Maureen Hernandez

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 provider did not obtain documentation of a physical examination for Child #1. Child #1 has been attending for over two months.”

Rule 8VAC20-800-100-A.

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

“Caregiver #1’s record did not contain address, verification of age, and name, address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

An assistant 18 years of age or older who is left alone with children in care shall have current certification in cardiopulmonary resuscitation (CPR) from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 does not have certification in CPR from an approved organization. Caregiver #1 was observed working alone with a group of three children for 28 minutes.”

Rule 8VAC20-800-150-D-1.

An assistant 18 years of age or older who is left alone with children in care shall have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department.

“Caregiver #1 does not have certification in first aid from an approved organization. Caregiver #1 was observed working alone with a group of three children for 28 minutes.”

Rule 8VAC20-800-150-D-2.

The provider shall obtain from each caregiver at the time of hire a current Report of Tuberculosis (TB) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“Caregiver #1 does not have a Report of TB Screening form on file. Caregiver #1 has been employed for 11 months.”

Rule 8VAC20-800-170-A.

The provider shall maintain documentation of the current rabies vaccination.

“At the time of inspection, the provider did not have documentation of the current rabies vaccination for Pet #1.”

Rule 8VAC20-800-460-D.

Topical skin products shall not be used beyond the expiration date of the product.

“A topical skin product used for Child #6 expired ten months ago.”

Rule 8VAC20-800-750-D.

Documentation shall be maintained of emergency evacuation drills.

“At the time of inspection, there was no documentation of emergency evacuation drills for July 2026, August 2026, and September 2026.”

Rule 8VAC20-800-830-C.

Before a child may attend the home based child care, the provider shall obtain documentation that the child has been adequately immunized.

“The provider did not obtain documentation of immunizations before Child #1 and Child #2 attended the home based child care. Child #1’s documentation of immunizations is dated eight days after the child’s first day of attendance. Child #2’s documentation of immunizations is dated 16 days after the child’s first day of attendance.”

Rule 8VAC20-800-90-A.

The provider shall have an operable thermometer available to monitor refrigerator and freezer compartment temperatures.

“At the time of inspection, the provider did not have a thermometer in the refrigerator and freezer.”

Rule 8VAC20-800-940-B.

Caregivers shall wash their hands with liquid soap and warm running water before serving food and after diapering a child.

“Caregiver #1 was observed diapering Child #4 and Child #5. After diapering, Caregiver #1 placed the children in high chairs and served them puffs. Caregiver #1 did not wash their hands with liquid soap and warm running water after diapering the children and before serving the food.”

Rule 8VAC20-800-680-A.

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

“During the inspection, Child #4 and Child #5 had their diapers changed by Caregiver #1 and then were placed in high chairs and served puffs. Caregiver #1 did not ensure that the children’s hands were washed with liquid soap and warm running water after diapering and before they ate the puffs.”

Rule 8VAC20-800-680-B.

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

“The diapering surface had a cloth, absorbent pad. Caregiver #1 did not clean and sanitize the diapering surface after changing Child #4’s diaper.”

Rule 8VAC20-800-690-D.

Child-resistant protective covers shall be installed on all unused electrical outlets.

“There were two unused electrical outlets that did not have child-resistant protective covers, within reach of children.”

Rule 8VAC20-800-320-B.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“At the time of inspection, the provider was not able to provide a record for Child #1, Child #2, Child #3 and Child #4. Child #1 has been enrolled for three days. Child #2, #3 and #4 have been enrolled for over a month.”

Rule 8VAC20-800-60-A.

A child’s record shall contain name and policy number of the child’s medical insurance.

“Child #5’s record did not contain name and policy number of the child’s medical insurance. Child #5 has been enrolled for over a month.”

Rule 8VAC20-800-60-B.

The diapering surface shall be nonabsorbent.

“The diapering surface had tears causing the surface to be absorbent.”

Rule 8VAC20-800-690-D.

Documentation shall be maintained of emergency evacuation drills.

“At the time of inspection, there was no documentation of drills for May 2025 and June 2025.”

Rule 8VAC20-800-830-C.