Adams International School

8VAC20-780-150-B

“Each report shall include the date of the physical examination and shall be signed by a physician, his designee, or an official of a local health department. The physical report for child #1 was not signed by a physician, his designee, or an official of a local health department.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical examination for child #4 was dated seven months after first day of attendance.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant and a bottle of bleach were unlocked in a cabinet above the sink where children napped in the red building. A spray can of cleaning material was unlocked in the main classroom that was within reach of children.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for child #4 was dated seven months after first day of attendance.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The record for staff #4, who had been employed for over three months, did not have documentation of a central registry search requested prior to the end of the inspection.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due over four months ago. The updated screening has not yet been completed.”

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 shall have been completed within the last 30 days of the date of employment. Staff #2 TB was dated three months prior to date of employment and has been employed for over three months.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #4 did not have central registry search results during the inspection and has been employed for over one year.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not ensure documentation of tuberculosis screening was completed within the last 30 calendar days of the date of employment. Evidence: 1. The documentation for staff #3 (date of hire 4/15/24) was dated for 1/30/24. 2. The documentation for staff #4 (date of hire 8/14/23) was dated for 6/30/23.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous materials such as cleaning materials and insecticides/pesticides were kept in a locked place using a safe method that prevents access by children. Evidence: 1. The cabinet above the sink located in the kitchen area located in the red school house contained cleaning substances that were unlocked making items accessible to children. 2. Located in the outside shed, multiple cans of insect spray, glass cleaner and other cleaning materials were observed unlocked on a shelf. Children were observed going in and out of the area.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain an immunization record before the child attended the center. Evidence: 1. Child #2 (date of attendance 1/3/2024) had documentation of the most recent immunization record dated 3/4/24 from the physician. 2. Child #2 did not have any additional immunization records in the file.”

8VAC20-770-60-C-2

“Based on review of four staff records and interview, the center did not obtain a central registry finding within 30 days of employment for all staff. Evidence: 1. The record of staff #4, employed 8/14/2023, did not contain the results of a central registry background, exceeding 30 days from employment. 2. The director stated they did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

22.1-289.035-B-4

“Based on review of four staff records and interview, the center did not obtain the search results of the child abuse and neglect registry or equivalent registry from any state in which the individual resided in the preceding five years. Evidence: 1. Review of the sworn statement for staff #4 documented two states in which staff #4 resided in the preceding five years. 2. The record of staff #4 did not contain documentation of an out of state central registry request. 3. Director stated that out of state central registry searches had not been requested.”

8VAC20-780-60-A-8

“Based on review of records and documentation, the center failed to 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 a suspected or confirmed allergic reaction. Evidence: 1. The record for child #1 (date of attendance 8/14/23) contained written documentation from the child’s physician and parent that the child had diagnosed food allergies. The record did not contain the required written care plan. 2. Administration acknowledged that the child did not have a written care plan in the record.”

22.1-289.035-B-2

“Based on a review of four staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment. Evidence: 1. The national fingerprint check for Staff #4, employed 8/14/2023, did not contain results in the file. 2. Director stated that fingerprints were requested. However, the director could not obtain documentation to be reviewed.”

8VAC20-780-510-I

“Based on record review of the medications stored for administration to children, the center failed to ensure that they have obtained current written parent permission for administering medication. Evidence: 1. Child #6 had an expired parent medication authorization signed and dated from 8/21/23- 2/21/24, giving authorization for provider to administer prescription medication. Child #6 had prescribed medication on site. 2. Documentation of child’s record of administered medication was reviewed and medicine was given after expiration date of medication authorization form.”

8VAC20-780-90-A

“Based on record review, the center failed to obtain a signed agreement between parent and the center by the first day of the child’s attendance. Evidence: The written agreement for child #2 (date of attendance 1/3/24) was dated 2/16/24.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not ensure documentation of tuberculosis screening was completed within the last 30 calendar days of the date of employment. Evidence: 1. The documentation for staff #3 (date of hire 4/15/24) was dated for 1/30/24. 2. The documentation for staff #4 (date of hire 8/14/23) was dated for 6/30/23.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous materials such as cleaning materials and insecticides/pesticides were kept in a locked place using a safe method that prevents access by children. Evidence: 1. The cabinet above the sink located in the kitchen area located in the red school house contained cleaning substances that were unlocked making items accessible to children. 2. Located in the outside shed, multiple cans of insect spray, glass cleaner and other cleaning materials were observed unlocked on a shelf. Children were observed going in and out of the area.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain an immunization record before the child attended the center. Evidence: 1. Child #2 (date of attendance 1/3/2024) had documentation of the most recent immunization record dated 3/4/24 from the physician. 2. Child #2 did not have any additional immunization records in the file.”

8VAC20-770-60-C-2

“Based on review of four staff records and interview, the center did not obtain a central registry finding within 30 days of employment for all staff. Evidence: 1. The record of staff #4, employed 8/14/2023, did not contain the results of a central registry background, exceeding 30 days from employment. 2. The director stated they did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

22.1-289.035-B-4

“Based on review of four staff records and interview, the center did not obtain the search results of the child abuse and neglect registry or equivalent registry from any state in which the individual resided in the preceding five years. Evidence: 1. Review of the sworn statement for staff #4 documented two states in which staff #4 resided in the preceding five years. 2. The record of staff #4 did not contain documentation of an out of state central registry request. 3. Director stated that out of state central registry searches had not been requested.”

8VAC20-780-60-A-8

“Based on review of records and documentation, the center failed to 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 a suspected or confirmed allergic reaction. Evidence: 1. The record for child #1 (date of attendance 8/14/23) contained written documentation from the child’s physician and parent that the child had diagnosed food allergies. The record did not contain the required written care plan. 2. Administration acknowledged that the child did not have a written care plan in the record.”

22.1-289.035-B-2

“Based on a review of four staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment. Evidence: 1. The national fingerprint check for Staff #4, employed 8/14/2023, did not contain results in the file. 2. Director stated that fingerprints were requested. However, the director could not obtain documentation to be reviewed.”

8VAC20-780-510-I

“Based on record review of the medications stored for administration to children, the center failed to ensure that they have obtained current written parent permission for administering medication. Evidence: 1. Child #6 had an expired parent medication authorization signed and dated from 8/21/23- 2/21/24, giving authorization for provider to administer prescription medication. Child #6 had prescribed medication on site. 2. Documentation of child’s record of administered medication was reviewed and medicine was given after expiration date of medication authorization form.”

8VAC20-780-90-A

“Based on record review, the center failed to obtain a signed agreement between parent and the center by the first day of the child’s attendance. Evidence: The written agreement for child #2 (date of attendance 1/3/24) was dated 2/16/24.”

22.1-289.035-B-2

“Based on a review of six staff records, the center did not ensure that one staff obtained a national fingerprint based background check determination from the Office of Background Investigation prior to employment. Evidence: The record of staff #4, employed 01/02/2023, contained a completed national fingerprint search results that was dated 01/03/2022 exceeding the date of employment. All fingerprint search results must be obtained prior to the first day of employment.”

8VAC20-780-160-A

“Based on review of six staff records, the center did not obtain documentation of a negative tuberculosis screen at the time of employment that had been complete within the last 30 days prior to employment for one staff record. Evidence: The record of staff #4, contained documentation of a negative tuberculosis screening dated 08/15/2022, exceeding 30 days prior to employment”

22.1-289.058

“Based on observation and interview, the center was not equipped with a carbon monoxide detector. Evidence: There was no carbon monoxide detector at the center. The director confirmed a carbon monoxide detector had not been installed.”