Inspection · 2024-11-07

The vendor shall maintain and keep at the center a record for each enrolled child which shall be made accessible to the department?s representative.
The director was unable to provide a record for child 7 or child 8.

The vendor shall maintain and keep at the center a record for each enrolled child that includes all required documentation.
The record provided for child 2 did not contain immunization records.
The record for child 3 did not contain the name. address and telephone number of a person designated by the parent to contact in case of an emergency, the name address and telephone number of the father who is listed on the birth certificate and for whom there is no custody documentation, permission for emergency medical treatment and the parent agreement to pick up the child if ill.
The record for child 4 did not include the address of the designated emergency contact person.
The record for child 5 did not include the father?s address, the father?s place of employment, proof of identification, documentation of immunizations, permission for emergency medical treatment and the parent agreement to pick up the child if ill.
The record for child 6 did not include the parent?s permission for emergency medical treatment or the parent agreement to pick up the child if ill.

The vendor shall maintain a record for each staff person that includes all required information.
The records for staff 1, 2, 3, 4, 5 and 6 did not include the dates of employment.
The record for staff 6 did not have the date of termination of employment.

The vendor shall file and maintain reports of informing the department? representative no more than two business days of any injury to a child while under the vendor?s supervision when a referral is made for treatment from a medical professional.
On 11/7/2024, child 9 was observed with a bruised bump above the right eye. Staff 2 stated that child 9 had hit his head while in care and that the parent had been told to take child 9 to the doctor. No report has been submitted for child 9.

The vendor shall obtain documentation tat each child has received the immunizations required by the State Board of Health before the child can attend the center.
There is no documentation of immunizations in the records for child 2 and child 5 both in attendance during the inspection on 11/7/2024.
8VAC20-570-580.B
The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.
The last immunization update in the record for child 4, 15 months of age, is dated 9 months ago.

Orientation training of staff shall be completed on the required facility specific topics prior to the staff member working alone with children and within seven days of the date of employment.
The records for staff 1, 2, 3, 4, 5, and 6, all employed over seven days, do not include documentation of any orientation training.

All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid.
The records provided for staff 1 and staff 2 do not include documentation of current first aid certification.

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training.
The records provided for staff 1, 2, 3, 4, 5 and 6 do not include documentation of attending at least 16 hours of annual training.

There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.
The record provided for all current staff did not include documentation that any of the staff have obtained instruction in performing daily health observation of children.

Hazardous substances , such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
There was a container of aerosol disinfectant spray on a high open shelf on the brick wall at the end of the large classroom. There was pump hand sanitizer on top of the 4 foot high cubby shelf. There was a container of disinfecting wipes on top of a four drawer gray cabinet. There was disinfecting spray and pump disinfecting cleaner in the unlocked bottom drawer of a cabinet in the preschool classroom. All containers had warning labels and to keep out of reach of children.

The vendor shall develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members.
The vendor was unable to provide a written policy and procedure to ensure that each group of children receives care by consistent staff or team of staff members.

The vendor shall maintain a written record of children?s serious and minor injuries in which entries are made the day of occurrence.
On 11/7/2024, child 9 had a bruising bump above the right eye. Staff 2 stated that the child had fallen while in care the previous day. There was no written record of the child?s injury.

Parents shall be provided at least annually in writing information on their child?s behavior, development, adjustment and needs.
There was no documentation or information in the record of child 4 that the parents of child 4, who has been enrolled for 13 months, were provided written information their child?s behavior and development.

Parents shall be informed of the vendor?s emergency preparedness plan.
The facility was unable to provide an emergency preparedness plan.

foot operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
The facility did not have a foot operated storage system for disposing diapers.

The vendor shall have a written er=emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures.
The vendor was unable to provide a written emergency preparedness plan.

The emergency response drills shall be practiced at a minimum of two shelter-in-place drills and one lockdown drill annually.
The vendor had only one shelter-in-place drill documented and no lockdown drills within the past year.