Inspection · 2023-05-12

Based on record review and interview, 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. Documentation of immunizations were not available for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 who were in care during the inspection.
2. Staff confirmed that immunization documentation was not available for these children.

Based on record review and interview, the center failed to ensure that each child had a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Documentation of a physical exam was not available for child 1, child 2, child 3, child 4, child 5, child 6, and child 8. These children were all in care during this inspection.
2. Staff confirmed that they did not have this information on file nor did they have access to the electronic copy of children's enrollment information.

Based on record review and interview, the center failed to ensure that staff shall complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence:
1. Staff 3, hire date 12/18/2019, lacks documentation of completion of Virginia Preservice training - 10 hour course.
2. Staff 2 confirmed documentation of completion of Virginia Preservice training - 10 hour course was not available during this inspection.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

Evidence:
1. During this inspection, inspector saw several children coming and going from outside and the gymnasium without staff supervision.
2. When inspector asked staff 4 how many children were in attendance they stated they were not sure because several of the older children were helping school staff clean up from field day. Staff stated they could count the number of children signed in as the older children assisting had been signed into care for the day.
3. 16 of the 43 children (2-7 y/o, 4-8y/o, 5-9y/o, 1-10 y/o, 2-11 y/o, 2-12 y/o) in care were going in between the gymnasium, field area, and parking lot outside in the back of the school that had been used for field day without any supervision from the center staff from approximately 2:05-2:28pm.

Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence:
1. Multiple children who had been signed into care with the center were assisting school staff with filed day cleanup. Child 2 (8 y/o), child 4 (7y/o), child 10 (9 y/o), child 12 (8 y/o), child 13 (9 y/o), child 14 (9 y/o), child 15 (8 y/o), child 18 (9 y/o), child 19 (8 y/o), child 21 (7 y/o), and child 22 (9 y/o) were observed repeatedly going in between the gymnasium, field area, and parking lot outside in the back of the school without any staff supervision.
2. The location of these areas do not allow for sight and sound supervision.
3. Center staff were initially unaware of how many children and which children were in the group of children assisting school staff with field day clean up.
4. Center staff confirmed that these children were in care during this time period.

Based on observation, the center failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff except when staff are able to hear children, are nearby so they can provide immediate intervention and there is a system to ensure that staff know where the children are and what they are doing.

Evidence:
1. Multiple children who had been signed into care with the center were assisting school staff with filed day cleanup. Child 3 (11 y/o), child 11 (12 y/o), child 16 (10y/o), child 17 (12 y/o), and child 20 (11 y/o) were observed repeatedly going in between the gymnasium, field area, and parking lot outside in the back of the school without any staff supervision.
2. The location of these areas do not allow for sight and sound supervision.
3. There was no system in place for staff to check on the above listed children. Additionally, staff could not intervene as the proximately of the gym to the field area, and parking lot outside in the back of the school do not allow for immediate intervention.
4. Center staff were initially unaware of how many children and which children were in the group of children assisting school staff with field day clean up.
5. Center staff confirmed that these children were in care during this time period.

Based on observation and interview, the center failed to ensure when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.
*Ratio Requirements: 1:10 for 3 years old up to school age eligible;
1:18 for school age eligible up to 9 years;
1: 20 for 9 years through 12 years.
*Maximum Group Size Requirements:
30 for 3 year olds up to school age eligible.

Evidence:
1. 43 children, ages 4 years - 12 years, were present with 3 staff from dismissal 2:05-2:28pm when staff 4 arrived. Four of these children were four year olds who are not school age eligible.
2. The required group size of 30 was exceeded by 13 children for the four-year old children in care with the entire group of 43 children.

Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (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.

Evidence:
1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The CPR certification for staff 3, expired on 08/25/2022.
2. Staff 2 confirmed that staff 3 did not have current CPR certification.

Based on record review and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

Evidence:
1. Staff 3 was alone with 4 children in the cafeteria during this inspection. The first aid certification for staff 3, expired on 08/25/2022.
2. Staff 2 confirmed that staff 3 did not have current first aid certification

Based on record review and interview, the center failed to maintain and keep at the center a separate record for each child enrolled.

Evidence:
1. Enrollment records for child 1, child 2, child 3, child 4, child 5, child 6, child 7, child 8, and child 9 were not available. These children were all in care during the inspection on 5/12/2023.
2. Staff 2 and 3, confirmed that these enrollment records were not available and that they had no access to any information for these children aside for a contact number for a parent.

Based on record review, the center failed to ensure that staff records contain all of the required elements.

1. Staff 3 is listed as a program leader in her employment file however, there is no written documentation to demonstrate that she possess the education, certification and experience required by the program leader job position.
2. Staff 2 confirmed that this documentation is not available.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and center shall be in each child's record by the first day of the child's attendance.

Evidence:
1. A written parent agreement was not on file for child 1, child 2, child 3, child 4, child 5, child 6, child 7, and child 8.
2. Staff confirmed that they did not have these agreements on file nor did they have access to the electronic copy of children's enrollment information.