Veronica Pacheco

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.

“There was no physical on file for child B, which was overdue by 5 weeks.”

Rule 8VAC20-800-100-A.

Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities

“Caregiver A has 3 of the required 16 training hours for 2025.”

Rule 8VAC20-800-210-A.

Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.

“A container of sunscreen, three spray bottles of body spray , a bottle of perfume and a dietary supplement were sitting on a table in reach of children. These items had cautions and warnings listed.”

Rule 8VAC20-800-280.

Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“There was no documentation of an annual inspection of the wood burning fireplace and chimney.”

Rule 8VAC20-800-320-G.

A child’s record shall contain two designated emergency contacts at the time of enrollment.

“Child D did not have a second emergency contact, this contact was overdue by 2 weeks.”

Rule 8VAC20-800-60-B.

8VAC20-800-780-B

“Annually , the provider shall review with the parent the emergency contact information required to ensure the information is correct and obtain the parents acknowledgment of the review. There were no annual reviews of the emergency contacts for child A and C. This was overdue by over a year for both children.”

Rule 8VAC20-800-780-B.

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.

“There were no immunization record on file for child B. This was overdue by 9 weeks.”

Rule 8VAC20-800-90-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.

“There was no physical on file for child A. This physical was overdue by 8 weeks.”

Rule 8VAC20-800-100-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician’s designee, or an official of a local health department.

“The immunization record for child A was not signed by a physician/designee. This was overdue by 2 months.”

Rule 8VAC20-800-110-B.

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a safe condition. A container of disinfectant wipes were stored in the window seal and were accessible to the children.”

Rule 8VAC20-800-240-A.

Documentation shall be maintained of monthly emergency evacuation drills.

“There was no evacuation drill documented for May 2025.”

Rule 8VAC20-800-830-C.

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The License nor the findings from the most recent inspection were not posted on the licensed premises.”

Rule 22.1-289.011-F.

Repeat Violation: The diapering surface shall be cleaned and sanitized after each use.

“The diapering surface is not being sanitized after each use.”

Rule 8VAC20-800-690-D.

Repeat Violation: Before the child’s first day of attendance, parents shall be provided in writing the following information to include policies and procedures.

“The parent for children #1 and #2 were not provided in writing the medication declaration policy. This policy has been overdue for 10 months.”

Rule 8VAC20-800-70-A.

8VAC20-790-430-A-3

“The emergency response drills shall be practiced as follows: Lockdown procedures shall be practiced at least annually. Lockdown procedures were not practiced in 2024.”

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

22.1-289.036-B-1

“A sworn disclosure statement disclosing whether they have even been convicted of or is the subject of any pending criminal charges or the subject of founded child abuse or neglect must be obtained within 30 days of a household member turning 18 years of age. There was no sworn disclosure statement for Person A. This background check was 10 days past due.”

Rule 22.1-289.036-B-1.

22.1-289.036-B-2

“A national fingerprint background check must be obtained within 30 days of a household member turning 18 years of age. There was no fingerprint background check for Person A. This background check was 10 days past due.”

Rule 22.1-289.036-B-2.

Each licensed program shall implement a plan to test potable water for lead identified by the US Environmental Protection Agency.

“There was no plan developed or implemented to have potable water tested for lead.”

Rule 22.1-289.057-A.

Areas and furnishings of the family day home shall be maintained in a safe condition.

“Sanitizing wipes were stored in the bathroom in reach of the children.”

Rule 8VAC20-800-240-A.

8VAC20-800-690-D

“Repeat Violation: The diapering surface shall be cleaned and sanitized after each use. The diapering surface is not being cleaned nor sanitized after each use.”

Rule 8VAC20-800-690-D.

Repeat violation: Soiled disposable diapers and wipes shall be disposed of in a storage system that is either foot operated or used in a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Soiled diapers and wipes are disposed of in a container whereby the caregivers must use their hand to open and close the container.”

Rule 8VAC20-800-690-E.

8VAC20-800-70-A

“Before the child’s first day of attendance, parents shall be provided in writing certain information to include policies and procedures. Parents of child !, 2 and 3 were not provided in writing the medication declaration policy, this signed policy has been overdue for 8 months.”

Rule 8VAC20-800-70-A.

8VAC20-800-830-B

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There were no shelter-in-place procedures practiced for 2024.”

Rule 8VAC20-800-830-B.

Repeat Violation: The provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“There were no physicals on file for child #1 and child #2, both have been enrolled for approximately 34 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-430-B

“Accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings. A pressure mounted gate was propped at the entrance of the stairs opening and there was a toddler present in the home.”

Rule 8VAC20-800-430-B.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating. There were two children eating a snack and their hands were not washed prior to the snack being served.”

Rule 8VAC20-800-680-B.

The diapering surface shall be cleaned and sanitized after each use.

“The diapering surface is not being cleaned nor sanitized in a way where the diapering pad is neither sprayed nor dipped into a sanitizing solution and then allowed to air dry.”

Rule 8VAC20-800-690-D.

Soiled disposable diapers and wipes shall be disposed of in a storage system that is either food operated or used in a way that neither the caregiver’s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

“Soiled diapers and wipes are disposed of in a container whereby the caregivers must use their hand to open the container.”

Rule 8VAC20-800-690-E.

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. There were no immunization documentation on file for child #1 and child #2. Both children have been enrolled for over 30 days.”

Rule 8VAC20-800-90-A.

22.1-289.011-F

“The license an any other documents required shall be posted in a conspicuous place on the premises. The license was not posted nor was the previous findings from the last inspection.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“A physical examination is required within 30 days of attendance. There was no physical on file for child A who enrolled 2 months prior.”

Rule 8VAC20-800-100-A.

8VAC20-800-30-A

“The provider shall ensure compliance with the terms of the current license issued. The current license identifies the age range to be 2 years 6 months to 12 years. During the inspection there was a 14 month old daycare child present.”

Rule 8VAC20-800-30-A.

8VAC20-800-50-A

“The family day home shall keep a written record of children in attendance each day. The provider did not maintain a record of attendance, there was one child present during the inspection.”

Rule 8VAC20-800-50-A.

8VAC20-800-60-B

“A child’s record shall contain certain required information at the time of enrollment. Child A’s record did not contain their insurance policy number. Child A has been enrolled for 2 months.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-D

“The diapering surface shall be sanitized after each use. The diapering surface is not being sanitized.”

Rule 8VAC20-800-690-D.

8VAC20-800-690-E

“Soiled disposable diapers and wipes shall be disposed of in a leak proof system that is either foot operated or used in a way that neither the caregiver’s hand or soiled diaper/wipe touches the exterior storage system during disposal. Soiled diapers and wipes are taken outside and disposed of in a container where a caregivers hand touches the storage system when opened.”

Rule 8VAC20-800-690-E.

8VAC20-800-70-A

“Before a child’s first day of attendance, parents shall be provided in writing certain information. The parents of child A, who has attended for the last 2 months were not provided in writing the policies and procedures outlined under this standard to include but not limited to operating information, pick up procedures if the child becomes ill, communicable disease notification, mandated reporter requirements, custodial parents rights, policies for food, discipline, emergency preparedness plan, termination policies.”

Rule 8VAC20-800-70-A.

8VAC20-800-770

“Repeat violation: A working portable battery -operated weather band radio shall be kept in a designated area and be available to caregivers at all times. There was no weather band radio available during the inspection.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Repeat violation: Posted telephone numbers shall be posted in a visible area close to the telephone. The number to 911, emergency back up person or to regional poison control were not posted.”

Rule 8VAC20-800-790.

8VAC20-800-830-A

“Emergency evacuation procedures shall be practiced monthly with all children in care. There was no practice of evacuation procedures for April or May 2024.”

Rule 8VAC20-800-830-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. There was no documentation on child A to show that they were adequately immunized, child A’s first day of attendance was 2 months ago.”

Rule 8VAC20-800-90-A.

8VAC20-800-920

“When meals or snacks are provided, the menu for the current one-week period shall be posted or provided to the parents. The family day home provider serves meals and snacks, however there was no written menu for the one-week period.”

Rule 8VAC20-800-920.

8VAC20-800-770

“Repeat Violation: Based on interview, it was determined that there was no portable battery-operated weather band radio on site.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Repeat Violation: Based on observation and interview, it was determined that emergency numbers were not posted in a visible area close to the telephone. Evidence: 911, the number to poison control and the number for the emergency back up person was not posted.”

Rule 8VAC20-800-790.

Repeat Violation:

“Based on interview, it was determined that the provider did not have a written emergency preparedness and response plan on file.”

Rule 8VAC20-800-800-A.

8VAC20-800-330-A

“Based on observation and interview with the provider, there was no landline telephone service available and accessible. Evidence: There was no landline telephone”

Rule 8VAC20-800-330-A.

8VAC20-800-510-A

“Based on observation and interview with the provider, there were not individual rest mats or cots available for napping and resting. Evidence: There were no rest mats or cots.”

Rule 8VAC20-800-510-A.

8VAC20-800-690-D

“Based on observation and interview with staff, there was not a required diapering surface. Evidence: There was no diapering pad for changing diapers”

Rule 8VAC20-800-690-D.

8VAC20-800-760-A-1

“Based on observation, the first aid kit did not contain all required items. Evidence: There were no triangular bandages in the first aid kit.”

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

8VAC20-800-770

“Based on observation and interview with the provider, there was no emergency flashlight and radio. Evidence: There was no working battery operated flashlight and no working portable battery operated weather band radio and extra batteries available during the inspection.”

Rule 8VAC20-800-770.

8VAC20-800-790

“Based on observation and interview with the provider, required emergency telephone numbers were not posted. Evidence: Telephone numbers including 911, the responsible person for emergency backup care and the regional poison control center were not posted in a visible area close to the telephone.”

Rule 8VAC20-800-790.

8VAC20-800-800-A

“Based on review of documentation and interview with the provider, there was no written emergency preparedness response plan. Evidence: There was no Emergency Preparedness Plan (EPP).”

Rule 8VAC20-800-800-A.