Ballad Health Center for Early Learning - Lebanon

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in CPR. Staff #1who has been employed five months does not have documentation of a completed CPR certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in First Aid. Staff #1who has been employed five months does not have documentation of a completed First Aid certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. None of the food containers in the pre-school room were dated or labeled.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place drill documented for 2024.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry and sex offender search from one state for Staff #2, who has been employed for more than four months and was working with children at the time of the inspection.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in CPR. Staff #1who has been employed five months does not have documentation of a completed CPR certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in First Aid. Staff #1who has been employed five months does not have documentation of a completed First Aid certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. None of the food containers in the pre-school room were dated or labeled.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place drill documented for 2024.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry and sex offender search from one state for Staff #2, who has been employed for more than four months and was working with children at the time of the inspection.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in CPR. Staff #1who has been employed five months does not have documentation of a completed CPR certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment shall have current certification in First Aid. Staff #1who has been employed five months does not have documentation of a completed First Aid certificate. Staff #3, who has been employed three months; Staff #4, who has been employed two weeks; Staff #6, who has been employed four months and Staff #7, who has been employed two months are scheduled to take CPR and First Aid training October 14, 2025.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. None of the food containers in the pre-school room were dated or labeled.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place drill documented for 2024.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry and sex offender search from one state for Staff #2, who has been employed for more than four months and was working with children at the time of the inspection.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR). Staff #4 has been working directly with children for three months and does not have a current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #4 has been working directly with children for three months.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR). Staff #4 has been working directly with children for three months and does not have a current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #4 has been working directly with children for three months.”

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: Roughly handling- Staff #1 was seen on video pushing child #1 away several times. The third time resulted in child #1 falling to the floor and crying. Video footage also showed staff #1 pushing child #2 away by tapping him on his head and then pushing him back causing the child to retreat to the floor.”

8VAC20-780-400-A

“To promote the child’s physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide help, comfort and support. Staff #1 was seen on video pushing child #1 away several times. The third time resulted in child #1 falling to the floor and crying. Child #1 was not consoled.”

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. Staff #2 and Staff #3, who had been employed for three months, did not have a central registry search requested.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employees? first day of employment. The sworn statements for Staff #2 & 3, who are currently working, were not dated.”

8VAC20-780-70

“Each staff record shall have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #2, #3, and #4, who have been employed for three months, did not have documentation of education or certification on file.”

22.1-289.011-F

“The center is required to post the most current violation notice and inspection summary. The inspection dated 7/2/2024 was not posted.”

8VAC20-780-210-A

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent. Staff #3, who has been employed three months, did not have information on file showing how program leader qualifications were met. Staff #3 was working as program leader on the day of the inspection.”

8VAC20-780-340-C

“During the stated hours of operation, there always shall be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or director and an immediately available staff member, volunteer or other employee who is at least 16 years of age. Video footage on 10/30/24 showed that there was one staff member with one child from 6:02 am ? 6:20 am.”

8VAC20-780-510-B

“Prescription and nonprescription medication shall be given to a child, only with written authorization from the parent. Child #1, medication given to center three months ago; child #2, medication given to center seven months ago; child #6, medication given to center four months ago; child #7, medication given to center one month ago; child #8, medication given to center two months ago; child #9, medication given to center four months ago. There were no written authorizations on file from the parents.”

8VAC20-780-510-E

“The center’s procedures for administering medication shall include duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 workdays. Long-term prescription drug use and over-the-counter medication may be allowed with written authorization form the child’s physician and parent. Six non-prescription medications were in the medication box. These medications have been at the center for one to six months with no written authorization available or renewed. There was no written authorization from Child 8?s physician and parent for the long-term prescription medication was in the medication box.”

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 #1, #2, and #3 had no documentation and had been employed for past three months.”