Lil' Angels Day Care Inc.

8VAC20-780-40-J · Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

There were no injury prevention procedures to observe at the time of inspection.

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8VAC20-780-270-A · The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

On the preschool playground, two buckets holding cement to anchor poles were cracked and broken with sharp edges that could pinch skin. Two scooters were broken, leaving plastic sharp edges. Children were observed playing in the area at the time of inspection.

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8VAC20-780-240-D · Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center?s information listed in 8VAC20-780-420.A and the following: precautions in transporting children.

Staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #8, staff #9, staff #10 was not provided in writing precautions in transporting children.

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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 #1, who had been enrolled for 18 months.

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22.1-289.035-B-2 · Based on a review of staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment.

Evidence: 1. The national fingerprint check for Staff #1, employed 05/19/2023, contained results that were dated 05/23/2023. 2. Director confirmed the hire date of the staff is correct and acknowledged the results were late.

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8VAC20-780-130-A · Description: Based on record review, the center did not ensure to obtain documentation that each child received immunizations required by the State Board of Health before the first day of attendance.

Evidence: The record of child #3 (DOE 12/13/23) contained an immunization record date 3/14/24.

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8VAC20-780-130-E · Based on review of five children's records and interview, the center did not ensure to obtain documentation of additional immunizations once every six months for one child under the age of two years as required.

Evidence: 1. The record of child #4 (enrolled: 4/26/21) contained an immunization record dated 4/23/21 and 2/18/22. Child #4 was required to have an documentation of additional immunization once every six months. 2. Administration acknowledged that the immunization update was missing.

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8VAC20-790-600-F · Based on records review, the center failed to ensure that staff who work directly with children, shall annually attend the departments 3 hour health and safety update course. Evidence: The record for staff #3, date of employment 04/04/13, contained a 3 hour health and safety course certificate dated 07/16/2021. There was not an updated training for 2022.

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8VAC20-780-40-M · Based on observation, and interview, the center failed to maintain in a way that is accessible to all staff who work with children, a current, dated, written list of all children?s allergies, sensitivities, and dietary restrictions documented in the allergy plan. The list must be kept in each room or area where children are present.

Evidence: 1) When interviewed, staff in classroom #3, did not know if there was an allergy list or where it was. 2) The allergy list posted in classroom #2, did not have a date on it. 3) Staff in classroom #5 had an allergy list but stated that it was not current because there were children listed on the list that no longer attend the center. 4) The Director acknowledged that the allergy list was not current.

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8VAC20-790-600-D-1 · Based on records review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for staff #2, date of employment 10/11/22, did not contain documentation of current certification in CPR. The Director acknowledged that staff #2 did not have current certification in CPR.

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8VAC20-780-160-A · Based on record review, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening no more than 30 calendar days prior to the date of employment. Evidence: The record for staff #2, date of employment 10/11/22, contained documentation of tuberculosis screening dated 8/20/21.

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22.1-289.035-B-2 · Based on records review, and interview, the center did not ensure that the national background check was completed on staff #5 prior to employment. Evidence: Staff #5?s file (employed-07/25/22) did not contain documentation of completion of a national background check. Staff #5 was seen working in the classroom. When interviewed the Director stated that the fingerprints results were sent but that she didn?t know where she had placed them.

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8VAC20-780-270-A · Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1. At the bottom of the stairs leading to classroom #4, there was a hole in the wall with exposed dry wall. 2. The Director stated that she was aware of the hole in the drywall.

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