Inspection · 2022-07-21

Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector.

Evidence: The center director confirmed they do not have a carbon monoxide detector.

Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.

Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of a CPS check conducted. Staff #5 was observed working on the day of the day of the inspection.

Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of CPR / first aid training/orientation within the timeframe.

Based on observation and staff interviews, it was determined a center staff did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior.

Evidence: On July 21, 2022, a center staff, (Staff 2) was observed by licensing inspector when they grabbed the upper arm of child #5 to redirect their behavior.
1. Between 11:43 am and 11:48 am Staff #2 was putting cots on the floor to prepare for afternoon rest period.
2. Child #5 was observed was running and jumping on cots.
3. Two times during this timeframe Staff #2 was observed picking up Child #5 by their left upper arm, between their elbow and shoulder to lift the child off of the cot.
4. Staff #2 told Child #5 both times ?it?s not done, you have to sit down?.
5. Staff #2 told licensing inspector (Child #5) ?he is mine? and ?he is crying because he is tired?.

Based on observation and staff interviews, the center failed to ensure that, a staff does not use forbidden action of rough handling.

Evidence: In the two?s room on July 21, 2022, center staff (Staff #2 )roughly handled Child #5 by grabbing the child by their upper arm (between their should ern ad elbow) and lifting them off of a cot.
1.Two times during 11:43 am and 11:48 am staff #2 was observed lifting up child #5 by their upper arm to remove them from a cot. The child?s feet were not on the ground when he was lifted off of the cot.
2.Child #2 screamed and cried both times they were lifted up by their arm.

Based on a review of 6 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care
Evidence: In the following classrooms there was not a staff member who obtained CPR certification;

1. In the 2?s room, staff #2 was the only staff observed with 8 children.
2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid.

Evidence: In the following classrooms there was not a staff member who obtained First Aid certification;
1. In the 2?s room, staff #2 was the only staff observed with 8 children.
2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.

Based on a review of 6 children?s records and staff interviews, the licensee did not ensure there was a written care plan 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.

Evidence: The record for child # 4 has a diagnosed food allergy (milk) and the record did not include a written care plan, to include instructions from a physician.