Centralia Child Development Center

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. The center’s policy for behavior guidance states ?The following actions and threats are forbidden: physical punishment, striking a child, roughly handlings, or shaking a child, restricting movement through binding, or tying forcing a child to assume an uncomfortable position or exercise as punishment. Documentation indicated Staff #1 was terminated due to not following the behavior guidance policy on September 26, 2024.”

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On September 26, 2024 at approximately 4:40pm, Staff #1 was seen striking Child A (13 months of age) on the side of the head two to three times.”

8VAC20-780-160-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #5 (date of employment 03/21/2024) contained documentation of a negative TB screening dated 01/12/2024. 2. Staff #5 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. A cabinet in the Toddlers room contained four bottles of cleaning materials. The safety lock on the cabinet was not locked.”

8VAC20-780-160-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #5 (date of employment 03/21/2024) contained documentation of a negative TB screening dated 01/12/2024. 2. Staff #5 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. A cabinet in the Toddlers room contained four bottles of cleaning materials. The safety lock on the cabinet was not locked.”

8VAC20-780-420-C Complaint related: No

“Based on video recording and interviews, a custodial parent or guardian was denied admission to a child day program. Evidence: The following information was determined from interviews, videos, and documentation review: 1. A custodial parent arrived at the center to visit with Child #1 on December 7, 2023 at approximately 10:40am. 2. Video recording showed Staff #1 denied entry to the custodial parent. 3. The record for Child #1 contained paperwork indicating the parents of Child #1 shared joint legal custody.”

8VAC20-790-600-D-1

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in CPR. Interview with administration confirmed that staff #4 did not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in First Aid. Interview with administration confirmed that staff #4 did not have current certification in First Aid.”

8VAC20-780-530-A-2

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in First Aid. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in First Aid. Interview with administrators confirmed that staff #1 did not have current certification in First Aid. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-530-A-1

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in CPR. Interview with administrators confirmed that staff #1 did not have current certification in CPR. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-560-G

“Based on observation, and interview, the center failed to ensure that when food is brought from home it shall be clearly dated and labeled. Evidence: The refrigerator in classroom #2 contained several bottles with infant formula that did were not dated. Staff confirmed that the bottles were not dated.”

8VAC20-780-510-G

“Based on review of medications, it was determined that prescription medication was not maintained in the original, labeled container. Evidence: The long term prescription medication for child#5 was not in the original container with a prescription label attached.”

8VAC20-790-600-D-1

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in CPR. Interview with administration confirmed that staff #4 did not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in First Aid. Interview with administration confirmed that staff #4 did not have current certification in First Aid.”

8VAC20-780-530-A-2

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in First Aid. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in First Aid. Interview with administrators confirmed that staff #1 did not have current certification in First Aid. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-530-A-1

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in CPR. Interview with administrators confirmed that staff #1 did not have current certification in CPR. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-560-G

“Based on observation, and interview, the center failed to ensure that when food is brought from home it shall be clearly dated and labeled. Evidence: The refrigerator in classroom #2 contained several bottles with infant formula that did were not dated. Staff confirmed that the bottles were not dated.”

8VAC20-780-510-G

“Based on review of medications, it was determined that prescription medication was not maintained in the original, labeled container. Evidence: The long term prescription medication for child#5 was not in the original container with a prescription label attached.”

8VAC20-790-600-D-1

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in CPR. Interview with administration confirmed that staff #4 did not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in First Aid. Interview with administration confirmed that staff #4 did not have current certification in First Aid.”

8VAC20-780-530-A-2

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in First Aid. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in First Aid. Interview with administrators confirmed that staff #1 did not have current certification in First Aid. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-530-A-1

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in CPR. Interview with administrators confirmed that staff #1 did not have current certification in CPR. Staff #1 was alone in classroom #6 with 5 preschool age children.”

8VAC20-780-560-G

“Based on observation, and interview, the center failed to ensure that when food is brought from home it shall be clearly dated and labeled. Evidence: The refrigerator in classroom #2 contained several bottles with infant formula that did were not dated. Staff confirmed that the bottles were not dated.”

8VAC20-780-510-G

“Based on review of medications, it was determined that prescription medication was not maintained in the original, labeled container. Evidence: The long term prescription medication for child#5 was not in the original container with a prescription label attached.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. A container of disinfecting wipes was hanging on a hook by the exit door in the Twos/Threes classroom. Fourteen children were in the classroom during the observation. 2. A wooden cabinet contained three containers of cleaning products on the top shelf in the Threes/Fours classroom. The wooden cabinet was unlocked. Fifteen children were in the classroom during the observation.”

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. A container of disinfecting wipes was hanging on a hook by the exit door in the Twos/Threes classroom. Fourteen children were in the classroom during the observation. 2. A wooden cabinet contained three containers of cleaning products on the top shelf in the Threes/Fours classroom. The wooden cabinet was unlocked. Fifteen children were in the classroom during the observation.”

8VAC20-780-340-F

“Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. On October 7, 2022, it was determined Staff #1 (van driver) left Child A (six years of age) alone on the center’s van for approximately five minutes. 2. At approximately 4:35pm the parent of Child A and Staff #1 found Child A alone, asleep in a car seat on the van.”

8VAC20-780-580-K

“Based on review of documentation and interview, the center did not verify all children have been removed from the vehicle at the conclusion of any trip. Evidence: 1. On October 7, 2022, Staff #1 (van driver) arrived at the center with school age children from local elementary school at approximately 4:30pm. 2. Staff #1 walked with the children from the van into the classroom. 3. At approximately 4:35pm a parent of Child A (six years old) arrived at the center to pick up [Child A]. The parent of Child A and Staff #1 did not see [Child A] in the classroom. Staff #1 realized [Child A] must have been left on the van. 4. The parent of Child A and Staff #1 found Child A asleep in a car seat. The parent of Child A removed the child from the van and left with Child A.”

8VAC20-780-40-E

“Based on review of documentation and interview, the center did not ensure that the center’s activities, services, and facilities were maintained in compliance with standards and the center’s own policies and procedures that are required by these standards. Evidence: 1. On October 7, 2022, Staff #1 (van driver) arrived at the center with school age children from local elementary school at approximately 4:30pm. 2. Staff #1 confirmed Child A (six years old) was left on the van for approximately five minutes after failing to complete the name to face roll call. 3. A member of management stated staff are required to complete a name to face roll call as children exit the vehicles.”

8VAC20-780-340-A

“Based on review of documentation and interview, the center did not always provide care and protection to a child they were supervising. Evidence: 1. On October 7, 2022, it was determined Staff #1 (van driver) left Child A (six years old) alone on a van in the center’s parking lot for approximately five minutes. 2. The average temperature on October 7, 2022, between 4:00pm and 5:00pm was 78 degrees Fahrenheit according to wunderground.com.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, documentation review and observation, one staff member did not interact with children to provide needed help, comfort, and support. Evidence: 1. [Witness A] stated Staff #1 spoke harshly or yelled at children in the Infant Room (eight months to 16 months of age) on August 31, 2022. Witness A stated Staff #1 made the statements to the children in a stern voice: ?You really just went pee in your pull up after we put you on the potty?; ?Ma?am, your key just fell off and I?m not too happy?; ?I knew I had people with nasty noses?, ?Don?t tell me know?. 2. Staff #2 confirmed Staff #1 often used strong language that might take as negative. Staff #2 stated Staff #1 would yell to the Infants including statement like ?You?re not the teacher? and ?You stop it?. 3. A Plan of Action written by Staff #1 stated ?I am also going to work on not being negative and being more sensitive to the children?”

8VAC20-780-510-E

“Based on documentation review and interview, the center did not insure long-term prescription drug use and over-the- counter medication were allowed with written authorization from the child's physician and parent. Evidence: 1. Child #2 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 2. Child #3 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-60-A

“Based on review of seven children’s records, the center did not contain the required information. Evidence: 1. The record for Child #4 (first day of attendance 07/06/2021) did not contain the name, address and phone number for two emergency contacts when parents cannot be reached. 2. A member of management confirmed the information during the inspection.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, documentation review and observation, one staff member did not interact with children to provide needed help, comfort, and support. Evidence: 1. [Witness A] stated Staff #1 spoke harshly or yelled at children in the Infant Room (eight months to 16 months of age) on August 31, 2022. Witness A stated Staff #1 made the statements to the children in a stern voice: ?You really just went pee in your pull up after we put you on the potty?; ?Ma?am, your key just fell off and I?m not too happy?; ?I knew I had people with nasty noses?, ?Don?t tell me know?. 2. Staff #2 confirmed Staff #1 often used strong language that might take as negative. Staff #2 stated Staff #1 would yell to the Infants including statement like ?You?re not the teacher? and ?You stop it?. 3. A Plan of Action written by Staff #1 stated ?I am also going to work on not being negative and being more sensitive to the children?”

8VAC20-780-510-E

“Based on documentation review and interview, the center did not insure long-term prescription drug use and over-the- counter medication were allowed with written authorization from the child's physician and parent. Evidence: 1. Child #2 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 2. Child #3 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-60-A

“Based on review of seven children’s records, the center did not contain the required information. Evidence: 1. The record for Child #4 (first day of attendance 07/06/2021) did not contain the name, address and phone number for two emergency contacts when parents cannot be reached. 2. A member of management confirmed the information during the inspection.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, documentation review and observation, one staff member did not interact with children to provide needed help, comfort, and support. Evidence: 1. [Witness A] stated Staff #1 spoke harshly or yelled at children in the Infant Room (eight months to 16 months of age) on August 31, 2022. Witness A stated Staff #1 made the statements to the children in a stern voice: ?You really just went pee in your pull up after we put you on the potty?; ?Ma?am, your key just fell off and I?m not too happy?; ?I knew I had people with nasty noses?, ?Don?t tell me know?. 2. Staff #2 confirmed Staff #1 often used strong language that might take as negative. Staff #2 stated Staff #1 would yell to the Infants including statement like ?You?re not the teacher? and ?You stop it?. 3. A Plan of Action written by Staff #1 stated ?I am also going to work on not being negative and being more sensitive to the children?”

8VAC20-780-510-E

“Based on documentation review and interview, the center did not insure long-term prescription drug use and over-the- counter medication were allowed with written authorization from the child's physician and parent. Evidence: 1. Child #2 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 2. Child #3 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-60-A

“Based on review of seven children’s records, the center did not contain the required information. Evidence: 1. The record for Child #4 (first day of attendance 07/06/2021) did not contain the name, address and phone number for two emergency contacts when parents cannot be reached. 2. A member of management confirmed the information during the inspection.”