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Rossmary Acosta Escate

Inspection · 2025-09-18

Date
2025-09-18
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790-Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provision & Emergencies
8VAC20-790 Special Services

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced on-site monitoring inspection was initiated and completed on September 18, 2025. The on-site inspection began at 1:35pm and ended at 3:00pm. The inspector reviewed compliance in the areas listed above. There were four children present and one caregiver; the point total was 10. The inspector reviewed five children?s records and two caregivers records on-site. This inspection included document review, tour of the home, interviews, and observations. The information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program

Violations

5
Standard 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.
Plan of Correction: The TB screening will be completed on or before 9/23/25.
Standard 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.
Plan of Correction: I will get the information completed today.
Standard 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.
Plan of Correction: I will get the parents to complete the information today.
Standard 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.
Plan of Correction: I will have the parents review the emergency contact list today.
Standard 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.
Plan of Correction: I did the monthly drills but I took the everything down for painting. I will be sure to document each month going forward.
View original record on Virginia Department of Social Services