Inspection · 2023-02-14

Based on a review of staff records and interview on February 14, 2023, the center failed 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 #9, hired 2/6/23, contained documentation of fingerprints dated 2/14/23. 2. Staff #10 acknowledged the fingerprints were late.

Based on a review of children's records and interview on February 14, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.
Evidence: The record of child #2, enrolled 12/11/22, did not contain documentation of a physical exam. Staff #11 confirmed the physical was not in the record.

Based on observation on February 14, 2023, 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 Two's A classroom contained chipped and peeling paint on several walls.
3. The preschool 1 classroom contained chipped and peeling paint on several walls.
4. The toddler classroom contained several walls with chipped and peeling paint, one area was approximately 7x4. There was another area approximately 2x3 that was exposing the drywall.
5. Th toddler playground contained a Step 2 climber/slide that had a broken bottom step. The step is made of plastic and was broken and cracked approximately 12x5, which created holes that could entangle clothing or snag skin.
6. Staff #10 acknowledged the chipped and peeling paint in several classrooms.

Based on observation on February 14, 2023, the center failed to 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. The infant B classroom had an unlocked cabinet that contained glass cleaner and disinfectant with labels that state "keep out of the reach of children" and "caution."
2. The infant A classroom had an unlocked cabinet under the sink that contained approximately 15 cleaners. The labels stated "keep out of the reach of children" and "caution."

Based on observation and staff interview on February 14, 2023, the center failed to ensure disposable diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal.
Evidence: 1. A non foot-operated trash can was observed in the Two's A classroom.
2. When asked, staff in the Two's A classroom stated they use their hand to push the button on the lid to open the trash can to dispose of diapers.
3. Staff #10 confirmed the Two's A classroom and the Two's B classroom don't have foot-operated trashcans.

Based on a review of documentation and interview on February 14, 2023, the center failed to ensure that written records of children's serious and minor injuries contained all the required information.
Evidence: 1. The incident reports for child #11, child #12, and child #13 did not contain documentation on any future action to prevent the recurrence of the injury.
2. Staff #11 confirmed the incident reports were missing all the required information.

Based on observation and interview on February 14, 2023, the center did not ensure each infant bottle was labeled with the child's name and dated.
Evidence: 1. In the infant B room there were five prepared bottles of formula observed that were not labeled with a child's name and not dated.
2. In the infant B room there were six prepared bottles of formula observed that did not contain a date.
3. Staff #11 confirmed the 11 bottles were not labeled with names and dates.

Based on a review of children?s records and interview on February 14, 2023, the center failed to ensure that each child's record contained the required information.
Evidence: 1. The records of child #2, child #3, child #4, child #6, and child #10 did not contain documentation of the first date of attendance.
2. The record of child #2 did not contain documentation of children's allergies.
3. Staff #11 confirmed the records were missing the first date of attendance and allergies.

Based on observation and interview on February 14, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility.
Evidence: 1. The findings from the most recent inspection conducted 9/23/22, were not posted in the facility on the date of the inspection. 2. Staff #10 confirmed the findings of the most recent inspection were not posted.

Based on observation and interview on February 14, 2023, the provided notice of the Superintendent's intent to take any of the actions enumerated in subdivisions B1 through B6 of 22.1-289.023 of the Code of Virginia was not posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations.
Evidence: 1. The notice of intent was not posted at each public entrance of the facility. 2. Staff #10 confirmed the notice of intent was not posted.