Rosa Reyes

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

“The record for household member #2 date of last TB screening was over two and a half years old.”

Rule 8VAC20-800-180-A.

A child’s record shall contain telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for child #4 did not have phone numbers for emergency contacts.”

Rule 8VAC20-800-60-B.

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

“The immunization report for child #1 was not signed by a licensed physician, the physician’s designee, or an official of a local health department.”

Rule 8VAC20-800-110-B.

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

“Child #4, who turned two years old, while in care, did not have immunizations every six months and is over due by nine months.”

Rule 8VAC20-800-90-C.

A child’s record shall contain names of persons other than custodial parents who are authorized to pick up the child.

“Children #1, #2 and #3 did not have names of persons other than custodial parents who are authorized to pick up the child.”

Rule 8VAC20-800-60-B.

Annually, the provider shall review with the parent the emergency contact information and obtain the parents signed acknowledgement of review.

“Children #1 and #2 have been in care for over a year and no parents signed the acknowledgement of review.”

Rule 8VAC20-800-780-B.

Assistants’ records shall contain name, address and telephone number of a person to be notified in an emergency.

“Caregiver #1/Assistant record did not contain any emergency contact information.”

Rule 8VAC20-800-120-B.

The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #1/Assistant has provided care for children for almost a month without receiving orientation.”

Rule 8VAC20-800-200-A.

8VAC20-800-800-B

“The provider shall 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. The emergency plan was not reviewed annually, date of last review 8/7/2023.”

Rule 8VAC20-800-800-B.

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be dated, given to parent or posted, list any substitute food and be kept on file one week at the family day home.

“No menus have been created or completed by the provider.”

Rule 8VAC20-800-920.

8VAC20-790-180-B

“Based on record review and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Daily attendance record did not have arrival and departure times of children.”

Rule 8VAC20-790-180-B.

22.1-289.011-F

“Based on observation, the provider did not have required documentation posted. Evidence: Previous inspection (11/14/23) was not posted.”

Rule 22.1-289.011-F.

8VAC20-800-100-A

“Based on record review and interview, the provider did not 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. Evidence: Child #2 (1st day 3/15/24) did not have physical exam in record.”

Rule 8VAC20-800-100-A.

8VAC20-800-320-B

“Based on observation: Child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One unused outlet in the napping room and one unused outlet in the play were not covered.”

Rule 8VAC20-800-320-B.

8VAC20-800-330-A

“REPEAT Based on observation and demonstration, a landline telephone, was not operable during the family day home’s hours of operation. Evidence: The landline telephone connection was not working during the inspection, the phone did not have a dial tone.”

Rule 8VAC20-800-330-A.

8VAC20-800-60-B

“Based on record review, the provider did not have all required information in children’s records. Evidence: 1. name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached were not listed for children #1, #2 or #3 2. Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds;.”

Rule 8VAC20-800-60-B.

8VAC20-800-690-E

“Based on observation and interview, a leak-proof or plastic lined storage 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: 1. No disposal was available near diapering area. 2. Provider stated that they dispose of soiled diapers in trash can outside of the home.”

Rule 8VAC20-800-690-E.

8VAC20-800-750-A

“Based on observation, record review and interview, the provider did not have written parent authorization noting any known adverse reactions to topical skin products. Evidence: No written authorization for topical skin products in child #1, #2 or #3 records and provider stated that she uses products.”

Rule 8VAC20-800-750-A.

8VAC20-800-890

“Based on observation,food containers with food brought from home were not clearly labeled in a way that identified the owner Evidence: Child #1 and child#2s food from home were not clearly labeled.”

Rule 8VAC20-800-890.

8VAC20-800-90-A

“Based on record review, the provider did not obtain documentation that children have been adequately immunized prior to attending the family day home. Evidence: Child #2 (1st day 3/15/24) child #3 (1st day 4/10/24) had no immunization record or documentation that immunizations is not required.”

Rule 8VAC20-800-90-A.

Based on observation and interview, a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home’s hours of operation.

“Evidence: The landline telephone connection was not working during the inspection, the phone did not have a dial tone.”

Rule 8VAC20-800-330-A.

Based on observation and an interview, the provider did not ensure to provide an individual cot, rest mat or bed for resting or napping.

“Evidence: The provider did not have a cot, rest mat or bed for children. The provider stated that they did not have any cots or mats for children to rest on but would order cots.”

Rule 8VAC20-800-510-A.

Based on observation, the home did not maintain a nonabsorbent diapering surface.

“Evidence: The diapering mat was no longer nonabsorbent due to a tear in the material.”

Rule 8VAC20-800-690-D.

Based on review of emergency supplies, the first aid kit was incomplete.

“Evidence: The first aid kit was missing gloves.”

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