Inspection · 2024-03-27

Based on review, the facility did not ensure that staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.
Evidence: reviewed 3 staff records and found that Staff 1 did not have documentation of the VA Dept of Education sponsored orientation course, and has been employed for over 90 days.

Based on review, the facility did not ensure that documentation of orientation training included the required topics.
Evidence: reviewed 3 staff records and found that there was no documentation of staff completing the following:
1) prevention of sudden infant death syndrome and use of safe sleep practices;
2) prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children;

Based on review, the facility did not ensure that documentation of orientation training shall include: name of staff, training topics, training delivery method, the entity or individual providing the training, and the date of the training.
Evidence: reviewed 3 staff records and found that the documentation of orientation training did not have documentation of the training delivery method and the entity or individual providing the training.

Based on observation, the facility did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence: observed hand sanitizer receptacles easily accessible to children, at child height, mounted on walls in each classrooms, allowing for free access to the children in each room.

Based on observation, the facility did not ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.
Evidence: observed that there was a staff purse accessible to children in the 4s & 5s classroom with cosmetics accessible to children on a desk/cabinet.

Based on observation, the facility did not ensure that electrical outlets have protective covers that cannot be swallowed by children.
Evidence: observed that the outlets in the girls, boys, and unisex bathrooms were non safety outlets and were not covered with outlet covers.

Based on review, the facility did not ensure that the injury prevention procedures are updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence: reviewed the facility's records and found that they did not have documentation of an annual review of the injury prevention procedures.

Based on observation, the facility did not ensure that there is 12 inches of space between occupied cots, beds, and rest mats.
Evidence: observed that in the Early Toddler room 4 cots were within 12 inches of each other.

Based on observation, the facility did not ensure that sunscreen's labeled with the child's name.
Evidence: observed that there were 2 sunscreen bottles in the 4s & 5s classroom that did not have names on them.

Based on review, the facility did not ensure that lockdown procedures are practiced at least annually.
Evidence: reviewed the emergency drill log and found that the last lockdown drill was conducted on 2/16/23.

Based on review, the facility did not ensure that they maintained a written record of children's injuries with the required information.
Evidence: reviewed 5 injury reports and found that the form used did not have a place to document "any future action to prevent reoccurrence of the injury".

Based on review, the facility did not ensure that children's records were maintained with the required minimum information.
Evidence: reviewed 6 children's records and found that following:
1) 4 children's records were missing documentation of the annual parental review/update of children's records - Child 1's last update was 9/6/21, Child 3's last update was 12/1/21, Child 4's last update was 12/2/22, Child 5's last update was 6/6/22.
2) Child 4's record was missing work and emergency contact information for parent 2
3) Child 5 did not have documentation of proof of identity within 7 business days after enrollment.

Based on review, the facility did not ensure that staff records were maintained with the required minimum information, and that reference checks taken over the phone contained dates of contact, names of contacted person(s), firms contacted, results, and the signature of the person making the call.
Evidence: reviewed 3 staff records and found that all 3 records were missing complete documentation of reference checks (only documented the date references were checked)