Inspection · 2023-12-13

Based on review of five staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

Evidence:

1.Staff # 1 had a documented employment date of 10/05/2023. A returned letter of eligibility was dated 10/12/2023.
2.Staff # 2 had a documented employment date of 10/09/2023. A returned letter of eligibility was dated 10/18/2023.

Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children.

Evidence:

1.Staff # 1 had a documented employment date of 10/05/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. The TB screening was dated 10/09/2023.
2.Staff # 4 had a documented employment date of 09/05/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. and the TB screen was dated 09/17/2023.

Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire.

Evidence:

Staff # 1, 2, 3 and 6 lacked documentation that orientation had been completed. The model form was missing the last page of the orientation form that has the signature from the staff person that the orientation was completed.

Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead.
Evidence:

1.Staff #1 was observed working in the infant room as a program leader on the day of the inspection. Staff # 1 stated she was the program lead. After review of Staff # 1 record, there was no documentation of the educational requirements for a program leader position.
2.Staff # 2 was observed working in the preschool room as a program lead on the day of the inspection. Staff # 2 stated she was the program lead for the room. After review of Staff # 2 record, there was no documentation of the educational requirements for the position of program leader.

Based on interviews, 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. On 12/13/2023, Staff #6 was the only staff member supervising the 5 children in the toddler room; the children were determined to be 16 months- 2 years of age. At 11:35 am, Staff #6 was observed through the window by the laying down cots. The LI went into the classroom upon entering the center and found the staff person was on the other side of the classroom laying down cots with the children sitting at the table eating lunch. The classroom is L-shaped and this classroom shape does not allow for sight supervision when the staff is on the other side of the classroom. The five toddlers were out of sight supervision for approximately 3 minutes.

Based on review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.

Evidence:

Medication authorization for Child # 1 expired 14 days after 10/24/2023. As 12/13/2023, the medication had not been returned to the parent or disposed of by the center.

Based on record review, the center failed to ensure that the separate record for each
enrolled child shall contain all the elements as required by the standards.

Evidence:

1. The record for Child # 1 did not include the following information: work phone number for the place of employment of each parent who has custody (there was an employer listed however there was not a work phone number provided); and the address of two designated people to call in an emergency if a parent cannot be reached (there was not
an address provided for both of designated person), documented first day of enrollment.
2. The record for Child #2 did not include the following information: work phone number for the place of employment of each parent who has custody (there was an employer listed however there was not a work phone number provided), the addresses of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided both of the designated person), documented first day of enrollment, allergies and intolerance to medication or any other substances and actions to take in an emergency situation, Chronic physical problems and pertinent developmental information and any special accommodations needed and previous child care and schools attended.

Based on review of six staff records, the
center failed to ensure that all records were complete per the standard.

Evidence:

1. Staff # 1 did not have documented of any health problems that may interfere with fulfilling the job responsibilities, and address for the emergency contact.
2. Staff # 3 had a hire date of 12/11/2023 and did not have the two required reference checks prior to employment, did not have documented of any health problems that may interfere with fulfilling the job responsibilities.
3. Staff # 3, 4, 5 and 6 did not have documented of any health problems that may interfere with fulfilling the job responsibilities.
4. Staff # 3 had a hire date of 10/09/2023 and did not have one of the two required reference checks prior to employment, did not have documented of any health problems that may interfere with fulfilling the job responsibilities.

Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred.

Evidence:
1.On the day of the inspection at approximately 11:40 AM, the toddler class did not have the daily attendance completed for the five children present in that classroom. Staff # 6 confirmed the attendance was not completed and was not located in the classroom. The attendance record for the December 12, was not completed for this classroom.
2.On the day of the inspection at approximately 11:50 AM, the preschool class did not have the daily attendance completed for the four children present in that classroom. Staff # 2 confirmed the attendance was not completed. The attendance record was not completed on December 10, 11 and 12th.