Inspection · 2024-10-08

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record for Staff #4, employed for more than 30 days, did not have documentation of requesting a central registry or sex offender check from a state the staff member lived in.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, who was under 2 years of age, did not have an updated immunization record. An updated record with additional immunizations was 6 months overdue. The immunization record for Child #2, who was under 2 years of age, had not been updated. An updated record with additional immunizations was 7 months overdue.

Repeat Violation
Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. A foldable three shelf storage unit that held infant toys, was not secured to the wall. The shelf unit was unstable and shook when it was touched, resulting in an injury to a child.
A piece of clear packing tape approximately 4 inches long posed a choking hazard. The tape was wrapped around plastic that was covering a pole in the classroom. The tape was peeled back and sticking out at a child?s height.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In a classroom there was a can of Lysol and Clorox wipes on a cubby. In another classroom there was a bottle of room fragrance. Keep out of reach of children was written on the labels of these products.

In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. In a toddler classroom there was an electric outlet that did not have a protective cover.

When staff are supervising children, they shall always ensure their care and protection. Child #3 sustained first degree burns when Staff #3 placed a cup of hot coffee on a low, unstable toy shelf within reach of children. The staff member left the hot coffee unattended. Child #3 crawled to the shelf, stood up and reached for the cup. The cup fell over, and the hot coffee spilled on the child?s chest.

Children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. The preschool children came in from the playground and did not wash their hands before eating lunch. Lunch was served in the main building where soap and running water was available.

Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. After changing a diaper, Staff #2 did not wash the child's hands with soap and water.

Staff shall wash their hands with soap and running water before and after a diaper change. After changing a diaper, Staff #2 did not wash her hands.

Disposable diapers shall be disposed of in a leakproof or plastic lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Soiled diapers were put into an open, plastic shopping bag that was hanging on the wall next to the diaper changing table.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 cleaned the diaper changing surface but did not sanitize the surface.

Centers shall keep a record of medication given to children which includes all the required information. There was no documentation of the medication given daily to child #6 on 7 dates between 9/30/24 and 10/8/24.

If diaper ointment or cream is used, the products do not need to be kept locked but shall be inaccessible to children. There was a container of Equate diaper rash ointment on a low cart that was accessible to children in the infant room.

If insect repellent is used, it does not need to be kept locked but shall be inaccessible to children. A basket containing more than 12 bottles of insect repellant sat on a low shelf, accessible to children in the preschool lunchroom.

Repeat Violation
One working battery-operated radio is required in each building used by children. There was no working, battery operated radio in either the Baby Barn or the Preschool building.

Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. There was a pink snack cup on the cubby in the infant room with no name or date. There were multiple bottles in the infant room that did not have dates on them.

A one-day's emergency supply of commercial formulas appropriate for the children in care shall be maintained at the center. The emergency supply of infant formula had expired 4 months ago.

Repeat Violation
Staff records shall be kept for each staff person that includes all of the required information.
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who had been hired more than 30 days prior, did not have any completed reference verifications on file.
Staff records shall contain documentation of orientation and training as required by 8VAC20-780-240. Staff #4 did not have documentation of orientation training on file.