Bermuda Hundred Child Development Center

8VAC20-780-240-C

“Based on record review, the center did not ensure that staff complete all required training. Evidence: 1. The record for staff #2 (employed: 2/26/24) did not have documentation of orientation training.”

8VAC20-780-510-G

“Based on review of medication, documentation and interview, the center did not ensure medications shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. Emergency medication for child C did not have a child's name, dosage amount and times to be given. Child C's medication did not have a prescription label identifying the owner. 2. A member of management acknowledged that the medication for child C was not labeled with required information.”

8VAC20-780-510-P

“Based on review of medications and documentation, the center did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The emergency medication for child D expired January 2024. The medication was still on site at the center. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #2 (enrolled: 7/10/23) and child # 6 (enrolled: 5/02/23) did not have a physical examination.”

8VAC20-780-70

“Repeat Violation Based on record review, the center did not ensure that each staff record contains all required information. Evidence: The record for staff # 2 (employed: 2/26/24) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.”

22.1-289.035-A

“Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every five years. Evidence: 1. The record for staff #3 contained a criminal history record check dated 5/24/18 and 7/24/23. 2. The record for staff #5 contained a criminal history record check dated 7/17/18 and 8/09/23. 3. The record for staff #6 contained a criminal history record check dated 7/13/18 and 7/21/23. 4. The record for staff #7 contained a criminal history record check dated 7/12/18 and 7/27/23. 5. A member of management acknowledged that the criminal history record checks were not completed in the required time frame.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1 contained a TB screening dated 9/30/21 and 12/01/23. 2. The record for staff #3 contained a TB screening dated 10/04/19 and 12/03/23. 3. The record for staff #5 contained a TB screening dated 9/02/20 and 10/26/22. 4. The record for staff #6 contained a TB screening dated 9/05/20 and 9/09/22. 5. The record for staff #7 contained a TB screening dated 10/05/21 and 12/02/23. TB screenings/test are required at least every two years.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening on or 30 days prior to employment. Evidence: The record for staff #6, date of employment October 2022, contained a tuberculosis screening dated 10/27/2021. Staff #6 was a previous employee who left employment in October 2021 and was gone for approximately 1 year. Staff #6 returned to employment in October of 2022.”

8VAC20-770-60-C-2

“Based on review of staff records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a central registry finding within 30 days of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

22.1-289.035-B-2

“Based on review of staff records, the center failed to obtain a criminal background check on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a criminal background check prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

8VAC20-770-60-B

“Based on review of staff records, the center failed to obtain a sworn statement on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a sworn statement that was signed on or 30 days prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required staff records for each staff person. Evidence: The record for staff #6 did not contain the date of separation from employment or the date of re-hire.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening on or 30 days prior to employment. Evidence: The record for staff #6, date of employment October 2022, contained a tuberculosis screening dated 10/27/2021. Staff #6 was a previous employee who left employment in October 2021 and was gone for approximately 1 year. Staff #6 returned to employment in October of 2022.”

8VAC20-770-60-C-2

“Based on review of staff records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a central registry finding within 30 days of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

22.1-289.035-B-2

“Based on review of staff records, the center failed to obtain a criminal background check on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a criminal background check prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

8VAC20-770-60-B

“Based on review of staff records, the center failed to obtain a sworn statement on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a sworn statement that was signed on or 30 days prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required staff records for each staff person. Evidence: The record for staff #6 did not contain the date of separation from employment or the date of re-hire.”

8VAC20-780-500-B

“Based on interview, the center failed to ensure that the diaper surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: When interviewed, staff #5 stated that they do not clean and sanitize the diaper surface after each diaper change. They spray the surface with Lysol spray. Administrator’s confirmed that this is the diaper changing process.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The bathroom nearest classroom #3 has a sink that is separating from the wall and there is a hole in the wall approximately 1 inch by 3 inches below the sink.”

8VAC20-780-70

“Based on records review, and interview, the center failed to maintain the required documentation in the staff record for each staff person. Evidence: 1) The records for staff #3, date of employment 8/22/22, and staff #6, date of employment 10/25/21, did not contain documentation that two or more references had been checked. 2) 5 out of 6 records reviewed did not contain documentation of education, certification or experience required by the job.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education (VDOE) sponsored orientation course was completed for all staff within 90 calendar days of employment. Evidence: 1) The record for staff #1, date of employment 09/26/22, and the record for staff #5, date of employment 1/17/22, did not contain documentation of the VDOE course being completed. When interviewed, Administrators confirmed that the trainings had not been completed. 2) The record for staff #6, date of employment 10/25/21, contained documentation of the VDOE training dated 3/15/22. The training must be completed within 90 calendar days of employment.”

8VAC20-780-500-B

“Based on interview, the center failed to ensure that the diaper surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: When interviewed, staff #5 stated that they do not clean and sanitize the diaper surface after each diaper change. They spray the surface with Lysol spray. Administrator’s confirmed that this is the diaper changing process.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The bathroom nearest classroom #3 has a sink that is separating from the wall and there is a hole in the wall approximately 1 inch by 3 inches below the sink.”

8VAC20-780-70

“Based on records review, and interview, the center failed to maintain the required documentation in the staff record for each staff person. Evidence: 1) The records for staff #3, date of employment 8/22/22, and staff #6, date of employment 10/25/21, did not contain documentation that two or more references had been checked. 2) 5 out of 6 records reviewed did not contain documentation of education, certification or experience required by the job.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education (VDOE) sponsored orientation course was completed for all staff within 90 calendar days of employment. Evidence: 1) The record for staff #1, date of employment 09/26/22, and the record for staff #5, date of employment 1/17/22, did not contain documentation of the VDOE course being completed. When interviewed, Administrators confirmed that the trainings had not been completed. 2) The record for staff #6, date of employment 10/25/21, contained documentation of the VDOE training dated 3/15/22. The training must be completed within 90 calendar days of employment.”

8VAC20-780-500-B

“Based on interview, the center failed to ensure that the diaper surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: When interviewed, staff #5 stated that they do not clean and sanitize the diaper surface after each diaper change. They spray the surface with Lysol spray. Administrator’s confirmed that this is the diaper changing process.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The bathroom nearest classroom #3 has a sink that is separating from the wall and there is a hole in the wall approximately 1 inch by 3 inches below the sink.”

8VAC20-780-70

“Based on records review, and interview, the center failed to maintain the required documentation in the staff record for each staff person. Evidence: 1) The records for staff #3, date of employment 8/22/22, and staff #6, date of employment 10/25/21, did not contain documentation that two or more references had been checked. 2) 5 out of 6 records reviewed did not contain documentation of education, certification or experience required by the job.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education (VDOE) sponsored orientation course was completed for all staff within 90 calendar days of employment. Evidence: 1) The record for staff #1, date of employment 09/26/22, and the record for staff #5, date of employment 1/17/22, did not contain documentation of the VDOE course being completed. When interviewed, Administrators confirmed that the trainings had not been completed. 2) The record for staff #6, date of employment 10/25/21, contained documentation of the VDOE training dated 3/15/22. The training must be completed within 90 calendar days of employment.”

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 2 out of 7 staff files did not contain references.”

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 2 out of 7 staff files did not contain references.”

22.1-289.058

“Based on interview, the provider did not have a carbon monoxide detector and serves preschool-age children. Evidence: The administrator stated the center did not have a carbon monoxide detector.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the playground, the climbing equipment had approximately 2 to 3 inches of depth in sand at the fall zone areas.”

8VAC20-780-560-G

“Based on observation, children's food items were not clearly dated and labeled in a way that identifies the owner. Evidence: Seven out of seven lunch containers did not have a date or label that identifies the owner.”

8VAC20-780-510-L

“Based on observation and staff interviews, the licensee did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In classroom #1, an asthma inhaler was located in a container on top of the children’s cubbies. The container was not locked and was accessible to children.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the closet located in classroom #1, Glade air freshener labeled ?Caution? and ?Keep Out of Reach of Children?; Microban sanitizing spray labeled ?Caution? and ?Keep Out of Reach of Children?; Clorox Wipes labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. In a cabinet in classroom #2, one container of Lysol Spray labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. On top of a cabinet in classroom #5, Microban sanitizing spray labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. 2. On bus #1, two containers of Lysol labeled ?Caution? and ?Keep Out of Reach of Children? were unlocked in the front of the bus. On bus #2, two containers of Lysol labeled ?Caution? and ?Keep Out of Reach of Children? were unlocked in the front of the bus.”

22.1-289.058

“Based on interview, the provider did not have a carbon monoxide detector and serves preschool-age children. Evidence: The administrator stated the center did not have a carbon monoxide detector.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the playground, the climbing equipment had approximately 2 to 3 inches of depth in sand at the fall zone areas.”

8VAC20-780-560-G

“Based on observation, children's food items were not clearly dated and labeled in a way that identifies the owner. Evidence: Seven out of seven lunch containers did not have a date or label that identifies the owner.”

8VAC20-780-510-L

“Based on observation and staff interviews, the licensee did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In classroom #1, an asthma inhaler was located in a container on top of the children’s cubbies. The container was not locked and was accessible to children.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the closet located in classroom #1, Glade air freshener labeled ?Caution? and ?Keep Out of Reach of Children?; Microban sanitizing spray labeled ?Caution? and ?Keep Out of Reach of Children?; Clorox Wipes labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. In a cabinet in classroom #2, one container of Lysol Spray labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. On top of a cabinet in classroom #5, Microban sanitizing spray labeled ?Caution? and ?Keep Out of Reach of Children? was not locked to prevent access by children. 2. On bus #1, two containers of Lysol labeled ?Caution? and ?Keep Out of Reach of Children? were unlocked in the front of the bus. On bus #2, two containers of Lysol labeled ?Caution? and ?Keep Out of Reach of Children? were unlocked in the front of the bus.”

22VAC40-185-140-A

“Based on a review of children's records and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #1 (date of enrollment 9/23/21) did not have a physical examination.”

22VAC40-185-540-C

“Based on an observation and interview, the center did not ensure that each first aid kit contained all required supplies. Evidence: 1. The first aid kit had a bottle of antiseptic cleansing solution which expired in 2019. 2. The provider stated that the bottle of antiseptic cleansing solution was expired.”

22VAC40-185-140-A

“Based on a review of children's records and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #1 (date of enrollment 9/23/21) did not have a physical examination.”

22VAC40-185-540-C

“Based on an observation and interview, the center did not ensure that each first aid kit contained all required supplies. Evidence: 1. The first aid kit had a bottle of antiseptic cleansing solution which expired in 2019. 2. The provider stated that the bottle of antiseptic cleansing solution was expired.”