22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment. staff #9, who is currently working in ratio with children, does not have a completed sworn statement and has been employed for more than 3 months.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-70 · Documentation to demonstrate that the individual possesses the education,

certification, and experience required by the job position is required for each staff. Staff #2 and staff #3, who have both been actively working as lead teachers at the center for the past 6 months, did not have a diploma or transcript on file and did not have additional documentation to demonstrate program leader qualifications.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A · Based on a review of records and interview, the licensee did not always maintain and keep at the center a separate record for each enrolled child which contains all of the required information.

Evidence: Ten children's records were reviewed. The record for child #4 (enrolled 6/17/2024) did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4's record listed the child's parents' information as the emergency contacts. The record for child #5 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #5's record listed the child's parent for one of the two contacts. The record for child #9 (enrolled 6/17/2024) contained only one of the 2 required name, address, and phone number of designated people to call in an emergency if a parent cannot be reached. Child #9's record listed the child's parent for one of the two contacts.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-530-C · Based on observation and interviews, the licensee did not maintain a written hard-copy record of daily attendance that documents for EACH GROUP of children, the arrival and departure of each child in care, as it occurs.

The program had 5 written lists of children present, organized on a series of clipboards that remained at the front table throughout the entire inspection. The clipboards were delineated by the site that each child normally attends during the school session. The rosters were not organized by groups consistent with the grouping of children in care during the inspection. The clipboards listed the names of children in attendance, but did not document the departure of children as they left. Staff providing supervision for a group of children did not have a group roster listing the group of children that they were responsible for. One staff was observed using an electronic device to check each child out of the program as they left.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-70 · Based on a review of staff records and interview, the licensee was unable to demonstrate that each staff person had a staff record containing the required documentation.

Evidence: Staff records were randomly requested based on staff present during the inspection. Six staff records were requested to be reviewed. Staff #5 and staff #6 did not have records on site at the program. The record for staff #5 was emailed to the inspector for review on 12/4/2023. However, a file for staff #6 was not made available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A-8 · Based on a review of records and interview, the licensee did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: Five children's records were reviewed. The record for child #3 contained documentation that child #3 had a diagnosed food allergy to shellfish. Child #3's record did not contain an allergy care plan with instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. The program director confirmed that this documentation had not been obtained for child #3. Child #3 has been attending the program since 9/6/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-280-B · Based on observation, the licensee does not always ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: The licensing inspector observed spray bottles of sanitizing spray sitting out in the open and accessible to children in care in the following locations: Studio A - on a small open shelf at a height of about 4 feet. Cycling Studio - on a small open shelf at a height of about 4 feet. Studio B - on a small open shelf at a height of about 4 feet. and on a window sill at a height of about 5 feet. The spray bottles contained a label warning "Keep out of reach of children" and additional warnings.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-340-A · Based on a review of documentation and interviews, the licensee did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance.

Evidence: On 9/6/2022, the licensee self-reported to the licensing inspector that the program had contacted child protective services regarding an incident of staff sending personal texts to a child attending summer camp. On 9/7/2022 the licensing inspector reviewed an incident report which stated that the staff aid (staff #1) had been exchanging text messages with a 10 year old camper (child #1) which included staff #1 texting to child #1 ?I love you?, ?I miss your hugs? and inquiring ?did [supervising staff (#2)] catch you texting me?? Staff (#2) stated that the texts also included messages about a ?kiss on the forehead? The staff aide (staff #1) used their mobile phone to send text messages to the phone of Child #1 during the camp hours while the child was attending the camp and also outside of camp hours while Child #1 was not at the camp. This exchange deviates from Licensee?s own code of conduct which states that staff members may not have personal contact with enrolled participants under 18 years of age, to include face to face contact as well as any form of electronic contact.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.