Inspection · 2024-05-02

Based on record review and staff interview, the vendor did not ensure a current written list of all children's allergies, sensitivities, and dietary restrictions. . This list shall be dated and kept confidential in each room or area where children are present.

Evidence:
Child #4 had a dietary restriction documented no pork on the registration form. The center did not have a children's allergies, sensitivities, and dietary restrictions list. Confirmed by Staff #5.

REPEAT

Based on record review, the vendor did not ensure for each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence:
There was not documentation of school age children departure in the morning program. Confirmed by staff #5.

Based on record review and staff interview, the vendor did not have all required information obtained in children's records.

Evidence:

In the record for Child #3 did not have written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds.

In the record for Child #5 there was not documentation for permission to be transported .Child #5 is transported to school.

Based on record review and staff interview, the vendor did not ensure there was a

Evidence:
In the record for child #3 there was no documentation of the written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor.

Based on record review and staff interview, the vendor did not ensure documentation that training required in 8VAC20-790-600 has been completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization.

Evidence: Staff #1 and staff #2 did not have documentation of completion of orientation training.

Based on record review and staff interview, the vendor did not ensure documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Evidence:
There was no documentation of staff #2's TB screening results.
Staff #3 and Staff #4 hire date was 4/08/2024. Staff #3 and Staff #4 TB results were completed on 5/02/2024. Both results were completed after employed.

Based on record review, the vendor did not ensure 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:
There was no documentation child #2 recieved immunization.

Based on observation, the vendor did not ensure areas of equipment of the center, inside and outside shall be maintained clean , safe and opearble condition.

Evidence:

1. In both hallway bathroom, at the entrance of the bathroom the flooring has peeled up causing a tripping hazard.

2. In the bathroom, under the sink cabinet there was soiled underwear.

3. In the bathroom with the diaper changing table, there was a black broken trash can with sharp edges.
4. The metal desk in the main classroom had a red and brownish residue on the side.

REPEAT

Based on observation, the vendor did not ensure electrical outlets have protective covers that are of a size that can not be swallowed by children.

Evidence:
In the room that is used for naptime there was electrical one outlet not covered.
In the sitting area by the desk there was one electrical outlet not covered.
In the infant room, there was one electrical outlet not covered.

Based on observation, the vendor did not ensure hazordous substances shall be kept locked place using a safe locking method that prevents access by children.

Evidence:
There were two containers of disinfectant wipes in the desk in the main classroom.
In the space where children belongings were stored in the cubbies there was sunscreen and healing ointment accessible to children. The hazordous substances were labeled with "Keep out of reach of children" and "Warning". The hazordous substances need to be kept in a locked place.

Based on observation, the vendor did not ensure children less than 10 years of age shall always be within actual sight and sound supervision of staff.

Evidence:
At 10:12 am child #3 (19 months old) walked down the hallway alone into the classroom. Staff in the classroom reminded child #3 not to leave the teacher.

Based on observation and staff interview cribs, cots, rest mats, or beds shall be provided for children during the designated rest periods.

Evidence:
There were18 children observed laying on the floor without a mat or cot. Center confirmed they do not have mats or cots for the children.