The Gardner School of Ashburn

8VAC20-780-40-K · The center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

The center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

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8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance; or within 30 days after the first day of attendance.

There was no physical examination in the record for child #1, who had been enrolled for 64 days.

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8VAC20-780-60-A · Repeat Violation

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain required information. The record for Child #5 did not have documentation of child updates and confirmation of up to date information in the child's record.

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8VAC20-780-70 · Repeat Violation

Documentation of at least 2 references to character, reputation, and competency are to checked prior to employment. Staff #1, Staff #4, and Staff #5, all who have been actively working at the center for over one month, did not have any completed references verifications on file.

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8VAC20-780-60-A-8 · A written care plan is required for each child with a diagnosed food allergy, to include instructions from the 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 #6 and Child #7, who have been enrolled at the center for one and a half months, have a diagnosed food allergies and did not have a written care plan in their file.

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22.1-289.035-B-4 · Based on record review and interview, the center did not obtain a sex offender registry check and a criminal history record information check from any state in which the individual had resided in the preceding five years prior to the first day of employment.

Evidence: 1. Staff #3's record (Date of hire-04/15/2024) contains a sworn statement that states that they lived in the state of California in the preceding five years. Staff #3's record did not contain documentation of a sex offender registry check and criminal history record information check for the state of California prior to the first day of employment. 2. Staff #4's record (Date of hire-04/10/2024) contains a sworn statement that states that they lived in the state of Florida in the preceding five years. Staff #4's record did not contain documentation of a Florida sex offender registry check. 3. Staff #2 confirmed that the out of state sex offender registry checks and the criminal history information check for Staff #4 and Staff #5 were not completed prior to the fist date of employment.

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22.1-289.035-A · Based on record review, the center did not update criminal history record reports every five years.

Evidence: 1. Staff #5's record (Date of hire-03/01/2022) did not contain an updated criminal history record check. The last criminal history record was dated 09/14/2018.

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8VAC20-780-270-A · Based on observation, staff interview and documentation review,areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1. According to an incident report dated 05/10/2023, Child #1 was climbing on the raised flower box and fell. Child #1's arms and legs were cleaned off by Staff #1 and checked for broken skin. Staff #1 did not observe any marks or broken skin and Child #1 returned to play. 2. At approximately 2:30pm, Staff #1 stated that she observed a mark on the inner right thigh of Child #1. Staff #1 stated that they assumed that the mark happened at home. 3. At approximately 4:45pm, the parents of Child #1 noticed a large mark on the inner right thigh of Child #1. 4. The wooden flower bed box located on the far left of the playground had splintering and deteriorating wood on two of the outer corners of the flower bed box. The deteriorating wood of the left corner of the box had an exposed metal bolt head that had sharp edges.

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8VAC20-780-60-A-8 · Based on record review, a written care plan for each child diagnosed with a food allergy was not obtained.

Evidence: 1. Child #6 has a diagnosed food allergy and has emergency medication on site. Child #6's record did not contain a written care plan.

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8VAC20-780-210-A-2 · Based on review of staff records, the center did not ensure staff assigned as program leader met program leader qualifications.

Evidence: 1. Staff #1(date of hire-5/3/2021) was in the position of program leader in the Nature Center (3 year old) classroom. Staff #1 did not did not have a bachelor's degree in a child related field such as, but not limited to, elementary education, nursing, or recreation, from a college or university.

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8VAC20-780-70 · Based on record review, required records were not kept for each staff person.

Evidence: 1. Staff #2's record (Date of hire-05/02/2022) did not contain documentation of a second reference check and the fist reference check was completed after the date of hire.

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

Evidence: 1. In the Nature Center classroom, the carpet was unraveling and had loose strings. (Approximate length-10 feet of unraveled floor line.)

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8VAC20-780-40-K · Based on record review, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

Evidence: 1. The center did not develop written procedures for shaken baby syndrome or abusive head trauma.

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8VAC20-780-550-D · Based on interview and record review, the center did not implement a monthly evacuation drill.

Evidence: 1. Staff #1 confirmed that a monthly evacuation drill was not conducted for the month of January. 2. Documentation for evacuation drills indicated that an evacuation drill for the month of January was not completed.

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22VAC40-185-60-A · Based on record review, children?s records did not contain required information.

Evidence: 1. Child #5?s record (Start date-04/26/2021) did not contain documentation of proof of birth.

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