Feliza Choquez

8VAC20-800-100-A

The provider shall obtain documentation of a physical examination prior to or within 30 days after the first day of attendance. Child F had no physical examination in the record. Attendance has been more than 30 days.

8VAC20-800-180-A

The provider shall obtain for each adult household member a current Tuberculosis screening every two years. Household member A did not have documentation of a current TB screening.

8VAC20-800-550

Play pens shall be used with no more than one child in it, cleaned and sanitized and with a waterproof pad. The play pen in the backyard had two babies in it at the time of inspection. The caregivers placed a third baby in it for a short time as well. There was no waterproof pad within the play pen area and an infant fell backwards and hit his head. The floor of the playpen had a very soiled surface.

8VAC20-800-570-A

The provider shall ensure that a caregiver does not exceed 16 points for children in care. Caregiver A was left out in the backyard for over ten minutes with 11 children, 29 points. A few minutes later, Caregiver B was left out in the backyard for over seven minutes with 11 children, 27 points.

8VAC20-800-780-B

Annually the provider shall review the parent emergency contact information to ensure the information is correct. There was no current documentation of an annual review of the emergency contact information. It was last reviewed 23 months prior.

8VAC20-800-780-B

Annually, the provider will review with the parent the emergency contact information to ensure it is correct. There was no annual review of the emergency contact information for Child B and E.

8VAC20-800-60-B

A child's record shall contain the information of two designated persons to contact in case of emergency. Child D's record did not have documentation of a second designated person for contact in case of emergency.

8VAC20-790-180-B

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The vendor has attendance but does not record when children arrive and depart.

8VAC20-800-780-B

Annually the provider will review the emergency information with the parent. Two of the children are missing the annual updates in their files. Child 2 and 3.

8VAC20-790-180-B

Based on record review and interview, the provider 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: The provider had an attendance record, but did not document the arrival of 1 out of 7 children in attendance.

8VAC20-790-250-D-2

Based on record review and interview, a caregiver did not have a current certification in first aid appropriate to the ages of children in care. Evidence: The record for Caregiver #2 did not contain documentation of having a current certification in first aid.

8VAC20-790-250-D-1

Based on record review and interview, a caregiver did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The record for Caregiver #2 did not contain documentation of having a current certification in CPR.

8VAC20-800-320-A

REPEAT VIOLATION Based on observation and interview, small electrical appliances were not unplugged when not being used. Evidence: A toaster oven and blender were observed plugged in when not in use.

8VAC20-800-180-A

Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: Household member #1's tuberculosis test expired on 8/16/2024.

8VAC20-800-830-C

Based on record review and interview, the emergency evacuation procedures were not documented. Evidence: The provider stated that the June, July, and August 2024 evacuation drills were practiced but not documented.

8VAC20-800-780-B

Based on record review and interview, the provider did not annually review with the parent the emergency contact information to ensure the information was correct and obtain the parent?s signed acknowledgment of the review. Evidence: Child #1's last annual emergency contact review was on 6/5/2023.