Shirley Leon Guzman de Meza

8VAC20-800-240-A

“Areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition. A 62 inch flat screen television was stored on the floor of the living area upstairs where children were present creating a crush hazard.”

Rule 8VAC20-800-240-A.

8VAC20-800-280

“Poisonous materials shall be stored in an area inaccessible to children. Poisonous first aid material was stored on top of a buffet dresser cabinet near the front door accessible to children in care.”

Rule 8VAC20-800-280.

8VAC20-800-480-B

“Equipment and materials used by a child shall be appropriate to the age, size, ability, and interest of the child. Two preschool aged children were observed playing with bungee cords which create a snap-back and eye injury hazard and are considered an adult general-purpose utility and fastening tool.”

Rule 8VAC20-800-480-B.

8VAC20-800-50-B

“The provider’s records shall be maintained in the home and made accessible to the department’s representative. The attendance record could not be located during the licensing inspector’s visit on July 22, 2026.”

Rule 8VAC20-800-50-B.

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after diapering a child. The caregiver wore gloves during diapering and changed them in between and did not hand wash as required.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water after diapering. Two children were diapered and were not instructed or assisted with handwashing.”

Rule 8VAC20-800-680-B.

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. After diapering, paper was changed on the changing pad but the surface was not cleaned and sanitized as required between diapering changes. Interview revealed that there was only a current step for sanitizing but not cleaning.”

Rule 8VAC20-800-690-D.

Lockdown procedures shall be practiced at least annually.

“There was no lockdown drill documented for the license year.”

Rule 8VAC20-790-430-A-3.

Caregivers shall ensure that children’s hands are washed with liquid soap and warm running water before eating.

“Child #1 was observed getting and eating a banana without first washing their hands.”

Rule 8VAC20-800-680-B.

Shelter-in-place procedures shall be practiced a minimum of twice per year.

“There was one shelter-in-place drill documented for the license year.”

Rule 8VAC20-800-830-B.

8VAC20-800-100-A

“The provider shall obtain documentation of a physical examination prior to a child’s attendance or within 30 days after the first day of attendance. There were no physical exam records available for Child #2, who had been in care for over 30 days.”

Rule 8VAC20-800-100-A.

8VAC20-800-900-B

“Children shall not be allowed to eat or drink while lying down. Two 12 month olds were observed drinking their bottles while laying in their assigned cribs.”

Rule 8VAC20-800-900-B.

Lockdown procedures shall be practiced at least annually.

“There was no documentation of lockdown drills for 2024.”

Rule 8VAC20-790-430-A-3.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills.

“There were no shelter-in-place documented for 2024.”

Rule 8VAC20-800-830-C.

8VAC20-800-180-B

“A tuberculosis (TB) screening is required every two years from the last screening. An updated TB screening for Caregiver #1 was not completed and was overdue by over four months and for Household Member #1 was not completed and was overdue by over five months.”

Rule 8VAC20-800-180-B.

8VAC20-800-430-B

“REPEAT VIOLATION Based on observation, the provider failed to ensure that pressure mounted gates were not utilized at stair openings. Evidence: In the upstairs of the home there is a pressure mounted gate installed with zip ties at the stair opening.”

Rule 8VAC20-800-430-B.

8VAC20-800-510-A

“Based on observation, the provider failed to ensure that each child was provided an individual rest mat for resting or napping. Evidence: In the upstairs of the home, two children were observed sleeping on a large colorful tumbling mat together.”

Rule 8VAC20-800-510-A.

8VAC20-790-430-A-3

“Based on review of documentation and interview, the provider failed to ensure there was documentation of an annual lockdown drill. Evidence: There was no documentation of at least one lockdown drill for the 2022 period.”

Rule 8VAC20-790-430-A-3.

8VAC20-800-250-E

“Based on observation, the provider failed to ensure that balloons were inaccessible to children under the age of five years old. Evidence: On December 12, 2023, there were five children in care ages four years (1), three years (3) and two years (1) old who had access to a blown-up balloon and were observed playing with it. The balloon was observed popping and was still not removed until the Licensing Inspector (LI) intervened.”

Rule 8VAC20-800-250-E.

8VAC20-800-430-B

“Based on observation, the provider failed to ensure that pressure mounted gates were not utilized at stair openings. Evidence: In the upstairs of the home there is a pressure mounted gate installed with zip ties at the stair opening. The gate did not fit snugly, did not close completely and was closed with a white child safety lock.”

Rule 8VAC20-800-430-B.

8VAC20-800-490

“Based on observation, the provider failed to ensure that climbing portions of indoor slides were over bare floor. Evidence: An approximately 3 feet tall indoor slide was observed over hard tile flooring.”

Rule 8VAC20-800-490.

8VAC20-800-680-A

“Based on observation, the provider failed to ensure that their hands were washed with liquid soap and warm running water before serving food. Evidence: The provider was observed serving blueberries and dried cranberries to children without first washing their hands.”

Rule 8VAC20-800-680-A.

8VAC20-800-680-B

“Based on observation, the provider failed to ensure that children’s hands were washed with liquid soap and warm running water before eating. Evidence: Children were served blueberries and dried cranberries without first having their hands washed.”

Rule 8VAC20-800-680-B.

8VAC20-800-830-C

“Based on review of documentation and interview, the provider failed to ensure there was documentation of monthly fire drills and twice annual shelter in place drills. Evidence: 1.There was no fire drill documented for August, September, October and November of 2023. 2.There was no documentation of at least two shelter in place drills for the 2022 period.”

Rule 8VAC20-800-830-C.

8VAC20-800-900-A

“Based on observation, the provider failed to ensure that food considered a potential choking hazard was not served to children under the age for four years of age. Evidence: 1.On December 12, 2023, the provider was observed preparing snack for children in care: mixed nuts, dried cranberries and blueberries. 2.Three 3 year old children and one 2 year old child were observed being served dried cranberries. 3.Interview revealed that the provider does serve mixed nuts to children under the age of four years of age.”

Rule 8VAC20-800-900-A.

8VAC20-800-920

“Based on review of documentation, the provider failed to ensure that there was a current one week period menu dated that was either posted for parents to review or provided to parents. Evidence: The most recent menu provided to the inspector was dated April 2023. The menu was not posted nor provided to parents.”

Rule 8VAC20-800-920.

8VAC20-800-940-A

“Based on observation and use of a digital thermometer, the provider failed to ensure that the refrigerator temperature was maintained at or below 40 degrees Fahrenheit. Evidence: Upstairs in the kitchen, the refrigerator temperature was recorded at 43.5 degrees Fahrenheit.”

Rule 8VAC20-800-940-A.

Based on observation and temperature reading, the provider failed to ensure that the hot water temperature does not exceed 120 degrees.

“Evidence: The water temperature was measured at 124 degrees.”

Rule 8VAC20-800-350-E.

Repeat violation

“Based on review of children records, the provider failed to ensure all required information was in a child’s record. Evidence: 1. Child #1 and Child #2’s record did not contain an emergency contact address for one of emergency contact. 2. The provider verified that there was not an emergency contact address listed for one of the emergency contacts.”

Rule 8VAC20-800-60-A.

Based on review of the first aid kit, the provider failed to ensure that all required items were in the first aid kit.

“Evidence: 1. The first aid kit did not contain a pair of tweezers and a triangular bandage. 2. The provider verified that the items could not be located and were not in the first aid kit.”

Rule 8VAC20-800-760-A.

Based on a review of documentation and interview, the provider did not ensure that the total number of children receiving care at one time does not exceed the maximum licensed capacity of the home.

Rule 8VAC20-800-40-A. From a complaint.

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

“Evidence: 1. On 12/06/2022 when the Inspector arrived at the residence the children were observed in the foyer area near the steps that lead up to the second level of the home. There was no gate at the bottom of the stairs. 2. The gate was observed to be leaning against the wall. 3. There were two children in care under the age of two years of age. One child was 13 months old and the other 19 months old.”

Rule 8VAC20-800-430-A. From a complaint.

Based on a review of documentation, the provider did not ensure that each caregiver does not exceed 16 points to provide direct care and supervision of each child.

Rule 8VAC20-800-570-A. From a complaint.

Based on a review of children records, the provider failed to ensure that physical examinations and immunizations were signed by a licensed physician, the physician’s designee or an official of a local health department.

“Evidence: 1. There was no signature, stamp, or electronic signature on Child #1’s physical examination and immunizations. 2. There was no signature, stamp, or electronic signature on Child #2’s immunizations.”

Rule 8VAC20-800-110-B.

Based on observation, the provider failed to ensure that a play pen was not used a designated sleeping location.

“Evidence: 1. On 9/27/2022 a child, (age 7 months), was observed sleeping in a play pen. 2. The provider verified that the play pen was the child’s designated sleeping space.”

Rule 8VAC20-800-550.

Based on review of children records, the center failed to ensure that all required information were in the children’s records.

Rule 8VAC20-800-60-A.

Based on review of children records, the center failed to ensure that proof of age and identity was provided within seven days of the child’s first day of enrollment.

“Evidence: 1. Child #1’s date of enrollment was 08/08/2022 there was no documentation that proof of age and identity had been verified. 2. The provider verified that proof of age and identity had not been verified.”

Rule 8VAC20-800-80-A.

Based on a review of children records, the provider failed to ensure that immunizations were received and on file prior to the child first day of enrollment.

“Evidence: Child #1’s first day of enrollment was August 8, 2021. The immunizations were dated 08/16/2022.”

Rule 8VAC20-800-90-A.

Based on observation and interview, the provider failed to ensure that a landline telephone shall be available, operable, and accessible during the family day home’s hours of operation.

“Evidence: 1. There was no landline telephone installed in the home at the time of the inspection. 2. The provider verified that there was not a landline currently installed in the home.”

Rule 8VAC20-800-330-A.