Ghidiani Sanchez

8VAC20-800-180-A

“Based on record review, provider failed to obtain for each caregiver a current Report of Tuberculosis Screening form,in accordance with the requirements every two years from the date of the first screening. Evidence: The record for caregiver #3 did not have a current TB screening on file. Last documentation of Tb screening was 9/14/21, expired 9/14/23.”

8VAC20-800-830-D

“Based on record review and interview, the provider failed to maintain records of emergency evacuation for one year. Evidence : 1.Last documentation of emergency evacuation was 6/2023. 2. The provider stated drills were conducted and documented, but could not locate documentation at the time of the inspection.”

8VAC20-800-90-A

“Based on record review, it was determined the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: Child #4 started on 5/22/23and the immunization record is dated 6/19/23.”

8VAC20-800-690-D

“Based on observation and interview, the diapering surface was not sanitized after each use. Evidence: 1. There was no sanitizing spray bottle available to disinfect the diapering surface after diapering a child. There was only a container of disinfectant wipes available for use. . 2. Staff #3 used disinfectant wipes to sanitize the diapering surface after changing child #5 diaper. 3. The provider acknowledged they were using the disinfecting wipes after cleaning the diapering surface with soap and water.”

8VAC20-800-90-A

“Based on record review, it was determined the provider did not obtain documentation of immunization before a child attends the family day home. Evidence: Child #4 started on 5/22/23and the immunization record is dated 6/19/23.”

8VAC20-800-690-D

“Based on observation and interview, the diapering surface was not sanitized after each use. Evidence: 1. There was no sanitizing spray bottle available to disinfect the diapering surface after diapering a child. There was only a container of disinfectant wipes available for use. . 2. Staff #3 used disinfectant wipes to sanitize the diapering surface after changing child #5 diaper. 3. The provider acknowledged they were using the disinfecting wipes after cleaning the diapering surface with soap and water.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: 1) Child #1 (DOB 12/12/20) record did not have additional immunizations every six months. Last update was 12/31/21.”

8VAC20-800-780-B

“Based on record review and interview, annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60-B2 to ensure the information is correct and obtain the parent's signed acknowledgement of the review. Evidence: The last review was documented on 6/10/21 on the emergency contact information for Child #1. 2. The provider confirmed the last review was on 6/10/21.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: 1) Child #1 (DOB 12/12/20) record did not have additional immunizations every six months. Last update was 12/31/21.”

8VAC20-800-780-B

“Based on record review and interview, annually, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60-B2 to ensure the information is correct and obtain the parent's signed acknowledgement of the review. Evidence: The last review was documented on 6/10/21 on the emergency contact information for Child #1. 2. The provider confirmed the last review was on 6/10/21.”

8VAC20-800-100-A

“Based on record review and interview, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record of Child #1 (date of enrollment 7/18/22) did not contain documentation of a physical examination. 2. The record of Child #2 (date of enrollment 5/22/22) did not contain documentation of a physical examination. 3. The record of Child #3 (date of enrollment 8/15/22) did not contain documentation of a physical examination. 4. The provider acknowledged the physical examinations were not in the children’s records.”

8VAC20-800-830-A

“Based on record review and interview, the provider did not practiced monthly emergency evacuation procedures with all caregivers and children in care during all shifts that children are in care. Evidence: 1. Emergency Evacuation record was missing the documentation of an evacuation drill for the month of August. 2. The provider acknowledged the evacuation drill was not conducted in August.”

8VAC20-800-750-A

“Based on observation, topical diaper ointments were not labeled with the child’s name. Evidence: 1.Destin ointment was not labeled with a child’s name 2.Baby Rub ointment was not labeled with a child’s name 3.Butt Paste ointment was not labeled with a child’s name 4.Exederm ointment was not labeled with a child’s name 5.Vaseline ointment was not labeled with a child’s name”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations before a child attends the family day home. Evidence: 1. The immunization record of Child #1 (Start date 7/18/22) is dated 8/8/22. 2. The record of Child #2 (start date 5/2/22) did not contain documentation of an immunization record. 3. The record of Child #3 (start date 8/15/22) did not contain documentation of an immunization record. 4. The provider acknowledged the immunization records were not in the children’s records.”

8VAC20-800-100-A

“Based on record review and interview, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record of Child #1 (date of enrollment 7/18/22) did not contain documentation of a physical examination. 2. The record of Child #2 (date of enrollment 5/22/22) did not contain documentation of a physical examination. 3. The record of Child #3 (date of enrollment 8/15/22) did not contain documentation of a physical examination. 4. The provider acknowledged the physical examinations were not in the children’s records.”

8VAC20-800-830-A

“Based on record review and interview, the provider did not practiced monthly emergency evacuation procedures with all caregivers and children in care during all shifts that children are in care. Evidence: 1. Emergency Evacuation record was missing the documentation of an evacuation drill for the month of August. 2. The provider acknowledged the evacuation drill was not conducted in August.”

8VAC20-800-750-A

“Based on observation, topical diaper ointments were not labeled with the child’s name. Evidence: 1.Destin ointment was not labeled with a child’s name 2.Baby Rub ointment was not labeled with a child’s name 3.Butt Paste ointment was not labeled with a child’s name 4.Exederm ointment was not labeled with a child’s name 5.Vaseline ointment was not labeled with a child’s name”

8VAC20-800-90-A

“Based on record review and interview, the provider did not obtain documentation of immunizations before a child attends the family day home. Evidence: 1. The immunization record of Child #1 (Start date 7/18/22) is dated 8/8/22. 2. The record of Child #2 (start date 5/2/22) did not contain documentation of an immunization record. 3. The record of Child #3 (start date 8/15/22) did not contain documentation of an immunization record. 4. The provider acknowledged the immunization records were not in the children’s records.”

22.1-289.058

“Based on interview, the family day home is not equipped with at least one carbon monoxide detector. Evidence: Carbon Monoxide detector was not observed. Upon discussion with provider, it was confirmed there was not a carbon monoxide detector installed in the home. This was previously cited at the last inspection on 3/24/2022.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations once every 6 months for children under the age of two years. Evidence: 1. One child's file did not contain an updated immunization record. 2. Record for child #1 (age 18 months), did not have an updated immunization record every 6 months for children under 2 years of age.”

8VAC20-800-280

“Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children. Evidence: 1. Hazard materials labeled "keep out of reach of children" were accessible to children in an unlocked cabinet in bathroom. 2. Deodorizer was located on a counter making it accessible to children.”

8VAC20-800-320-B

“Based on observations, child-resistant protective covers were not installed on unused electrical outlets and surge protector. Evidence: 1. Electrical outlet did not have a child-resistant protective cover. 2. Surge protector had 2 outlets that did not have protective cover.”

8VAC20-800-480-D

“Based on observations, equipment used by children was not being used in accordance with the manufacturer's instructions. Evidence: 1. 3 children were observed in highchairs without the straps being used.”

8VAC20-800-830-D

“Based on record review and interview, documentation of emergency evacuation procedures, drills were not maintained. Evidence: The emergency evacuation procedures log did not have April and May drills documented. The provider stated she did complete the drills but forgot to document them.”

8VAC20-800-920

“Based on observations, meals and snacks provided by the family day home did not meet the requirements to list any substituted food. Evidence: 1. Children were observed eating peanut butter & jelly sandwich and watermelon instead of what was posted on the menu. 2. Posted menu was chicken, rice, mixed vegetables, fruit 3. The substitutions were not documented on the menu.”

22.1-289.058

“Based on interview, the family day home is not equipped with at least one carbon monoxide detector. Evidence: Carbon Monoxide detector was not observed. Upon discussion with provider, it was confirmed there was not a carbon monoxide detector installed in the home. This was previously cited at the last inspection on 3/24/2022.”

8VAC20-800-90-C

“Based on record review, the family day home did not obtain documentation of additional immunizations once every 6 months for children under the age of two years. Evidence: 1. One child's file did not contain an updated immunization record. 2. Record for child #1 (age 18 months), did not have an updated immunization record every 6 months for children under 2 years of age.”

8VAC20-800-280

“Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children. Evidence: 1. Hazard materials labeled "keep out of reach of children" were accessible to children in an unlocked cabinet in bathroom. 2. Deodorizer was located on a counter making it accessible to children.”

8VAC20-800-320-B

“Based on observations, child-resistant protective covers were not installed on unused electrical outlets and surge protector. Evidence: 1. Electrical outlet did not have a child-resistant protective cover. 2. Surge protector had 2 outlets that did not have protective cover.”

8VAC20-800-480-D

“Based on observations, equipment used by children was not being used in accordance with the manufacturer's instructions. Evidence: 1. 3 children were observed in highchairs without the straps being used.”

8VAC20-800-830-D

“Based on record review and interview, documentation of emergency evacuation procedures, drills were not maintained. Evidence: The emergency evacuation procedures log did not have April and May drills documented. The provider stated she did complete the drills but forgot to document them.”

8VAC20-800-920

“Based on observations, meals and snacks provided by the family day home did not meet the requirements to list any substituted food. Evidence: 1. Children were observed eating peanut butter & jelly sandwich and watermelon instead of what was posted on the menu. 2. Posted menu was chicken, rice, mixed vegetables, fruit 3. The substitutions were not documented on the menu.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not contain all required information. Evidence: Child #5's record does not contain the families medical insurance policy number.”

8VAC20-800-480-D

“Based on observation, equipment used by children were not used in accordance with the manufacturer's instructions. Evidence: An infant was observed in the sleeping room, asleep in a mobile, rocking bassinet. The bassinet included a padded head rest and the head rest was covered with a blanket. The manufacturers warning on the side of the bassinet states that blankets should not be used in the bassinet and that children should never be left unattended while sleeping in the bassinet.”

8VAC20-800-880

“Based on record review, the family day homes does not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The USDA recommends that children are offered a serving of a fruit or vegetable for breakfast. The providers food menu does not offer a fruit or veggie at breakfast time. 2. The USDA recommends that children are offered a serving of fruit and a serving of vegetables for lunch. The providers food menu does not offer a fruit with lunch on Monday-Friday for the current week, and does not offer a vegetable with lunch on Tuesday or Friday for the current week. 3. The USDA recommends that children are served”

22.1-289.058

“Based on interview, the family day home is not equipped with at least on carbon monoxide detector. Evidence: When asked, the provider stated that they did not have a carbon monoxide detector installed.”

8VAC20-800-60-B

“Based on record review and interview, children's records did not contain all required information. Evidence: Child #5's record does not contain the families medical insurance policy number.”

8VAC20-800-480-D

“Based on observation, equipment used by children were not used in accordance with the manufacturer's instructions. Evidence: An infant was observed in the sleeping room, asleep in a mobile, rocking bassinet. The bassinet included a padded head rest and the head rest was covered with a blanket. The manufacturers warning on the side of the bassinet states that blankets should not be used in the bassinet and that children should never be left unattended while sleeping in the bassinet.”

8VAC20-800-880

“Based on record review, the family day homes does not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The USDA recommends that children are offered a serving of a fruit or vegetable for breakfast. The providers food menu does not offer a fruit or veggie at breakfast time. 2. The USDA recommends that children are offered a serving of fruit and a serving of vegetables for lunch. The providers food menu does not offer a fruit with lunch on Monday-Friday for the current week, and does not offer a vegetable with lunch on Tuesday or Friday for the current week. 3. The USDA recommends that children are served”

22.1-289.058

“Based on interview, the family day home is not equipped with at least on carbon monoxide detector. Evidence: When asked, the provider stated that they did not have a carbon monoxide detector installed.”