Inspection · 2023-06-22

8VAC20-770-(BC)-60-C-2 Based on a review of five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff.

Evidence: The record for Staff #5, with a start date of 3/2/23, did not contain documentation of the results of a search of a central registry search at the time of inspection.

Based on a review of five child records, the center did not have documentation of a physical in each child record within 30 days after the first day of attendance.

Evidence:The record for Child #5, with a start date of 8/8/20, had a physical dated 6/15/22.

Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition.

Evidence:
1. In the Infant A class, Child #2 had a crib sheet that was loose and did not fit the mattress tightly.
2. In Prep Jr. K class, a piece of yarn was tied in a half loop hanging down from the shelves in the restroom enclosure. The cord was hanging low enough to be within reach of the children, causing a strangulation hazard.
3. In the Montessori A class a carpet, under the sensory table, at the entrance of the restroom curled up and was folded on top of itself creating a trip hazard.
4. In the Stepping Stones class a carpet under the sensory table was curling at the corners creating a trip hazard.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children

Evidence:
1. In the School Age class, there were nine bottles of essential oils on the table with labels stating, keep out of reach of children.
2. The kitchen, located on the perimeter of the school age class, was left open during lunch service; several large containers of cleaning solutions were accessible to children.

Based on observation, the center did not ensure that diapering procedures were always followed.

Evidence:
1. In the toddler class, after diapering a child, staff #5 cleaned the surface, applied the disinfectant solution and immediately wiped it off, not allowing the surface to air dry as required.
2. In the Preschool Explorers room, the restroom contained a small foot operated trash can with no lid, filled to the top with soiled diapers.

Based on observation and interviews the center did not have all the required nonmedical emergency supplies at the center.

Evidence: The center did not have a battery operated flashlight on site.

Based on observation, the center did not ensure that when food is brought from home that it is labeled in a way that identifies the owner.

Evidence: In the School Age class there were two lunch boxes with no name and date and in the Montessori class there two lunch boxes that had no name and date.

Based on observation the center did not always ensure that infant formula was dated and labeled with the child?s name

Evidence:In the Infant A class, there was a bottle in the refrigerator that was not labeled with the child?s name and dated.

Based on review of five child files, the center did not obtain all of the required documentation for a child record.

Evidence: The record for Child # 2, did not contain documentation that the center had viewed proof of the child?s identity and age.

Based on a review of five staff records, the center did not obtain all required documentation for staff records.

Evidence:
1. The record for Staff #3 did not contain documentation of an emergency contact.
2.The record for Staff #2, with a start date of 11/10/22, contained documentation of one reference.
3.The record for Staff #5, with a start date of 3/2/23 did not contain documentation of two references.

Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

Evidence:
1. In the Infant A and B class there were eleven children present in the classroom, the written record reflected there were nine.
2. In the toddler class there were ten children present in the classroom, the written record reflected there were nine.