Cintia Alvarado

8VAC20-800-750-B · When topical skin products such as diaper ointment are used, the product shall be kept in

an area that is inaccessible to children. During the inspection, there was one topical product being stored in an unsecured drawer under the changing table that was accessible to children.

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8VAC20-800-330-A · A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone. The landline was not working at the time of the inspection.

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8VAC20-800-750-A · When topical skin products such as diaper ointment are used a written parent authorization noting any known adverse reactions shall be obtained at least annually.

Records for Child #2, #5 and #6 did not have written parent authorization for diaper ointment. Child #2 and Child #6 have been in care for over 5 months, and Child #5 has been in care for over 7 months without parent authorization to apply diaper ointment.

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8VAC20-800-90-C · Based on record review, the family day home did not obtain documentation of additional immunization for a child once every six months for children under the age of two years.

Evidence: 1. The record for Child #1 (DOB 05/2021) did not have additional immunizations. Last update was 12/06/22.

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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: 1. Child #6 and #7 were not signed out on the daily attendance sheet upon departure from the family day home. They left for school at approximately 8:25am. 2. The vendor acknowledged that Child #6 and #7 were not signed out on the daily attendance sheet.

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8VAC20-800-50-E · Based on a review of written daily attendance records, and an interview with the provider, the provider failed to keep a written record of children's attendance for each day of operation during recent months.

Evidence: 1. There were no attendance records to review except for the current week of the inspection. 2. When the daily attendance record was asked for, the provider stated that she has not been keeping the attendance records and discarded them each week.

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22.1-289.036-A · Based on record review and interview, it was determined that the applicant and one adult living in the family day home did not have a repeat background check every five years.

Evidence: 1. Caregiver #1 central registry expired on 01/16/2023. 2. HHM #1 central registry expired on 01/19/2023. 3. The provider acknowledged the central registry had expired on both persons.

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8VAC20-800-920 · Based on observation and interview with the provider, the menu for the current week was not given to parents or posted or placed in an area accessible to parents.

Evidence: 1. Menu was not posted. 2. The provider acknowledge she did not have a menu for the week.

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