Brilliant Beginnings Learning Center III

8VAC20-780-280-B

“Based on record review and interview it was determined the center did not ensure hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the two year old classroom there was an unlocked can of air deodorizer on the shelf, with ?Keep out of reach of children? on the warning label. 2.Staff #1 confirmed the can of air deodorizer was unlocked.”

8VAC20-780-270-A

“Based on record review and interview it was determined the center did not ensure areas and equipment of the center be maintained in a safe and operable condition. Evidence: 1.In the three year old classroom, the play kitchen set had two separate areas of cracked plastic. 2.In the two’s classroom the television placed on top of a shelf was unsecured, which poses as a tipping hazard. The television was in reach of the children. 3.Staff #1, the center director, confirmed that the kitchen set equipment had cracks and the television was unsecured on the shelf.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that written record of children's serious and minor injuries in which entries are made the day of occurrence include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: 1. The first injury report that was observed that was written on June 26, 2023, did not have the required two signatures by staff or staff and parents, and documentation of how a parent was notified. 2. The second injury reported that was observed that was written on June 27, 2023 did not have the date and time of the injury, the name of the injured child, any future action to prevent recurrence of the injury, and documentation of how the parent was notified. 3. Staff #1 confirmed that both injury reports were missing required documentation to the written injury reports by staff.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The foot-operated garbage used for diaper disposal in the toddler room has a broken foot pedal which staff member’s hands would touch the exterior surface of the storage system during diaper disposal. 2. Toddler staff members confirmed that the foot-operated garbage’s pedal is broken and that their hands would touch the exterior surface of the storage system when disposing of a diaper. 3. Staff #1 confirmed that the foot pedal of the garbage in the toddler room is broken.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The infant room walls and door frames of the center has chipping and peeling paint. 2. In the 3 year old classroom, the baseboard to one side of the room is coming off and there is a hole to the storage closet door that is about 16 inches long. This poses as an injury hazard to the children in care. 3. In the 2 year old classroom, there is a broken bin which holds children’s toys posing as a pinching hazard to the children in care. 4. In both the boys and girls bathrooms, there is one toilet in both the bathrooms that have a 1 inch screw protruding out of the side of the commode. This poses as an injury hazard to children in care. 5. The toddler classroom’s front door is very difficult to open and close. This poses as a fire and injury hazard to the children in care. 6. On the playground, there were two small bikes that have broken and rusted handlebars. The large play apparatus has a cracked plastic window. 7. Staff #1 confirmed that there are areas in the center that need repair regarding chipping paint, baseboards, doors, and the toilets.”

8VAC20-780-60-A

“Based on record review and interview it was determined that the center did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contain work phone numbers of each parents who has custody. 1. Child #1, Child #2, and Child #3?s records observed did not have a parent’s work phone number. 2. Staff #1 and Staff #2 confirmed that Child #1, Child #2, and Child #3?s records did not have a parent’s work phone number.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that written record of children's serious and minor injuries in which entries are made the day of occurrence include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: 1. The first injury report that was observed that was written on June 26, 2023, did not have the required two signatures by staff or staff and parents, and documentation of how a parent was notified. 2. The second injury reported that was observed that was written on June 27, 2023 did not have the date and time of the injury, the name of the injured child, any future action to prevent recurrence of the injury, and documentation of how the parent was notified. 3. Staff #1 confirmed that both injury reports were missing required documentation to the written injury reports by staff.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The foot-operated garbage used for diaper disposal in the toddler room has a broken foot pedal which staff member’s hands would touch the exterior surface of the storage system during diaper disposal. 2. Toddler staff members confirmed that the foot-operated garbage’s pedal is broken and that their hands would touch the exterior surface of the storage system when disposing of a diaper. 3. Staff #1 confirmed that the foot pedal of the garbage in the toddler room is broken.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The infant room walls and door frames of the center has chipping and peeling paint. 2. In the 3 year old classroom, the baseboard to one side of the room is coming off and there is a hole to the storage closet door that is about 16 inches long. This poses as an injury hazard to the children in care. 3. In the 2 year old classroom, there is a broken bin which holds children’s toys posing as a pinching hazard to the children in care. 4. In both the boys and girls bathrooms, there is one toilet in both the bathrooms that have a 1 inch screw protruding out of the side of the commode. This poses as an injury hazard to children in care. 5. The toddler classroom’s front door is very difficult to open and close. This poses as a fire and injury hazard to the children in care. 6. On the playground, there were two small bikes that have broken and rusted handlebars. The large play apparatus has a cracked plastic window. 7. Staff #1 confirmed that there are areas in the center that need repair regarding chipping paint, baseboards, doors, and the toilets.”

8VAC20-780-60-A

“Based on record review and interview it was determined that the center did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contain work phone numbers of each parents who has custody. 1. Child #1, Child #2, and Child #3?s records observed did not have a parent’s work phone number. 2. Staff #1 and Staff #2 confirmed that Child #1, Child #2, and Child #3?s records did not have a parent’s work phone number.”

8VAC20-780-350-B-3 Complaint related: No

“Based on observation and interview, it was determined that the center did not ensure that children of the ages of 2 years old have the ratio in their classroom of 1 staff member to 8 children. Evidence: 1. In the 2 year old classroom, the classroom ratio was 7:55am was 1 staff member to 9 children which is outside of the ratio requirements. 2. Staff #3 confirmed that there were 9 children in their care which was out of ratio and over by one child.”

8VAC20-780-350-B-2 Complaint related: No

“Based on observation and interview, it was determined that the center did not ensure that children of the ages from 16 months up to 24 months have the ratio in their classroom of 1 staff member to 5 children. Evidence: 1. In the toddler classroom, ages 16 months to 24 months, the classroom ratio at 7:55am was 1 staff member to 6 children which is outside of the ratio requirements. 2. Staff #2 confirmed that there were 6 children in their care which was out of ratio and over by one child.”

8VAC20-780-570-A Complaint related: No

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: 1. In the infant room, there were seven children eating lunch at the feeding table without protective belts fastened. 2. Three of the seven infants were observed climbing out of their seats during lunch. 3. Staff #1 confirmed that the seven children at the feeding table did not have protective belts securely fastened.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure the areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. The play structure on the large playground had an approximate 10 inch crack to the plastic exterior posing a possible injury to a child. 3. Staff #1 confirmed the playground play structure was not maintained in a safe condition.”

8VAC20-780-140-A

“Based on record review and interview, it was determined that the center did not ensure that each child have a physical examination before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment 1/12/21) has their physical dated 7/9/21 which is outside of the required timeframe. 2. Child #3 (date of enrollment 5/31/21) has no physical examination in their record. 3. Staff #1 confirmed that Child #1 did not have documentation of the child’s physical in the required timeframe. 4. Staff #1 confirmed that there was no physical examination in the record for Child #3.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each child enrolled contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #2 (date of enrollment 7/25/22) did not have an address for one of the two required emergency contacts listed to their record. 2. Staff #1 confirmed that there was no address listed for the emergency contact for Child #2.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #2 (date of hire 7/13/22) had only one of the two required reference checks to their record. 2. Staff #4 (date of hire 4/26/22) had only one of the two required reference checks to their record. 3. Staff #1 confirmed that both Staff #2 and Staff #4 were both missing one reference check as to character and reputation as well as competency before employment.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the 2 year old classroom, there were no protective covers to the electrical outlets that were in reach of children. 2. Staff #1 confirmed there were no protective covers to the electrical outlets in the 2 year old classroom.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that staff submit documentation of a negative tuberculosis screening. Evidence: 1. Staff #3 (date of hire 8/8/22) did not have a tuberculosis screening to their record and was present at the center working with children. 2. Staff #1 confirmed that Staff #3 did not have a tuberculosis screening completed prior to working with children.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure the areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. The play structure on the large playground had an approximate 10 inch crack to the plastic exterior posing a possible injury to a child. 3. Staff #1 confirmed the playground play structure was not maintained in a safe condition.”

8VAC20-780-140-A

“Based on record review and interview, it was determined that the center did not ensure that each child have a physical examination before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment 1/12/21) has their physical dated 7/9/21 which is outside of the required timeframe. 2. Child #3 (date of enrollment 5/31/21) has no physical examination in their record. 3. Staff #1 confirmed that Child #1 did not have documentation of the child’s physical in the required timeframe. 4. Staff #1 confirmed that there was no physical examination in the record for Child #3.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each child enrolled contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #2 (date of enrollment 7/25/22) did not have an address for one of the two required emergency contacts listed to their record. 2. Staff #1 confirmed that there was no address listed for the emergency contact for Child #2.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #2 (date of hire 7/13/22) had only one of the two required reference checks to their record. 2. Staff #4 (date of hire 4/26/22) had only one of the two required reference checks to their record. 3. Staff #1 confirmed that both Staff #2 and Staff #4 were both missing one reference check as to character and reputation as well as competency before employment.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the 2 year old classroom, there were no protective covers to the electrical outlets that were in reach of children. 2. Staff #1 confirmed there were no protective covers to the electrical outlets in the 2 year old classroom.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that staff submit documentation of a negative tuberculosis screening. Evidence: 1. Staff #3 (date of hire 8/8/22) did not have a tuberculosis screening to their record and was present at the center working with children. 2. Staff #1 confirmed that Staff #3 did not have a tuberculosis screening completed prior to working with children.”

8VAC20-770-60-C-2

“Based on a review of nine staff records, it was determined that the facility did not deny continued employment of staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (DOH: 3/26/22), did not contain documentation of a completed search of the central registry finding. 2. The record for staff #3 (DOH: 03/04/2022), did not contain documentation of a completed search of the central registry finding. 3. The record for staff #5 (DOH: 11/09/2021), did not contain documentation of a completed search of the central registry finding. 4. The record for staff #6 (DOH: 02/02/22), did not contain documentation of a completed search of the central registry finding. 5. The record for staff #7 (DOH: 09/28/2021), did not contain documentation of a completed search of the central registry finding. 6. The record for staff #8 (DOH: 12/08/2021), did not contain documentation of a completed search of the central registry finding. 7. Staff #1 (Program Director), reviewed the records and confirmed that the search of the central registry finding has not been received for nay of the staff listed above..”

8VAC20-780-150-B

“Based on record review of five children and interview, it was determined that the center did not ensure that an immunization report shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The record for child #5 contained an immunization record with no No physician signature. 2. Staff #1 (Program Director) confirmed no physician signature to the immunization record.”

22.1-289.035-B-4

“Based on a review of nine staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a criminal record check, a sex offender registry check, and 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: 1. The record for staff #4 (date of hire 3/7/22) did not contain documentation of a completed criminal record check and sex offender registry check from Nevada. The sworn statement indicated staff #4 had previously lived in Nevada within the last 5 years. 2. The record for staff #5 (date of hire 11/9/21) did not contain documentation of a completed criminal record check, search of the central registry finding, and sex offender registry check from Pennsylvania. The sworn statement indicated staff #4 had previously lived in Pennsylvania within the last 5 years. 3. Staff #1 (Program Director) confirmed the criminal record check and a sex offender registry check from the State of Nevada (staff #4) and Pennsylvania (staff #5) were received prior to start of employment. In addition the completed search of the child abuse and neglect registry or equivalent registry from Pennsylvania for staff #5 was received within 45 days of hire.”

8VAC20-780-160-A-2

“Based on a review of nine records, it was determined that the center did not ensure the Tuberculosis screening for staff were completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff #1 (DOH: 02/08/2022) contained a TB screening that was dated 06/08/2021. 2. The record for staff #3, (DOH: 03/04/2022),contained a TB screening that was dated 08/24/2021. 3. Staff #1 (Program Director) confirmed that the TB screening received for both staff was completed more than 30 days prior to employment.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure the areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. The exterior doors for the toddler and two’s classroom on the small playground had peeling paint in reach of children. 2. The play structure on the large playground had an approximate 10 inch crack to the plastic exterior posing a possible injury to a child. 3. Staff #1 (Program Director), confirmed the areas listed above were not maintained in a safe and operable condition.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, an uncovered deodorizing aerosol bottle was on top of the refrigerator. 2.In the toddler room, an open box of baking soda was on the floor of an unlocked closet within reach of the children. 3. In the three year old classroom, there were two unlabeled cleaning substances in bottles that were in an unlocked cabinet. 4. In the school age room, two unlabeled cleaning bottles, a container of disinfectant wipes, and disinfectant spray that were in an unlocked cabinet accessible to children. 5. In the school age room and two year old room, scented gel deodorizer in the room were unlocked and accessible to children. 6. Staff #1 (Program Director), confirmed the hazardous substances listed above were not stored in a locked place using a safe locking method that prevents access by children.”

8VAC20-780-280-F

“Based on observation and interview, it was determined that the center did not ensure hazardous substances that were not contained in the original containers were labeled to clearly indicate their contents. Evidence: 1. In the three year old classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink. 2. In the school age classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink. 3. Staff #1 (Program Director) confirmed that the unlabeled bottles contained a cleaning substance and were not in the original containers.”

22.1-289.035-B-2

“Based on a review of nine staff records, it was determined that the center did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for Staff #1 (DOH: 02/07/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for Staff #6 (DOH: 02/22/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 3. Staff #1, Program Director, confirmed that she had not received the results of the finger print background check (finger printing) for staff #1 and staff #6.”

8VAC20-780-280-H

“Based on observation and interview, it was determined that staff's personal medication, shall not be stored in areas, purses or pockets that are accessible to children. Evidence: 1. In the Preschool (3's) classroom there was an unlocked closet which contained a purse belonging to staff #2. The purse was open and contained medication. 2. Both Staff #1 and Staff #2 confirmed and observed that the medication was not locked and accessible to the children.”

8VAC20-780-330-B

“Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles Evidence: 1. On the large playground, there were tears and holes to the resilient surfacing (pour-n-play) which compromised its integrity. 2. Staff #1 (Program Director), confirmed the surfacing did not comply with safety standards.”

8VAC20-780-500-B

“Based on observation and interviews, it was determined that the licensee did not ensure that disposable diapers shall be disposed of in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1. In the infant room, the storage system used for disposing of diapers was not of a design of hands free operation. 2. Staff members in the infant room confirmed that they had used their hands to open the storage system to dispose of soiled diapers.”

8VAC20-780-510-B

“Based on observation and interview, it was determined that the center did not ensure that they obtained written authorization from a parent or guardian to administer medication. Evidence: 1. The medication authorization form for child #7 did not contain a parent signature to authorize the administration of medication. 2. The medication authorization form for child #8 did not contain a parent signature to authorize the administration of medication 3. Staff #1 (Program Director) confirmed that parent authorization to administer medication was not obtained for child #7 and child #8.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, all medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The medication (EpiPen) for Child #6, currently at the center for care, was not maintained in the original container with labeled directions attached. 2. Staff #1 (Program Director) confirmed the medication for child #6 was not maintained in its original container with the direction label attached.”

8VAC20-780-580-B

“Based on observation and interview, it was determined that the center’s transportation vehicle did not meet the safety standards set by the Department of Motor Vehicles (DMV). Evidence: 1. The van used for transporting the children daily to and from local schools had an expired Department of Motor Vehicle registration. The registration expired July 2021. 2. Staff #1 (Program Director) confirmed the vehicle’s registration was expired and not in compliance with DVM safety standards.”

8VAC20-770-60-C-2

“Based on a review of nine staff records, it was determined that the facility did not deny continued employment of staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #1 (DOH: 3/26/22), did not contain documentation of a completed search of the central registry finding. 2. The record for staff #3 (DOH: 03/04/2022), did not contain documentation of a completed search of the central registry finding. 3. The record for staff #5 (DOH: 11/09/2021), did not contain documentation of a completed search of the central registry finding. 4. The record for staff #6 (DOH: 02/02/22), did not contain documentation of a completed search of the central registry finding. 5. The record for staff #7 (DOH: 09/28/2021), did not contain documentation of a completed search of the central registry finding. 6. The record for staff #8 (DOH: 12/08/2021), did not contain documentation of a completed search of the central registry finding. 7. Staff #1 (Program Director), reviewed the records and confirmed that the search of the central registry finding has not been received for nay of the staff listed above..”

8VAC20-780-150-B

“Based on record review of five children and interview, it was determined that the center did not ensure that an immunization report shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The record for child #5 contained an immunization record with no No physician signature. 2. Staff #1 (Program Director) confirmed no physician signature to the immunization record.”

22.1-289.035-B-4

“Based on a review of nine staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a criminal record check, a sex offender registry check, and 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: 1. The record for staff #4 (date of hire 3/7/22) did not contain documentation of a completed criminal record check and sex offender registry check from Nevada. The sworn statement indicated staff #4 had previously lived in Nevada within the last 5 years. 2. The record for staff #5 (date of hire 11/9/21) did not contain documentation of a completed criminal record check, search of the central registry finding, and sex offender registry check from Pennsylvania. The sworn statement indicated staff #4 had previously lived in Pennsylvania within the last 5 years. 3. Staff #1 (Program Director) confirmed the criminal record check and a sex offender registry check from the State of Nevada (staff #4) and Pennsylvania (staff #5) were received prior to start of employment. In addition the completed search of the child abuse and neglect registry or equivalent registry from Pennsylvania for staff #5 was received within 45 days of hire.”

8VAC20-780-160-A-2

“Based on a review of nine records, it was determined that the center did not ensure the Tuberculosis screening for staff were completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff #1 (DOH: 02/08/2022) contained a TB screening that was dated 06/08/2021. 2. The record for staff #3, (DOH: 03/04/2022),contained a TB screening that was dated 08/24/2021. 3. Staff #1 (Program Director) confirmed that the TB screening received for both staff was completed more than 30 days prior to employment.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure the areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. The exterior doors for the toddler and two’s classroom on the small playground had peeling paint in reach of children. 2. The play structure on the large playground had an approximate 10 inch crack to the plastic exterior posing a possible injury to a child. 3. Staff #1 (Program Director), confirmed the areas listed above were not maintained in a safe and operable condition.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, an uncovered deodorizing aerosol bottle was on top of the refrigerator. 2.In the toddler room, an open box of baking soda was on the floor of an unlocked closet within reach of the children. 3. In the three year old classroom, there were two unlabeled cleaning substances in bottles that were in an unlocked cabinet. 4. In the school age room, two unlabeled cleaning bottles, a container of disinfectant wipes, and disinfectant spray that were in an unlocked cabinet accessible to children. 5. In the school age room and two year old room, scented gel deodorizer in the room were unlocked and accessible to children. 6. Staff #1 (Program Director), confirmed the hazardous substances listed above were not stored in a locked place using a safe locking method that prevents access by children.”

8VAC20-780-280-F

“Based on observation and interview, it was determined that the center did not ensure hazardous substances that were not contained in the original containers were labeled to clearly indicate their contents. Evidence: 1. In the three year old classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink. 2. In the school age classroom, there were two unlabeled bottles containing a blue liquid in the cabinet over the sink. 3. Staff #1 (Program Director) confirmed that the unlabeled bottles contained a cleaning substance and were not in the original containers.”

22.1-289.035-B-2

“Based on a review of nine staff records, it was determined that the center did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for Staff #1 (DOH: 02/07/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for Staff #6 (DOH: 02/22/22), working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 3. Staff #1, Program Director, confirmed that she had not received the results of the finger print background check (finger printing) for staff #1 and staff #6.”

8VAC20-780-280-H

“Based on observation and interview, it was determined that staff's personal medication, shall not be stored in areas, purses or pockets that are accessible to children. Evidence: 1. In the Preschool (3's) classroom there was an unlocked closet which contained a purse belonging to staff #2. The purse was open and contained medication. 2. Both Staff #1 and Staff #2 confirmed and observed that the medication was not locked and accessible to the children.”

8VAC20-780-330-B

“Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles Evidence: 1. On the large playground, there were tears and holes to the resilient surfacing (pour-n-play) which compromised its integrity. 2. Staff #1 (Program Director), confirmed the surfacing did not comply with safety standards.”

8VAC20-780-500-B

“Based on observation and interviews, it was determined that the licensee did not ensure that disposable diapers shall be disposed of in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: 1. In the infant room, the storage system used for disposing of diapers was not of a design of hands free operation. 2. Staff members in the infant room confirmed that they had used their hands to open the storage system to dispose of soiled diapers.”

8VAC20-780-510-B

“Based on observation and interview, it was determined that the center did not ensure that they obtained written authorization from a parent or guardian to administer medication. Evidence: 1. The medication authorization form for child #7 did not contain a parent signature to authorize the administration of medication. 2. The medication authorization form for child #8 did not contain a parent signature to authorize the administration of medication 3. Staff #1 (Program Director) confirmed that parent authorization to administer medication was not obtained for child #7 and child #8.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, all medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The medication (EpiPen) for Child #6, currently at the center for care, was not maintained in the original container with labeled directions attached. 2. Staff #1 (Program Director) confirmed the medication for child #6 was not maintained in its original container with the direction label attached.”

8VAC20-780-580-B

“Based on observation and interview, it was determined that the center’s transportation vehicle did not meet the safety standards set by the Department of Motor Vehicles (DMV). Evidence: 1. The van used for transporting the children daily to and from local schools had an expired Department of Motor Vehicle registration. The registration expired July 2021. 2. Staff #1 (Program Director) confirmed the vehicle’s registration was expired and not in compliance with DVM safety standards.”