Abundant Love Learning Center - Louisa

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The department received a complaint report on October 10, 2023, regarding child #1 receiving outside medical care on October 06, 2023. 2. As of October 24, 2023, the center had not informed the department of the incident. 3. Staff #1 confirmed that child #1 did receive medical attention for the injury that occurred while the child was under the supervision of the center and the center did not contact the department regarding the incident with child #1.”

8VAC20-780-340-A Complaint related: Yes

“Complaint Related Based on interviews and review of medical records, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. An interview revealed that on 10/06/2023, child #1 was running at the center and hit their head on a table. Shortly thereafter, child #1 began throwing up. The center contacted the parent to report that the child was throwing up and failed to report that the child had hit their head. Child #1 became lethargic shortly after being picked up from the center and was taken for medical care. 2. Staff #1 stated that the incident occurred at approximately 10:30am, child #1 began throwing up at approximately 11am, the parent was notified only of the child throwing up, and the parent picked up child #1 at approximately 12pm. 3. The visit summary record for child #1 contained documentation that child #1 was diagnosed with a concussion at 2:20pm on 10/06/2023.”

8VAC20-780-550-P Complaint related: No

“Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report for child #1 contained documentation of only one staff signature. 2. The incident report for child #1 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-60-A

“Based on a review of children’s records and interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #5 did not contain documentation the of the name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 2. The record of child #2 did not contain documentation of the first date of attendance. Staff #6 confirmed the first date of attendance was not in the record.”

8VAC20-780-350-B-1

“Based on observation and interview, the center failed to ensure the staff-to-children ratio is required whenever children are in care. For children birth to 16 months the staff-to children ratio is one staff to four children. Evidence: Outside on the infant and toddler play area Staff #5 was observed holding an infant and caring for five toddlers. Staff # 3 stated the infant was outside with staff #5 for approximately five minutes. Two staff were needed to maintain the ratio.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #2, hired 11/14/22, contained documentation of the Virginia Department of Education orientation dated 03/07/23. Staff #6 confirmed the orientation was late.”

8VAC20-780-130-A

“Based on a review of children's records and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #4, enrolled 08/14/23, did not contain documentation of immunizations. Staff #6 confirmed the immunizations were not obtained.”

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The department received a complaint report on October 10, 2023, regarding child #1 receiving outside medical care on October 06, 2023. 2. As of October 24, 2023, the center had not informed the department of the incident. 3. Staff #1 confirmed that child #1 did receive medical attention for the injury that occurred while the child was under the supervision of the center and the center did not contact the department regarding the incident with child #1.”

8VAC20-780-340-A Complaint related: Yes

“Complaint Related Based on interviews and review of medical records, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. An interview revealed that on 10/06/2023, child #1 was running at the center and hit their head on a table. Shortly thereafter, child #1 began throwing up. The center contacted the parent to report that the child was throwing up and failed to report that the child had hit their head. Child #1 became lethargic shortly after being picked up from the center and was taken for medical care. 2. Staff #1 stated that the incident occurred at approximately 10:30am, child #1 began throwing up at approximately 11am, the parent was notified only of the child throwing up, and the parent picked up child #1 at approximately 12pm. 3. The visit summary record for child #1 contained documentation that child #1 was diagnosed with a concussion at 2:20pm on 10/06/2023.”

8VAC20-780-550-P Complaint related: No

“Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report for child #1 contained documentation of only one staff signature. 2. The incident report for child #1 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-60-A

“Based on a review of children’s records and interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #5 did not contain documentation the of the name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 2. The record of child #2 did not contain documentation of the first date of attendance. Staff #6 confirmed the first date of attendance was not in the record.”

8VAC20-780-350-B-1

“Based on observation and interview, the center failed to ensure the staff-to-children ratio is required whenever children are in care. For children birth to 16 months the staff-to children ratio is one staff to four children. Evidence: Outside on the infant and toddler play area Staff #5 was observed holding an infant and caring for five toddlers. Staff # 3 stated the infant was outside with staff #5 for approximately five minutes. Two staff were needed to maintain the ratio.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #2, hired 11/14/22, contained documentation of the Virginia Department of Education orientation dated 03/07/23. Staff #6 confirmed the orientation was late.”

8VAC20-780-130-A

“Based on a review of children's records and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #4, enrolled 08/14/23, did not contain documentation of immunizations. Staff #6 confirmed the immunizations were not obtained.”

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. The department received a complaint report on October 10, 2023, regarding child #1 receiving outside medical care on October 06, 2023. 2. As of October 24, 2023, the center had not informed the department of the incident. 3. Staff #1 confirmed that child #1 did receive medical attention for the injury that occurred while the child was under the supervision of the center and the center did not contact the department regarding the incident with child #1.”

8VAC20-780-340-A Complaint related: Yes

“Complaint Related Based on interviews and review of medical records, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. An interview revealed that on 10/06/2023, child #1 was running at the center and hit their head on a table. Shortly thereafter, child #1 began throwing up. The center contacted the parent to report that the child was throwing up and failed to report that the child had hit their head. Child #1 became lethargic shortly after being picked up from the center and was taken for medical care. 2. Staff #1 stated that the incident occurred at approximately 10:30am, child #1 began throwing up at approximately 11am, the parent was notified only of the child throwing up, and the parent picked up child #1 at approximately 12pm. 3. The visit summary record for child #1 contained documentation that child #1 was diagnosed with a concussion at 2:20pm on 10/06/2023.”

8VAC20-780-550-P Complaint related: No

“Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report for child #1 contained documentation of only one staff signature. 2. The incident report for child #1 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-60-A

“Based on a review of children’s records and interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #5 did not contain documentation the of the name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 2. The record of child #2 did not contain documentation of the first date of attendance. Staff #6 confirmed the first date of attendance was not in the record.”

8VAC20-780-350-B-1

“Based on observation and interview, the center failed to ensure the staff-to-children ratio is required whenever children are in care. For children birth to 16 months the staff-to children ratio is one staff to four children. Evidence: Outside on the infant and toddler play area Staff #5 was observed holding an infant and caring for five toddlers. Staff # 3 stated the infant was outside with staff #5 for approximately five minutes. Two staff were needed to maintain the ratio.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #2, hired 11/14/22, contained documentation of the Virginia Department of Education orientation dated 03/07/23. Staff #6 confirmed the orientation was late.”

8VAC20-780-130-A

“Based on a review of children's records and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #4, enrolled 08/14/23, did not contain documentation of immunizations. Staff #6 confirmed the immunizations were not obtained.”

8VAC20-780-140-A

“Based on a review of children’s records on 06/08/2023, 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 #5, enrolled 08/13/2021, did not contain documentation of a physical.”

8VAC20-780-560-G

“Based on observation and interview on 06/08/2023, the center failed to ensure food from home container is clearly dated and labeled in a way that identifies the owner. Evidence: There were three bottles in the infant room that were not dated. Staff in the infant room confirmed the bottles were not dated.”

8VAC20-780-70

“Based on a review of records and interview on 06/08/2023, the center failed to ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 03/20/2023, did not contain documentation of references. 2. The record of staff #4, hired 05/23/2023, did not contain documentation of one reference. 3. The record of staff #5, hired 03/27/2023, did not contain documentation of references. 4. Staff #5 acknowledged the references were not complete.”

8VAC20-780-280-B

“Based on observation and interview on 06/08/2023, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: The infant room had an unlocked cabinet under the sink that contained several cleaners. Infants were observed putting their hands on the cabinet. The labels on the Lysol, glass cleaner, and Lysol wipes stated "keep out of reach of children" and "caution." The label on the bleach stated "keep out of reach of children" and "warning."”

8VAC20-780-160-A

“Based on a review of staff records and interview on 06/08/2023, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #5, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/05/2023. Staff #5 confirmed she was at the center on 03/27/2023 when she completed orientation.”

22.1-289.035-B-2

“Based on a review of staff records on 06/08/2023, 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 #4, hired 05/23/2023 and staff #5, hired 03/27/2023, did not contain documentation of fingerprint results.”

8VAC20-770-60-B

“Based on a review of staff records and interview on 06/08/2023, the center failed to ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: The record of staff #1, hired 03/20/2023, and staff #4, hired 05/23/2023, did not contain documentation of a sworn statement. Staff #5 confirmed the sworn statements were not completed.”

8VAC20-780-500-B

“Based on observation and interview on 06/08/2023, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff #5 was observed to spray the diapering surface with bleach water and immediately put a paper towel on top of the solution and then wiped it away. Staff #4 confirmed that she immediately put a paper towel on top of the bleach solution and wiped it away.”

8VAC20-780-500-A

“Based on observation on 06/08/2023, the center failed to ensure that staff shall wash their hands with soap and running water before and after diapering and children's hands shall be washed with soap and running water after a diaper change. Evidence: 1. Staff #5 was observed to not wash her hands before diapering a child. 2. Staff #5 placed the child on the floor to play with toys after the diaper change without washing the child's hands. 3. Staff #5 then picked up several items after the diaper change and did not wash her hands.”

8VAC20-780-140-A

“Based on a review of children’s records on 06/08/2023, 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 #5, enrolled 08/13/2021, did not contain documentation of a physical.”

8VAC20-780-560-G

“Based on observation and interview on 06/08/2023, the center failed to ensure food from home container is clearly dated and labeled in a way that identifies the owner. Evidence: There were three bottles in the infant room that were not dated. Staff in the infant room confirmed the bottles were not dated.”

8VAC20-780-70

“Based on a review of records and interview on 06/08/2023, the center failed to ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 03/20/2023, did not contain documentation of references. 2. The record of staff #4, hired 05/23/2023, did not contain documentation of one reference. 3. The record of staff #5, hired 03/27/2023, did not contain documentation of references. 4. Staff #5 acknowledged the references were not complete.”

8VAC20-780-280-B

“Based on observation and interview on 06/08/2023, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: The infant room had an unlocked cabinet under the sink that contained several cleaners. Infants were observed putting their hands on the cabinet. The labels on the Lysol, glass cleaner, and Lysol wipes stated "keep out of reach of children" and "caution." The label on the bleach stated "keep out of reach of children" and "warning."”

8VAC20-780-160-A

“Based on a review of staff records and interview on 06/08/2023, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #5, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/05/2023. Staff #5 confirmed she was at the center on 03/27/2023 when she completed orientation.”

22.1-289.035-B-2

“Based on a review of staff records on 06/08/2023, 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 #4, hired 05/23/2023 and staff #5, hired 03/27/2023, did not contain documentation of fingerprint results.”

8VAC20-770-60-B

“Based on a review of staff records and interview on 06/08/2023, the center failed to ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: The record of staff #1, hired 03/20/2023, and staff #4, hired 05/23/2023, did not contain documentation of a sworn statement. Staff #5 confirmed the sworn statements were not completed.”

8VAC20-780-500-B

“Based on observation and interview on 06/08/2023, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff #5 was observed to spray the diapering surface with bleach water and immediately put a paper towel on top of the solution and then wiped it away. Staff #4 confirmed that she immediately put a paper towel on top of the bleach solution and wiped it away.”

8VAC20-780-500-A

“Based on observation on 06/08/2023, the center failed to ensure that staff shall wash their hands with soap and running water before and after diapering and children's hands shall be washed with soap and running water after a diaper change. Evidence: 1. Staff #5 was observed to not wash her hands before diapering a child. 2. Staff #5 placed the child on the floor to play with toys after the diaper change without washing the child's hands. 3. Staff #5 then picked up several items after the diaper change and did not wash her hands.”

8VAC20-790-600-F

“Based on a review of records and interview on December 5, 2022, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department of Social Services as required. Evidence: The record of staff #6, hired 10/18/21, contained documentation of the Preservice training completed on 9/2/21. The record did not contain documentation of the annual Health and Safety update training. The staff and director confirmed it was not completed.”

8VAC20-780-510-P

“Based on review of medications and authorizations on December 5, 2022, the center failed to ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The medication authorizations for child #6 expired 7/24/22, the medication had not been returned to the parent nor had the parent renewed the medication authorization form.”

8VAC20-780-270-A

“Based on observation on December 5, 2022, 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: The preschool room contained chipped and peeling paint on several walls. There were also a vertical line of several holes on the back wall that was approximately a foot long.”

8VAC20-780-130-A

“Based on a review of children’s records and interview on December 5, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #2, enrolled 11/28/22 contained documentation of immunizations dated 11/30/22. Staff #2 confirmed the immunizations were late.”

8VAC20-780-570-A

“Based on observation and interview on December 5, 2022, the center failed to ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: 1. In the infant room, six infants were observed sitting in bucket seats in the feeding/activity table. 2. Five of the infant’s protective belts were not fastened and one child did not have a protective belt. 3. Staff #1 in the infant room acknowledged the protective belts were not fastened and stated she has told the other staff in the room to ensure they are. 4. In the toddler room, two children were observed in high chairs without the protective belts fastened.”

8VAC20-790-600-F

“Based on a review of records and interview on December 5, 2022, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department of Social Services as required. Evidence: The record of staff #6, hired 10/18/21, contained documentation of the Preservice training completed on 9/2/21. The record did not contain documentation of the annual Health and Safety update training. The staff and director confirmed it was not completed.”

8VAC20-780-510-P

“Based on review of medications and authorizations on December 5, 2022, the center failed to ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. The medication authorizations for child #6 expired 7/24/22, the medication had not been returned to the parent nor had the parent renewed the medication authorization form.”

8VAC20-780-270-A

“Based on observation on December 5, 2022, 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: The preschool room contained chipped and peeling paint on several walls. There were also a vertical line of several holes on the back wall that was approximately a foot long.”

8VAC20-780-130-A

“Based on a review of children’s records and interview on December 5, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #2, enrolled 11/28/22 contained documentation of immunizations dated 11/30/22. Staff #2 confirmed the immunizations were late.”

8VAC20-780-570-A

“Based on observation and interview on December 5, 2022, the center failed to ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: 1. In the infant room, six infants were observed sitting in bucket seats in the feeding/activity table. 2. Five of the infant’s protective belts were not fastened and one child did not have a protective belt. 3. Staff #1 in the infant room acknowledged the protective belts were not fastened and stated she has told the other staff in the room to ensure they are. 4. In the toddler room, two children were observed in high chairs without the protective belts fastened.”

8VAC20-780-350-B-2

“Based on observation and interview, the center failed to ensure the staff to child ratio of one staff to every five children for ages 16 months up to 24 months was followed. Evidence: In the two to three year old classroom one child was 21 months old per the director. There were 15 children with two staff. The remaining 14 children were all ages two and three.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure all staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The file for staff 3 documented the start date as 1/28/22. The file did not contain documentation of staff 3 completing the Virginia Department of Education-sponsored orientation course. 2. The director verified the start date and stated staff 3 has not completed the course.”

8VAC20-780-350-B-2

“Based on observation and interview, the center failed to ensure the staff to child ratio of one staff to every five children for ages 16 months up to 24 months was followed. Evidence: In the two to three year old classroom one child was 21 months old per the director. There were 15 children with two staff. The remaining 14 children were all ages two and three.”

8VAC20-780-240-A

“Based on record review and interview, the center failed to ensure all staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The file for staff 3 documented the start date as 1/28/22. The file did not contain documentation of staff 3 completing the Virginia Department of Education-sponsored orientation course. 2. The director verified the start date and stated staff 3 has not completed the course.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to obtain all the required information for each child's record. Evidence: 1. The record for child 1 did not contain the work phone number for either parent. 2. The record for child 3 only contained one emergency contact when two that are not the parents are required. One of the emergency contacts provided was the father's.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain results of a central registry background check within 30 days of employment. Evidence: 1. The start date for staff 3 is documented as 11/9/21. There is no current documentation of a central registry background check in the file. 2. The director stated she thought the central registry background check from when staff 3 previous worked at the center would still apply. Staff 3 left employment 7/20.”

8VAC20-770-60-D-1

“Based on record review and interview, the center failed to follow up on a central registry background check that was not returned within 30 days. Evidence 1. The date of hire for staff 2 was documented as 9/21/21. There was no documentation of a central registry background check in the file. 2. The director stated one was mailed but the results were not received. The director followed up on 12/8/21 and they stated they mailed it back for not including payment. The director stated she never received the document.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination within one month after attendance for one out of three children's records reviewed. Evidence: The record for child 3 did not contain documentation of a physical examination. Child 3's first date of attendance was 8/30/21.”

22.1-289.035-B-4

“Based on record review an interview, the center failed to obtain an out of state child abuse and neglect search request by the end of the 30th day of employment for for staff that have live out of VA within the last five years. Evidence: 1. Staff 1's start date is documented as 10/18/21. The sworn statement documented staff 1 lived in a different state within the last five years. The record did not contain the results of an out of state child abuse and neglect search request. 2. The director stated she had not completed the search.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to obtain all the required information for each child's record. Evidence: 1. The record for child 1 did not contain the work phone number for either parent. 2. The record for child 3 only contained one emergency contact when two that are not the parents are required. One of the emergency contacts provided was the father's.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain results of a central registry background check within 30 days of employment. Evidence: 1. The start date for staff 3 is documented as 11/9/21. There is no current documentation of a central registry background check in the file. 2. The director stated she thought the central registry background check from when staff 3 previous worked at the center would still apply. Staff 3 left employment 7/20.”

8VAC20-770-60-D-1

“Based on record review and interview, the center failed to follow up on a central registry background check that was not returned within 30 days. Evidence 1. The date of hire for staff 2 was documented as 9/21/21. There was no documentation of a central registry background check in the file. 2. The director stated one was mailed but the results were not received. The director followed up on 12/8/21 and they stated they mailed it back for not including payment. The director stated she never received the document.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination within one month after attendance for one out of three children's records reviewed. Evidence: The record for child 3 did not contain documentation of a physical examination. Child 3's first date of attendance was 8/30/21.”

22.1-289.035-B-4

“Based on record review an interview, the center failed to obtain an out of state child abuse and neglect search request by the end of the 30th day of employment for for staff that have live out of VA within the last five years. Evidence: 1. Staff 1's start date is documented as 10/18/21. The sworn statement documented staff 1 lived in a different state within the last five years. The record did not contain the results of an out of state child abuse and neglect search request. 2. The director stated she had not completed the search.”