Inspection · 2023-10-12

Based on a review of children?s records, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. The record of Child 2 (DOE 11/01/2021) contained documentation of immunizations dated 10/13/2023.

Based on a review of children?s records, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.

Evidence:
1. The record of Child 2 (DOE 11/01/2023) contained documentation of a physical dated 10/13/2023.

Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

Evidence:
1.The record of Staff 2 (DOH 04/04/2022) and Staff 5 (DOH 12/17/2017) did not contain documentation of the Virginia Department of Education sponsored orientation. Administration acknowledged it was not completed.

Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. The four-year old room had an unlocked closet containing Lysol with labels stating "keep out of reach of children" and "caution". The lock on the cabinet was observed to be broken and inoperable.
2. Staff in classroom confirmed the lock on the closet was door was broken.

Based on observation, measurement and interview on March 4, 2020, the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

Evidence:
1. The resilient surfacing under a 4ft climbing structure did not meet the minimum requirement of 6 inches of surfacing. The center utilizes wood chips as resilient surfacing and there was grass coming through the surface of the wood chips.
2. Staff member confirmed that there was grass coming through the wood chip surfacing all over the playground.

Based on record review, at least one staff in each classroom or area where children are present shall have, within 90 days of 10/13/21: Current certification in CPR as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

Evidence:
1. Staff 1, 2, 3, 4, & 5 only had documentation in their files of the online portion completed for the CPR training. As of the date of the inspection, they had not yet completed the in-person demonstration. Staff 1 was a lead teacher in a classroom and was not fully certified in CPR.