Winwood Children's Center

8VAC20-780-140-A · Each child's record shall contain a physical exam within the first thirty days of enrollment.

The record for child E who had been enrolled over eight months, did not have documentation of a physical on file.

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8VAC20-780-440-I · Based on observation of the infant room it was determined that cribs were not placed where they were are out of reach of outside objects such as curtains. Evidence: There were three cribs placed in front of a large window in the infant room which were within reach of curtains.

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8VAC20-780-340-A · Based on review of documentation it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Based on injury reports and incident reports for the Pre-K classroom it was determined that child A (Age 5 years) injured children and staff eight times between the dates of 02/23/24 - 03/06/2024. The behaviors that occurred in these reports include hitting, kicking, punching, and hitting with large blocks and puzzles in the classroom.

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8VAC20-780-245-J-2 · Based on interviews and review of medication it was determined that when the center has agreed to administer medication there was not always staff on site who were trained to administer this specific medication. Evidence: There as an authorization form on file to administer rectal medication for child D. Based on interviews there were no staff on site who were trained to administer this specific medication.

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8VAC20-780-340-A · Based on staff interviews and review of documentation it was determined that staff did not always ensure the care protection and guidance of children under their supervision. Evidence: Based on staff interviews it was determined that administration did not provide support to staff in need of assistance in classrooms who have children enrolled with challenging behaviors. Staff report that there are two children enrolled in the Pre-K classroom with challenging behavior. It is reported that staff are unable to manage and supervise the entire classroom while alone due to focusing their attention on the children with challenging behaviors. Staff are reported to be alone during rest time and in the afternoons around 4:00 pm - 6:30 pm. Staff have reported these concerns to administration however, they are still caring for children alone once the ratio allows for one teacher without support. The Licensing Inspector observed 11 injury reports from 08/03/23 - 02/13/24 where injuries were sustained to children by other children in the Pre-K classroom.

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8VAC20-780-500-A · Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: After changing a child on the changing table, Staff A does not wash the child's hand. Staff A does not wash their hands after the diaper change, leaves on their soiled gloves and begins changing another child.

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8VAC20-790-600-D-1 · Based on review of five children's records it was determined that not all staff had completed CPR training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed CPR training.

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8VAC20-780-70 · Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.

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