Children's Harbor - Ghent

8VAC20-780-400-B · Behavioral guidance shall be constructive in nature, age and stage appropriate and intended to redirect children to appropriate behavior. When two-year-old Child 1 did not stay on the cot during the designated rest period, Staff A abruptly grabbed the child by the wrist and knee, lifting her off the floor and onto the cot. Approximately two minutes later Staff A removed the child from the cot and took her to a corner telling the child to stand right there. Child 1 was in the corner crying, for approximately five 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. Child #1, who had been attending for two months, did not have documentation of an immunization record on file.

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22.1-289.035-B-4 · Repeat Violation

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for staff #1, employed for 4 years, did not have documentation of requesting a criminal history check from a different state.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for staff #1, employed for 3 months, did not have documentation of a sex offender registry check for a state identified on the sworn statement. The record for staff #2, employed for 5 weeks, did not have documentation of a sex offender registry check for a state identified on the sworn statement.

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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 cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The CPR certification for Staff #2 had expired 13 weeks ago.

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22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 8/1/2024, were not posted in a conspicuous place on the premises.

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8VAC20-780-550-P · Based on observation and interviews, it was determined the facility did not ensure that the center maintain a written record of children?s serious and minor injuries in which entries are made on the day of occurrence and contain all the required information.

Evidence: 1.The injury record for child #1 did not contain the time the parent was notified. 2.The injury record for child #2 did not contain documentation of the date, time, and method that the parent was notified. 3.There was no written record for a bite injury that occurred on 7/23/24. 4. The Director confirmed the required injury documentation was not in the records.

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8VAC20-780-130-E · Based on record review and interviews, it was determined the center did not ensure that documentation of additional immunizations was obtained once every six months for children under the age of two years.

Evidence: 1.The immunization record for child # 5, who was 12 months old, was dated 6/28/23. An updated record was record after 12/28/2023. 2. The Director confirmed the update was not in the record.

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8VAC20-790-600-D-1 · Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1.The record for staff #3, date of hire 1/25/2024 did not contain documentation of CPR certification. 2. The director confirmed the certification had not been received.

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8VAC20-780-410-1 · Based on observation, record review, staff documentation review, and interviews, it was determined that the center failed to ensure that the following actions are forbidden: roughly handling and restricting movement of a child as punishment.

Evidence: 1. Child #1?s parent observed during pick up on October 24, 2023, that Child #1 had a busted lip that was slightly bleeding. Child #1 reported to his parent that Staff #1 hit their head on the wall in the bathroom because they would not take a nap.? 2. Per the documentation provided by Staff #2, Program Director, as well as Staff #2?s interview, in observing the video footage in the classroom, Staff #1 was observed rough handling the child on two occasions before forcefully pulling him from his cot and taking him into the bathroom because the child would not take a nap. After taking the child out of the bathroom, Staff #1 was observed placing both of their legs across Child #1 while on the cot and continued to check under the blanket they placed over Child #1?s head to see if the child was sleeping. 3. Staff #4 confirmed hearing loud screams from the bathroom on October 24, 2023, during naptime at the center. Staff #4 notice that when Child #1 was picked up by a parent, they had had a ?busted lip.? 4. Staff #2 and Staff #3 confirmed that the actions by Staff #1 are against the policies of Children?s Harbor and failed to keep the child safe. Staff #1 violated the agency?s policy of discipline. 5. As a result of the actions in the classroom with Child #1, Staff #1 was terminated on October 25, 2023.

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8VAC20-780-160-C · Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence: 1. Staff #2 (date of hire May 2021) has an expired tuberculosis test dated May 14, 2021. 2. Staff #1, confirmed that Staff #2?s tuberculosis test is expired.

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

Evidence: 1. In the 2 year old classroom there was a cracked and broken toy bin, in reach of the children in care, that poses as a pinching hazard. 2. Staff #1 confirmed that the toy bin, in reach of children in care, was cracked and broken.

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8VAC20-780-270-A · Based on observation and interview it was determined that the center did not ensure that areas and equipment of the center be maintained safe condition.

Evidence: 1. In entrance of the infant room has loose baseboard lining along the foot of the wall which is a tripping and injury hazard for children in care. 2. In the waddler classroom, there is a plastic toy bin that is broken which poses as a pinching hazard to children. 3. There is peeling paint in the 3 year old classroom in which chipped paint is on the floor near the children?s cots and designated sleeping area. 4. Staff #1 confirmed the physical plant issues of the center needs repair. Staff #1 confirmed the plastic bin was broken.

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