Betty's Child Care & Educational Center

8VAC20-780-50-A Complaint related: No

“Based on staff & collateral witness interviews and documentation review the center did not ensure that children’s records shall be made available to parents on request. Evidence: The director confirmed that on two separate occasions, the center did not make the record for Child #4 available to the parent when they requested it.”

8VAC20-780-80-A

“(Repeat) Based on observation and staff interviews the center did not ensure 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: Staff in two out of the three rooms confirmed their attendance sheets had not been filled out documenting the arrival of the children that were already in care at the time of the inspection.”

8VAC20-780-50-A Complaint related: No

“Based on staff & collateral witness interviews and documentation review the center did not ensure that children’s records shall be made available to parents on request. Evidence: The director confirmed that on two separate occasions, the center did not make the record for Child #4 available to the parent when they requested it.”

8VAC20-780-80-A

“(Repeat) Based on observation and staff interviews the center did not ensure 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: Staff in two out of the three rooms confirmed their attendance sheets had not been filled out documenting the arrival of the children that were already in care at the time of the inspection.”

8VAC20-790-600-D-1

“Based on record review and staff interview the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: The director confirmed that staff number 3's current certification (dated 11/7/2023) did not include an in-person competency demonstration.”

8VAC20-790-600-D-2

“Based on record review and staff interview the center did not ensure that 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 the children in care. Evidence: The Director confirmed that staff #3?s First Aid certification had expired 6/18/2023.”

8VAC20-790-600-D-1

“Based on record review and staff interview the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: The director confirmed that staff number 3's current certification (dated 11/7/2023) did not include an in-person competency demonstration.”

8VAC20-790-600-D-2

“Based on record review and staff interview the center did not ensure that 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 the children in care. Evidence: The Director confirmed that staff #3?s First Aid certification had expired 6/18/2023.”

8VAC20-790-600-F

“Based on a review of records, the licensee did not ensure that staff who work directly with children annually complete the health and safety update course. Evidence: The director confirmed the records for two staff contained documentation of the most recent health and safety update course that was dated more than one year ago (Staff #1 5/26/2022; Staff #2 10/4/2021.”

8VAC20-780-80-A

“Based on observation and staff interviews the center did not ensure 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: Staff in the following rooms confirmed their attendance sheet did not show the accurate number of children present: 1. Two & Three year old room had 9 children present and only 4 checked in. 2. Four & Five year old room had 12 children present and none checked in. 3. School Age room had 13 children present and 26 were checked in. None had been checked out.”

8VAC20-790-600-F

“Based on a review of records, the licensee did not ensure that staff who work directly with children annually complete the health and safety update course. Evidence: The director confirmed the records for two staff contained documentation of the most recent health and safety update course that was dated more than one year ago (Staff #1 5/26/2022; Staff #2 10/4/2021.”

8VAC20-780-80-A

“Based on observation and staff interviews the center did not ensure 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: Staff in the following rooms confirmed their attendance sheet did not show the accurate number of children present: 1. Two & Three year old room had 9 children present and only 4 checked in. 2. Four & Five year old room had 12 children present and none checked in. 3. School Age room had 13 children present and 26 were checked in. None had been checked out.”

8VAC20-780-160-C

“Based on record review in one of two staff records reviewed, the licensee did not ensure that staff shall obtain and submit the results of a follow-up Tuberculosis (TB) screening at least every two years. Evidence: The director confirmed that the TB screening for Staff #1 was more than two years old and was dated 12/15/2020.”

8VAC20-780-60-A-8

“Based on record review and staff interview the provider did not ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The director confirmed that Child #3, with a confirmed food allergy, did not have documentation of a written care plan.”

8VAC20-780-70

“Based on record review and staff interview the provider did not ensure staff records shall contain all required items Evidence: The director confirmed the following items were missing from staff files: 1. Staff #1 and Staff #2 were missing documentation to demonstrate that the individual possesses the education required by the job position and information about any health problems that may interfere with fulfilling the job responsibilities. 2. Staff #2 was missing a job title.”

8VAC20-780-260-B

“Based on document review and staff interview the provider did not provide annual approval from the health department. Evidence: The director confirmed that the most recent health inspection was dated 3-25-2022”

8VAC20-780-270-A

“Based on observation and staff interviews, the provider did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The director verified the following conditions: 1. On the outdoor playground there was a gate that was broken and unable to be closed. 2. In the girl’s restroom one sink was not operable. The water was turned off at the turn off valve because it continues to run water if the valve is turned on.”

8VAC20-780-540-C

“Based on observation and staff interview the provider did not ensure wherever children are in care the required first aid kit includes all required items. Evidence: The director confirmed that the first aid kit on the van was missing two triangular bandages, gloves, and a thermometer.”

8VAC20-780-580-C

“Based on document review and staff interview the licensee did not ensure required information is in transportation vehicles. Evidence: Staff confirmed that emergency numbers and the center’s name, address, and phone number were not in the documentation on the van used to transport children.”

8VAC20-780-40-M

“Based on observation and staff interview, the provider did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The director confirmed that the written list of children’s allergies, sensitivities, and dietary restrictions, hanging in the kitchen was not dated.”

8VAC20-780-160-C

“Based on record review in one of two staff records reviewed, the licensee did not ensure that staff shall obtain and submit the results of a follow-up Tuberculosis (TB) screening at least every two years. Evidence: The director confirmed that the TB screening for Staff #1 was more than two years old and was dated 12/15/2020.”

8VAC20-780-60-A-8

“Based on record review and staff interview the provider did not ensure a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The director confirmed that Child #3, with a confirmed food allergy, did not have documentation of a written care plan.”

8VAC20-780-70

“Based on record review and staff interview the provider did not ensure staff records shall contain all required items Evidence: The director confirmed the following items were missing from staff files: 1. Staff #1 and Staff #2 were missing documentation to demonstrate that the individual possesses the education required by the job position and information about any health problems that may interfere with fulfilling the job responsibilities. 2. Staff #2 was missing a job title.”

8VAC20-780-260-B

“Based on document review and staff interview the provider did not provide annual approval from the health department. Evidence: The director confirmed that the most recent health inspection was dated 3-25-2022”

8VAC20-780-270-A

“Based on observation and staff interviews, the provider did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The director verified the following conditions: 1. On the outdoor playground there was a gate that was broken and unable to be closed. 2. In the girl’s restroom one sink was not operable. The water was turned off at the turn off valve because it continues to run water if the valve is turned on.”

8VAC20-780-540-C

“Based on observation and staff interview the provider did not ensure wherever children are in care the required first aid kit includes all required items. Evidence: The director confirmed that the first aid kit on the van was missing two triangular bandages, gloves, and a thermometer.”

8VAC20-780-580-C

“Based on document review and staff interview the licensee did not ensure required information is in transportation vehicles. Evidence: Staff confirmed that emergency numbers and the center’s name, address, and phone number were not in the documentation on the van used to transport children.”

8VAC20-780-40-M

“Based on observation and staff interview, the provider did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The director confirmed that the written list of children’s allergies, sensitivities, and dietary restrictions, hanging in the kitchen was not dated.”

8VAC20-780-340-A

“Based on interviews of staff and written documentation, the licensee did not ensure that when staff are supervising children, they always ensure their care. Protection, and guidance. Evidence: On April 29, 2022, children were gathered in a combined group eating lunch at the front reception area with staff #1 and staff #3. The written report completed by staff #1, stated that child #2 (7 years old) had already eaten lunch and was sent to his cot at the other end of the facility when a five year old child (child #1) asked to use the restroom and was sent, alone, from the front lobby area to the restroom. Staff #1 stated that staff #2 called to her for assistance from the doorway of the boys? restroom at about 12:05. In Staff #2?s written statement, she indicated that at 12:05 p.m. she went to assist another child in the girl’s restroom when she saw that child #1 and child #2 were in the boys restroom and observed that they were inside of a bathroom stall together.”

8VAC20-780-340-F

“Based on interviews of staff and written documentation, the licensee did not ensure that Children under 10 years of age are always within actual sight and sound supervision of staff, or that staff are able to hear a child who is using the restroom provided that all additional required criteria of the standard are met. Evidence: On April 29, 2022 at approximately 12:00 p.m., children were gathered in a combined group at the front reception area with staff #1 and staff #3 where they were finishing lunch. According to an interview with staff #3, children who have finished eating are sent 2 at a time to each of the two restrooms at the opposite end of the building where a third staff (staff #2) is normally located. Once they are finished in the restroom, the children are supposed to go to their cots which are located in the classroom area just outside of the restrooms and adjacent to the kitchen. Staff #2 stated in a written incident report that she was in the kitchen preparing additional food when at approximately 12:05 p.m. she exited the kitchen to assist another child in the girl’s bathroom. Staff #2 confirmed that she was not aware, until that moment when she saw him, that child #1 (age 5 years old) was in the boy’s restroom and that he was no longer with staff #1 and staff #3 at the front of the building. Child #1 was out of sight and sound supervision between approximately 5 and 10 minutes before staff #2 discovered him in the restroom.”

22.1-289.035-B-2

“Based on observation, interview and record review, the licensee did not obtain a Criminal History Record Check for every staff prior to their 1st Day of Employment/ Service. Evidence: 1. During the inspection on 2/22/2022, staff #2 was alone in the classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Criminal Record Search. 3. When the administrator was asked for the Criminal Record Check for staff #2, she stated that this individual was a volunteer, therefore she had not obtained background checks for her. 4. If an individual is counted in the ratio of staff to children they are considered staff and are required to obtain all of the required record documentation of a staff person (including background checks) regardless of whether they are compensated for service or not.”

8VAC20-780-160-A-1

“Based on Observation, Interview, and record review, the licensee was unable to demonstrate that documentation of the results of a Tuberculosis screening was submitted for every staff at the time of employment and prior to coming into contact with children. Evidence: 1. During the inspection on 2/22/2022, staff #2 was working in a classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Tuberculosis screening. 3. When the administrator was asked for the Tuberculosis screening results for staff #2, documentation was provided which indicated the date that the Tuberculosis test was administered. However, there were no results of the test or screening documented on the form or in the record.”

8VAC20-770-60-C-2

“Based on observation, interview and record review, the licensee did not obtain Central Registry Results by the end of 30th Day of Employment/Service for every staff. Service Evidence: 1. During the inspection on 2/22/2022, staff #2 was alone in the classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Central Registry Search. 3. When the administrator was asked for the Central Registry Search results for staff #2, she stated that this individual was a volunteer, therefore she had not obtained background checks for her. 4. If an individual is counted in the ratio of staff to children they are considered staff and are required to obtain all of the required record documentation of a staff person (including background checks) regardless of whether they are compensated for service or not.”

22.1-289.035-B-2

“Based on observation, interview and record review, the licensee did not obtain a Criminal History Record Check for every staff prior to their 1st Day of Employment/ Service. Evidence: 1. During the inspection on 2/22/2022, staff #2 was alone in the classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Criminal Record Search. 3. When the administrator was asked for the Criminal Record Check for staff #2, she stated that this individual was a volunteer, therefore she had not obtained background checks for her. 4. If an individual is counted in the ratio of staff to children they are considered staff and are required to obtain all of the required record documentation of a staff person (including background checks) regardless of whether they are compensated for service or not.”

8VAC20-780-160-A-1

“Based on Observation, Interview, and record review, the licensee was unable to demonstrate that documentation of the results of a Tuberculosis screening was submitted for every staff at the time of employment and prior to coming into contact with children. Evidence: 1. During the inspection on 2/22/2022, staff #2 was working in a classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Tuberculosis screening. 3. When the administrator was asked for the Tuberculosis screening results for staff #2, documentation was provided which indicated the date that the Tuberculosis test was administered. However, there were no results of the test or screening documented on the form or in the record.”

8VAC20-770-60-C-2

“Based on observation, interview and record review, the licensee did not obtain Central Registry Results by the end of 30th Day of Employment/Service for every staff. Service Evidence: 1. During the inspection on 2/22/2022, staff #2 was alone in the classroom with 7 children, ages 2 to 3 years old. 2. The record for staff #2, which indicated that staff #2 began service 1/28/2022, did not contain the results of a Central Registry Search. 3. When the administrator was asked for the Central Registry Search results for staff #2, she stated that this individual was a volunteer, therefore she had not obtained background checks for her. 4. If an individual is counted in the ratio of staff to children they are considered staff and are required to obtain all of the required record documentation of a staff person (including background checks) regardless of whether they are compensated for service or not.”