Ms. Sandra Juarez

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.

There was no landline phone

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22.1-289.035-B-3 · For staff hired after 7/1/24 the provider must request a search of the central registry prior to the employee?s first day of employment.

Evidence: The record for Caregiver #2 contained documentation that the central registry background search was not requested until 11 days after they began employment.

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8VAC20-800-780-B · Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

The record for Child #4 did not have a parent?s signature for an annual review of the emergency contact information. The last documented review for the child was 18 months ago.

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8VAC20-800-730-D · Based on observation, the provider did not ensure that medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: observed that there were medications (Gabapentin and Aspirin) for household members in an unlocked bathroom cabinet, and a number of prescription medication bottles and over the counter medications on a top shelf of a dining cabinet, near the children's eating area and kitchen, that was not locked, and accessible to children.

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22.1-289.036-A · Based on review of three household member records, it was determined that not all household members had a repeat central registry report every five years as required. Evidence: The record for household member #3 had a central registry search report dated: 12/28/2016.

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