La Petite Academy #7140

8VAC20-780-130-E · Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. Child 1, age 14 months, lacks documentation of current immunizations. a. The most recent immunization record on file indicates the most recent immunizations were administered on 01/12/2021. 2. Administrative staff confirmed that an updated immunization had not been obtained for child 1.

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22VAC40-185-400-B · Based on interviews and a review of center video, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Evidence: 1. A review of center video shows two children on the carpeted area of the classroom at approximately 3:45 pm on 10/05/2021. Staff 1 is observed walking over to the children and lifting child 1 up by the wrist. Child 1 is then dragged across the carpet, his feet briefly leaving the floor, while staff 1 continues to hold on to his wrist. 2. Staff 1 stated that child 1 and another child were "rolling around on the carpet while I was doing circle time." a. Staff 1 stated she provided several verbal prompts which did not bring child 1 back to circle time. b. Staff 1 stated she then went over and removed child 1 by picking him up under his arms and bringing him back to circle time nevertheless, child 1 left circle time and resumed rolling around on the floor with another child. c. Staff 1 stated she attempted an additional verbal prompte however, this failed to bring child 1 back to circle time. d. Staff 1 stated she then went over to child 1 and "took his hand and picked him up off the floor." "I picked him up and stood him up....I sat him down next to me." e. Shortly thereafter, child 1 began crying and stating that his arm hurt according to staff 1. 3. The facility positive guidance and redirection policy states, "No staff member is permitted to use physical punishment on any child." Pulling is listed as a prohibited form of punishment. a. Administrative staff stated that staff 1 did not properly redirect child 1 when she lifted him up by his arm and pulled him across the carpet.

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22VAC40-185-130-B · Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The most recent immunizations on file for child 1 were conducted on 12/30/2019. a. Child 1 is now over the age of two years however, her immunizations were not updated once every six months as required for children under the age of two years. 2. Administrative staff confirmed that an updated immunization record had not been obtained for child 1.

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8VAC20-780-160-C · At least every two years from the date of the initial screening or testing staff shall obtain and submit the results of a follow-up tuberculosis screening. The most recent tuberculosis screening in the record for staff #1 was expired for approximately two months and the most recent tuberculosis screening in the record for staff #2 was expired for approximately one week.

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8VAC20-780-260-B · After the first license, annual approval from the health department shall be provided. The center?s most recent health inspection was not available for review.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations before the child can attend the center. The record for child #1 who was present at the center did not contain immunization records.

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8VAC20-780-500-A · Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed eating snack and not washing their hands afterwards.

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8VAC20-780-130-E · REPEAT VIOLATION

Based on record review, the center did not ensure that documentation of additional immunizations once every six months for children under the age of two years were in the record. Evidence: 1. The most recent immunizations on file for child #2 (age 15 months), were administered on March 16, 2023, according to documentation on file. 2. Staff #1 (Director) confirmed that immunization record has not been updated.

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22.1-289.011-F · Based on observation and interview, the center failed to post on the premises the findings of the most recent inspection of the facility.

Evidence: 1. The most recent inspection, conducted on 04/04/2023, was not posted. a. Administrative staff confirmed that these inspection documents were not posted.

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8VAC20-780-400-B · Based on interviews the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Evidence: 1. It was reported, Staff 1 used verbal commands, described as "harsh, loud and shouting" instead of guiding children to the appropriate behavior. 2. Several staff reported Staff 1 does not get up from the chair to redirect children, rather she shouts verbal commands. 3. Staff #1 had a written disciplinary action for not using positive guidance or redirection on 03/22/2023. 4. Staff #1 confirmed she gets loud with the children when she becomes stressed.

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8VAC20-790-600-D-1 · Based on record review and interview, the vendor failed to ensure that 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 training shall include an in-person competency demonstration.

Evidence: 1. Staff 1 , hire date 09/01/2022, lacks certification in CPR. 2. Staff 2, hire date 09/19/2022, lacks certification in CPR. 3. The CPR certification for staff 3 expired on 11/21/2022. 4. Administrative staff verified that these staff did not have current CPR certification.

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