Apple Tree Kids-#1002

22.1-289.035-B-4

“Based on a review of records and interview, the licensee did not ensure that the results of a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: Five staff records were reviewed. The record for staff #4 (hired 5/20/2024) whose documentation revealed that she resided in Missouri within the past five years, did not contain the results of a Missouri sex offender registry check.”

8VAC20-780-500-A

“Based on a review of records and interview, staff did not always ensure that children's hands are washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunch when the inspector inquired about handwashing. Staff confirmed that the children's hands had not been washed.”

8VAC20-780-560-J

“Based on a review of records and interview, staff did not always ensure that tables and high chair trays are sanitized before and after each use for feeding Evidence: The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunches when the inspector inquired table sanitizing. Staff confirmed that the tables had not been sanitized.”

22.1-289.035-B-4

“Based on a review of records and interview, the licensee did not ensure that the results of a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years. Evidence: Five staff records were reviewed. The record for staff #4 (hired 5/20/2024) whose documentation revealed that she resided in Missouri within the past five years, did not contain the results of a Missouri sex offender registry check.”

8VAC20-780-500-A

“Based on a review of records and interview, staff did not always ensure that children's hands are washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunch when the inspector inquired about handwashing. Staff confirmed that the children's hands had not been washed.”

8VAC20-780-560-J

“Based on a review of records and interview, staff did not always ensure that tables and high chair trays are sanitized before and after each use for feeding Evidence: The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunches when the inspector inquired table sanitizing. Staff confirmed that the tables had not been sanitized.”

8VAC20-780-510-P

“Based on a review of medications and authorization forms stored on site, the licensee did not ensure that when an authorization for medication expires, the parent shall is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization and that medications that are not picked up by the parent within 14 days are safely disposed of by the center. Evidence: An EpiPen, stored on site for emergency use was authorized by a signed form which expired 3/19/2023. The medication had not been returned to the parent or disposed of within 14 days of the authorization form expiring.”

8VAC20-780-510-P

“Based on a review of medications and authorization forms stored on site, the licensee did not ensure that when an authorization for medication expires, the parent shall is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization and that medications that are not picked up by the parent within 14 days are safely disposed of by the center. Evidence: An EpiPen, stored on site for emergency use was authorized by a signed form which expired 3/19/2023. The medication had not been returned to the parent or disposed of within 14 days of the authorization form expiring.”

8VAC20-780-510-P

“Based on a review of medications and authorization forms stored on site, the licensee did not ensure that when an authorization for medication expires, the parent shall is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization and that medications that are not picked up by the parent within 14 days are safely disposed of by the center. Evidence: An EpiPen, stored on site for emergency use was authorized by a signed form which expired 3/19/2023. The medication had not been returned to the parent or disposed of within 14 days of the authorization form expiring.”

8VAC20-780-560-P Complaint related: No

“Based upon a review of records and interview, the licensee failed to ensure that a child with an allergy is not served any food identified in their written allergy care plan. Evidence: 1. The record for child #1 contained a "Life Threatening Allergy Management Plan" that listed several food allergens, including milk. 2. Staff interviews confirmed that on 9/16/2021 the a 4 year old child requested Ranch Dressing at lunch time and that staff provided Ranch dressing which the child ate with his raw vegetables brought from home. 3. The child's parent noticed a residue of ranch dressing in her child's lunch container when he returned home that day and contacted the center. 4. Staff told the parent that they thought it was okay to give child #1 Ranch dressing because child #1 normally brings his own container of Ranch dressing from home each day. 5. The Ranch dressing normally provided by the parent was Vegan and did not contain milk. However, the Ranch dressing they served the child did contain milk.”