Celeste Maravilla

The provider shall maintain a record for each caregiver that contains all required information.

“The record for Caregiver #3 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-800-120-B.

The provider shall obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.

“There was no documentation of a tuberculosis screening in the record of Caregiver #3 who had been working for a week.”

Rule 8VAC20-800-170-A.

8VAC20-800-60-B

“The provider shall maintain records for each child that contain all required information. The record for Child #5 did not contain the address of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for Child #6 did not contain the phone number of one of the designated persons to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-800-60-B.

8VAC20-790-190-B-12

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. There was no allergy care plan for Child #6, who had medication on site for a food allergy.”

Rule 8VAC20-790-190-B-12.

8VAC20-790-250-B

“Within the first 90 days of employment or service all caregivers shall complete Virginia Preservice Training for Child Care Staff sponsored by the Department of Education. Caregiver #2 completed the training more than one month late.”

Rule 8VAC20-790-250-B.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There was no physical exam record available for Child #2, who was present during the inspection and had been in care for more than six months.”

Rule 8VAC20-800-100-A.

Children’s records are required to contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. There were no addresses for the two emergency contacts in the records of Child #1 and Child #2. Child #1 was present during the inspection and had been in care for more than four months. Child #2 was present during the inspection and had been in care for more than six months. There was only person listed as an emergency contact in the record of Child #4. Child #4 has been in care for more than six months.

“Children’s records are required to contain the name, office address and telephone number of the child’s physician. This information was not contained in the record of Child #2. Child #2 was present during the inspection and had been in care for more than six months.”

Rule 8VAC20-800-60-B.

8VAC20-800-730-D

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The medication for Child #6 was kept in a container in a cabinet with no lock.”

Rule 8VAC20-800-730-D.

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 and name and location of previous day care programs. This information was not available for Child #3 and Child #4. Child #3 was present during the inspection and had been in care for more than three weeks. Child #4 had been in care for more than six months.”

Rule 8VAC20-800-80-A.

8VAC20-800-90-A

“Before attendance, documentation of immunizations is to be obtained for each child. There was no documentation of immunizations for Child #3. Child #3 was present during the inspection and had been in care for more than three weeks.”

Rule 8VAC20-800-90-A.

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. One bottle was not labeled at all. Another bottle was not dated.”

Rule 8VAC20-800-960-E.

8VAC20-800-440-B

“Protective barriers or guardrails shall be constructed to prevent a child from crawling or falling through or becoming entrapped. The railings on the front porch have a gap at the bottom approximately 8 inches high which could allow a child to crawl through and become entrapped.”

Rule 8VAC20-800-440-B.