Inspection · 2022-09-23

Based on a review of records and interview on September 23, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: 1. The record of staff #3, hired 8/1/22, contained documentation of fingerprints dated 8/22/22. 2. The record of staff #10, hired 9/19/22, did not contain documentation of fingerprints. 3. Staff #12 confirmed the fingerprints were late and missing.

Based on a review of staff records and interview on September 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The record staff #2, hired 7/25/22, did not contain central registry results. 2. The record of staff #3, hired 8/1/22, did not contain central registry results. 3. The record of staff #8, hired 6/5/22, did not contain central registry results. 4. Staff #12 confirmed the central registry checks haven?t been completed.

Based on a review of staff records, observation and interview on September 23, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Evidence: 1. The record of staff #3, hired 8/1/22, did not contain documentation of a negative tuberculosis screening. Staff #3 was observed working with children during the inspection. Staff #12 confirmed staff #3 did not have a negative TB screening. 2. The record of staff #8, hired 6/5/22, contained documentation of a TB screening dated 7/1/22.

Based on a review of staff records and interview on September 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.
Evidence: The record of staff #8, hired 6/5/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #12 confirmed the orientation was not completed.

Based on a review of records and interview on September 23, 2022, the provider failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable.
Evidence: 1. The health inspection is dated 8/13/21. 2. Staff #12 stated the center has not reached out to the health department for their inspection.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.
Evidence: 1. The Two?s B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The infant B classroom contained a soft climbing block with several rips and a hole exposing the foam inside. 3. The Two?s A classroom contained several walls with chipped and peeling paint. 4. The Three?s classroom contained several walls with chipped and peeling paint. 5. The playground swing chains contain rust.

Based on observation on September 23, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.
Evidence: 1. A bathroom in the hallway across from the infant room and used by children contained cleaner on a shelf. The label on the cleaner stated ?keep out of reach of children? and ?warning.? 2. A bathroom in the hallway on the lower floor contained a large container of bleach and Mr. Clean on the floor. The label on the bleach stated ?keep out of reach of children? and ?danger.? The label on the Mr. Clean stated ?keep out of reach of children? and ?caution.? 3. The three year old bathroom contained a bottle of cleaner on a shelf. The label on the cleaner stated ?keep out of the reach of children? and ?warning.?

Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F.
Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the infant room was 122.8?.

Based on staff interview on September 23, 2022, the center failed to ensure that the diapering surface shall be sanitized after each use.
Evidence: 1. Staff in the infant room stated the diapering surface is wiped with disinfectant wipes after each use. 2. Disinfect wipes were observed next to the diapering surface. 3. The use of disinfectant wipes does not meet the definition of sanitized per the standards for licensed child day centers.

Based on observation and interview on September 23, 2022, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child?s name, prescriber?s instructions pertaining to dosage, frequency, and manner of administration.
Evidence: 1. Child #11 has an Auvi-Q injector at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #12 confirmed the center did not have the container.

Based on observation, a review of documentation and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in cardiopulmonary resuscitation (CPR).
Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of CPR certifications, it was determined staff #11 had an expired CPR certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a CPR certification.
3. Staff #12 confirmed that none of the three staff in the infant room had current certification in CPR.

Based on observation, a review of documentation, and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in first aid.
Evidence: Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of first aid certifications, it was determined staff #11 had an expired first aid certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a first aid certification.
3. Staff #12 confirmed that none of the three staff in the infant room had current certification in first aid.