Lucia Martinez

8VAC20-800-90-A

Before attendance, documentation of immunizations is to be obtained for each child. The documentation of immunizations for Child #3 was obtained 15 days after first day of attendance.

8VAC20-800-90-C

Documentation of additional immunizations is required once every six months for children under the age of two years. Child #3, 17 months old, last documented immunization was over seven months ago.

8VAC20-800-580-C

Daily age-appropriate activities shall include opportunities for vigorous outdoor play. Children are not provided opportunities for vigorous outdoor play because the outdoor play space is used for storage.

8VAC20-800-920

When meals or snacks are provided by the family day home, the menu for the current one-week period shall be given or posted in an area accessible to parents. At the time of the inspection, there was no menu available for review.

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 annual review for Child #1( in care for four years) was overdue by nine months. The annual review for Child #2 (in care for over three years) was overdue by over one year.

8VAC20-800-60-B

A child's record shall contain the child's first day of attendance, telephone number of each parent who has custody, and address and telephone of each custodial parents place of employment. The record for Child # 1 (in care for four years) was missing both parents full address for place of employment and one parent's phone number. The record for Child #2 ( in care for over three years) was missing the employment phone number for one parent. The record for Child #5 (in care for at least seven months) was missing documentation of the first day of attendance.

8VAC20-800-70-A

Before the child's first day of attendance, parents shall be provided required information in writing. The parents of children #4 (in care for four months), and #5 (in care for at least seven months) were not provided in writing the following required information: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; schedule of fees and payment plans; check in and check out procedures, and provisions of the family day home?s emergency preparedness and response plan.

8VAC20-800-330-A

A landline telephone shall be available, operable, and accessible during the family day home's hours of operation. There was no working landline telephone in the household.

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 annual review for Child #1 was overdue by two months. The annual review for Child #2 and Child #4 was overdue by 5 months. The annual review for Child #3 was overdue by 2 weeks.

8VAC20-800-60-B

Children's records are required to contain the child's first date of attendance, name and policy number of the child's medical insurance, and documentation of proof of the child's age and identity. The record for Child #5 was missing the above information. The child was present during the inspection and had been in care for over a month.

8VAC20-800-70-A

Before the child's first day of attendance, parents shall be provided required information in writing. The parents of Child #1 were not provided in writing the following required information: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; schedule of fees and payment plans; check in and check out procedures, and provisions of the family day home?s emergency preparedness and response plan. Child #5 had been in care for over a month.

8VAC20-800-60-B

Providers are required to maintain an up-to-date record at the family day home for each enrolled child that contains all of the required information. The record for Child #5 was missing the employment phone number for both parents, the policy number of the child's medical insurance, and the address and phone number for 1 of 2 required emergency contacts. The record for Child #5 was also missing written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. The child was present during the inspection and had been in care for 3 years.

8VAC20-800-280

Poisonous materials shall be stored in an area inaccessible to children. Poisonous materials were inside an unlocked building and on the staircase that children use to enter the outdoor play area from the home.

8VAC20-800-240-A

Areas and furnishings of the family day home, outside, shall be maintained in a clean, safe, and operable condition. The children's outdoor play area was not in a safe condition. There were stacks of cinderblocks and bricks along the perimeter of the play area. A building containing lawn equipment was not locked and accessible to children. The steps children use to enter the play area contained chipped wood.

8VAC20-800-800-B

The provider is required to review the emergency plan at least annually and update the plan as needed. The review of the emergency plan was 5 months overdue.