A Child's Place

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and must be signed by a physician, physician's designee, or an official of the local health department. Staff 2, employed for over 2months, and Staff 3, employed for over 5 months, had screen shots of the TB screening as documentation, not signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Outlet in the preschool class not covered.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that there is no second entry-way to the bathroom. The Pre-K teacher was observed allowing children to use the bathroom without sight and sound supervision. The bathroom was across the classroom (>20 feet), the teacher asked for confirmation that no other children were in the bathroom. The bathroom also had a second door to another classroom.”

8VAC20-780-160-C

“Based on staff record review, a subsequent TB screening was not obtained every two years for one staff. Evidence: Staff #2's last TB screening was dated March 2, 2022.”

8VAC20-780-510-E

“Based on review of medications, the center failed to follow their own procedures for administering medications. Evidence: 1. Medication for Child #1 expired in September 2023. 2. Medication for Child #2 expired in June 2023. 3. Medication for Child #3 expired in August 2023. 4. The physician authorizations for all 3 long term medications had expired.”

8VAC20-780-510-I

“Based on review of medication, an expired medication was administered to a child without a current parent/physician authorization. 1. Child #2 was administered a medication on 10/16/2023. 2. The medication expired in June 2023. 3. The parent/physician authorization expired in July 2023.”

8VAC20-780-440-B

“Based on observation of the center, mats were not identified for use by a specific child. Evidence: Staff were observed laying mats out for nap time in the Trainers Class. Not all mats were numbered to identify a specific child's use.”

8VAC20-780-270-A

“Based on observation of the center and playground, equipment was not maintained in a safe and operable condition. Evidence: 1. The train play equipment located on the Toddler playground had a wooden wheel that has splintered and cracked. 2. Some of the mats used for napping in the Trainers class were cracked exposing the inside foam cushion which interferes with proper weekly sanitizing.”

8VAC20-780-440-E

“Based on observation of the classrooms, occupied rest mats did not have 12 inches of space between them. Evidence: The children were observed napping in the Trainer's and Preschool 1 classroom. A minimum of 12 inches between the occupied rest mats was not maintained.”

8VAC20-780-510-E

“Based on review of medication on site, the center was not following methods to prevent use of outdated medicine Evidence: Medication for Child #1 expired on 3/2022.”