.

“Evidence: Child #1’s record did not contain immunization records. The child’s first day of attendance was documented as 10/30/2023.”

Rule 8VAC20-800-90-A.

Based on observations and discussion, the landline for the home was not operational during the inspection.

“Evidence: The provider has a non-cordless telephone, but when it was plugged into the wall, there was no dial tone for the phone.”

Rule 8VAC20-800-330-A.

Based on observation, the first aid kit did not meet the minimum requirements.

“Evidence: The first aid kit is missing two triangular bandages.”

Rule 8VAC20-800-760-A-1.