Celebree School of Henrico

8VAC20-780-570-A

“When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. One child in the Infant B classroom was not belted into the feeding chair.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. The parent did not renew the written authorization for one medication for Child A every ten working days and physician authorization was not obtained. The medication was still on site after 2 months. The center's procedures shall also include methods to prevent use of outdated medication. The medication for Child A expired 6 months ago.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the infant classroom, the cleaning solution and sanitizing solution were in an unlocked lower cabinet under the changing table. The lock was broken.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cribs. In the infant B room, occupied cribs were not at least 12 inches apart.”

8VAC20-780-340-A Complaint related: No

“When staff are supervising children, they ensure their care and protection. On 10/18/2024, infant room Staff mistakenly fed Child 1 a bottle of breast milk that was labeled and intended for Child 2. On 1/22/2025, infant room Staff mistakenly fed Child 3 a bottle of breast milk that was labeled and intended for Child 4.”

8VAC20-770-60-C-2

“Repeat violation. Documentation of a completed search of the central registry ( CPS check) shall be on file for each staff within the first 30 days of employment. Staff 2 (date of employment 1/15/2024) did not have a completed search of the central registry on file. There was no documentation of having checked for the status of the CPS check by the 30th day of employment.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. In the twos room, a child was served hot dog rounds that were brought from home. Hot dog rounds are considered a choking hazard.”

8VAC20-780-510-B

“Repeat violation. Medication shall be given to a child only with written authorization from the parent. One emergency medications for one child did not have written authorization from the parent.”

8VAC20-780-500-B

“Repeat violation. The diapering surface shall be cleaned with soap and water and sanitized after each use. The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. A staff person in the infant room cleaned and sanitized the diaper changing table, but did not allow the disinfectant to dry for a period of at least 2 minutes.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff in each grouping of children who meets lead teacher qualifications There was no documentation to support that either of the two staff alone with 14 children meet lead teacher qualifications.”

8VAC20-780-230-B

“Individuals from independent contractors who do not meet staff qualifications shall, when in the presence of children, be within sight and sound supervision of a staff member. On 5/29/2024, an independent contractor was alone with 5 preschool children in the indoor gym. There were no center staff present. The independent contractor stated that she is often alone with the children.”

8VAC20-780-70

“Repeat violation. Two references (not related by blood or marriage), as to character, reputation, and competence, shall be checked prior to employment. Staff 3 had one reference related by marriage.”

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 2, Staff 4, and Staff 10 indicated on their sworn disclosure statement s that they had lived outside the state of Virginia within the past five years. There was no documentation to support that two required out of state criminal record checks were conducted prior to employment. There was no documentation that three out of state searches of the child abuse and neglect registry were submitted within 30 days of employment as required.”

8VAC20-770-60-C-2

“Repeat violation. Documentation of a completed search of the central registry ( CPS check) shall be on file for each staff within the first 30 days of employment. Staff 2 (date of employment 1/15/2024) did not have a completed search of the central registry on file. There was no documentation of having checked for the status of the CPS check by the 30th day of employment.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. In the twos room, a child was served hot dog rounds that were brought from home. Hot dog rounds are considered a choking hazard.”

8VAC20-780-510-B

“Repeat violation. Medication shall be given to a child only with written authorization from the parent. One emergency medications for one child did not have written authorization from the parent.”

8VAC20-780-500-B

“Repeat violation. The diapering surface shall be cleaned with soap and water and sanitized after each use. The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. A staff person in the infant room cleaned and sanitized the diaper changing table, but did not allow the disinfectant to dry for a period of at least 2 minutes.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff in each grouping of children who meets lead teacher qualifications There was no documentation to support that either of the two staff alone with 14 children meet lead teacher qualifications.”

8VAC20-780-230-B

“Individuals from independent contractors who do not meet staff qualifications shall, when in the presence of children, be within sight and sound supervision of a staff member. On 5/29/2024, an independent contractor was alone with 5 preschool children in the indoor gym. There were no center staff present. The independent contractor stated that she is often alone with the children.”

8VAC20-780-70

“Repeat violation. Two references (not related by blood or marriage), as to character, reputation, and competence, shall be checked prior to employment. Staff 3 had one reference related by marriage.”

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 2, Staff 4, and Staff 10 indicated on their sworn disclosure statement s that they had lived outside the state of Virginia within the past five years. There was no documentation to support that two required out of state criminal record checks were conducted prior to employment. There was no documentation that three out of state searches of the child abuse and neglect registry were submitted within 30 days of employment as required.”

8VAC20-780-240-C

“Based on review of eight staff records, the facility failed to have documentation of orientation, including all required facility specific topics. Evidence: Eight staff did not have documentation of orientation - that included all required facility specific topics- on file.”

8VAC20-780-70

“Based on review of eight staff records, the facility failed to have required documentation in each file. Evidence: Staff 1 (date of employment 3/20/2023) and Staff 6 (date of employment 2/1/2023) did not have documentation to demonstrate that the individual possesses the education and experience required by the job position. Staff 7 (date of employment 8/3/2023) and Staff 8 (date of employment 7/5/2023) did not have documentation of two references as to character, reputation, and competence prior to employment, as required.”

8VAC20-780-160-A

“Based on review of 8 staff records, the facility failed to have documentation of a tuberculosis test or screening signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff 1 had a tuberculosis screening dated 3/18/2023 signed by a dental assistant. Staff 6 had a tuberculosis screening signed by an individual that did not indicate credentials or identify the physician with which the designated screener is affiliated.”

8VAC20-780-550-F

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no documentation of a lockdown drill. Staff confirmed that a lockdown has not been conducted.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 8 (date of employment 7/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 6/23/2022.”

8VAC20-780-510-B

“Based on review of eight medications for four children, the facility failed to have documentation of written parent authorization to administer one medication to one child. Evidence: the medication authorization form for Child A was signed by the physician, but was not signed by the parent.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR) that included an in person competency demonstration. Evidence: Staff 2 and Staff 6 were alone with children during rest time. The documentation of CPR training did not include an in person competency demonstration. Staff 6 stated that the training was online only.”

8VAC20-780-550-E

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a shelter in place drill a minimum of twice per year. Evidence: there was documentation of only one shelter in place drill in the past year. Staff confirmed that a second shelter in place has not been conducted.”

8VAC20-780-245-J-3

“Based on documentation review and staff interview, the facility failed to ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements as described in 8VAC20-780-245.J.1 for medication administration. Evidence: Child A (date of enrollment 6/19/2023) has an emergency medication which is to be administered rectally on site. None of the staff caring for the child are certified in Medication Administration Training - Rectal Medications.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed disinfectant on the diaper changing table and wiped with a paper towel. This surface was not allowed to air dry for a period of at least 1 minute (recommended air dry time for center's disinfectant).”

8VAC20-780-240-C

“Based on review of eight staff records, the facility failed to have documentation of orientation, including all required facility specific topics. Evidence: Eight staff did not have documentation of orientation - that included all required facility specific topics- on file.”

8VAC20-780-70

“Based on review of eight staff records, the facility failed to have required documentation in each file. Evidence: Staff 1 (date of employment 3/20/2023) and Staff 6 (date of employment 2/1/2023) did not have documentation to demonstrate that the individual possesses the education and experience required by the job position. Staff 7 (date of employment 8/3/2023) and Staff 8 (date of employment 7/5/2023) did not have documentation of two references as to character, reputation, and competence prior to employment, as required.”

8VAC20-780-160-A

“Based on review of 8 staff records, the facility failed to have documentation of a tuberculosis test or screening signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff 1 had a tuberculosis screening dated 3/18/2023 signed by a dental assistant. Staff 6 had a tuberculosis screening signed by an individual that did not indicate credentials or identify the physician with which the designated screener is affiliated.”

8VAC20-780-550-F

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no documentation of a lockdown drill. Staff confirmed that a lockdown has not been conducted.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 8 (date of employment 7/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 6/23/2022.”

8VAC20-780-510-B

“Based on review of eight medications for four children, the facility failed to have documentation of written parent authorization to administer one medication to one child. Evidence: the medication authorization form for Child A was signed by the physician, but was not signed by the parent.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR) that included an in person competency demonstration. Evidence: Staff 2 and Staff 6 were alone with children during rest time. The documentation of CPR training did not include an in person competency demonstration. Staff 6 stated that the training was online only.”

8VAC20-780-550-E

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a shelter in place drill a minimum of twice per year. Evidence: there was documentation of only one shelter in place drill in the past year. Staff confirmed that a second shelter in place has not been conducted.”

8VAC20-780-245-J-3

“Based on documentation review and staff interview, the facility failed to ensure that any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements as described in 8VAC20-780-245.J.1 for medication administration. Evidence: Child A (date of enrollment 6/19/2023) has an emergency medication which is to be administered rectally on site. None of the staff caring for the child are certified in Medication Administration Training - Rectal Medications.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed disinfectant on the diaper changing table and wiped with a paper towel. This surface was not allowed to air dry for a period of at least 1 minute (recommended air dry time for center's disinfectant).”

8VAC20-780-500-B

“Based on observation and staff interview, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff used a disinfectant wipe to wipe down the diaper changing pad. A spray sanitizer was not used. After diapering, the pad should be cleaned with soap and water, sprayed with bleach water or another sanitizer, and allowed to air dry for a period of at least two minutes. Staff stated that she asked where the spray cleaner and sanitizer were located, but the wipes were readily available.”