Woodlake Child Development Center

22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for more than one year, did not have a central registry search requested.

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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 #2, who had been enrolled for seven months.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #3, enrolled for four months, was missing the following required components: Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

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8VAC20-780-350-B-3 · Based on interview, the center did not ensure to follow the required ratio in their two year old classroom.

Evidence: 1. The ratio for two year old children is 1:8. (staff:children) In interview, four staff stated that the two's room had been out of ratio recently in the mornings. Staff stated that the room could be up to 5 children over ratio for anywhere from a few minutes to 15 minutes while waiting for the next staff member to come in. 2. Administration acknowledged that the two year old classroom was out of ratio several times.

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8VAC20-780-245-A · Based on a review of 10 staff records and interview, the center did not ensure that one staff annually completed a minimum of 16 hours of training appropriate to the age of children in care as required.

Evidence: 1. The record of staff #4 (date of employment: 5/17/2022) contained 10 hours of annual training from 5/17/2022 to 5/17/2023. 2. Administration acknowledged that staff #4 did not complete 16 hours of annual training.

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8VAC20-780-500-B · COMPLAINT RELATED

Based on interview, the center did not ensure that children younger than three years were changed on a changing table or countertop designated for changing as required. Evidence: 1. During interview, staff in a two-year old classroom stated that children were sometimes diapered while standing in the bathroom as part of their potty-training procedure. 2. Administration acknowledged that the children in the two-year old classroom were not always being changed on the designated table.

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8VAC20-780-60-A · Based on a review of eight (8) child records and interview, the center did not ensure that three (3) records contained the required information.

Evidence: 1. The records of child #1 (date of enrollment: 6/7/23), child #6 (date of enrollment: 6/19/2023) and child #7 (date of enrollment: 5/15/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged the records were incomplete.

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8VAC20-780-510-D · Based on a review of documentation and interview, the center did not ensure that non prescription medication was administered by a staff member or independent contractor who meets the requirements in 8VAC20-780-245 J 1 or J 2.

Evidence: 1. During interview, staff stated that Bacitracin, an antibiotic ointment medication, was administered to child #1 by a staff member who did not have the required Medication Administration Training. 2. Administration acknowledged that the medication was administered by a staff who was not MAT certified.

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8VAC20-770-60-C-2 · Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required.

Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.

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8VAC20-770-60-C-2 · Based on a review of ten (10) staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment for seven (7) staff as required.

Evidence: 1. The record of staff #2 (date of employment: 8/18/2022) contained a central registry finding dated 10/19/2022. The record of staff #3: (date of employment: 8/29/2022) contained a central registry finding dated 10/7/2022. The record of staff #4 (date of employment: 8/16/2022) contained a central registry finding dated 10/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a central registry finding dated 8/4/2022. The record of staff #6 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. The record of staff #7 (date of employment: 8/15/2022) contained a central registry finding dated 10/19/2022. The record of staff # 8 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. 2. Administration acknowledged that the findings were not obtained within 30 days of employment.

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