Marcela Munoz

Providers shall have current certification in cardiopulmonary resuscitation (CPR).

“Caregiver #1’s CPR certification expired two months ago.”

Rule 8VAC20-800-140-B-3.

Providers shall have current certification in first aid.

“Caregiver #1’s first aid certification expired two months ago.”

Rule 8VAC20-800-140-B-4.

The provider shall obtain for each caregiver a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

“Caregiver #1’s subsequent TB screening is overdue by over three months.”

Rule 8VAC20-800-180-A.

The emergency evacuation procedures shall be practiced monthly.

“Emergency evacuation procedures were not practiced in July 2025.”

Rule 8VAC20-800-830-A.

The provider shall maintain written documentation of each caregiver’s annual training.

“There was no written documentation of Caregiver #1’s annual training for 2024.”

Rule 8VAC20-800-230-A.

The provider shall maintain an up-to-date record at the family day home for each enrolled child.

“The family day home did not have a record for Child #1 who has been enrolled for 3 days.”

Rule 8VAC20-800-60-A.

Repeat violation

“Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1. A spray bottle containing a bleach/water solution was on a sink in the bathroom provided for the children, accessible to children. 2. Two bottles of wood glue were on a shelf in the kitchen area, accessible to children.”

Rule 8VAC20-800-280.

Based on observation, children under two years of age had access to stairs.

“Evidence: The staircase next to the kitchen, leading upstairs, was accessible to Child #1 (age: 9 months), Child #2 (age: 11 months), Child #3 (age:16 months), and Child #4 (age: 18 months).”

Rule 8VAC20-800-430-A.

Based on observation, a safety strap was not used when a high chair was occupied by a child.

“Evidence: A safety strap was not used when Child #1 (age: 9 months) occupied a high chair.”

Rule 8VAC20-800-540-A.

Based on record review, 1 out 3 children’s records did not contain all information.

“Evidence: Child #3?s (start date: 3/19/2024) record did not contain a name, address and telephone number of two designated persons to contact in case of an emergency.”

Rule 8VAC20-800-60-B.

Based on observation, topical skin products were accessible to children.

“Evidence: 1. Two diaper creams and one sunscreen were in storage cubes in the main daycare area, accessible to children. 2. 12 diaper creams were in an unlocked cabinet in the bathroom provided for the children, accessible to children.”

Rule 8VAC20-800-750-B.

Based on record review and interview, documentation was not maintained of emergency evacuation drills.

“Evidence: 1. Caregiver #1 confirmed that an evacuation drill was conducted in April 2024. 2. There was no documentation of an evacuation drill for April 2024.”

Rule 8VAC20-800-830-C.

Based on observation, when food was brought from home, food containers were not labeled in a way that identifies the owner.

“Evidence: There were two food containers brought from home that were not labeled with the owner’s name.”

Rule 8VAC20-800-890.

Based on observation, the provider did not have an operable thermometer to monitor refrigerator compartment temperatures.

“Evidence: 1. At the time of inspection, the refrigerator in the basement did not have a thermometer. 2. Caregiver #1 confirmed that the refrigerator is used for the daycare.”

Rule 8VAC20-800-940-B.

Based on observation, bottles were not labeled with the child’s full name and the date.

“Evidence: Three bottles were not labeled with the child’s name and the date.”

Rule 8VAC20-800-960-E.

Based on staff record review, the center did not obtain results of a central registry search within 30 days of employment for all staff.

“Evidence: Staff #2 (start date: 04/13/2023) did not have results of a central registry search on file.”

Rule 8VAC20-770-60-C-2.

Based on observation, medication was not kept in a locked place.

“Evidence: In the main daycare area, there were two bottles of acetaminophen and one bottle of ibuprofen in storage cubes, accessible to children.”

Rule 8VAC20-800-730-D.

Based on observation, the provider failed to ensure that potentially poisonous substances, such as cleaning agents shall be stored away from areas accessible to children.

“Evidence: Clorox wipes were stored on a shelf in the kitchen accessible to children.”

Rule 8VAC20-800-280.

Based on observation, the caregivers failed to ensure that the children’s hands are washed with liquid soap and warm running water after a diaper change.

“Evidence: Child #1 and Child #5 each had a diaper change, but neither child’s hands were washed after the change.”

Rule 8VAC20-800-680-B.

Based on a review of evacuation drill logs, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly.

“Evidence: There was no documentation of a practice drill for December 2022.”

Rule 8VAC20-800-830-A.

Based on a review of children’s records, the provider failed to obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations on the first day of attendance.

“Evidence: Child #1 record does not contain documentation of immunizations on the first day of attendance. First day of attendance 01/30/2023.”

Rule 8VAC20-800-90-A.

Based on a review of caregiver records, the provider failed to ensue that all caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

“Evidence: Caregiver #2’s record did not have documentation of obtaining 16 clock hours of relevant training annually.”

Rule 8VAC20-800-210-A.

Based on a review of children’s records, the provider failed to obtain required documentation for each child enrolled.

Rule 8VAC20-800-60-B.