Children of America - Doc Stone, LLC

8VAC20-780-270-A · Repeat

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. All cribs in the Infant classrooms had visible dried dirt and drool on the pexiglass. In the Infant C classroom, the refrigerator handle was covered with visible dirt and grime. In the Toddler A classroom, one of two children's bathrooms had an inoperable light and the smell of sewer gas coming from the bathroom piping. In the Preschool 2 classroom, the baseboard on the left side of the classroom had chipped wood and peeling paint.

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8VAC20-780-80-A · (Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

During inspection in the Preschool 1A classroom, there were 16 children present, but the written record reflected there were 17 children present.

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8VAC20-780-60-A-8 · (Repeat Violation) The Center is required to ensure they have a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record for Child #1 did not contain an allergy care plan for their physician diagnosed food allergy.

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22.1-289.035-A · Based on review of 3 staff records, the provider did not obtain a criminal history background check report every five years from the date of the last check.

Evidence: The criminal history background check on file for Staff #1 was completed on 7/1/19 and the file did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check as required.

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8VAC20-780-350-B-1 · Based on review of documentation and interviews, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

Evidence: On 5/21/24, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the infant B room (ages 4 months ? 13 months). Records revealed and staff confirmed that there were only 2 staff members in the infant B classroom when a 9th infant was dropped off at approximately 7:39am, a 10th infant was dropped off at approximately 7:49am, an 11th infant was dropped off at approximately 8:12am, a 12th infant was dropped off at approximately 8:18am, and a 13th infant was dropped off at approximately 8:30am. At approximately 8:30, a staff member in the infant B classroom called a manager to the classroom and a manager and extra teacher joined the classroom at approximately 8:32am leaving the classroom outside of the required ratio for approximately 53 minutes.

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22.1-289.035-B-4 · Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment.

Evidence: The record for Staff #1 (date of hire 3/25/24) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.

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8VAC20-790-600-D-1 · Based on documentation review, the center did not ensure all staff members who work directly with children have cardiopulmonary resuscitation (CPR) certification appropriate to the ages of children in care with an in-person competency demonstration.

Evidence: Staff #2 did not have a valid CPR certification because the training program did not contain an in-person demonstration.

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8VAC20-780-410-1 · Based on staff interviews and review of documentation, the center failed to ensure that the forbidden action of rough handling of a child did not occur.

Evidence: 1)Upon interview with staff, it was reported that Child #1 (age 4) refused to join the rest of the class for an activity on the rug. When the child refused, Staff #1 grabbed the child?s hand to guide them to the rug. In the process, the palm of the child?s hand became red and broken skin was noticed. 2)Upon pick up by the parent of Child #1, the child was crying, so the child?s parent asked their child what was wrong. Child #1 verbalized to the parent that Staff #1 had dug their fingernails into their hand. 3)Child #2 (age 5), who was present during the interaction, stated that Staff #1 had become upset with Child #1 and dug their fingernails into their hand when they weren?t listening. Child #2 stated that Child #1 cried when Staff #1 grabbed their hand.

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8VAC20-780-60-A-8 · (Repeat Violation) Based on review of 6 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record for Child #6 did not contain an allergy care plan for their physician diagnosed food allergy.

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