8VAC20-780-60-A · REPEAT VIOLATION

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record of child #6, enrolled for over 2 months, was missing two emergency contact addresses. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-50-A · Staff and children's records shall be treated confidentially.

The center kept attendance rosters outside of the center's entry way door on a table for approximately two weeks. The outside area was not locked and accessible to the public. The attendance rosters contained the names of the children and their date of birth.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-270-A · Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: 1. In a school age bathroom, a floor tile was observed that was not secured to the floor which posed a tripping hazard. In a second school age bathroom, an area of the wall by a toilet was broken. Small pieces of the wall and wall dust were observed on the ground. In the infant classroom, an area of the wall by the back playground door was observed that was cracked and broken. A small pile of wall dust was observed in the corner. A piece of the baseboard in the infant room that measured approximately four inches was missing which exposed a gap behind the drywall that the infants could potentially access with their hands. 2. Administration acknowledged that the areas noted required maintenance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-40-M · Based on observation and interview, the center did not ensure to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list must be dated and kept confidential in each room or area where children are present.

Evidence: 1. An allergy list was not posted or accessible in two of the four year old classrooms. Staff stated they did not have a copy. 2. Administration acknowledged the list was missing.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-280-B · Based on observation and interview, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Evidence: 1. In the three year old classroom, a bottle of Windex and a bottle of carpet cleaner were observed in an unlocked cabinet. In the school age room, three cans of spray paint were observed on a table. 2. Administration acknowledged that the paint and cleaners were not locked.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-60-A · Based on a review of five child records and interview, the center did not ensure that a record was kept for one child that contained the required information.

Evidence: 1. The record of child #5 (date of attendance: 9/18/2023) did not contain complete emergency contact information to include the contacts' addresses. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the record was incomplete.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-70 · Based on record review, the center did not ensure one of five staff records contained all of the required documentation.

Evidence: 1. The record of staff #5 (employment date: 7/1/2019) did not have documentation of the following: two or more references, orientation training and child abuse and neglect training.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-350-B-1 · Based on interviews, the center did not ensure to follow the required ratio for children from birth to the age of 16 months: one staff member for every four children.

Evidence: During the 12/05/22 inspection, the following was determined: 1. Staff #1 reported that on 12/01/2022, staff #1 was left alone to supervise 9 infant children in the Baby Birds 2 classroom for about 10-20 minutes while staff #2 supervised one sleeping infant in the Baby Birds 1 classroom. Staff #1 also stated that the center director was initially in the infant classroom to help with coverage but eventually left the classroom for about 10 to 20 minutes with one infant child to handle another task. 2. The center director reported that on 12/01/2022, the center director left the infant classrooms to finish emails while supervising one infant child. 3. Staff #2 reported that on 12/01/2022, staff #2 remained in the baby birds 1 classroom with a sleeping infant while the other 9 infants were located in the baby birds two classroom.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-130-A · Based on record review, the center did not ensure three of five children?s records contained documentation of immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1. The record of child #1 (enrollment date: 4/18/2022) had documentation of immunizations dated 10/11/2022. 2. The record of child #2 (enrollment date: 10/25/2021) had documentation of immunizations dated 12/23/2021. 3. The record of child #3 (enrollment date: 9/07/2021) had documentation of immunizations dated 10/04/2021.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-4 · Based on record review, the center did not ensure one of three staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.

Evidence: The record of staff #1 (start date: 12/7/2021) had documentation of out of state criminal history record results and sex offender registry check results dated 1/7/2021.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-270-A · Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: There were several areas in the center with chipped and peeling paint.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22VAC40-665-520-B-11 · Based on record review, the center did not ensure to obtain a written allergy 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 steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record of child #7 did not have documentation of a written allergy care plan for the child's documented diagnosed food allergy. The center representative stated that the center recently gave the allergy care plan back to the parent per the parent's request.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.