American Day School 2

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is a 1 staff per 4 children. Six children were observed in one classroom with 1 staff for approximately one minute.”

8VAC20-780-520-A

“Over-thecounter skin products shall not be kept or used beyond the expiration date of the product. One topical ointment expired over 1 1/2 years ago. One topical ointment expired 9 months ago.”

8VAC20-780-570-B

“Bottle fed infants who cannot hold their own bottles shall be held when fed. An infant who is unable to hold their own bottle was not held by staff while being fed.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles belonging to Child #6 were not dated.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. One area of the center had peeling paint which was accessible to children under the age of 18 months.”

8VAC20-780-240-C

“Repeat Orientation training shall include prevention of sudden infant death syndrome and use of safe sleep practices shaken baby syndrome and abusive head trauma. Staff 1's orientation training did not include prevention of sudden infant death syndrome and use of safe sleep practices shaken baby syndrome and abusive head trauma.”

8VAC20-780-240-C

“Based on review of records, the center did not ensure the staff receive all required components of orientation training. Evidence: Staff 4's orientation training did not include the following topics: SIDS and use of safe sleep practices, prevention of shaken baby syndrome, traumatic head injury and food allergies.”

8VAC20-780-520-A

“Based on review of topical ointments, one topical ointment was kept or used beyond the expiration date of the product. Evidence One topical ointment for Child #5 expired in 4/2024.”

8VAC20-780-520-C

“Based on observation the center did not ensure all requirements for topical skin products were met. Evidence: Child #5's parent authorization for a topical skin product expired 4/2024.”

8VAC20-780-550-P

“Based on record review, the minor injury log was missing required information. Evidence: 1 of 5 minor injury logs reviewed was missing the time of the injury.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: Cleaning supplies were unlocked near the changing table.”

8VAC20-800-520-A

“Based on record review and observation, cribs were not provided for children from birth through 12 months of age. Evidence: 1) Child A was enrolled 05/17/2022 and did not turn 1 until 11/2022. There was no crib available for Child A. 2) Child B was enrolled 01/26/2023 and did not turn 1 until 02/2023. There was no crib available for Child B.”

8VAC20-780-260-A

“Based on record review, the center did not provide the licensing representative an annual fire inspection report. Evidence: The lasted fire inspection on file was conducted 05/2021.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: Disinfectant wipes were located on a counter near the kitchen area.”

8VAC20-780-570-E

“Based on observation, prepared formula was not dated. Evidence: There was one bottle located in the refrigerator that was missing the date.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: Disinfectant wipes were located on a counter near the kitchen area.”

8VAC20-780-160-C

“Based on record review, At least every two years from the date of the first initial screening or testing, a staff member did not obtain and submit the results of a follow-up tuberculosis screening. Evidence: The tuberculosis screening of Staff A expired 6/2020”