Walnut Grove Child Care Center #3

8VAC20-780-350-C · When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.

There was one staff present with 12 children ages 2 through 5 years old.

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8VAC20-780-500-B · A nonabsorbent surface for diapering or changing shall be used.

The diapering surfaces in classroom #1 and #2 had cracks and holes, making them absorbent.

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8VAC20-780-270-A · REPEAT VIOLATION: Based on observation, not all areas and equipment inside and outside of the center were maintained in a clean, safe, and operable way. Evidence: The changing pad in the infant classroom had small particles and debris on it. The wooden gate on the toddler playground had three rusty nails protruding out of the fence. A full panel of the wooden gate was leaning towards the wooded area behind the center. There was a gap between the bent section of the wooden gate and chain link fence creating an entanglement hazards.

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8VAC20-780-270-A · Based on observation, not all areas and equipment inside and outside of the center were maintained in a clean, safe, and operable way. Evidence: The changing pad in the infant classroom had small particles and debris on it. The wooden gate on the toddler playground had three rusty nails protruding out of the fence. A full panel of the wooden gate was leaning towards the wooded area behind the center. There was a gap between the bent section of the wooden gate and chain link fence creating an entanglement hazards.

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8VAC20-780-160-A · Repeat Violation - Based on a review of four staff records, not all of the staff had documentation of a negative tuberculosis at the time of employment and prior to coming into contact with children. Evidence: Staff 1, start date 8/28/2023, had documentation of a tb screening dated 8/29/2023.

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8VAC20-780-160-A · Based on review of documentation, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #1, with an employment date of 6/6/22, contained documentation of a TB screening dated 6/13/22.

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8VAC20-780-270-A · Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: The exterior gate for the four- and five-year-old playground did not fully latch and was able to be pushed open without operating the latch.

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8VAC20-770-60-B · Based on review of two staff records, the center did not obtain a sworn statement from an employee prior to employment. Evidence: The sworn statement on record for Staff A, with a recorded start date of 3/5/21 and orientation date of 3/4/21, was dated 3/17/21.

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8VAC20-780-340-A · Based on interview and documentation review, a staff member did not ensure the care and protection of a child they were supervising. Evidence: At approximately 3:00pm on 2/14/22, during afternoon snack/class Valentine's day party, Child A was served a "Nutri-Grain- like" bar by Staff #1. The allergy care plan on record at the center for Child A contains documentation of food allergies to wheat, eggs, peanut, dairy, and soy. Approximately 45 minutes later Child A developed a rash and threw up. Staff #1 called the director who followed Child A's allergy care plan and administered epinephrine and called 911. Child A was transported by ambulance with their parent to the hospital.

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22VAC40-185-510-N · Based on review of medication and medication authorization, the center did not ensure that medications are picked up within 14 days of authorization expiring, or that the parent renews the authorization. Evidence: A medication was observed on site during the inspection with authorization that expired on 9/2/21.

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