Charlottesville Waldorf School

8VAC20-780-510-G

“Systemic Violation Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Medication for child #4, enrolled for three months, was not labeled with the dosage amount and the time or times to be given.”

8VAC20-780-510-M

“Systemic Violation If a key is used for a medication box, the key shall not be accessible to the children. In the Sunflower class, the key to the medication box was inserted into the locking mechanism of the medication box and it was accessible to children.”

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed this course which is overdue by two weeks.”

8VAC20-780-510-B

“Systemic Violation Prescription and nonprescription medication shall be given to a child only with written authorization from the parent. Child #5, enrolled for three months, requires an emergency medication and the center did not have written authorization from the parent to administer the medication.”

8VAC20-780-510-L

“Systemic Violation Medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. 1. In the Rosebud classroom, medication was in an unlocked bag.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The fire inspection was due four months ago.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 completed the course eight months late.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Cleaning solutions and dishwasher packs were on a shelf unlocked in the two and three year old classrooms.”

8VAC20-780-160-A

“Based on a review of staff records, the center failed to ensure each staff submit documentation of a negative tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: The record of staff #5, hired 7/1/24 contained documentation of a tuberculosis screening dated 5/27/24.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: The record of staff #5, hired 7/1/24, contained central registry results dated August 19, 2024. Staff #6 confirmed the central registry result was late.”

8VAC20-780-245-A

“Based on a review of staff records and interview, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #1 contained documentation of 1.5 annual training hours from July 1, 2023 - June 30, 2024. 2. The record of staff #2 contained documentation of 8 annual training hours from July 1, 2023 - June 30, 2024. 3. The record of staff #3 contained documentation of 2 annual training hours from May 1, 2023 - April 30, 2024. 4. The record of staff #4 contained documentation of 4.5 annual training hours from August 20, 2023 - August 19, 2024. 5. Staff #6 confirmed the annual training hours were not completed for each staff.”

22.1-289.035-B-4

“Based on a review of records and interview, the center failed to obtain results of a check of the out-of-state sex offender check prior to hire and failed to request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #5, hired July 1, 2024, contained documentation of an out-of-state sex offender dated 8/8/24. 2. The record of staff #5, hired July 1, 2024, contained documentation of an out-of-state central registry check dated 8/26/2024. 3. Staff #5 indicated on the sworn disclosure statement that staff #5 lived in another state in the previous five years. 4. The record of staff #2, hired July 1, 2022, did not contain documentation of an out-of-state central registry check. Staff #2 indicated on the sworn disclosure living out-of-state in the previous five years. 5. Staff #6 confirmed the out-of-state checks were late.”

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: 1. There were two Epi-pens in an unlocked cabinet in the Marigold classroom. 2. There were several tablets of Benedryl in an unlocked cabinet in the Marigold classroom.”

8VAC20-780-510-I

“Based on observation and interview, 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: 1. In the Marigold classroom there were four Epi-pens that were not in the original container with a label on the medication that identifies the child's name, prescriber's instructions, dosage, frequency, and manner of administration. Staff confirmed they did not have the original container with label.”

8VAC20-780-510-H

“Based on observation, the center failed to ensure nonprescription medication is in the original container with the direction label attached. Evidence: There were several tablets of Benedryl in the Marigold classroom. The Benedryl was not in the original container with the direction label attached.”

8VAC20-780-245-A

“Based on a review of staff records and interview, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #5 contained documentation of 4.5 hours of training from September 1, 2022 to August 31, 2023. Staff #5 confirmed the hours were not complete.”

8VAC20-780-60-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #1 did not contain documentation of address for two emergency contacts. 2. The record of child #4 did not contain documentation of the name, address, and phone number of a second person to contact in an emergency. 3. The records of child #1, child #2, and child #3 contain documentation of place of employment for parents but do not contain documentation of the work phone number. 4. Administration confirmed the information was missing.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain the current written list of children's allergies, sensitivities and dietary restrictions in a confidential manner. Evidence: In the Marigold classroom, the list of children's allergies was posted in open view in the classroom. Administration confirmed the list is posted in open view in that classroom and in the main office.”

8VAC20-770-40-D-1-a

“Based on a review of records and interview, the center failed to obtain a Sworn Statement and a central registry check from each officer of the board, when a change occurred, before the end of the 30 days after the change of officer. Evidence: 1. The record of officer #3, took office 10/6/2022, contained documentation of a sworn statement dated 04/12/2023 and did not contain documentation of a central registry check. Staff #1 confirmed the center did not have the central registry check. 2. The record of officer #5, took office 10/6/2022, contained documentation of a sworn statement dated 04/19/2024 and did not contain documentation of a central registry check. Staff #1 confirmed the center did not have the central registry check.”

22.1-289.036-B-2

“Based on a review of records and interview, the center failed to obtain a fingerprint based national criminal record check within 30 days of appointment of an officer of the board. Evidence: 1. The record of officer #3, took office 10/6/2022, contained documentation of fingerprints dated 4/7/2023. 2. The record of officer #5, took office 10/6/2022, did not contain documentation of fingerprints. 3. Staff #1 confirmed there were no results of fingerprints for officer #5.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the bathroom of the Rosebud classroom there was unlocked Isopropyl Alcohol on an open shelf. The label stated "keep out of reach of children" and "warning." 2. In an unlocked closet in the Rosebud classroom there was bleach water, 2 gallons of paint, and several cleaners, that could be accessed by children. The labels on the cleaners stated "keep out of reach of children" and "caution."”

8VAC20-780-40-C

“Based on interview and email correspondence, the licensee failed to ensure to afford the superintendent or his agents the right at all reasonable times to inspect facilities. Evidence: 1. During an inspection on 12/12/23, the center was cited for not obtaining background checks for three staff and the licensing inspector requested that within 10 days the center provide documentary evidence that the background checks had been requested. 2. The licensing inspector sent an email on January 8, 2024, requesting the documentary evidence be sent by close of business on January 9, 2024. Another email was sent on January 23, 2024, requesting the documentary evident be sent immediately. 3. As of January 25, 2024, the documentary evidence has not been received.”

8VAC20-780-70

“Repeat Violation Based on a review of staff records and interview, the center failed to ensure that each staff record contains all the required information. Evidence: 1. The record of staff #3 did not contain documentation of the date of employment in the record and contained documentation of only one reference when two are required. 2. The record of staff #4, hired 08/15/23, did not contain documentation of references. 3. Staff #6 confirmed the date of employment and references were not in the records.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #3, hired 12/11/2023, did not contain documentation of a tuberculosis screening. Staff #6 confirmed staff #3 did not have a tuberculosis screening and has been in contact with children.”

22.1-289.035-B-4

“Repeat Violation Systemic Violation Based on a review of staff records and interview, the center failed to obtain the results of an out-of-state search of the sex offender registry and criminal history check prior to employment and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #3, hired 12/11/2023, did not contain documentation of an out-of-state sex offender registry check. Staff #3 indicated on the staff's sworn statement of living out-of-state in the previous five years. Staff #6 confirmed the sex offender check was not complete. 2. The records of staff #4, hired 08/15/2023, and staff #6, hired 08/22/2023, did not contain documentation of a criminal history check, sex offender registry check or the child abuse and neglect registry. Staff #4 and staff #5 both indicated on their sworn statements of having lived out-of-state in the previous five years. Staff #6 confirmed the background checks were not completed.”

22.1-289.011-F

“Based on observation and interview on June 1, 2023, the center failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings from the most recent inspection conducted 10/24/22 were not posted in the facility on the date of inspection. Staff #6 confirmed the inspection was not posted.”

8VAC20-780-510-L

“Based on observation on June 1, 2023, 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 activated charcoal located in the first aid kits in the Marigold, Sunflower, and Rosebud classrooms. The first aid kits were kept unlocked on a shelf.”

8VAC20-780-245-A

“Based on a review of staff records and interview on June 1, 2023, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #4 did not contain documentation of 16 hours of annual training for August 2021 - August 2022.”

8VAC20-780-60-A

“Based on a review of children's records on June 1, 2023, the center failed to ensure that each child's record contained the required information. Evidence: The record of child #2 did not contain an address for two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-130-A

“Based on a review of children's records on June 1, 2023, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1, enrolled 09/01/21, contained documentation of immunizations dated 09/08/21. 2. The record of child #5, enrolled 08/31/22, did not contain documentation of immunizations.”

8VAC20-780-550-D

“Based on a review of records and interview on June 1, 2023, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in November 2022. Staff #6 confirmed the fire drill was not conducted.”

22.1-289.035-B-4

“Repeat Violation Based on a review of staff records and interview on June 1, 2023, the center failed to obtain the results of an out-of-state child abuse and neglect registry for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #4, hired 7/1/22, did not contain documentation of an out-of-state child abuse and neglect registry check. Staff #4 indicated living out-of-state in the previous five years on staff #4's sworn disclosure statement. Staff #6 confirmed the check was not complete.”

22.1-289.035-A

“Based on a review of records and interview on June 1, 2023, the center failed to ensure that every employee undergo a fingerprint background check every five years. Evidence: The record of staff #1 contained documentation of a fingerprint result dated 04/26/18. There was no documentation of a repeat fingerprint search. Staff #6 confirmed the repeat fingerprint was not conducted.”

8VAC20-780-530-A-2 Complaint related: No

“Based on a review of staff records and interview, the center failed to have one staff member in each classroom or area where children are present with current certification in first aid. Evidence: In an interview with staff #1 on 02/07/2023, he confirmed he is alone with children on the playground for approximately 45-50 minutes each day, weather permitting. The record of staff #1 did not contain documentation of first aid certification.”

8VAC20-780-530-A-1 Complaint related: No

“Based on a review of staff records and interview, the center failed to have one staff member in each classroom or area where children are present with current certification in cardiopulmonary resuscitation (CPR). Evidence: In an interview with staff #1 on 02/07/2023, he confirmed he is alone with children on the playground for approximately 45-50 minutes each day, weather permitting. The record of staff #1 did not contain documentation of CPR certification.”

8VAC20-780-160-A Complaint related: No

“Based on a review of staff records, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening prior to employment. Evidence: The record of staff #1, hired 09/01/2022, did not contain documentation of a tuberculosis screening.”

8VAC20-770-40-D-6 Complaint related: No

“Based on a review of staff records, the center failed to ensure that the facility must not accept a required criminal history record report from an applicant, licensee, registrant, or other person required to obtain background checks that is dated more than 90 days prior to the date of employment. Evidence: The record of staff #1, hired 09/01/2022, contained documentation of fingerprint results dated 04/21/2022.”

22.1-289.035-B-4 Complaint related: No

“Based on a review of staff records, the center failed to obtain the results of an out-of-state search of the sex offender registry prior to employment and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #1, hired 09/01/2022, did not contain documentation of the results of an out-of-state sex offender check. The record of staff #1 contained documentation of the results of an out-of-state child abuse and neglect registry dated 11/21/2022. Staff #1 indicated living in another state on the staff's sworn disclosure statement.”