Building Blocks II 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 screenings for Staff #1 and Staff #2 were dated two months prior to date of employment. Staff #1 and 2 have been employed for two months.

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8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was completed two weeks past due.

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8VAC20-790-540-B-3 · Centers are required to obtain the name, address, and telephone number for each custodial parent's place of employment. The record for Child #1, who had been attending the center for 5 months, did not contain documentation of the address of each parent's place of employment. The record for Child #3, who had been attending the center for more than one year, did not contain documentation of the address of one parent's place of employment. The record for Child #4, who had been attending the center for more than two years, did not contain documentation of the address of each parent's place of employment.

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8VAC20-780-60-A-8 · Centers are required to obtain a written 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 the steps to be taken in the event of a suspected or confirmed allergic reaction.

Child #2, who has been in care for 4 months, has a diagnosed food allergy. The record for Child #2 did not contain a written care plan.

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8VAC20-780-40-G · Based on child record review, the center did not meet the proof of child identity and age requirement.

Evidence: The record for child #5 (Start date: 07/29/2024) did not have documentation of viewing proof of the child's identity and age.

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8VAC20-790-600-D-1 · Based on record review, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR).

Evidence: The CPR certification for staff #5 expired 04/13/2024.

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8VAC20-790-600-F · REPEAT VIOLATION

Based on staff record review, staff have not completed the annual department's health and safety update training. Evidence: Staff #4 has not completed the annual 3 hour health and safety update training.

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8VAC20-780-270-A · REPEAT VIOLATION

Based on observation, areas and equipment of the center, inside were not maintained in a safe and operable condition. Evidence: 1. In the Geese classroom, there is a white cabinet next to the bulletin board with a broken left door. The left side of the cabinet door is not attached to the hinges, which causes it to completey fall off the cabinet. 2. The diaper changing pad in the children's bathroom across from the director's office is torn in two places.

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8VAC20-790-600-F · Based on staff record review, staff who work directly with children did not complete the department's health and safety update course.

Evidence: Staff #2 did not complete the health and safety update course for 2023.

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8VAC20-780-40-M · Based on observation and staff interviews, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions, dated and confidential in each room.

Evidence: 1. In the infant room, the allergy list was not kept confidential. 2. The allergy list was posted on a bulletin door next to the classroom door.

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8VAC20-790-600-F · Based on staff record review, staff who work directly with children did not complete the department's health and safety update course.

Evidence: Staff #2 did not complete the health and safety update course for 2022.

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8VAC20-780-40-K · Based on record review and interview, the center did not develop written procedures for prevention of abusive head trauma.

Evidence: There was no documentation of a written policy and procedure for prevention of abusive head trauma.

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8VAC20-790-600-D-1 · Based on record review and staff interview, center staff did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: Evidence: Staff #3 did not have current certification in cardiopulmonary resuscitation (CPR). CPR certification expired on 6/30/20

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8VAC20-780-160-C · Based on a record review and staff interview, the center failed to ensure that a tuberculosis screening was updated at least every two years from the date of the initial screening or testing. Evidence:

1. Staff #1 last tuberculosis screening on file was dated 08/03/2020. 2. Staff #3 last tuberculosis screening on file was dated 06/11/2020. 3. Staff #4 last tuberculosis screening on file was dated 06/03/2020.

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8VAC20-780-160-A-2 · Based on review, 1 of 11 staff files indicated that tuberculosis (TB) documentation had not been completed within the last 30 calendar days of the date of employment.

Evidence - 1. On the date of inspection (02/25/2022), Staff #11 had TB documentation on file that was dated - 09/30/2021. 2. The start date for Staff #11 was listed as - 11/29/2021.

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22VAC40-665-580-H · Based on review, it was determined that 4 of 5 staff files did not include the updated health and safety course certificate that was obtained on an annual basis.

Evidence - 1. On the date of inspection (09/02/2021), the following are the current health and safety course certificates on file: Staff #2 dated - 04/21/2019; Staff #3 dated - 03/31/2019; Staff #4 dated - 08/01/2019; and Staff #5 dated - 08/01/2019. 2. This was confirmed on the date of inspection by the owner.

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