Marilis Guiterrez-Chacon

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly, An emergency evacuation procedures were not practiced in February 2026.”

8VAC20-800-520-C

“Cribs shall have mattresses that fit snugly next to the crib so that no more than two fingers can be inserted between the mattress and the crib. One crib had approximately 4 inches of space between the mattress and the crib.”

8VAC20-800-830-A

“The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care. An emergency evacuation procedure was not practiced during the months of January and February.”

8VAC20-800-960-E

“Bottles shall be labeled with the child's full name and the date, if more than one infant is in care. There were 2 infants that were present during the inspection that are fed with bottles. The bottles were not dated.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by 2 months.”

8VAC20-800-690-D

“Repeat: The diapering surface shall be cleaned and sanitized after each use. The diaper surface was not cleaned and sanitized after Staff #1 changed a child's diaper.”

8VAC20-800-680-A

“Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting. Staff #1 did not wash their hands after diapering a child.”

8VAC20-800-60-B

“Repeat Children's records are required to contain parental employment addresses and phone numbers, emergency contact addresses and medical insurance policy numbers. The record for Child #2 was missing the employment information for both parents and addresses for both emergency contacts and the medical insurance policy number. The child was present during the inspection and had been in care for 11 months.”

8VAC20-800-690-D

“The diapering surface shall be cleaned and sanitized after each use. The provider did not clean the diapering surface with soap and water prior to sanitizing the surface.”

8VAC20-800-80-C

“The provider shall document in the child's record the method of verification of a child's age and identity. The provider did not document the method of verifying the proof of identity in Child #1's record.”

8VAC20-800-60-B

“Children's records are required to have the first date of attendance, parents employment addresses and phone numbers and addresses for two emergency contacts. The record for Child #1 was missing the employment addresses for both parent. The record for Child #1 and #2 was missing the first date of attendance. The record for Child #4 was missing the employment addresses for both parents and two emergency contacts. The child was present during the inspection and had been in care for 7 months. The record for Child #5 was missing a second emergency contact.”

8VAC20-800-180-A

“Based on review of household and staff files, TB risk assessments were not completed every two years. Evidence: A current report of a TB screening was not obtained for Staff #1 and #2 and Household Member #1 every 2 years.”

8VAC20-800-830-C

“Based on review of the provider's emergency drill documentation, drills have not been documented. Evidence: Monthly emergency evacuation and shelter in place drills have not been documented in 2023.”

8VAC20-800-90-C

“Based on child record review, documentation of additional immunizations for one child under the age of 2 years was not obtained. Evidence: Child #1 is under the age of 2 years. The last documented immunizations were dated in January 2023.”

8VAC20-800-90-C

“Based on child record review, additional immunizations were not obtained for children under the age of 2 years. Evidence: Child #1's most recent documentation of immunizations was dated 03/02/2022. Child #2's most recent documentation of immunizations was dated in June 2022.”

8VAC20-800-830-B

“Based on review of documentation, shelter-in-place procedures were not practiced at a minimum of twice a year. Evidence: The provider did not complete a shelter-in-place practice drill in 2022.”

8VAC20-800-780-B

“Based on review of children's records, an annual review of emergency contacts was not completed for 2 records. Evidence: Child #1's last review of emergency contacts was dated in 09/2021. Child #3's last review of emergency contacts was dated 10/2020.”

8VAC20-800-830-A

“Based on review of documentation, emergency evacuation practice drills have not been completed. Evidence: The provider did not complete any emergency evacuation practice drills in 2022.”

8VAC20-800-240-A

“Based on observation of the family day home, one area of the home was not maintained in a safe condition. Evidence: The molding around the door leading to the screened porch has peeling paint which is within reach of children in care.”

8VAC20-800-690-E

“Based on observation of the diapering area, the receptacle used to dispose soiled diapers is a system which allows the caregiver's hand to touch the exterior surface. Evidence: The step on pail used to dispose diapers has a covering that is required to be lifted by a hand in order to dispose the soiled diaper.”

22VAC40-111-60-B

“Based on child record review, one child record did not contain all required information. Evidence: Child #1's record did not have a second emergency contact, insurance policy number and the authorization for emergency care was signed after the child was enrolled.”

22VAC40-111-210-A

“Based on staff record review, Staff #1 did not complete the required 16 hours of annual training. Evidence: Staff #1 received 12 hours of documented training this year.”

22VAC40-111-690-D

“Based on observation and staff interview, the diapering surface is not properly sanitized. Evidence: Provider stated that sanitizing wipes are used to sanitize the diaper surface after each use. Soap and water and then bleach and water solution is required.”

22VAC40-111-180-A

“Based on staff review, subsequent TB screenings were not obtained. Evidence: Staff #1's last documented TB screening was dated July 2019.”