Shirley Leon Guzman de Meza

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

8VAC20-800-350-E

“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.”

8VAC20-800-760-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.”

8VAC20-800-60-A

“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.”

8VAC20-800-570-A Complaint related: Yes

“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. Evidence: 1. The sign-in/sign-out sheet dated 10/18/2022 indicated a total of seven children in care for approximately 10 minutes for a total of 20 points, and six children in care for 20 minutes for a total of 17 points. There was only one caregiver present. 2. The sign-in/sign-out sheet dated 10/20/2022 indicated a total of seven children in care for approximately 30 minutes for a total of 18 points. There was only one caregiver present. 3. The sign-in/sign-out sheet dated 10/25/2022 indicated a total of seven children in care for approximately 38 minutes for a total of 20 points, and six children in care for an additional three minutes for a total of seventeen points. There was only one caregiver present. 4. The sign-in/sign-out sheet dated 10/28/2022 indicated a total of seven children in care for approximately 20 points, and six children in care for 3 hours and 22 minutes for a total of 17 points. There was only one caregiver present.”

8VAC20-800-40-A Complaint related: Yes

“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. Evidence: 1. The Family Day Home License effective 08/01/2022-01/31/2023 was issued for a capacity of five children in care at one time. 2. The sign-in/sign-out sheet dated 10/18/2022 indicated seven children in care for ten minutes, and six children in care for 4.5 hours. 3. The sign-in/sign-out sheet dated 10/20/2022 indicated six children in care for thirty minutes. 4. The sign-in/sign-out sheet dated 10/25/2022 indicated seven children in care for 38 minutes, and six children in care for an additional three minutes. 5. The sign-in/sign-out sheet dated 10/28/2022 indicated seven children in care for 16 minutes, and six children in care for 3 hours 22 minutes. 6. The provider verified during an interview, on 12/06/2022, the dates and number of children in care for the four days in October 2022.”

8VAC20-800-430-A Complaint related: Yes

“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.”

8VAC20-800-110-B

“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.”

8VAC20-800-90-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.”

8VAC20-800-550

“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.”

8VAC20-800-80-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.”

8VAC20-800-60-A

“Based on review of children records, the center failed to ensure that all required information were in the children's records. Evidence: 1. Child #1's file was missing a complete address for one of the emergency contacts. 2. Child #2 and Child #3's file was missing a complete address for the two emergency contacts listed. 3. Child #3's file was missing the written authorization for emergency medical care should an emergency occur and the parent cant be located immediately. 4. Child #4 and Child #5's file was missing the fathers employer address and work phone number; the mother's work phone number; the name of the child's physician, address, and phone number; health care policy number; two emergency contacts and required address and phone number; and a list of who is authorized to pick the child up from care.”

8VAC20-800-330-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.”