Caterpillar Clubhouse #5

8VAC20-780-80-A · For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

There were 14 children present in Group 1, but only 13 were marked present on the attendance record and 13 present in Group 2, but only 12 were marked present on the attendance record. The attendance did not document arrival as it occurs.

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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 overdue by 3 months.

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8VAC20-780-70 · Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff 4, who has been employed over 2 months, only had 1 reference on file.

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8VAC20-780-280-D · Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single service articles and shall be stored in areas physically separate from food.

Cleaning and sanitizing materials were stored above single service applesauce and fruit in the closet of the infant room

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8VAC20-780-330-B · Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

Evidence: The height of the of the play structure with the slide measured approximately 4 feet 6 inch. The resilient surfacing (mulch) under the climbing equipment with slide measured approximate one inch. The required amount of resilient surfacing is 6 inches.

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63.2-1509-A · Based on staff interviews, the center failed to ensure that the persons listed in the Code of Virginia, who, in their professional or official capacity (a person employed by a child day program), have reason to suspect that a child is an abused or neglected child, shall report the matter immediately to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department?s toll-free child abuse and neglect hotline.

Evidence: 1. Staff 2, Staff 3, and Staff 5 confirmed that on 03/18/2024, Child 1 (age 3 years at time of incident) was left alone, unsupervised on the second floor of the building from approximately 11:30 am to approximately 2:15 pm (2 hours and 45 minutes). The child was in the ?Three?s 2? classroom at approximately 11:30 am when the other children in the group left the room with staff and was found at approximately 2:15 pm in the ?Three?s 1? classroom. 2. At approximately 12:30 pm on 03/18/2024, Staff 3 realized Child 1 was not on their cot for rest time in the nap room. Staff 3 stated they documented the time on a ?sticky note?, assumed Child 1 had left for the day, and did not attempt to locate Child 1. 3. Staff 2 stated that while changing a diaper in the ?Three?s 2? room on 03/18/2024 at approximately 2:15 pm, they heard crying coming from the ?Three?s 1? room. Staff 2 confirmed that they found Child 1 alone in ?Three?s 1? room behind a shelf. Child 1 was reportedly visibly distraught, pale, crying and clutching a stuffed animal. 4. Staff 2, Staff 3, and Staff 5 confirmed they were aware of Child 1 being left alone and unsupervised for 2 hours and 45 minutes and did not report the neglect of Child 1 to the local department or any other authority.

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8VAC20-780-140-A · Based on record review and interviews, the center failed to ensure that each child shall

have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child #2 contained documentation that the first date of attendance for was 06/05/2023; on the day of the inspection the physical was dated 11/23/2023.

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8VAC20-780-140-A · Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s

attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 2. The record for Child # 2 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 3. The record for Child # 2 contained documentation that the first date of attendance was 08/14/2023. There was no documentation of a physical exam on the day of the inspection.

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8VAC20-780-70 · Based on review of ten staff records, the center failed to ensure that all records were complete per the standard.

Evidence: Staff # 1 had a hire date of 08/14/2023 and did not have the two required reference checks prior to employment.

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