Barrett Early Learning Center

8VAC20-790-600-F

“Based on a review of staff records and interview, the vendor failed to ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: The record of staff #5 contained documentation of the annual update training dated 6/12/23. There was no documentation of the 2024 update training. Staff #7 confirmed the 2024 was not completed.”

8VAC20-780-260-A

“Based on a review of the fire inspection and interview, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent documentation of the fire inspection is dated 8/28/23. Staff #6 confirmed the annual fire inspection was not scheduled.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were two O'Cedar mops with the cleaning solution installed that were unlocked and accessible to children. The kitchen also contained cleaning materials that were unlocked. Staff #6 confirmed the cleaning materials were unlocked.”

8VAC20-780-245-A

“Based on a review of staff records and interview, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #4 contained 12 hours of annual training from 3/25/23 to 3/24/24. Staff #6 confirmed 16 hours of annual training was not completed.”

8VAC20-780-340-A Complaint related: Yes

“Complaint related Based on interviews, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Without written parental permission the center has been placing a weighted vest on child #1 (age 3), since the child enrolled in December 2023. This weighted vest has been placed on the child at various intervals of up to and over an hour at a time during outside play and naptime. 2. According to the American Academy of Pediatrics (AAP); AAP does not recommend the use of weighted vests for typically developing children. The AAP indicates that weighted vests can be worn in consultation with an Occupational Therapist (OT) as part of a plan with children with specific sensory processing disorders or developmental challenges. According to guidelines from OT children should wear the vest in short 15-20 minute intervals and never at naptime. 3. The weighted vest placed on child #1 belonged to a previously enrolled child who was under the care of an OT. Child #1 is not under the care of an OT, nor has an OT been consulted regarding the use of this weighted vest for child #1.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, the center failed to ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Due to behaviors and in an effort to calm child #1 (age 3), the center has been placing a weighted vest on child #1 at various intervals through the day consisting of periods of over an hour at a time to include nap and playtime.”

8VAC20-780-40-E Complaint related: No

“Based on a review of policies and interview, the licensee failed to ensure that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. The center's policy states that "behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. 2. Staff #1 reported that a weighted vest was used on child #1 (age 3) due to the child's "significant issues".”

8VAC20-790-600-D-2

“Based on a review of records, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of CPR certification.”

8VAC20-780-510-F

“Based on a review of four medications and interview, the center failed to ensure the medication authorization for four medications were available to staff during the entire time they were effective. Evidence: 1. Child #3 had a prescription medication, Epi-pen and Benadryl, at the center. There was no documentation of medication authorization form available to staff. 2. Child #6 had a prescription medication, AuviQ and Benadryl, at the center. There was no documentation of medication authorization form available to staff. 3. Administration confirmed the center did not have medication authorization for child #3 and child #6.”

8VAC20-780-510-H

“Based on observation, the center failed to ensure nonprescription medication is in the original container with the direction label attached. Evidence: There was Benadryl in a first aid kit. The Benadryl was not in the original container with the direction label attached.”

8VAC20-780-510-G

“Based on a review of medications, the center failed to ensure medication shall be labeled with the child's name, the name of the medication, dosage amount, and the time or times to be given. Evidence: 1. Two boxes of Benadryl were not labeled with the child's name, dosage amount, and the time or times to be given. 2. There was a sleeve of Benadryl located in a zip-lock bag in the first aid kit not labeled with the dosage amount or the time or times to be given.”

8VAC20-770-70-A

“Based on a review of staff records and interview, the center failed to ensure that each staff record contains all required information. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of two references, orientation, and a tuberculosis screening. Staff #6 reported that the references, orientation and tuberculosis screening can't be located.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center failed to ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of results of an out-of-state child abuse and neglect registry. Staff #5 indicated living out-of-state in the previous five years on staff #5's sworn disclosure statement. Staff #6 confirmed the results of the out-of-state child abuse and neglect registry were not obtained.”

8VAC20-780-510-L

“Based on observation and interview, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: In the 3 year old classroom there was Benadryl and Halls cough drops in an unlocked first aid kit. Staff #7 identified the Halls cough drops as being hers and reported she left them in the first aid kit during a field trip.”

8VAC20-790-600-D-2

“Based on a review of records, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of CPR certification.”

8VAC20-780-510-F

“Based on a review of four medications and interview, the center failed to ensure the medication authorization for four medications were available to staff during the entire time they were effective. Evidence: 1. Child #3 had a prescription medication, Epi-pen and Benadryl, at the center. There was no documentation of medication authorization form available to staff. 2. Child #6 had a prescription medication, AuviQ and Benadryl, at the center. There was no documentation of medication authorization form available to staff. 3. Administration confirmed the center did not have medication authorization for child #3 and child #6.”

8VAC20-780-510-H

“Based on observation, the center failed to ensure nonprescription medication is in the original container with the direction label attached. Evidence: There was Benadryl in a first aid kit. The Benadryl was not in the original container with the direction label attached.”

8VAC20-780-510-G

“Based on a review of medications, the center failed to ensure medication shall be labeled with the child's name, the name of the medication, dosage amount, and the time or times to be given. Evidence: 1. Two boxes of Benadryl were not labeled with the child's name, dosage amount, and the time or times to be given. 2. There was a sleeve of Benadryl located in a zip-lock bag in the first aid kit not labeled with the dosage amount or the time or times to be given.”

8VAC20-770-70-A

“Based on a review of staff records and interview, the center failed to ensure that each staff record contains all required information. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of two references, orientation, and a tuberculosis screening. Staff #6 reported that the references, orientation and tuberculosis screening can't be located.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center failed to ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: The record of staff #5, hired 06/01/22, did not contain documentation of results of an out-of-state child abuse and neglect registry. Staff #5 indicated living out-of-state in the previous five years on staff #5's sworn disclosure statement. Staff #6 confirmed the results of the out-of-state child abuse and neglect registry were not obtained.”

8VAC20-780-510-L

“Based on observation and interview, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: In the 3 year old classroom there was Benadryl and Halls cough drops in an unlocked first aid kit. Staff #7 identified the Halls cough drops as being hers and reported she left them in the first aid kit during a field trip.”

8VAC20-790-600-D-2

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in first aid appropriate to the age of children in care. Evidence: The record of staff #4 did not contain documentation of current certification in first aid. The most recent first aid certification for staff #4 is dated 09/02/21. Staff #4 confirmed there wasn't a current CPR certification.”

8VAC20-790-600-D-1

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. Evidence: The record of staff #4 did not contain documentation of current certification in CPR. The most recent CPR certification for staff #4 is dated 09/02/21 and that was an online only course. Staff #4 confirmed there wasn't a current CPR certification.”

22.1-289.036-B-2

“Based on a review of records, the center failed to ensure to obtain a fingerprint based national criminal record check within 30 days of appointment of a board officer. Evidence: 1. The record of officer #1, took office 09/20/22, contained documentation of fingerprints dated 11/07/22. 2. The record of officer #2 contained documentation of fingerprints dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing dated 06/09/222.”

22.1-289.036-A

“Based on a review of records, the center failed to obtain the required repeat background checks for one officer of the board every five years. Evidence: The record of officer #3 did not contain documentation of a repeat sworn disclosure statement. The most recent sworn disclosure statement for officer #3 was dated 09/20/17.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. In the 3-4 year old classroom there was chipped and peeling paint on the fireplace. 2. In the 4 year old classroom there were several areas with chipped paint exposing drywall.”

8VAC20-770-40-D-1-a

“Based on a review of records and interview, the center failed to ensure to obtain a Sworn Statement for each new officer when a change occurred and a central registry check from each Officer of the Board before the end of the 30 days after the change of officer. Evidence: 1. The record of officer #1, (took office 09/20/22), did not contain documentation of central registry results and did not contain documentation of a sworn disclosure statement. 2. The record of officer #2 did not contain documentation of a sworn disclosure statement and contained central registry results dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing, 06/09/2022. 3. Staff #4 confirmed the center did not obtain the central registry results or the sworn disclosure statements.”

8VAC20-790-600-D-2

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in first aid appropriate to the age of children in care. Evidence: The record of staff #4 did not contain documentation of current certification in first aid. The most recent first aid certification for staff #4 is dated 09/02/21. Staff #4 confirmed there wasn't a current CPR certification.”

8VAC20-790-600-D-1

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. Evidence: The record of staff #4 did not contain documentation of current certification in CPR. The most recent CPR certification for staff #4 is dated 09/02/21 and that was an online only course. Staff #4 confirmed there wasn't a current CPR certification.”

22.1-289.036-B-2

“Based on a review of records, the center failed to ensure to obtain a fingerprint based national criminal record check within 30 days of appointment of a board officer. Evidence: 1. The record of officer #1, took office 09/20/22, contained documentation of fingerprints dated 11/07/22. 2. The record of officer #2 contained documentation of fingerprints dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing dated 06/09/222.”

22.1-289.036-A

“Based on a review of records, the center failed to obtain the required repeat background checks for one officer of the board every five years. Evidence: The record of officer #3 did not contain documentation of a repeat sworn disclosure statement. The most recent sworn disclosure statement for officer #3 was dated 09/20/17.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. In the 3-4 year old classroom there was chipped and peeling paint on the fireplace. 2. In the 4 year old classroom there were several areas with chipped paint exposing drywall.”

8VAC20-770-40-D-1-a

“Based on a review of records and interview, the center failed to ensure to obtain a Sworn Statement for each new officer when a change occurred and a central registry check from each Officer of the Board before the end of the 30 days after the change of officer. Evidence: 1. The record of officer #1, (took office 09/20/22), did not contain documentation of central registry results and did not contain documentation of a sworn disclosure statement. 2. The record of officer #2 did not contain documentation of a sworn disclosure statement and contained central registry results dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing, 06/09/2022. 3. Staff #4 confirmed the center did not obtain the central registry results or the sworn disclosure statements.”

8VAC20-780-80-B-2 Complaint related: No

“Based on interview, the center failed to inform the department's representative within two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: In an interview with staff #1 it was stated that on 06/08/2023, child #1 was taken to the hospital for a suspected injury. Staff #1 stated the center was made aware that child #1 received outside medical care on 06/09/2023. This incident was not reported by the facility to the office of child care health and safety.”

8VAC20-780-240-A

“Based on a review of staff records and interview on March 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #4, hired 3/24/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #6 confirmed the orientation was not completed.”

8VAC20-780-280-B Complaint related: No

“Based on observation on November 10, 2022, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the upstairs hall bathroom used by children there was Lysol spray, disinfectant wipes, and Glade on a shelf. The labels on each of the products contained the language "keep out of reach of children" and "caution."”

8VAC20-780-130-A Complaint related: No

“Based on a review of children's records on November 10, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #1, was enrolled 8/16/21, prior to the center obtaining documentation of the child's immunizations.”

8VAC20-780-245-A

“Based on a review of staff records and interview on September 14, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #2 contained documentation of 7 hours of training from 4/11/21 to 4/11/22. 2. The record of staff #5 contained documentation of 2 hours of training from 7/14/21 to 7/14/22. 3. Staff #6 confirmed the annual minimum of 16 hours were not complete for staff #2 and #5.”

8VAC20-780-140-B

“Based on a review of children's records on September 14, 2022, a physical exam, completed prior to a 3 year old child's first date of attendance, was not dated within 12 months prior to attendance. Evidence: Child #1 was 3 years of age at the time of enrollment on 8/24/22 and the physical exam was dated 4/29/21.”

8VAC20-780-270-A

“Based on observation and interview on September 13, 2022, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The playground contained a structure children play under, with a fiberglass roof that was chipped approximately 7 inches long exposing fiber glass in one area and approximately 4 inches in another area. 2. The chain link fence at the back of the playground had approximately 6ft of chain link that was not attached to the pole, creating a hole big enough for an adult's arm to fit through. 3. The chain link gates, approximately 8ft in length, were rusted and created very sharp pieces of metal. 4. Two pieces of play equipment on the playground, the merry-go-round and the pedala- go contained chipped paint that was also creating rust. 5. A step-trashcan used for disposing soiled diapers in the toddler classroom had a broken lid that was not attached to the step-trashcan. 6. Staff #6 confirmed these items need fixing.”

8VAC20-790-600-D-1

“Based on a review of records and interview on September 14, 2022, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: The record of staff #5 (hired 7/14/21) did not contain documentation of a CPR certificate. Staff #6 confirmed the CPR certificate was not completed on-time.”

8VAC20-790-600-D-2

“Based on a review of records and interview on September 14, 2022, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: The record of staff #5 (hired 7/14/21) did not contain documentation of a first aid certificate. Staff #6 confirmed the first aid certificate was not completed on-time.”

8VAC20-780-245-A

“Based on a review of staff records and interview on September 14, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #2 contained documentation of 7 hours of training from 4/11/21 to 4/11/22. 2. The record of staff #5 contained documentation of 2 hours of training from 7/14/21 to 7/14/22. 3. Staff #6 confirmed the annual minimum of 16 hours were not complete for staff #2 and #5.”

8VAC20-780-140-B

“Based on a review of children's records on September 14, 2022, a physical exam, completed prior to a 3 year old child's first date of attendance, was not dated within 12 months prior to attendance. Evidence: Child #1 was 3 years of age at the time of enrollment on 8/24/22 and the physical exam was dated 4/29/21.”

8VAC20-780-270-A

“Based on observation and interview on September 13, 2022, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The playground contained a structure children play under, with a fiberglass roof that was chipped approximately 7 inches long exposing fiber glass in one area and approximately 4 inches in another area. 2. The chain link fence at the back of the playground had approximately 6ft of chain link that was not attached to the pole, creating a hole big enough for an adult's arm to fit through. 3. The chain link gates, approximately 8ft in length, were rusted and created very sharp pieces of metal. 4. Two pieces of play equipment on the playground, the merry-go-round and the pedala- go contained chipped paint that was also creating rust. 5. A step-trashcan used for disposing soiled diapers in the toddler classroom had a broken lid that was not attached to the step-trashcan. 6. Staff #6 confirmed these items need fixing.”

8VAC20-790-600-D-1

“Based on a review of records and interview on September 14, 2022, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: The record of staff #5 (hired 7/14/21) did not contain documentation of a CPR certificate. Staff #6 confirmed the CPR certificate was not completed on-time.”

8VAC20-790-600-D-2

“Based on a review of records and interview on September 14, 2022, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: The record of staff #5 (hired 7/14/21) did not contain documentation of a first aid certificate. Staff #6 confirmed the first aid certificate was not completed on-time.”

8VAC20-780-550-P

“Based on the review of three injury reports and verification from the director, one child's minor injury report did not contain all of the required information. Evidence: 1. The injury report for Child A did not contain the time the parent was notified of the injury. Date of the minor injury was 02/08/2022. 2. The director confirmed the time parent was notified had not been documented by staff.”

8VAC20-780-550-P

“Based on the review of three injury reports and verification from the director, one child's minor injury report did not contain all of the required information. Evidence: 1. The injury report for Child A did not contain the time the parent was notified of the injury. Date of the minor injury was 02/08/2022. 2. The director confirmed the time parent was notified had not been documented by staff.”