Fabiola Nina Gutierrez

22VAC40-111-180-A · Based on interview and record review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver every two years.

Evidence: 1. The provider stated caregiver #1, caregiver #2 and caregiver #3 had not received an updated TB test or screening. Last date of test or screening was on 3/29/2019 for caregiver #1, 8/13/2019 for caregiver #2 and 3/20/2019 for caregiver #3.

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8VAC20-800-120-B · Providers must maintain a record for each caregiver that contains all required information.

Caregiver #2 who has been caring for children for approximately one month did not the Name, address and telephone number of a person to be notified in an emergency.

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8VAC20-800-500-C · Stationary outdoor playground equipment shall not be installed over concrete, asphalt, or any other hard surface; be placed at least six feet from the perimeter of other play structures or

obstacles; and be firmly anchored with ground supports that are covered with materials to protect children from injury. The provider had stationary outdoor playground equipment that was placed less than 6 feet from the perimeter of the fence and other obstacles.

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8VAC20-800-430-A · Repeat Violation

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 shall not have access to stairs. Four children under two years of age were present during the inspection with access to stairs in the main room..

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8VAC20-800-830-A · Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence: 1. The provider did not practice the emergency evacuation procedures the month of August 2024.

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8VAC20-800-180-A · Based on review of caregivers records, the provider did not obtain for each caregiver and adult household member a current report of Tuberculosis screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.

Evidence: 1. Caregiver #1 had a tuberculosis screening form dated 9/22/2021. 2. Caregiver #2 had a tuberculosis screening form dated 9/17/2021.

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22.1-289.011-F · Based on observation, the provider did not have the last inspection posted in a conspicuous place on the licensed premises\.

Evidence: 1. The provider had the inspection notice posted from the 9/06/2022 inspection, but did not have the most recent inspection notice from 1/31/2023 posted.

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8VAC20-800-210-A · Based on interview, two caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities In addition to satisfactory completion of first aid training and CPR training,

Evidence: 1. Caregiver #1 (start date June 2021) stated they completed 6 hours of training for the time period 6/2021through 2022, but did not have certificates to present during the inspection and Caregiver #2 (start date 10/25/2021) did not have 16 hours of training for the time period 10/2021 through 10/2022..

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8VAC20-800-120-B · Based on review, the assistants records did not contain all required documents.

Evidence: 1. Assistant #2 (start date 2/28/2022) had only one reference and needed an additional one.

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8VAC20-800-210-A · Based on interview, a caregiver did not obtain a minimum of sixteen clock hours of training annually.

Evidence: 1. The provider stated Caregiver #2 did not have any training for the time period of 1/01/2021 through 12/31/2021.

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