Lessiane Goncalves Muniz

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 was no physical exam record available for Child #5, who had been in care for over 10 months.”

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 was no physical exam record available for Child #4, who had been in care for over 2 months.”

8VAC20-800-120-B

“Assistant records shall contain documentation of two or more references and are checked before employment. There were not 2 references for assistant #2 who has been caring for children for over 2 weeks.”

8VAC20-800-90-C

“Based on children record review, the provider did not obtain documentation of additional immunizations for 1 child. Evidence: Child # 3, first date of attendance 11/3/2022, age 19 months, does not have updated immunization records. The only immunization record was dated 10/11/2022.”

8VAC20-800-60-B

“Based on children's record review, children's records did not contain documentation of name, address, and telephone number of two designated persons to contact in an emergency and no annual review of the children's emergency contact information. Evidence: The following children records did not have documentation of the following required information; Child # 2, date of first attendance 9/3/2023, is missing 1 emergency name, address, telephone contact and the annual review of emergency contact information.The last review was dated 1/1/2023. Child # 3, date of attendance 11/3/2022, is missing 2 emergency name, address, and telephone contacts and the annual review of emergency contact information. The last review was 10/31/2022. Child #4, date of first attendance 9/30/2023, is missing 1 telephone emergency name, address and telephone contact.”

8VAC20-800-180-A

“Based on a review of staff records, the provider has not obtained a current report of Tuberculosis screening from each caregiver every 2 years. Evidence: Staff #1, current TB screening dated 7/27/2020.”

8VAC20-800-100-A

“Based on a review of children records, the provider has not obtained documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1, first day of attendance 2/21/2023 does not have documentation of a physical examination as of this date, 5/3/2023.”

8VAC20-800-430-A

“Based on observation and provider interview, 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 have access to stairs. Evidence: There was a gate at the top of the outside stairs but it was not secured. There was no way to secure the gate, allowing children to freely have access to the outside concrete stairs. The provider stated that she needs to attach the gate to the side of the house so the children cant access the stairs.”

8VAC20-800-830-B

“Based on record review and provider interview, Shelter-in-place procedures are not practiced a minimum of twice per year. Evidence: The emergency evacuation form was reviewed, there was no documentation of 2 shelter in place drills. The last documented shelter in place drill was dated 4/9/2021. The provider said they have not completed a shelter drill in over a year.”

8VAC20-800-240-A

“Based on observation, areas and furnishings of the family day home, inside and outside, have not been maintained in a clean, safe, and operable condition. Evidence: There was a piece of wood observed on the outside step railing that is loose, it could cause a finger entrapment injury.”