Rosa Andia Romero

8VAC20-800-510-C

“Occupied cribs, cots, rest mats, and beds shall be at least 12 inches from each other. Two occupied cots were observed side by side and pushed together so that the sides were touching each other.”

Rule 8VAC20-800-510-C.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. The annual review for Child #1 and 2 was overdue by one week. The annual review for Child #3 and 5 was overdue by one month.”

Rule 8VAC20-800-780-B.

8VAC20-800-100-A

“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 physical in the record for Child #4 was dated 4 months after the child’s first day of attendance.”

Rule 8VAC20-800-100-A.

8VAC20-800-90-A

“Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. The immunizations in the record for Child #4 were obtained 6 months after the child’s first day.”

Rule 8VAC20-800-90-A.

8VAC20-800-200-A

“Providers are required to document orientation training for assistants which are to be signed and dated by the provider and assistant. The record for Caregiver #2 did not contain documentation of orientation. Caregiver #2 does not provide care on a daily basis but helps as needed.”

Rule 8VAC20-800-200-A. From a complaint.

8VAC20-790-180-B

“The provider is required to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. During the inspection, there were three children present. The provider had not documented the arrival of the children present and the attendance record was blank for the current day.”

Rule 8VAC20-790-180-B.

22.1-289.036-B-1

“The provider is required to obtain a completed sworn statement for household members over the age of 18. The record for Household Member #2, who is over 18, did not contain a sworn statement or affirmation and is overdue by 6 months.”

Rule 22.1-289.036-B-1.

22.1-289.036-B-2

“The provider is required to obtain a fingerprint-based criminal history record check for household members age 18 and older. The record for Household Member #2, who is over age 18, did not contain documentation of a fingerprint eligibility letter and was 6 months overdue.”

Rule 22.1-289.036-B-2.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by three months. A TB screening for Household Member #1 was overdue by 2 months. The record for Household Member #2 did not contain documentation of a current TB screening.”

Rule 8VAC20-800-180-A.

8VAC20-800-780-B

“Annually, the provider shall review with the parent the emergency contact information required in each child’s record to ensure the information is correct and shall obtain the parents’ signed acknowledgment of the review. The annual review for Child #3, who was in care during the inspection, was overdue by one month.”

Rule 8VAC20-800-780-B.

8VAC20-800-800-B

“The provider is required to review the emergency plan at least annually and update the plan as needed. The provider is required to document in writing each review and update to the emergency plan. A review of the emergency plan is overdue by more than two months.”

Rule 8VAC20-800-800-B.

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. There were three children present during the inspection. The most recent documentation of daily attendance was dated 01/21/2025.”

Rule 8VAC20-800-50-A. From a complaint.

8VAC20-800-920

“When meals or snacks are provided by the family day home, the menu for the current one-week period shall contain all required information. The menu posted in the family day home was dated 1/1/2025-1/30/2025. The provider did not have a menu for the current one week period.”

Rule 8VAC20-800-920. From a complaint.

8VAC20-800-50-A

“Providers are required to keep a written record of children in attendance each day. The provider did not document the children in attendance for the previous 3 weeks.”

Rule 8VAC20-800-50-A.

8VAC20-800-70-B

“Providers must provide required information to the parent in writing before the child’s first day. The provider must obtain the parent’s written acknowledgement of the receipt of the information and document it in the child’s record. The provider did not obtain the parent’s written acknowledgment for Child #1, who has been attending the family day home for 6 months.”

Rule 8VAC20-800-70-B.

Based on record review, the provider did not maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.

“Evidence: 1. Three children were in care during inspection. 2. No children were marked present on the attendance record for 6/10/2024. 3. The attendance record for the previous month did not document the departure of each child.”

Rule 8VAC20-790-180-B.

Based on record review, the provider did not complete the department’s health and safety update course annually.

“Evidence: 1. The record for Caregiver #1 did not contain documentation of the completion of the health and safety update course.”

Rule 8VAC20-790-250-F.

Based on observation, one crib being used by an infant did not have a tight-fitting bottom cover.

“Evidence: 1. Upon arrival, one infant was observed in a crib. The mattress in the crib occupied by the infant was bare and did not have a tight-fitting bottom cover.”

Rule 8VAC20-800-530-B.

Based on record review and provider interview, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home.

“Evidence: 1, The provider is currently licensed to provide care for a capacity of 5 children. 1. A “Notification of Provider Over Capacity ? Child Pick-up Verification form” indicated the provider was over capacity by one child on 5/30/2024. 2. The provider confirmed having more than 5 children present during operating hours on an unspecified amount of days between 4/28/2024 and 5/30/2024.”

Rule 8VAC20-800-40-A. From a complaint.

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

“Evidence: 1. The record for Child #1 did not contain the first date of attendance”

Rule 8VAC20-800-60-B.

Based on record review, 3 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #1 and Child #3 did not contain the name and policy number of the child’s medical insurance. 2. The record for Child #1 and Child #3 did not contain 1 of 2 required two designated persons to contact in case of an emergency if the parent cannot be reached. 3. The record for Child #1 and Child #3 did not contain the address and telephone number of each custodial parent’s place of employment.”

Rule 8VAC20-800-60-B.

Based on record review and provider interview, the parents were not provided all required information in writing before the child’s first day of attendance.

“Evidence: 1. The records for Child #1, #2, and #3 did not contain documentation that the parents received written confirmation of whether or not there is liability insurance on the family day home operation.”

Rule 8VAC20-800-70-A.