Callahan Learning Center

22.1-289.011-F

“Based on observation and interview, the center failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings of the most recent inspection conducted 11/15/23 were not posted in the facility on the date of inspection. Administration confirmed it was not posted.”

8VAC20-780-550-D

“Based on a review of records and interview, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in March 2024. Administration confirmed the drill was not completed.”

8VAC20-780-550-E

“Based on a review of records and interview, the center failed to implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: There was documentation of only one shelter-in-place drill practiced in 2023.”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure food from home containers are clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the Pre-K A classroom there were six water bottles from home not labeled with a name and date. 2. In the Pre-K A classroom there were three water bottles from home not labeled with a date. 3. The Pre-K A staff confirmed the water bottles are brought from home. 4. In the Pre-k classroom there were six water bottles from home not labeled with a name and date. The staff confirmed the bottles are brought from home.”

8VAC20-780-510-F

“Based on a review of medications and interview, the center failed to ensure the medication authorization was available to staff during the entire time they were effective. Evidence: 1. Medication was observed on-site for child #6. There was no documentation of medication authorization on-site for child #6. Administration confirmed there was no parent authorization for the medication.”

8VAC20-780-40-M

“Based on observation, the center failed to maintain the current list of children's allergies, sensitivities, and dietary restrictions in a confidential manner. Evidence: The list of children's allergies, sensitivities, and dietary restrictions was posted in open view in the Pre-K A classroom.”

8VAC20-780-510-L

“Repeat Violation Based on observation, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a tube of Cortizone 10 in an unlocked cabinet in the bathroom used by children in the Pre-K A classroom.”

22.1-289.011-F

“Based on observation and interview, the center failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings of the most recent inspection conducted 11/15/23 were not posted in the facility on the date of inspection. Administration confirmed it was not posted.”

8VAC20-780-550-D

“Based on a review of records and interview, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in March 2024. Administration confirmed the drill was not completed.”

8VAC20-780-550-E

“Based on a review of records and interview, the center failed to implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: There was documentation of only one shelter-in-place drill practiced in 2023.”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure food from home containers are clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the Pre-K A classroom there were six water bottles from home not labeled with a name and date. 2. In the Pre-K A classroom there were three water bottles from home not labeled with a date. 3. The Pre-K A staff confirmed the water bottles are brought from home. 4. In the Pre-k classroom there were six water bottles from home not labeled with a name and date. The staff confirmed the bottles are brought from home.”

8VAC20-780-510-F

“Based on a review of medications and interview, the center failed to ensure the medication authorization was available to staff during the entire time they were effective. Evidence: 1. Medication was observed on-site for child #6. There was no documentation of medication authorization on-site for child #6. Administration confirmed there was no parent authorization for the medication.”

8VAC20-780-40-M

“Based on observation, the center failed to maintain the current list of children's allergies, sensitivities, and dietary restrictions in a confidential manner. Evidence: The list of children's allergies, sensitivities, and dietary restrictions was posted in open view in the Pre-K A classroom.”

8VAC20-780-510-L

“Repeat Violation Based on observation, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a tube of Cortizone 10 in an unlocked cabinet in the bathroom used by children in the Pre-K A classroom.”

8VAC20-780-260-B

“Based on a review of records, the center failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: Documentation of the most recent health inspection is dated 05/23/2022.”

8VAC20-780-200-A

“Based on review of records and interview, the center failed to have a qualified program director or qualified back-up program director on site at least 50% of the center's hours of operations. Evidence: 1. Staff #1 stated that she is the program director. Staff #1 stated she was promoted to program director on July 1, 2023. 2. Documentation provided by Staff #1 showed that Staff #1 does not qualify as a director or back up director.”

8VAC20-780-510-I

“Based on observation, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child's name, prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: Albuterol medication for child #6 was not in the original container. The label from the pharmacy with the child's name, the name of the medication, the dosage amount, and the time or times to be given was not available for review.”

8VAC20-780-510-L

“Based on observation and interview, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Medication is kept in an unlocked box. 2. Staff #1 confirmed the medications were not kept locked.”

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to obtain documentation that the individual possesses the education, certification, and experience required by the job position. Evidence: 1. Staff #1 stated she was promoted to director on July 1, 2023. 2. The record of staff #1, promoted July 1, 2023, does not contain documentation that the staff possesses the education and certification required by the job position.”

8VAC20-780-260-B

“Based on a review of records, the center failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: Documentation of the most recent health inspection is dated 05/23/2022.”

8VAC20-780-200-A

“Based on review of records and interview, the center failed to have a qualified program director or qualified back-up program director on site at least 50% of the center's hours of operations. Evidence: 1. Staff #1 stated that she is the program director. Staff #1 stated she was promoted to program director on July 1, 2023. 2. Documentation provided by Staff #1 showed that Staff #1 does not qualify as a director or back up director.”

8VAC20-780-510-I

“Based on observation, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child's name, prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: Albuterol medication for child #6 was not in the original container. The label from the pharmacy with the child's name, the name of the medication, the dosage amount, and the time or times to be given was not available for review.”

8VAC20-780-510-L

“Based on observation and interview, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Medication is kept in an unlocked box. 2. Staff #1 confirmed the medications were not kept locked.”

8VAC20-780-70

“Based on a review of staff records and interview, the center failed to obtain documentation that the individual possesses the education, certification, and experience required by the job position. Evidence: 1. Staff #1 stated she was promoted to director on July 1, 2023. 2. The record of staff #1, promoted July 1, 2023, does not contain documentation that the staff possesses the education and certification required by the job position.”

8VAC20-790-600-D-2

“Based on a review of staff records and interview, the vendor did not ensure each staff had current certification in first aid appropriate to the ages of children in care. Evidence: The record of staff #3 (hired 12/03/20) contained documentation of first aid that expired March 2021. Staff #3 acknowledged the staff didn't have a current first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor did not ensure each staff member had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and include an in-person competency demonstration. Evidence: The record of staff #3 (hired 12/03/20) contained documentation of CPR certification that expired March 2021. Staff #3 acknowledged the staff didn't have a current CPR certification.”

8VAC20-790-600-F

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: The record of staff #3 contained documentation of the annual Health and Safety update for 2023. The 2022 annual Health and Safety training was dated 01/22/22.”

8VAC20-780-550-P

“Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-210-A

“Based on observation, interview, a review of staff records, the center failed to ensure program leaders meet the requirements. Evidence: 1. Staff #4 was observed working in the 3/4 year old classroom and identified as the program lead. 2. Staff #3 confirmed that staff #4 is the program lead in the 3/4 year old classroom. 3. The record of staff #4 does not contain documentation of 24 hours of lead training. 4. Staff #3 confirmed staff #4 doesn't have 24 hours of lead training.”

8VAC20-780-60-A-8

“Based on a review of children's records and interview, the center failed to obtain 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: 1. The record of child #6 contained documentation of a diagnosed food allergy and did not have an allergy care plan signed by a physician on file. 2. Staff #3 confirmed there was no allergy care plan on file for child #6.”

8VAC20-780-60-A

“Based on a review of children’s records, the provider failed to ensure that each child's record contained the required information. Evidence: The record of child #2 did not contain documentation of the work phone number and place of employment of each parent who has custody and did not contain documentation of the address of the second person to contact in an emergency.”

22.1-289.036-A

“Based on a review of records and interview, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The most recent search of the central registry on record for Agent 2 was dated 11/26/2017. There was not a repeat search of the central registry obtained in 2022. 2. Staff #3 confirmed the central registry expired.”

8VAC20-780-40-I

“Based on interview, the center did not develop written procedures for injury prevention. Evidence: 1. Staff #3 stated they did not have written procedures for injury prevention.”

8VAC20-790-600-D-2

“Based on a review of staff records and interview, the vendor did not ensure each staff had current certification in first aid appropriate to the ages of children in care. Evidence: The record of staff #3 (hired 12/03/20) contained documentation of first aid that expired March 2021. Staff #3 acknowledged the staff didn't have a current first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor did not ensure each staff member had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and include an in-person competency demonstration. Evidence: The record of staff #3 (hired 12/03/20) contained documentation of CPR certification that expired March 2021. Staff #3 acknowledged the staff didn't have a current CPR certification.”

8VAC20-790-600-F

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: The record of staff #3 contained documentation of the annual Health and Safety update for 2023. The 2022 annual Health and Safety training was dated 01/22/22.”

8VAC20-780-550-P

“Based on a review of records, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-210-A

“Based on observation, interview, a review of staff records, the center failed to ensure program leaders meet the requirements. Evidence: 1. Staff #4 was observed working in the 3/4 year old classroom and identified as the program lead. 2. Staff #3 confirmed that staff #4 is the program lead in the 3/4 year old classroom. 3. The record of staff #4 does not contain documentation of 24 hours of lead training. 4. Staff #3 confirmed staff #4 doesn't have 24 hours of lead training.”

8VAC20-780-60-A-8

“Based on a review of children's records and interview, the center failed to obtain 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: 1. The record of child #6 contained documentation of a diagnosed food allergy and did not have an allergy care plan signed by a physician on file. 2. Staff #3 confirmed there was no allergy care plan on file for child #6.”

8VAC20-780-60-A

“Based on a review of children’s records, the provider failed to ensure that each child's record contained the required information. Evidence: The record of child #2 did not contain documentation of the work phone number and place of employment of each parent who has custody and did not contain documentation of the address of the second person to contact in an emergency.”

22.1-289.036-A

“Based on a review of records and interview, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The most recent search of the central registry on record for Agent 2 was dated 11/26/2017. There was not a repeat search of the central registry obtained in 2022. 2. Staff #3 confirmed the central registry expired.”

8VAC20-780-40-I

“Based on interview, the center did not develop written procedures for injury prevention. Evidence: 1. Staff #3 stated they did not have written procedures for injury prevention.”

8VAC20-780-70

“Based on a review of staff records and interview on January 17, 2023, the center failed to ensure that each staff record contains all required documentation. Evidence: The records of staff #1 and staff #3 did not contain documentation of completed orientation. Staff #4 confirmed the orientation documentation was not in the record.”

8VAC20-770-60-B

“Based on a review of staff records and interview on January 17, 2023, the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: The record of staff #2, hired 10/31/22, contained documentation of a sworn statement dated 12/7/22. Staff #4 confirmed this was the only sworn statement in the record.”

8VAC20-780-560-F-4 Complaint related: Yes

“Based on staff interviews and record review on October 26, 2022, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: 1. A statement by an outside witness indicated that children in the toddler classroom were given fruit snacks to eat on October 19, 2022. 2. A review of attendance records on October 19, 2022, indicated the youngest child present when the fruit snack was provided was 17 months old. 3. Staff confirmed that fruit snacks are given to the toddlers and staff stated fruit snacks are choking hazards. 4. The Centers for Disease Control and Prevention (CDC) states for children to avoid small, sticky, or hard foods that are hard to chew or swallow. 5. The United States Department of Agriculture's Special Supplemental Nutrition Program for Women, Infants, and Children provides a list of food to avoid due to choking hazards in children and chewy fruit snacks are listed.”

8VAC20-770-60-C-2 Complaint related: No

“Based on a review of staff records and interview on October 26, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 11/2/21, contained central registry results dated 12/22/21.”

8VAC20-780-560-F Complaint related: No

“Based on a review of the center menu and staff interview, the center failed to ensure the menu is dated. Evidence: 1. The top of each menu indicates week 1 or week 2, etc but it is not dated. 2. Staff #1 confirmed the menus do not contain dates.”

8VAC20-780-70 Complaint related: No

“Based on a review of records and interview on October 26, 2022, the center failed to ensure that each staff record contains all required documentation. Evidence: 1. The records of staff #2 and staff #3 did not contain documentation of any health problems that may interfere with fulfilling the job responsibilities. 2. Staff #1 confirmed there were no health statements in the records. 3. The record of staff #3 did not contain an address of the person to be notified in an emergency.”

8VAC20-780-240-D Complaint related: No

“Based on a review of staff records and interview on October 26, 2022, the center failed to ensure that prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing, the center's required information. Evidence: 1. The records of staff #2 (DOH 11/2/21) and staff #3 (DOH 10/20/20) did not contain documentation that each staff received the center's required information in writing. 2. Staff #1 confirmed that staff are not provided the information in writing.”

8VAC20-790-600-F

“Based on a review of staff records and interview on October 4, 2022, the vendor failed to ensure each staff complete the Virginia Health and Safety update course annually. Evidence: The record of staff #5, hired 1/19/21, did not contain documentation of the 3-hour annual health and safety update training for 2021. Staff #5 and Staff #6 confirmed the training was not completed in 2021.”

22.1-289.035-B-4

“Based on a review of staff records and interview on October 4, 2022, the center failed to obtain a copy of the results of a criminal history record check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The record of staff #1, hired 8/29/22, did not contain documentation of results of an out-of-state criminal history record check. Staff #1 identified living in another state in the past five years on the staff's sworn disclosure statement. 2. Staff #6 confirmed the criminal record check was not completed.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 4, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #5, hired 1/19/21, contained a central registry result dated 3/3/21.”

8VAC20-780-270-A

“Based on observation on October 4, 2022, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The preschool classroom contains walls with chipped and peeling paint. 2. The prep preschool B classroom contains walls with chipped and peeling paint. 3. The prep pre-k B classroom contains walls with chipped and peeling paint. 4. Staff #3 acknowledged the paint in each of the listed classrooms is chipped and peeling.”

8VAC20-790-600-F

“Based on a review of staff records and interview on October 4, 2022, the vendor failed to ensure each staff complete the Virginia Health and Safety update course annually. Evidence: The record of staff #5, hired 1/19/21, did not contain documentation of the 3-hour annual health and safety update training for 2021. Staff #5 and Staff #6 confirmed the training was not completed in 2021.”

22.1-289.035-B-4

“Based on a review of staff records and interview on October 4, 2022, the center failed to obtain a copy of the results of a criminal history record check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The record of staff #1, hired 8/29/22, did not contain documentation of results of an out-of-state criminal history record check. Staff #1 identified living in another state in the past five years on the staff's sworn disclosure statement. 2. Staff #6 confirmed the criminal record check was not completed.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 4, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #5, hired 1/19/21, contained a central registry result dated 3/3/21.”

8VAC20-780-270-A

“Based on observation on October 4, 2022, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The preschool classroom contains walls with chipped and peeling paint. 2. The prep preschool B classroom contains walls with chipped and peeling paint. 3. The prep pre-k B classroom contains walls with chipped and peeling paint. 4. Staff #3 acknowledged the paint in each of the listed classrooms is chipped and peeling.”

8VAC20-780-520-A

“Based on observation, the center had one bottle of sunscreen that had expired. Evidence: 1. Four sunscreen bottles were reviewed. 2. One bottle of Babygancis Sunscreen was observed with an expiration of 2/2022. 3. The director confirmed the sunscreen had expired.”

8VAC20-780-330-B

“Based on observation the center failed to have the required resilient surfacing under two slides on the large outdoor plays structure. Evidence: 1. Pea gravel was measured at the base of both slides. 2. Pea gravel measured 2 inches at the bottom of both slides. 3. The director confirmed resilient surfacing was not at the required 9 inches.”

8VAC20-780-520-A

“Based on observation, the center had one bottle of sunscreen that had expired. Evidence: 1. Four sunscreen bottles were reviewed. 2. One bottle of Babygancis Sunscreen was observed with an expiration of 2/2022. 3. The director confirmed the sunscreen had expired.”

8VAC20-780-330-B

“Based on observation the center failed to have the required resilient surfacing under two slides on the large outdoor plays structure. Evidence: 1. Pea gravel was measured at the base of both slides. 2. Pea gravel measured 2 inches at the bottom of both slides. 3. The director confirmed resilient surfacing was not at the required 9 inches.”