Sharon L. Hostler Child Development Center

8VAC20-780-160-A · Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children and the documentation shall be signed by a physician, physician?s designee or an official of the local health department.

The screening for Staff #7 was not signed by a physician, physician?s designee or an official of the local health department.

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22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment.

Staff #7, who had been employed for almost two months before the CPS

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22.1-289.035-B-4 · Based on review of documentation and interview, the center failed to complete out of state background checks for all staff who lived out of state within the past five years.

Evidence: 1. Staff #2 indicated on the sworn disclosure that they had lived in Maine within the past five years. Staff #10 confirmed that there were no out of state background checks for Maine for Staff #2 on file. 2. Staff #10 confirmed that Staff #2 at lived in New Hampshire within the past five years. Staff #10 confirmed that there was no abuse and neglect registry check and no sex offender registry check for New Hampshire for Staff #2.

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8VAC20-780-150-B · Based on review of records and interview, the center failed to ensure that immunization and physical examination records were signed by a physician, his designee or an official of a local health department.

Evidence: 1. Child #2?s physical examination record did not contain a date or a physician?s signature. 2. Child #10?s immunization record and physical examination record did not contain a physician?s signature. 3. Staff #1 confirmed the records did not contain the required dates and signatures.

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8VAC20-780-60-A · Based on review of records and interview, the center failed to ensure that each child?s record contain the required information.

Evidence: 1. Child #1?s record did not have a work phone number for either parent. 2. Child #2?s record did not have a work phone number for either parent. 3. Child #3?s record did not have a work phone number for either parent. 4. Child #4?s record did not have a work phone number for either parent. 5. Child #5?s record did not have a work phone number for one parent. 6. Child #6?s record did not have a work phone number for one parent. 7. Child #10?s record did not have a work phone number for either parent. 8. Staff #1 confirmed that the items were missing from the children?s records.

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8VAC20-780-280-B · Based on observations and interview, the center failed to ensure that hazardous substances were kept in a locked place.

Evidence: 1. In the Early Preschool A classroom, there was one bottle labelled ?sanitizer? and one bottle labeled ?soapy water? in an unlocked cabinet. Staff #4 confirmed that the hazardous materials were not in a locked place. 2. In the Early Preschool B classroom, there was one bottle labelled ?sanitizer? and one bottle labeled ?soapy water? in an unlocked cabinet. Staff #12 confirmed that the hazardous materials were not in a locked place. 3. In the Kindergarten Prep 1 classroom, there was one bottle of Eco Lab sanitizer and one bottle of Fabulose in an unlocked cabinet. Staff #13 confirmed that the hazardous materials were not in a locked place.

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8VAC20-780-320-B · Based on observations and interview, the center failed to ensure that each restroom was equipped with toilet paper.

Evidence 1. In the Toddler A/B restroom, there was no toilet paper. 2. In the Kindergarten Prep 2 classrooms, there was no toilet paper in the girl?s restroom. Staff #11 confirmed that there was no toilet paper in the girl?s restroom.

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8VAC20-780-400-B · Based on interview, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate, and intended to redirect child to appropriate behavior.

Evidence: 1. On June 16, 2023, Staff #1 reported to the department that Staff #14 ?did not follow our positive guidance policies?. 2. During interviews, Staff #4 stated that they witnessed Staff #14 ?forcefully made (Child #11) lay down?, put a blanket over her head and when Child #11 tried to pick up her head, Staff #14 pushed her head back down. Staff #4 also stated that Staff #14 put a blanket over Child #12?s head and when he picked up his head, Staff #14 pushed his head down.

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8VAC20-780-540-C · Based on observation and interview, the center failed to ensure the first aid kit for the first floor contain the required items.

Evidence: 1. The first aid kit on the first floor did not contain tweezers, triangular bandages or an instruction manual. 2. Staff #1 confirmed that the first aid kit did not contain tweezers, triangular bandages or an instruction manual.

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8VAC20-780-540-E · Based on observation and interview, the center failed to have one working, battery operated flashlight on each floor of the building and one working, battery operated radio in each building.

Evidence: 1. There was not a working, battery operated flashlight or a working, battery operated radio available during the inspection. 2. Staff #2 confirmed that the center did not have a working, battery operated flashlight or a working, battery operated radio.

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8VAC20-780-560-G · Based on observations and interview, the center failed to ensure that when food is brought from home, the container is clearly dated and labeled in a way that identifies the owner.

Evidence: 1. In the Early Preschool B classroom, there was three water bottles without names or dates. Staff #12 confirmed that the water bottles and the contents were brought from home. 2. In the Kindergarten Prep 2 classroom, there was three water bottles without names or dates. Staff #11 confirmed that the water bottles and the contents were brought from home. 2. In the Kindergarten Prep 1 classroom, there was nine water bottles without names or dates. Staff #13 confirmed that the water bottles and the contents were brought from home.

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22.1-289.035-A · Based on review of ten staff records, the program did not ensure that all employees complete background checks every five years for one staff.

Evidence: 1. The first day of employment for Staff #7 was 12/14/2014. The first central registry check in the record was dated 12/12/2014. The current central registry check in the record was dated 2/14/2020.

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8VAC20-780-40-E · Based on staff interviews and review of administrative documents, the center did not

ensure that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. The center?s Positive Guidance Policy states: Bright Horizons implements positive guidance and does not ?discipline? or ?punish? children. Bright Horizons prohibits the following: ? Subjecting children to cruel, severe, or frightening punishment such as shaming, humiliation, threats, derogatory remarks, verbal or physical abuse, neglect, or abusive treatment including any forcible restraining, hitting, shaking, jerking, squeezing, spanking, yelling, and choking; ? Using bribes, threats, or false choices to guide behavior; 2. Interview with Staff A on 2/10/2022, revealed that on 2/8/2022, after Child 1 threw books, Staff B picked up child 1 by her shoulders, forcefully placed her on the ground, and slapped the right cheek of Child 1 several times saying ?We do not do that?. When Child 1 attempted to get up, Staff B placed her back on the ground and told her not to get up. 3. Interview with Staff A on 2/10/2022 indicated that after 3 pm on 2/8/2022, in the Toddler A classroom, Child 2 was washing his hands and struggling to turn off the water. Staff C raised her voice and asked Child 2 whether she needed him to get Staff B. Staff B stomped over to Child 2, picked him up by the shoulders, and forcefully placed him on the ground. Staff B then smacked Child 2 several times in the middle of his forehead. 4. Interview on 5/9/2022 with Staff D, the typical co teacher with Staff B, revealed that Staff D did not witness any of the incidents on 2/8/2022, but in the 5-6 months they?d worked together, she had never witnessed Staff B striking a child, but stated that on previous occasions, Staff C would threaten misbehaving children by asking them whether she should call Staff B over and that Staff B could be intimidating to the children by stomping towards them or raising voice when speaking to them.

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8VAC20-770-60-B · Based on record review, program did not ensure that a completed sworn statement or affirmation was completed prior to beginning of employment.

Evidence: 1. The date of employment for Staff #1 was 5/10/21. The completed sworn statement in the file was dated 5/13/21. 2. The date of employment for Staff #3 was 6/7/21. The completed sworn statement in the file was dated 6/10/21. 3. The date of employment for Staff #5 was 7/12/21. The completed sworn statement in the file was dated 7/14/21.

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