Rossmary Acosta Escate

8VAC20-800-770

A working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. Provider did not have batteries to operate the radio onsite during the inspection.

8VAC20-800-760-A-1

A first aid kit that contains: Triangular bandages, adhesive tape, and adhesive bandages. There was only one out of the two required triangular bandage available during the inspection. There were no adhesive bandages or adhesive tape onsite during the inspection.

8VAC20-800-180-A

REPEAT VIOLATION A tuberculosis (TB) screening is required every two years from the last screening for each adult household member. An updated TB screening for Household Member #1 was not completed and was overdue by 5 months. An updated TB screening for Household Member #2 was not completed and was overdue by one year.

8VAC20-800-80-A

Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child. This information was not available for Child #2 and Child #6, who had been enrolled for seven months.

8VAC20-800-60-B

REPEAT VIOLATION Children's records are required to have telephone numbers of two designated person to contact in case of an emergency if the parent cannot be reached. Child #1's second emergency contact was missing a telephone number.

8VAC20-800-60-A

An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #2 and Child #6, who were in care during the inspection and had been in care for seven months.

8VAC20-800-70-A

REPEAT VIOLATION Before the child's first day of attendance, parents shall be provided required information in writing.' The parents of Children #2, #3, and #6 were not provided in writing the following required information: schedule of fees and payment plans, whether or not there is liability insurance in force on the family day home operation, and provisions of the family day home?s emergency preparedness and response plan. Children had been in care for over three months.

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. Record for child #1 did not have a parent?s signature for an annual review of the emergency contact information. Child #1 had been in care for over four years, and the last update was over two years ago.

8VAC20-800-830-A

The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. There was no documentation for emergency evacuation drills for April and May 2025.

8VAC20-800-60-B

Children's records are required to have the name, address, and telephone numbers of two designated person to contact in case of an emergency if the parent cannot be reached. The records for Child #2, #3 and #4 had only one emergency contact person and no telephone number was provided for the emergency contact person.

8VAC20-800-70-A

Before the child's first day of attendance, parents shall be provided required information in writing.' The parents of Children #2, #3, and #4 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; policies for picking up a sick child, notifying any reportable communicable disease, and informing the parent whether or not there is liability insurance in force on the family day home operation. The records for Children #2, #3 and #4 did not have documentation that parents had been provided in writing the operating information, whether the family day home had or did not have liability insurance, the program's sick policy for picking up a sick child and/or notifying any communicable disease.

8VAC20-800-180-A

A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #2 was not completed and was overdue by three months.

8VAC20-800-90-C

Documentation of additional immunizations is required once every six months for children under the age of two years. 'Child #1, 16 months old, last documented immunization was over 10 months ago. Child #4, 12 months old, last documented immunization was over 6 months ago. Child #6, 21 months old, last documented immunization was over 6 months ago. Child #2, two years old, last documented immunization was over 9 months ago.

8VAC20-800-780-B

Based on record review, annually, the provider did not review with the parent the emergency contact information as required to ensure the information is correct. Evidence: 1. The record for child #1, #3, and #4 did not have documentation of an annual review of the emergency contact information. The last documented review was 05/01/2023.

8VAC20-800-320-B

Based on observation, child-resistant protective covers larger than 1-1/14 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. The electrical outlet near the patio door did not have a protective cover on one outlet.