Callahan Learning Center

22.1-289.035-B-4

“Based on a review of five staff records and interviews, the center did not obtain a required out-of-state background check from any state in which one staff member had resided in the preceding five years within the required timeframe. Evidence: The record of Staff #5, date of employment 08/29/23, indicated the staff had resided in two states outside of Virginia within the last five years. The results of the criminal history record information check for State A were obtained on 10/27/23. The results of the criminal history record information check for State B were obtained on 11/27/23. The out-of-state criminal history record information check is required to be obtained prior to employment.”

8VAC20-780-510-G

“Based on observation and interviews, the center did not ensure a medication for one child was labeled with the child's name, the dosage amount, and the time or times to be given. Evidence: A prescription medication was observed on site for Child #1. The medication was missing the label which contains the child's name, the dosage amount, and the time or times to be given. During interview, it was reported the center did not have the medication label on site.”

8VAC20-770-60-C-2

“Based on review five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: 1. The record for Staff #2 with a start date of 10/17/22, the results of the central registry search background check was dated 11/21/22. 2. The record for Staff #3 with a start date of 08/15/22, the results of the central registry search background check was dated 01/30/23. 3. The record for Staff #5 with a start date of 08/29/22, the results of the central registry search background check was dated 10/31/22.”

8VAC20-780-270-A

“Repeat Violation Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe condition. Evidence: 1. In the Pre-K class, chipped paint was observed on the windowsill. The frame of the exit door leading outside, was deteriorating, a chunk of wood was missing from the bottom of the frame and paint was chipped on the door frame. 2. In the Preschool class, three-years-old, two one-inch round holes were observed behind the dramatic play sink, chipped paint was observed on the windowsill, peeling paint and deteriorating wood was observed at the base of the handwashing sink, and the base of the toilet had one screw extending approximately 10 thread lengths and the other approximately 15 thread lengths causing an impalement and scratch hazard. 3. In the Prep Preschool class, two-years-old, chipped paint was observed on the window near the reading area, peeling paint and deteriorating wood was observed at the base of the handwashing sink and the base of the toilet had screw threads that extended approximately 12 thread lengths, causing an impalement and scratch hazard. 4. On the playground a broken vent cover with sharp edges was observed, the large plastic playhouse’s table extension had collapsed and sharp plastic edges were exposed.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: In the Prep Preschool, Preschool and Pre-K classes, when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-70

“Repeat Violation Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff # 3, with a start date of 08/15/22, had documentation of references date 02/03/23 and did not contain documentation of the person making the call to check references. The standard requires two or more references as to character and reputation as well as competency before employment. 2. The record for Staff #4 did not contain documentation of the person making the call and the date the references were obtained. The standard requires documentation shall include date of contact and signature of person making the call.”

8VAC20-780-550-F

“Based on record review, the center did not conduct lockdown drills at least annually. Evidence: At the time of the inspection the drill log showed the last documented lockdown drill was conducted on 12/01/22.”

8VAC20-780-140-A

“Based on a review of five child records, the center did not have documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child #4, with a start date of 09/06/22, had a physical dated 10/31/22.”

8VAC20-780-80-A

“Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In the Pre-K class, ages four-years-old, there were seven children present, the written record reflected there were five.”

8VAC20-770-60-C-2

“Based on review five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: 1. The record for Staff #2 with a start date of 10/17/22, the results of the central registry search background check was dated 11/21/22. 2. The record for Staff #3 with a start date of 08/15/22, the results of the central registry search background check was dated 01/30/23. 3. The record for Staff #5 with a start date of 08/29/22, the results of the central registry search background check was dated 10/31/22.”

8VAC20-780-270-A

“Repeat Violation Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe condition. Evidence: 1. In the Pre-K class, chipped paint was observed on the windowsill. The frame of the exit door leading outside, was deteriorating, a chunk of wood was missing from the bottom of the frame and paint was chipped on the door frame. 2. In the Preschool class, three-years-old, two one-inch round holes were observed behind the dramatic play sink, chipped paint was observed on the windowsill, peeling paint and deteriorating wood was observed at the base of the handwashing sink, and the base of the toilet had one screw extending approximately 10 thread lengths and the other approximately 15 thread lengths causing an impalement and scratch hazard. 3. In the Prep Preschool class, two-years-old, chipped paint was observed on the window near the reading area, peeling paint and deteriorating wood was observed at the base of the handwashing sink and the base of the toilet had screw threads that extended approximately 12 thread lengths, causing an impalement and scratch hazard. 4. On the playground a broken vent cover with sharp edges was observed, the large plastic playhouse’s table extension had collapsed and sharp plastic edges were exposed.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: In the Prep Preschool, Preschool and Pre-K classes, when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-70

“Repeat Violation Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff # 3, with a start date of 08/15/22, had documentation of references date 02/03/23 and did not contain documentation of the person making the call to check references. The standard requires two or more references as to character and reputation as well as competency before employment. 2. The record for Staff #4 did not contain documentation of the person making the call and the date the references were obtained. The standard requires documentation shall include date of contact and signature of person making the call.”

8VAC20-780-550-F

“Based on record review, the center did not conduct lockdown drills at least annually. Evidence: At the time of the inspection the drill log showed the last documented lockdown drill was conducted on 12/01/22.”

8VAC20-780-140-A

“Based on a review of five child records, the center did not have documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child #4, with a start date of 09/06/22, had a physical dated 10/31/22.”

8VAC20-780-80-A

“Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In the Pre-K class, ages four-years-old, there were seven children present, the written record reflected there were five.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that when food is brought from home that it is labeled in a way that identifies the owner. Evidence: In the Pre-K classroom there were three lunch boxes with no name”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: In the Pre-K class, peeling paint was observed in the block area.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not always being cleaned with soap and water and sanitized after each use. Evidence: In the two year classroom, the LI observed a teacher clean the diaper surface with soap and water only, no sanitizer was used. The requirement is the surface shall be cleaned with soap and water and sanitized after each use”

8VAC20-780-500-A

“Based on observation, hand washing procedures after toileting were not always followed. Evidence: Licensing Inspector (LI) observed a teacher returning a child to the group after changing a soiled diaper without washing the child’s hand or their own hands with soap and running water.”

8VAC20-780-330-B

“Based on observation and measurements, it was determined that the slides on the playground did not have the required amount of resilient surfacing underneath and surrounding the structure. Evidence: At the base of slide #1, 47 inches away from the fall zone of the slide exit , there was one and three quarter inches of pea gravel. At the base of slide #2, 58 inches away from the fall zone of the slide exit, and surrounding the composite play structure there was less than four inches of pea gravel. The requirement is six inches of pea gravel.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that when food is brought from home that it is labeled in a way that identifies the owner. Evidence: In the Pre-K classroom there were three lunch boxes with no name”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: In the Pre-K class, peeling paint was observed in the block area.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not always being cleaned with soap and water and sanitized after each use. Evidence: In the two year classroom, the LI observed a teacher clean the diaper surface with soap and water only, no sanitizer was used. The requirement is the surface shall be cleaned with soap and water and sanitized after each use”

8VAC20-780-500-A

“Based on observation, hand washing procedures after toileting were not always followed. Evidence: Licensing Inspector (LI) observed a teacher returning a child to the group after changing a soiled diaper without washing the child’s hand or their own hands with soap and running water.”

8VAC20-780-330-B

“Based on observation and measurements, it was determined that the slides on the playground did not have the required amount of resilient surfacing underneath and surrounding the structure. Evidence: At the base of slide #1, 47 inches away from the fall zone of the slide exit , there was one and three quarter inches of pea gravel. At the base of slide #2, 58 inches away from the fall zone of the slide exit, and surrounding the composite play structure there was less than four inches of pea gravel. The requirement is six inches of pea gravel.”

8VAC20-790-600-D-1

“Based on review of four staff records, the center did not ensure that all staff who work directly with children had within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The CPR certificate on record for Staff #2, with a start date of 7/5/22, was dated 11/8/22.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for two staff. Evidence: The records for Staff #1 and Staff #4 did not contain documentation of references.”

8VAC20-780-350-B-3

“Based on observation and record review, the center did not ensure that the required ratio of staff to children was met. Evidence: On 1/11/23 from approximately 7:59am to 8:04am there was one staff member present with 9 children between the ages of two-years-old and five-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-245-L

“Based on observation and review of staff records, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children.”

8VAC20-790-600-D-1

“Based on review of four staff records, the center did not ensure that all staff who work directly with children had within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The CPR certificate on record for Staff #2, with a start date of 7/5/22, was dated 11/8/22.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for two staff. Evidence: The records for Staff #1 and Staff #4 did not contain documentation of references.”

8VAC20-780-350-B-3

“Based on observation and record review, the center did not ensure that the required ratio of staff to children was met. Evidence: On 1/11/23 from approximately 7:59am to 8:04am there was one staff member present with 9 children between the ages of two-years-old and five-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-245-L

“Based on observation and review of staff records, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center were maintained in a safe condition. Evidence: The wall behind the cots in the Preschool classroom contained multiple areas where the wall material/paneling was crumbling.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documents for staff records. Evidence: The records for Staff #1 and Staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by their job position.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center were maintained in a safe condition. Evidence: The wall behind the cots in the Preschool classroom contained multiple areas where the wall material/paneling was crumbling.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documents for staff records. Evidence: The records for Staff #1 and Staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by their job position.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center were maintained in a safe condition. Evidence: The wall behind the cots in the Preschool classroom contained multiple areas where the wall material/paneling was crumbling.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documents for staff records. Evidence: The records for Staff #1 and Staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by their job position.”

8VAC20-780-550-N Complaint related: Yes

“Based on review of documentation and interview, the center did not ensure that they notified a parent immediately when a child sustained a serious injury. Evidence: On 6/1/22 at approximately 8:50am a child bumped their forehead on playground equipment, resulting in a large lump/bruise with a cut in the middle. The center sent a picture of the child to the guardian through the online portal doing an activity at approximately 10:00am. The guardian viewed the picture at approximately 1:05pm and called the center to ask about the injury. Center staff reported that they had been very busy and had not been able to contact the guardian yet.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. A metal post on the side of the gate that goes around the playground had become warped to the point of bursting open, leaving a sharp opening in the post that was several inches long and within reach of children. 2. Around the top of the fence in multiple areas, the metal fencing was pulling away from the metal bar that was meant to hold the fencing upright. The fencing was able to be pulled away from the bar and was sharp in some places.”

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

“Based on interview, staff who were supervising children did not always ensure their care, protection, and guidance. Evidence: On 6/3/22 at approximately 11:00am a three-year-old child vomited one time and the center called the child’s guardian to report the illness. When the guardian arrived, staff reported that the child had stated that they had ?eaten bird poop off of a stick? while on the playground prior to vomiting.”

8VAC20-780-330-B Complaint related: Yes

“Based on observation, the center did not ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: The pea gravel under the swings measured approximately four inches deep. Each swing had one rubber mat (approximately 5 feet long) underneath that was placed on top of the pea gravel. The requirement for swings is for six inches of resilient surfacing that is twice the height of the swing beam in the front and back of the swing.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation, the center did not ensure that equipment, inside and outside, was maintained in a safe and operable condition. Evidence: On the playground equipment there were several pieces of wood that were splintering, cracking, or otherwise deteriorating that posed a splinter or scratching hazard.”

8VAC20-780-550-E Complaint related: Yes

“Based on interview and review of documentation, the center did not ensure that shelter in place procedures were practiced as required. Evidence: The most recent shelter in place drill was documented on December 10, 2021 at 2:40pm with 11 staff participating. Timesheets showed that on December 10, 2021 at 2:40pm, eight staff were present with the director. Seven of the eight staff were interviewed and six report that they have not participated in a shelter in place drill since they were hired.”

8VAC20-780-550-D Complaint related: Yes

“Based on interview and review of documentation, the center did not ensure that monthly evacuation drills were practiced as required. Evidence: 1. An evacuation drill was documented on 11/19/21 at 10:00am with 11 staff participating. Timesheets showed that on 11/19/21 at 10:00am there were nine staff present with the director. Seven of the nine staff who were present were interviewed and two staff reported not participating in a drill since around the Summer and two reported that they did not believe they have participated in a monthly drill since they were hired. 2. An evacuation drill was documented on 12/14/21 at 7:40am with 12 staff participating. Timesheets showed that on 12/14/21 at 7:40am there were four staff present with the director. The four staff who were present were interviewed and two reported not participating in a monthly drill since around the Summer.”

22VAC40-185-340-A Complaint related: No

“Based on observation, the center did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: On 9/30/21 the Licensing Inspector (LI) entered the playground where the two-year-old class was playing. Both staff members were seated at a table. Two children were sitting next to one another on the ground and one began to throw pebbles into the air. The other child picked up a large handful of pebbles and began attempting to put the pebbles into their mouth. The LI asked the child to stop and directed the teachers over to the children.”

22VAC40-185-500-B Complaint related: No

“Based on observation and staff interview, the center did not ensure that the diapering surface was used only for diapering or cleaning children, and that it was cleaned with soap and water and sanitized after each use. Evidence: 1. On 9/30/21 the Licensing Inspector observed multiple wash cloths hanging over the edge of the changing table in the two-year-old classroom. Interviews revealed that the wash cloths are used by the staff to wipe off the changing table after cleaning and sanitizing rather than using disposable towels, as required. 2. Interviews revealed that on multiple occasions staff witnessed the changing table in the two-year-old classroom being cleaned and sanitized only after all of the children were changed, rather than after each child.”