Elsa's Blessings Day School

8VAC20-780-160-A · Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB for Staff #1 was dated seven weeks prior to date of employment. Staff #2 has been employed for two months.

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8VAC20-780-150-B · Immunization reports shall be signed by a physician or designee. The immunization report in the record for Child #5 was not signed by a physician or designee.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The sex offender registry check in the record Staff #2 was obtained more than two months after Staff #2's first date of employment. The sex offender registry check in the record Staff #3 was obtained one day after Staff #3's first date of employment.

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8VAC20-780-400-B · Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

During the designated rest period on 09/19/2024, Staff #1 did not provide behavioral guidance constructive in nature and age and stage appropriate. Staff #1 used restriction of movement by holding Child #1?s (age 2 years) arms behind the child's back in order to ensure Child #1 remained on their cot during the designated rest period.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for less than one week, did not have documentation of requesting a central registry check from one state Staff #2 identified as a state in which they resided in the past 5 years.

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8VAC20-780-560-G · When food is brought from home the food container must be clearly dated.

Three children's food containers were not dated.

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8VAC20-780-400-B · Based on interview, behavioral guidance provided to children was not constructive in nature and age and stage appropriate.

Evidence: 1. Staff in the 2B classroom utilized threat of a fictional character as a means of behavior management in the classroom. 2. One staff member reported observing another staff saying to the children "Do you need to see Mr. Bear? Mr. Bear is watching you." when children were misbehaving. 3. Another staff member reported "We say Mr. Bear is listening to us when children are getting a little too loud, and say Mr. Bear is sleeping to get them to be quiet." 4. A third staff member reported hearing a staff member tell a child that "if she didn't start behaving better, the bear was going to get her." 5. Staff stated "Mr. Bear" was from the "Going on a bear hunt" song which was often played in the classroom. The center reported following a transition from class 2B to 3A, staff stated one child became visibly upset upon hearing "the bear hunt" song.

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