Judith Paredes

Caregivers who work directly with children shall annually complete the department’s health and safety update course.

“Caregiver #2 did not complete the 2026 annual department’s health and safety update course, and it is overdue by 1 month.”

Rule 8VAC20-790-250-F.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #2 was not completed and was overdue by 2 days.”

Rule 8VAC20-800-180-A.

Children’s records are required to contain parental home and employment addresses and phone numbers.

“The records for Child #1, Child #4, and Child #5 were missing the policy number of the child’s medical insurance. Child #1 had been in care for 14 months. Child #4 had been in care for six months, and Child #5 had been in care for 22 months.”

Rule 8VAC20-800-60-B.

Before the child’s first day of attendance, parents shall be provided required information in writing.’

“The parents of Child #4 were not provided in writing the following required information: The provisions of the family day home’s emergency preparedness and response plan. The child had been in care for six months.”

Rule 8VAC20-800-70-A.

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.

“Records for Child # 1 did not have a parent’s signature for an annual review of the emergency contact information. Child #1 had been in care for 14 months without any annual review.”

Rule 8VAC20-800-780-B.

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

“The record for Child #2, who has been in care for over a month, physical examination and dates of immunizations were not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, who had been in care for over nine months, is missing the policy number of the child’s medical insurance.”

Rule 8VAC20-800-60-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“An updated TB screening for Caregiver #1 and Household Member #1 was not completed and was overdue by one month.”

Rule 8VAC20-800-180-A.

The food container shall be clearly labeled in a way that identifies the owner.

“Child #1, Child #3, Child #4, and Child #5’s food containers in the refrigerator were not labeled in a way that identifies the owner.”

Rule 8VAC20-800-890.

Temperatures shall be maintained at or below 40?F in refrigerator compartments.

“During the time of the inspection, the thermometer in the refrigerator read 42 degrees Fahrenheit.”

Rule 8VAC20-800-940-A.

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

“The findings from the most recent inspection, dated 5/29/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Documentation that two or more references as to character and reputation as well as competency were checked before employment. If a reference check is taken over the telephone for a caregiver, documentation shall include dates of contact, results, and the signature of the person making the call.

“Caregiver #2’s references were taken over the phone and did not include documentation of dates of contact, results, and the signature of the person making the call.”

Rule 8VAC20-800-120-B.

Caregivers shall obtain a minimum of 16 clock hours of training annually.

“Caregiver #1 obtained 10.25 hours of training hours in 2023. Caregiver #2 obtained 4 hours of training in 2023.”

Rule 8VAC20-800-210-A.

Repeat violation

“Areas and furnishings of the family day home, inside shall be maintained in a safe condition. The hallway leading out to the outdoor play area has an area of peeling paint on the wall near the children’s coat hangers.”

Rule 8VAC20-800-240-A.

When topical skin products such as diaper ointments are used the products shall be inaccessible to children.

“There were several bottles of diaper ointment in plastic containers in a cubby accessible to children.”

Rule 8VAC20-800-750-B.

Based on observation and interview, areas outside the family day home were not maintained in a safe condition.

“Evidence: A tree was removed, leaving a tree stump and a hole in the ground creating a tripping hazard.”

Rule 8VAC20-800-240-A.

Based on observation, potentially poisonous substances and materials were not stored away in an area inaccessible to children.

“Evidence: A box of baking soda was found in the children’s bathroom accessible to children.”

Rule 8VAC20-800-280.

Based on observation, small electrical appliances were not unplugged when not being used.

“Evidence: A toaster was observed plugged in when not in use.”

Rule 8VAC20-800-320-A.

Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

“Evidence: The last annual review of the emergency plan was dated 9/5/2022.”

Rule 8VAC20-800-800-B.

Based on observation, Children were allowed to eat or drink while walking, running, playing, lying down, or riding in vehicles.

“Evidence: Two children were observed sleeping in a crib with a bottle next to them.”

Rule 8VAC20-800-900-B.

Based on observation, bottles were not labeled with the child’s full name and the date.

“Evidence: 2 out of 2 bottles were not dated.”

Rule 8VAC20-800-960-E.

Based on record review, the provider did not provide all the required written information to parents prior to the child’s first day of attendance.

“Evidence: Child #1’s record did not contain written information on whether or not the family day home had liability insurance.”

Rule 8VAC20-800-70-A.

Based on record review and interview, the provider did not obtain all the information required for a child’s record.

“Evidence: Child #1 is missing the addresses of two designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

Based on record review and interview, proof of identity was not obtained within 7 days.

“Evidence: 1. Child #1 does not have signed documentation of viewing the proof of identity for the child. 2. The start date for child #1 is 7/11/2023.”

Rule 8VAC20-800-80-A.

Based on observation and interview, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.

“Evidence: The outlet near the diaper changing table was missing an outlet wall plate.”

Rule 8VAC20-800-240-A.

Based on observation and interview, the provider did not ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state, or local laws, and other relevant regulations.

“Evidence: There were six children present at the initial license inspection. The provider is only permitted to enroll three children. Before enrolling more children than what the current permit allows, a license must be obtained.”

Rule 8VAC20-800-30-A.

Based on observation and interview, the provider did not ensure compliance with these standards and the terms of the current license issued by the department and with relevant federal, state, or local laws, and other relevant regulations.

“Evidence: There were six children present at the initial license inspection. The provider is only permitted to enroll three children. Before enrolling more children than what the current permit allows, a license must be obtained.”

Rule 8VAC20-800-30-A.

Based on observation and interview, the family day home did not ensure each first aid kit had all the required items.

“Evidence: Triangular bandages were missing from the first aid kit.”

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

Based on review of documentation and interview, the family day home did not have a written emergency preparedness and response plan that includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.

“Evidence: The family day home did not have a written emergency preparedness and response plan that includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents.”

Rule 8VAC20-800-800-A.