Arms of the King

8VAC20-780-80-A Complaint related: No

“Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: There was not an attendance for the school age children, who were outside waiting for the bus, the children in the two’s room and the children in the toddler room.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation. Evidence: There was not documentation to demonstrate Staff #4, a designated program lead has the training/education required for the position”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children. Evidence: Staff #5?s TB screening was dated 4-11-2023 and hire date was 8-7-2023 which is more than 30 days prior to hire.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation. Evidence: There was not documentation to demonstrate Staff #4, a designated program lead has the training/education required for the position”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children. Evidence: Staff #5?s TB screening was dated 4-11-2023 and hire date was 8-7-2023 which is more than 30 days prior to hire.”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: The record for Staff #1 did not include an updated CRC as the most recent one was dated 5-23-2018.”

8VAC20-780-330-B

“Based on observation and staff interviews, the licensee did not ensure that outdoor equipment with slides or climbing features shall meet requirements for resilient surfacing. Evidence: An inflatable piece of equipment to include a slide was observed inflated and sitting directly on grass and there was no resilient surfacing. A center staff confirmed the children from Preschool Room had been playing on the inflated slide.”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: The record for Staff #1 did not include an updated CRC as the most recent one was dated 5-23-2018.”

8VAC20-780-330-B

“Based on observation and staff interviews, the licensee did not ensure that outdoor equipment with slides or climbing features shall meet requirements for resilient surfacing. Evidence: An inflatable piece of equipment to include a slide was observed inflated and sitting directly on grass and there was no resilient surfacing. A center staff confirmed the children from Preschool Room had been playing on the inflated slide.”

8VAC20-780-160-A

“Based on review of 5 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1)Staff #1?s date of hire was 12-15-22 and their TB screenings/ test conducted was dated 1-2-23. 2)Staff #2?s date of hire was 6-21-2021 and their TB screenings/ test conducted was dated 11-4-21. 3)Staff #3?s date of hire was 5-9-2022 and their TB screenings/ test conducted was dated 10-21-21. 4)Staff #4?s date of hire was 5-19-2021 and their TB screenings/ test conducted was dated 5-14-21.”

22.1-289.035-B-4

“No out of state criminal history name check required for non-NFF states only*** prior to the 1st day of employment, service, and by end of 30th day for new household members and board officers/agents Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff records were reviewed and 2 out of 3 did not have background checks as required, as they did not obtain the out of state CRC and the CPS check. 1.Staff #1?s first date of employment was 12-15-22 and they had not obtained an out of state criminal records checks for South Dakota where they had lived within the last five years. 2.Staff #3, first date of employment was 5-9-2022 and they had not obtained a CPS for Florida or Connecticut where they had lived within the last five years.”

8VAC20-780-500-A

“8VAC20-780-500. A. 3 = B-1 Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands with soap and running water before and after a diaper change. Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the staff did not wash their hands after the diaper change.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On the playground there was a plastic picnic table with attached plastic benches. The benches were cracked, chipped and the plastic edges created pinching points along the sides of the bench seats.”

8VAC20-780-570-E

“Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be dated and labeled with the child’s name. Evidence: In the infant room in the refrigerator there were 3 bottles that were not labeled with a date and 1 bottle on a shelf that was not labeled with a name or date. Staff #5 confirmed they belonged to an infants in care.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the child’s hands were not washed after diaper change.”

8VAC20-780-530-A

“First aid training and cardiopulmonary resuscitation (CPR). & First Aid Based on review of 5 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care Evidence: In the three’s classroom, Staff #4 was the only staff supervising 6 children during the inspection. Staff #4 does not have CPR or first aid certification; their certification expired December 2022.”

8VAC20-780-540-E

“Based on observation and staff interviews, the licensee did not ensure, to obtain all the required nonmedical emergency supplies. Evidence: Center Director confirmed there was not a working, battery-operated radio.”

8VAC20-780-160-A

“Based on review of 5 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe. 1)Staff #1?s date of hire was 12-15-22 and their TB screenings/ test conducted was dated 1-2-23. 2)Staff #2?s date of hire was 6-21-2021 and their TB screenings/ test conducted was dated 11-4-21. 3)Staff #3?s date of hire was 5-9-2022 and their TB screenings/ test conducted was dated 10-21-21. 4)Staff #4?s date of hire was 5-19-2021 and their TB screenings/ test conducted was dated 5-14-21.”

22.1-289.035-B-4

“No out of state criminal history name check required for non-NFF states only*** prior to the 1st day of employment, service, and by end of 30th day for new household members and board officers/agents Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff records were reviewed and 2 out of 3 did not have background checks as required, as they did not obtain the out of state CRC and the CPS check. 1.Staff #1?s first date of employment was 12-15-22 and they had not obtained an out of state criminal records checks for South Dakota where they had lived within the last five years. 2.Staff #3, first date of employment was 5-9-2022 and they had not obtained a CPS for Florida or Connecticut where they had lived within the last five years.”

8VAC20-780-500-A

“8VAC20-780-500. A. 3 = B-1 Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands with soap and running water before and after a diaper change. Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the staff did not wash their hands after the diaper change.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On the playground there was a plastic picnic table with attached plastic benches. The benches were cracked, chipped and the plastic edges created pinching points along the sides of the bench seats.”

8VAC20-780-570-E

“Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be dated and labeled with the child’s name. Evidence: In the infant room in the refrigerator there were 3 bottles that were not labeled with a date and 1 bottle on a shelf that was not labeled with a name or date. Staff #5 confirmed they belonged to an infants in care.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the child’s hands were not washed after diaper change.”

8VAC20-780-530-A

“First aid training and cardiopulmonary resuscitation (CPR). & First Aid Based on review of 5 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care Evidence: In the three’s classroom, Staff #4 was the only staff supervising 6 children during the inspection. Staff #4 does not have CPR or first aid certification; their certification expired December 2022.”

8VAC20-780-540-E

“Based on observation and staff interviews, the licensee did not ensure, to obtain all the required nonmedical emergency supplies. Evidence: Center Director confirmed there was not a working, battery-operated radio.”

8VAC20-780-60-A

“Based on review of 3 children's records, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contained all required information. Evidence: The following records were determined incomplete as they did not include the following information; 1) Child #1 did not include the second parent's home address, home phone number, employment place and employment phone number. 2) Child #2 did not include the second parent's home address, home phone number, employment place and employment phone number. 3) Child #3 did not include the second employment place and employment phone number.”

8VAC20-780-270-A

“Based on observation and staff interviews the licensee did not ensure, areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On the playground, accessible to children the shed has two areas near the door frame where the wood is deteriorating, cracking and splintering.”

8VAC20-780-60-A

“Based on review of 3 children's records, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contained all required information. Evidence: The following records were determined incomplete as they did not include the following information; 1) Child #1 did not include the second parent's home address, home phone number, employment place and employment phone number. 2) Child #2 did not include the second parent's home address, home phone number, employment place and employment phone number. 3) Child #3 did not include the second employment place and employment phone number.”

8VAC20-780-270-A

“Based on observation and staff interviews the licensee did not ensure, areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: On the playground, accessible to children the shed has two areas near the door frame where the wood is deteriorating, cracking and splintering.”