Paula Vasquez Lopez

8VAC20-800-80-A

“Within seven business days of the child’s first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child. Complete information was not provided for 1 out of 4 children’s files that were reviewed. Child A had the birth certificate number and date of birth but did not have the date the original document was seen or the signature of the provider. Child A has been enrolled for approximately 4 months.”

Rule 8VAC20-800-80-A.

8VAC20-800-180-A

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1, Caregiver #2 and Household member #1 were not completed and were all overdue by almost two months.”

Rule 8VAC20-800-180-A.

Repeat Violation: A children’s record are required to contain name, address and telephone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached.

“The record for Child #1 was missing the address for both emergency contact persons. The child was present during the inspection, and had been in care for eight months.”

Rule 8VAC20-800-60-B.

8VAC20-800-720-A

“The family day home may administer nonprescription medication provided the medication is labeled with the child’s name. There were two nonprescription medications, Nose Frida Saline Mist and Arnicare Bruise, that were not labeled with the child’s name.”

Rule 8VAC20-800-720-A.

8VAC20-800-750-A

“When topical skin products such as sunscreen, diaper ointment and lotion, are used, the product shall be in the original container, if provided by the parent, and labeled with the child’s name. There was one topical skin product, sunscreen that was not labeled with a child’s name.”

Rule 8VAC20-800-750-A.

8VAC20-800-90-C

“Repeat Violation: Documentation of additional immunizations is required once every six months for children under the age of two years. ‘The provider did not receive documentation once every six months for Child #4, who is currently 21 months. The documentation was received eleven months after the initial immunization record was provided to the provider.”

Rule 8VAC20-800-90-C.

8VAC20-800-280

“Potentially poisonous materials shall be stored in an area inaccessible to children. Four bottles of hair products and one bottle of shampoo for dogs were on the bathtub ledge in the central bathroom that is used for the children. The label had “Keep out of reach of Children”.”

Rule 8VAC20-800-280.

8VAC20-800-680-A

“Repeat Violation: Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Caregiver #2 did not wash her hands diapering a child.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Repeat Violation: Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after toileting or diapering. Caregiver #2 did not wash a child’s hands after diapering.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-E

“Soiled disposable diapers and wipes shall be disposed of in 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. The foot operated storage system was turned facing the wall, and caregivers #1 and #2 used their hands to open the lid to dispose of soiled diapers.”

Rule 8VAC20-800-690-E.

8VAC20-800-90-C

“Documentation of additional immunization is required every six months for children under the age of two years. Child #1, 22 months old, last documentation was nine months ago, Child #3, over 16 months old, last documentation was ten months ago, and Child #4, 15 months old, last documentation was eight months ago.”

Rule 8VAC20-800-90-C.

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. There were two bottles of milk inside a plastic bag not labeled with the child’s full name and date. The violation was corrected during the inspection.”

Rule 8VAC20-800-960-E.

The absence of smoke detectors as required by the Uniform Statewide Building Code and the Statewide Fire Prevention Code. The provider shall comply with the requirements made by the fire prevention or building officals to eliminate fire hazards.

“The smoke detector was disassembled and missing batteries.”

Rule 8VAC20-800-320-I.

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

“There were only two (2) cordless telephones available during the inspection.”

Rule 8VAC20-800-330-A.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering.

“Child #3 hands were not washed after diapering.”

Rule 8VAC20-800-680-B.

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

“The caregiver did not clean and sanitized the diapering surface after each use.”

Rule 8VAC20-800-690-D.

When topical skin products such as diaper ointment are used, the product shall be labeled with the child’s name.

“Three tubes of diaper creams were not labeled with a child’s name.”

Rule 8VAC20-800-750-A.

Topical skin product, such as diaper cream, shall not be used beyond the expiration date of the product.

“Destin diaper cream had an expiration date of 06/2024.”

Rule 8VAC20-800-750-D.

A first aid kit shall contain at a minimum of triangular bandages.

“The kit did not have more than one (1) triangular bandage available.”

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

Before attendance, documentation of immunization is to be obtained for each child.

“Documentation of immunization for Child #1 was obtained over 4 weeks after attendance. Documentation of immunization for Child #3 was obtained 3 weeks after attendance. Documentation of immunization for Child #7 was obtained 2 days after attendance.”

Rule 8VAC20-800-90-A.

Based on observation, the following telephone numbers were not posted in a visible area close to the telephone.

“Evidence: The 911 or local dial number for police, fire, and emergency medical responders, the responsible person for emergency backup care as required and regional poison control center were not posted.”

Rule 8VAC20-800-790.

8VAC20-770-40-C-1-c

“Based on record review and interview, the applicant did not obtain a search of the central registry upon application for licensure. Evidence: 1. Household member #2 did not have documentation of a central registry search. 2. Applicant acknowledged the central registry search for household member #2 had not been received.”

Rule 8VAC20-770-40-C-1-c.

8VAC20-800-330-A

“Based on observation and interview, a landline telephone was not available, operable and accessible. Evidence: 1. There was no landline telephone available. 2. The applicant acknowledged there was not a landline telephone available.”

Rule 8VAC20-800-330-A.

8VAC20-800-790

“Based on observation, the posted telephone numbers were not posted in a visible area close to the telephone. Evidence: 1. A 911 or local dial number for police, fire and emergency medical responders, responsible person for emergency backup care, and the regional poison control center numbers were not posted.”

Rule 8VAC20-800-790.