Monica Alegre Munoz

8VAC20-800-900-B · Children shall not be allowed to eat or drink while lying down. There were two bottles in two empty cribs. Staff stated the infants drink the bottles in the crib.

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8VAC20-790-190-B-12 · The provider shall have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child 2 has diagnosed food allergies but did not have a written allergy action plan on file.

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8VAC20-800-350-E · Based on the water temperature taken and interviews, the hot water taps available to children were not maintained within the range of 105 degrees F and 120 degrees F.

Evidence: 1) On 06/12/24, the inspector tested the hot water tap in the main bathroom sinks used by children. In one sink, the water registered at 127 degrees F. In the second sink, the water registered at 124 degrees F. 2) During interview, Caregiver #1 acknowledged the hot water temperature was not maintained within the required range.

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22.1-289.035-B-2 · Based on a review of four caregivers' records and interviews, the provider did not ensure one caregiver obtained a fingerprint-based national criminal background check prior to employment.

Evidence: The results of the fingerprint-based national criminal background check in the record of Caregiver #4, employed on 11/20/23, were completed on 01/17/24. During interview, Caregiver #1 acknowledged the fingerprints were obtained after Caregiver #4 started employment.

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8VAC20-800-90-C · Based on a review of five children's records, the provider did not obtain documentation of additional immunizations every six months for a child under the age of two years.

Evidence: 1) The most recent immunization documentation in the record of Child #1 (22-months-old), enrolled on 08/28/22, was dated 08/24/22. 2) During interview, the provider confirmed the family day home has not obtained additional immunizations since the child was enrolled.

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8VAC20-790-250-F · Based on a review of four caregivers' records and interview, the vendor did not ensure two caregivers completed the department's health and safety update course.

Evidence: 1) The record of Caregiver #1 did not contain the department's health and safety update course. 2) The record of Caregiver #4, date of employment 04/10/20, did not contain the department's health and safety update course. 3) During interview, Caregiver #1 reported Caregiver #1 and Caregiver #4 have not completed the health and safety update course. The department's health and safety update course should be completed annually.

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8VAC20-800-70-B · Based on a review of five children's records and interview, the provider did not obtain the parent's written acknowledgement of the receipt of the family day home's policies for the administration of medications for five children.

Evidence: 1) The records of Child #1 (DOA: 03/09/22), Child #2 (DOA: 08/12/21), Child #3 (DOA: 04/07/21), Child #4 (DOA: 12/20/19), and Child #5 (DOA: 05/23/21) did not contain written acknowledgement that their parents received the family day home's policies for the administration of medication. 2) During interview, Caregiver #1 acknowledged the written acknowledgement was missing from each file.

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8VAC20-790-180-B · Based on a review of records and interview on May 5, 2022, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: 1. The daily attendance sheet on May 4, 2022, did not reflect the departure time of two children. 2. The daily attendance sheet on May 5, 2022, did not reflect one child being signed in for the day. There were 12 observed in attendance and only 11 children signed in on the attendance sheet. 3. The provider acknowledged the child was not signed in and that the departure time was missing.

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22.1-289.035-B-2 · Based on a review of records and interview on May 5, 2022, the provider did not ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information.

Evidence: 1. The record of caregiver #2 (hired 5/2/22) did not contain documentation of fingerprint results. 2. The provider confirmed she did not obtain fingerprint results for caregiver #2 prior to hire.

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8VAC20-790-210-A · Based on a review of caregiver records, the vendor did not ensure to obtain a current report of tuberculosis screening at the time of employment and before coming in contact with children.

Evidence: 1. The record of caregiver #2 (DOH 11/3/21) contained documentation of a tuberculosis screening dated 11/11/21.

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22.1-289.036-B-4 · Based on a review of records and interview, the provider did not obtain results of a check of the out-of-state sex offender registry by 12/31/2020 for each caregiver or household member over the age of 18 that was residing in the home prior to July 1, 2020, and has resided in any state in the preceding five years.

Evidence: 1. The record of caregiver #1 did not contain results of an out-of-state sex offender check. Caregiver #1 identified living in another state in the past 5 years on the caregiver's sworn disclosure statement dated 06/10/20. 2. The record of household member #1 did not contain results of an out-of-state sex offender check. Household member #1 identified living in another state in the past 5 years on the household member's sworn disclosure statement dated 6/10/20. 3. The provider acknowledged the out-of-state sex offender checks were not completed.

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