Winwood Children's Center - Brm 2

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 5 years.

The record for Staff #1, employed for 4 months, did not contain results of an out of state central registry ( CPS

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8VAC20-780-140-A · Each child shall have a physical examination by or under the direction of a physician: Before the child's attendance; or within 30 days after the first day of attendance.

The record for Child #1, enrolled for more than 30 days, did not contain a physical examination.

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8VAC20-780-500-A · Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

A child in the Preschool 3 classroom was observed cleaning up from nap and joining the snack table without handwashing.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The record for Child #1, 19 months of age, contained immunizations dated 10 months ago.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age.

The record for Child #1, enrolled for more two months, did not contain documentation of viewing proof of the child's identity and age.

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8VAC20-780-40-E · Based on a staff written statement and review of an injury report, the licensee did not ensure compliance with the center's own policy on playground safety.

Evidence: 1. The center's playground safety policy requires staff to spread out in zones where there is playground equipment. 2. On 04/25/2024 at approximately 4:25pm, Staff #1 and #2 were positioned in two different zones, when Staff #1 left the playground and entered the center, which left one zone without staff. 3. While Staff #1 was inside, Child #1 fell off a climbing structure which caused a serious injury. The climbing structure was located in the zone that Staff #1 had left from.

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8VAC20-780-40-E · Based on interviews with Center Management and staff, and review of the operational responsibilities of the licensee, the center did not ensure their own policies and procedures were maintained.

Evidence According to Cadence Education Employee Handbook, January 2020 page 56 A child should never be spanked, bit, pinched, pushed, pulled, shaken or otherwise physically punished or handled inappropriately. Staff #1 took child #1 by the wrist, pulling them over to their own cot, abruptly placing them face down on their stomach. Staff #1 stated when child #1 continued to be rambunctious, I pressed them down and spanked them once.

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8VAC20-780-500-A · Based on observation, staff did not wash the child's hands or their own hands with warm running water and liquid soap after assisting a child with toileting.

Evidence A diaper change was observed in the Infant 1 classroom. After the diaper change staff did not wash their own hands or the child's hands with warm water and liquid soap.

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8VAC20-780-520-C · Based on observation, diaper cream was observed not labeled and accessible to children.

Evidence In the 2,s classroom, diaper cream was observed not labeled with a child's name and was located in a drawer that is accessible to children.

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8VAC20-790-600-D-1 · Based on review of staff cardiopulmonary resuscitation (CPR) records, not all staff have been certified in CPR within 90 days of first day of employment.

Evidence Staff #1, 2, 3, and 4 are not current in the CPR training.

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