Inspection · 2022-09-07

Based on review of four staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/2022), did not have an OBI determination letter.

Based on review of four staff records, it was determined that not all Out of State Sex Offender Registry Search requests and Criminal History Name Checks were completed, as required, prior to employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 8/26/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender search or criminal history name check search prior to employment. Staff #1 did not have an OBI fingerprint determination letter in their record.

Based on review of four staff records, it was determined that not all staff had a sworn statement completed prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/22) had a sworn statement that was not dated indicating it was completed prior to employment. The record for staff #3 (date of hire: 5/5/2022) did not contain a sworn statement.

Based on review of four staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment or follow up conducted on time. Evidence: The record for staff #2 (Date of hire: 11/17/2021), staff #3 (Date of hire: 5/5/2022), and staff #4 (Date of hire: 5/27/2022), did not have documentation of a Central Registry search report and/or follow up request.

Based on a review of four child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 8/22/2022) did not have documentation of immunizations.

Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant classroom, a canister of disinfecting wipes was sitting on a counter. In the two's classroom, bottle of sanitizing solution was observed hanging on the window.

Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: there was no toilet paper in the two?s bathroom and paper towels were not accessible to children in the two's bathroom/sink area

Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: 1) An infant was observed sleeping in a crib with their head on top of a thick blanket and two additional blankets sitting in the crib. 2) Two blankets were observed hanging on the side of a crib with a sleeping infant. 3) A third infant was observed sleeping with a heavy blanket covering them. Soft bedding under and around infants is a suffocation hazard and increases the risk of sudden unexplained infant death.

Based on observation, not all infants were placed in their crib on their back. Evidence: The LI observed staff place an infant to sleep on their stomach. Staff stated that is how they always lay the infant down in their crib.

Based on review of four child records, the facility failed to have documentation of proof of the child's identity and age within 7 days of enrollment. Evidence: the record for child #2 (date of first attendance: 8/22/2022) and child #3 (date of first attendance: 1/3/2022) did not have documentation of proof of identity and age (proof of birth.)

Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: Staff didn?t wash their hands before feeding an infant or wash the infant?s hands.

Based on observation, and staff interviews, the facility failed to ensure that when a child's clothing becomes wet or soiled, the child shall be cleaned and changed immediately. Evidence: a child in the two's classroom was observed with wet pants at approximately 12:00 noon. Staff stated that the child's pants became wet when using a slide outside on the playground. Staff stated that the two's class came inside from using the playground at approximately 11:00 am. At approximately 12:15pm, the LI told the staff to change the child's clothes before putting them down for naptime.

Based on review of ten medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the record for child #5, child #6, and child #7 did not contain written authorization from the physician or parent for long term medication observed on site.

Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: the last documented shelter-in-place drill was conducted on: 6/24/2021.

Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 3/4/2021.