Marta Alejos

8VAC20-790-250-F · Caregivers who work directly with children shall annually attend at least 16 hours of training, to include the department's health and safety update course.

Caregiver #1 did not complete the department's health and safety update course. Documentation of the last completed health and safety update course was dated over a year.

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22.1-289.011-F · The license and other documents required by the Superintendent shall be posted in a conspicuous place on the license premises.

The most recent violation notice and inspection summary were not posted on the licensed premises. The violation notice posted was dated for 8/26/2024. The last inspection took place on 3/20/2025.

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8VAC20-790-250-F · Based on documentation review and interview, caregivers who work directly with children did not complete the department's health and safety update course.

Evidence: 1. Caregiver #1 did not complete the department's health and safety update course. Documentation of the previous health and safety update course was dated 08/17/2023. 2. Caregiver #1 confirmed that the department's health and safety update course was not completed for the year.

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8VAC20-800-60-B · Based on record review, five of six children's records did not contain required information.

Evidence: 1. Child #1's, Child #2's, Child #3's, Child #4's and Child #5's record did not contain documentation of the review of the child's emergency contact information.

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8VAC20-800-640-6 · Based on interviews, the provider punished a child for toileting accidents.

Evidence: 1. Child #1 had a toileting accident. Caregiver #1 confirmed that they lightly tapped Child #1's bottom for a toileting accident one time. Caregiver #1 confirmed that the child did not cry and Child #1 did not sustain an injury from the light tap. 2. Witness #1 confirmed that they were present at the time of the incident. Witness #1 confirmed that Child #1 did not cry and that Child #1 did not have an injury as a result.

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8VAC20-800-830-A · Based on documentation review and interview, the emergency evacuation procedures were not practiced with all caregivers and children in care during all shifts that children are in care.

Evidence: 1. Documentation of the emergency evacuation drill for the month of February was missing from the log sheet. 2. Caregiver #1 confirmed that an emergency evacuation drill for the moth of February was not conducted.

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22.1-289.036-A · Based on record review, the family day home did not update criminal history record reports every five years.

Evidence: 1. Criminal history record reports have to be updated every five years. Staff #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/23/2018. 2.Criminal history record reports have to be updated every five years. Household Member #1's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/22/2018. 3.Criminal history record reports have to be updated every five years. Household Member #2's record contained an expired criminal history record report. Documentation of the criminal history record report was dated 08/29/2018.

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8VAC20-800-830-C · Based on record review and interview, the provider did not maintain documentation of shelter in place drills.

Evidence: 1. There was no documentation of two shelter in place drills conducted for the year. 2. Caregiver #1 confirmed that documentation was not maintained for shelter in place drills.

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8VAC20-790-250-F · Based on record review and interview, caregivers did not complete the department's health and safety update course.

Evidence: 1. Caregiver #1 did not have documentation of the department's health and safety update course. 2. Caregiver #1 confirmed that the department's health and safety update course had not been completed at the time of the inspection.

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8VAC20-800-920 · Based on observation, the menu for the current week was not posted and dated.

Evidence: 1. A menu for the current week was not posted. The menu that was posted was dated week of July 11-15 2022.

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8VAC20-770-40-D-4-a · Based on record review, the provider did not obtain a Central Registry Results for household members.

Evidence: 1. Household Member #2's record did not contain documentation of a current Central Registry finding. The Central Registry results in the record was dated 01/03/2017 and expired on 01/03/2022. 2. Household Member #4's record did not contain documentation of a completed Central Registry search.

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22VAC40-111-180-A · Based on file review, 1 caregiver does not have a TB test/screening completed in the past 2 years.

Evidence 1. Caregiver #1's most recent TB test was completed on 2/5/19.

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