Marcela Munoz

8VAC20-800-180-A

“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.”

8VAC20-800-140-B-4

“Providers shall have current certification in first aid. Caregiver #1's first aid certification expired two months ago.”

8VAC20-800-140-B-3

“Providers shall have current certification in cardiopulmonary resuscitation (CPR). Caregiver #1's CPR certification expired two months ago.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly. Emergency evacuation procedures were not practiced in July 2025.”

8VAC20-800-60-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.”

8VAC20-800-230-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.”

8VAC20-800-940-B

“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.”

8VAC20-800-960-E

“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.”

8VAC20-800-60-B

“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.”

8VAC20-800-280

“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.”

8VAC20-800-430-A

“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).”

8VAC20-800-540-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.”

8VAC20-800-890

“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.”

8VAC20-800-830-C

“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.”

8VAC20-800-750-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.”

8VAC20-770-60-C-2

“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.”

8VAC20-800-730-D

“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.”

8VAC20-800-830-A

“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.”

8VAC20-800-90-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.”

8VAC20-800-280

“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.”

8VAC20-800-680-B

“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.”

8VAC20-800-210-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.”

8VAC20-800-60-B

“Based on a review of children's records, the provider failed to obtain required documentation for each child enrolled. Evidence: Child #2's record does not contain documentation of proof of the child's age and identity. Child #3's record does not contain documentation o of the review of the child's emergency contact information annually. Child #4's record does not contain documentation of phone numbers of two designated person to contact in case of an emergency or the names of persons other the custodial parents who are authorized to pick up the child. Child #5's record does not contain documentation of the telephone number of each parent's place of employment, the name office address and telephone number of the child's physician or documentation of the first date of attendance.”