4 Rs Preschool

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of disinfectant wipes stored on top of the refrigerator in an unlocked location.”

8VAC20-780-330-B

“The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. On the playground, the far right swing measured at the pivot point is 82 inches high requiring a fall zone with resilient surfacing of 164 inches to the front and back of the swing. A stepping stone is placed at 121 inches from the front of the swing preventing a sufficient fall zone with resilient surfacing.”

8VAC20-780-430-C

“Play equipment used by children that have openings above the ground which allow a 3-1/2 inch by 6-1/4 inch rectangle to fit through shall also allow a nine-inch circle to fit through. On the playground, there is a rope climber above the ground that has an opening where the measurement of the largest area is 8 inches by 10 inches and cannot flex to the required 9 inch circle opening.”

8VAC20-780-260-B

“The Center is required to ensure that they receive annual approval from the health department or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system and food service if applicable. The health inspection at the center was overdue by 13 days.”

8VAC20-780-60-A

“Based on record review, the center did not ensure children's records contained all required information. Evidence: Child #3 (Start Date: 1/9/2024) did not have documentation on file that the child's age and identity was verified.”

8VAC20-780-60-A-8

“Based on record review and staff interview, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of suspected or confirmed allergic reaction. Evidence: Child #6 and Child #7 both have diagnosed food allergies and neither child had a written allergy care plan on file signed by a doctor.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1 (Date of Hire: 9/1996) did not have documentation on file of having completed the Virginia Department of Education sponsored orientation course.”

8VAC20-780-530-A

“Based on observation, record review, and staff interview, the center did not ensure that there is at least one staff in each classroom where children are present that had current certification in cardiopulmonary resuscitation (CPR) or current first aid certification including an in-person competency demonstration. Evidence: Four staff were on site at the time of inspection and all staff had CPR/First Aid certification that was completed online with no in-person competency demonstration.”

8VAC20-780-510-B

“Based on review of medications and documentation, the center did not obtain current parental authorizations for all medications on site. Evidence: Child #5 had an emergency medication on site with a parental authorization that had expired 7/1/2022. Child #5 had a second emergency medication on site with no parental authorization granting the center permission to administer the medication if necessary.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #1 (Start Date: 1/19/2022) does not have immunizations on file.”