The Merit School of Southpoint (#45)

22VAC40-185-510-A · Based on medication review and staff interview, it was determined that not all children with medication on site had documentation of a parental authorization form.

Evidence: Child #6 has Benadryl on site and did not have signed parental authorization form on file for the medication.

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22VAC40-665-540-A · Based on record review, the center did not obtain documentation completed within the 30 days prior to employment for each staff stating that they are free of communicable tuberculosis (TB).

Evidence: Staff #1 (DOH: 7/19/21) had a TB test on file dated 5/7/21. Staff #5 (DOH: 5/4/21) had a TB test on file dated 4/2/21.

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8VAC20-780-40-E · COMPLAINT RELATED

The center is required to ensure the center's own policies and procedures that are required by these standards are in compliance. The center's procedures for identifying where children are at all times states: "Name to face accountability is when you look at your rollcall sheet and confirm by actually putting your eyes on each individual child marked present on the rollcall sheet. This procedure does not take the place of counting the number of children as you cross each threshold on a regular basis. However, children are busy and constantly moving around which makes it easy to count the same child twice. All areas should be checked prior to transitioning." On 11/03/25, Staff #1 and Staff #2 did not follow the center's Name-to-Face procedure when transitioning children outdoors and did not check all areas of the classroom before transitioning. The staff acknowledged counting the children when they lined up to go outside, but a count and the name-to-face check was not done again when the children were out on the playground. Staff reported a final check of the room was not completed when the group exited the room and Child #1 (2-years-old) was left behind for approximately 8 to 10 minutes.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #1, enrolled for 24 days, did not have documentation of immunizations.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. The record of staff #1 contained documentation of first aid certification that expired three days ago.

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8VAC20-780-570-E · Prepared infant formula shall be refrigerated, dated and labeled with the child's name.

On 05/16/25, the center did not ensure two bottles with prepared infant formula were dated and labeled with a child's name.

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8VAC20-780-530-A-1 · All staff who work directly with children shall have within 90 days of the date of employment

current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #3, who works directly with children, completed the CPR certification 11 days late.

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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 of Child #5, who had been in attendance for over two months.

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8VAC20-780-80-A · Based on observation and documentation review, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: In the Junior Kindergarten classroom, there were 9 children signed in on the written attendance but only 8 children were present in the classroom.

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8VAC20-780-410-1 · Based on interviews, a staff member engaged in a forbidden action by roughly handling a child in care.

Evidence: In the Twos classroom, on 11/3/2023 at approximately 2:30pm, Child #1 (Age 2) was sleeping under a blanket on a cot when Staff #1 yanked Child #1 by the arm and roughly pulled Child #1 to a standing position. Staff #1 pulled Child #1 quickly across the room to the changing table. At the changing table, Staff #1 grabbed Child #1 by the upper left arm and roughly lifted the child onto the changing table.

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22.1-289.035-B-4 · Based on record review, the center did not obtain the results of a criminal history record check prior to employment from each state staff have resided in the preceding five years.

Evidence: Staff #2 (Start Date: 8/8/2023) has resided in the state of Massachusetts within the last five years and did not have the results of a Massachusetts criminal history record check on file at the time of inspection.

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8VAC20-770-60-B · Based on record review, the center did not ensure that all staff complete a signed Sworn Disclosure Statement prior to employment.

Evidence: Staff #5 (Date of Hire: 10/17/2022) did not have a signed Sworn Disclosure Statement at the time of inspection. Staff #5 did complete a Sworn Disclosure Statement during the inspection and was dated 3/1/2023.

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