Frederick County Center

8VAC20-780-550-E · Shelter in place procedures shall be practiced a minimum of twice per year.

The center practiced shelter in place procedures once in 2025.

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8VAC20-780-40-M · The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

Neither classroom had a list of allergies, sensitivities and dietary restrictions.

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8VAC20-780-60-A-8 · A written care plan is required 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.

Child #6 has a diagnosed food allergy and did not have a written care plan in their file.

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8VAC20-780-160-A · The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Staff #1?s TB screening that was dated four days after their first day of employment.

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8VAC20-780-60-A · REPEAT VIOLATION

Based on review of records and interview, the center failed to maintain a separate record for each child which contained the required information. Evidence: 1. Child #1?s record was missing the annual update, first day of attendance and proof of birth. 2. Child #2?s record was missing an address for one of the emergency contacts. 3. Child #3?s record was missing the annual update, first day of attendance, proof of birth and the phone number for one parent?s place of employment.

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8VAC20-780-400-B · Based on review of documentation and interview, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate, and is intended to redirect children to appropriate behavior and resolve conflict.

Evidence: 1. Documentation provided by the center stated that Staff #1 report to Staff #2 that Child #1 was having a ?negative behavior? and Staff #3 motioned that she was going to ?backhand him in the face? and stated, ?I could just smack you?. 2. Documentation provided by the center stated that Staff # 4 had witness on a different day Staff #2 pretending to hit a different child and ?she was holding his hands and he was trying to get away?

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8VAC20-780-40-M · Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities and dietary restrictions.

Evidence: 1. In Room 1, 2 and 3, staff could not locate an allergy list for all children?s allergies, sensitivities, and dietary restrictions.

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8VAC20-780-240-A · Based on review of records, the center failed to ensure that the Virginia Department of Education orientation course was completed within 90 calendar days of employment.

1. Staff #3?s start date on file was 08/22/2022. There was no evidence that Staff #3 had completed the VDOE orientation course. 2. Staff #4?s start date on file was 08/22/2022. There was no evidence that Staff #4 had completed the VDOE orientation course. 3. Staff #5?s start date on file was 01/30/2023. There was no evidence that Staff #5 had completed the VDOE orientation course. 4. Staff #6?s start date on file was 10/17/2022. There was no evidence that Staff #6 had completed the VDOE orientation course. 5. Staff #7?s start date on file was 05/16/2023. There was no evidence that Staff #7 had completed the VDOE orientation course.

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8VAC20-780-160-A · Based on review of records and interview, the center failed to ensure that each staff member had a tuberculosis (TB) screening within the last 30 calendar days of employment.

Evidence: 1. Staff #1?s start date on file is 9/6/2022. The TB screening on file was 4/7/2022. 2. Staff #2 confirmed that the TB screening was not completed within the last 30 calendar days of Staff #1?s date of employment.

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8VAC20-780-520-C · Based on interviews, the center failed to obtain written authorization for over the counter diaper cream noting any known adverse reactions.

Evidence: 1. Staff #1 confirmed that the center did not obtain the appropriate written authorization for use of over the counter diaper cream for Medications #1 and #2. 2. Staff #1, Staff #2 and Staff #3 confirmed that the diaper creams (Medication #1 and #2) were used. Based on interviews, the center failed to keep a record of use of over the counter diaper cream. Evidence: 1. Staff #1 confirmed that the center did not maintain records of use for over the counter diaper cream for Medications #1 and #2. 2. Staff #1, Staff #2 and Staff #3 confirmed that the diaper creams (Medications #1 and #2) were was used and a record was not kept.

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8VAC20-780-160-C · Based on review of records and interview, the center failed to ensure that staff obtained a tuberculosis (TB) screening at least every 2 years.

Evidence: 1. Staff #5?s TB screening on file was dated 9/3/2020. Staff #6 confirmed that Staff #5 did not have an updated TB screening on file. 2. Staff #3?s TB screening on file was dated 10/6/2020. Staff #6 confirmed that Staff #3 did not have an updated TB screening on file.

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8VAC20-770-40-D-6 · Based on review of staff records and discussion with the Associate Director, the center accepted a criminal history record report that was dated more than 90 days prior to the date of employment.

Evidence: 1. The record for Staff #3 contained a completed criminal history record dated 10/15/2021. Date of employment for 01/18/2022. 2. The Associate Director reported she was not aware a background check could not be more than 90 days old at the time of employment.

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