Fabiola Nina Gutierrez

8VAC20-800-960-E

“Bottles shall be refrigerated and labeled with the child’s full name and the date, if more than one infant is in care. There were more than one infants present during the inspection. Infant milk bottles were not dated.”

Rule 8VAC20-800-960-E.

Providers must maintain a record for each caregiver that contains all required information.

“Caregiver #2 who has been caring for children for approximately one month did not the Name, address and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-800-120-B.

Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

“The tuberculosis screening or test for Caregiver 2, who has been caring for children for approximately one month was dated 5 days after the hire date..”

Rule 8VAC20-800-170-A.

Documentation of the orientation shall be signed and dated by the provider and assistant by the end of their first week of assuming job responsibilities.

“Caregiver #2 who had been working approximately one month did not have documentation of the orientation. The provider stated the training had been completed.”

Rule 8VAC20-800-200-C.

Stationary outdoor playground equipment shall not be installed over concrete, asphalt, or any other hard surface; be placed at least six feet from the perimeter of other play structures or obstacles; and be firmly anchored with ground supports that are covered with materials to protect children from injury.

“The provider had stationary outdoor playground equipment that was placed less than 6 feet from the perimeter of the fence and other obstacles.”

Rule 8VAC20-800-500-C.

Repeat Violation Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“Four children under two years of age were present during the inspection with access to stairs in the main room..”

Rule 8VAC20-800-430-A.

8VAC20-800-180-A

“Repeat Violation Based on review of household records, the provider did not obtain for each adult household member a current report of Tuberculosis screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Household member #3 had a TB test or screening dated 8/26/2022 and had been more than 2 years.”

Rule 8VAC20-800-180-A.

8VAC20-800-430-A

“Based on observation, Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs. Evidence: 1. The stairs on the left side of the room did not have a gate to prevent children under two years of age to have access to stairs.”

Rule 8VAC20-800-430-A.

8VAC20-800-830-A

“Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care. Evidence: 1. The provider did not practice the emergency evacuation procedures the month of August 2024.”

Rule 8VAC20-800-830-A.

8VAC20-800-180-A

“Based on review of caregivers records, the provider did not obtain for each caregiver and adult household member a current report of Tuberculosis screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Caregiver #1 had a tuberculosis screening form dated 9/22/2021. 2. Caregiver #2 had a tuberculosis screening form dated 9/17/2021.”

Rule 8VAC20-800-180-A.

22.1-289.011-F

“Based on observation, the provider did not have the last inspection posted in a conspicuous place on the licensed premises\. Evidence: 1. The provider had the inspection notice posted from the 9/06/2022 inspection, but did not have the most recent inspection notice from 1/31/2023 posted.”

Rule 22.1-289.011-F.

Repeat Violation

“Based on interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities In addition to satisfactory completion of first aid training and CPR training, Evidence: 1. Caregiver #1 (start date June 2021) and Caregiver #2 (start date 10/25/2021) did not have 16 hours of training.”

Rule 8VAC20-800-210-A.

8VAC20-800-210-A

“Based on interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities In addition to satisfactory completion of first aid training and CPR training, Evidence: 1. Caregiver #1 (start date June 2021) stated they completed 6 hours of training for the time period 6/2021through 2022, but did not have certificates to present during the inspection and Caregiver #2 (start date 10/25/2021) did not have 16 hours of training for the time period 10/2021 through 10/2022..”

Rule 8VAC20-800-210-A.

8VAC20-800-120-B

“Based on review, the assistants records did not contain all required documents. Evidence: 1. Assistant #2 (start date 2/28/2022) had only one reference and needed an additional one.”

Rule 8VAC20-800-120-B.

8VAC20-800-70-B

“Based on record review and interview, the provider did not obtain the parent’s written acknowledgement of the receipt of the policy for the administration of medications. Evidence: 1. Child #1 and Child #2’s file did not have the parent’s written acknowledgement of the receipt of the policy for the administration of medications. The provider stated it was given to the parents, but they must have kept it.”

Rule 8VAC20-800-70-B.

8VAC20-800-210-A

“Based on interview, a caregiver did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1. The provider stated Caregiver #2 did not have any training for the time period of 1/01/2021 through 12/31/2021.”

Rule 8VAC20-800-210-A.