Children of America Deacon Road

8VAC20-780-570-A Complaint related: No

“When a child is placed in an infant seat or highchair, the protective belt shall be fastened securely. Child #1 (9 months) was not securely fastened at the feeding table. The straps that are supposed to be connected to the seat were not present.”

8VAC20-780-500-A Complaint related: Yes

“Center shall ensure to follow handwashing procedures for both staff and children. Staff #1 did not wash hands before or after changing a child’s diaper. Child’s hands were also not washed after the diaper change.”

8VAC20-780-420-E-1 Complaint related: Yes

“For each infant, the center shall post a daily record which can be easily accessed by both the parent and the staff working with the child. On 10/1/2024 and 10/2/2024, the center did not post a daily record which could be accessed by both parents and staff working with Child #3. On both days the center failed to document the correct amount of food consumed by the child that day nor was time documented for how much time the child spent on their stomach.”

8VAC20-780-370-1 Complaint related: No

“When an infant is able to easily turn over from the back to the belly position and he is placed in his crib, he shall still be put on his back but allowed to adopt whatever position he prefers. Staff #1 was observed placing Child #2 (9 months) in their crib on their belly.”

8VAC20-780-80-A Complaint related: No

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. In the Infants classroom there were 5 children signed in electronically and only 4 children were present in the classroom.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. infants were observed sleeping with a bib and pacifier attached to a ribbon presenting a strangulation hazard.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The record for Staff #1 showed updated TB screening was due 1 month ago.”

8VAC20-780-420-E-3

“The center shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #1 did not have parent confirmation that the required information in their child’s record was up to date in the last 2 years.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were two children in the Infant A room with bottles that did not have dates.”

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. In the Infant A classroom in an upper cabinet, there was an unlocked spray bottle of bleach water.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills. There was not an emergency evacuation drill documented for August 2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The record for Staff #1 showed updated TB screening was due 1 month ago.”

8VAC20-780-420-E-3

“The center shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #1 did not have parent confirmation that the required information in their child’s record was up to date in the last 2 years.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were two children in the Infant A room with bottles that did not have dates.”

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. In the Infant A classroom in an upper cabinet, there was an unlocked spray bottle of bleach water.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills. There was not an emergency evacuation drill documented for August 2024.”

8VAC20-780-60-A-8

“The center must obtain a written allergy care plan for each child with a diagnosed food allergy. There was no allergy care plan on file for child A to include signs and symptoms to look for to determine exposure. Child A is allergic to milk and nuts. There was no allergy care plan on file for child B who is allergic to eggs and milk There was no allergy care plan on file for child C who is allergic to sesame, eggs, soy and milk. There was no allergy care plan on file for child D who is allergic to eggs.”

8VAC20-780-40-M

“A current written list of all children with allergies, sensitivities and dietary restrictions shall be in each room where children are present. Child D's allergy to eggs were not documented on the written list.”

8VAC20-780-280-B

“Repeat violation: Hazardous substances shall be kept locked. There were carpet cleaner and adhesive remover unlocked in the storage room at the font of the center.”

8VAC20-780-60-A-8

“The center must obtain a written allergy care plan for each child with a diagnosed food allergy. There was no allergy care plan on file for child A to include signs and symptoms to look for to determine exposure. Child A is allergic to milk and nuts. There was no allergy care plan on file for child B who is allergic to eggs and milk There was no allergy care plan on file for child C who is allergic to sesame, eggs, soy and milk. There was no allergy care plan on file for child D who is allergic to eggs.”

8VAC20-780-40-M

“A current written list of all children with allergies, sensitivities and dietary restrictions shall be in each room where children are present. Child D's allergy to eggs were not documented on the written list.”

8VAC20-780-280-B

“Repeat violation: Hazardous substances shall be kept locked. There were carpet cleaner and adhesive remover unlocked in the storage room at the font of the center.”

8VAC20-780-440-J

“Based on observation, it was determined that there was not 30 inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: There were 3 cribs, two of which were occupied and all 3 cribs were touching each other on the service sides of the cribs.”

8VAC20-780-270-A

“Based on observation, it was determined that the area and equipment was not maintained in an safe condition. Evidence; The Licensing Inspector observed a fan high on an upper shelf in the Preschool IA room, The cord to the fan was hanging in reach of the children in that classroom therefore presenting a potential hazard of a child pulling on the cord and the fan falling on top of a child(ren).”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed spray bottles of sanitizing agents in the kitchen on a cart. The door to the kitchen was open. The Licensing Inspector observed a disinfectant spay unlocked and on a sink in the City Place bathroom.”

8VAC20-780-130-A

“Based on a review of six children's files and interview with administrative staff, it was determined that there was no documentation of immunization for each child before the child can attend the center. Evidence: Child A did not have an immunization record on file. Child A was enrolled on 10/9/23.”

8VAC20-780-510-E

“Based on a review of medications for 7 children, it was determined that there was no parental authorizations for medications for 2 children. Evidence: There was no parental authorization for an inhaler for child B or an allergy medication for child C”

8VAC20-780-440-J

“Based on observation, it was determined that there was not 30 inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: There were 3 cribs, two of which were occupied and all 3 cribs were touching each other on the service sides of the cribs.”

8VAC20-780-270-A

“Based on observation, it was determined that the area and equipment was not maintained in an safe condition. Evidence; The Licensing Inspector observed a fan high on an upper shelf in the Preschool IA room, The cord to the fan was hanging in reach of the children in that classroom therefore presenting a potential hazard of a child pulling on the cord and the fan falling on top of a child(ren).”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed spray bottles of sanitizing agents in the kitchen on a cart. The door to the kitchen was open. The Licensing Inspector observed a disinfectant spay unlocked and on a sink in the City Place bathroom.”

8VAC20-780-130-A

“Based on a review of six children's files and interview with administrative staff, it was determined that there was no documentation of immunization for each child before the child can attend the center. Evidence: Child A did not have an immunization record on file. Child A was enrolled on 10/9/23.”

8VAC20-780-510-E

“Based on a review of medications for 7 children, it was determined that there was no parental authorizations for medications for 2 children. Evidence: There was no parental authorization for an inhaler for child B or an allergy medication for child C”

8VAC20-780-570-A

“Based on observation, the facility failed to ensure that high chairs, infant carrier seats or feeding tables are used for children under 12 months who are not held while being fed. Evidence: two infants in the infant A classroom were observed drinking bottles; one was laying on the floor with their head on a staff member's leg and the other was laying on a boppy pillow.”

8VAC20-780-350-Q

“Based on interviews and documentation review, the facility casually reassigned a child from their regular group and staff disrupting the child's schedule and attachment to their staff members and group. Evidence: On 6/29/23 at approximately 3:30pm, an infant was moved from the Infant plus one classroom to the infant classroom in order to reduce the ratio to allow a staff member to go home.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed as required. Evidence: two infants were observed drinking a bottle and their hands were not washed afterwards.”

8VAC20-780-340-D

“Based on interviews and documentation review, the facility failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: on 6/29/23 at approximately 3:30pm, staff #2 was left alone with four children in the infant plus one classroom. Staff #2 is listed as an assistant teacher and does not have program leader qualifications documented in their record.”

8VAC20-780-440-G

“Based on observation, staff interview, and review of documentation, it was determined that the facility did not ensure that cribs are used for all children under 12 months of age. Evidence: 1) child #1 (date of birth: 5/29/22), child #2 (date of birth: 6/13/2022) and child #3 (date of birth: 5/13/2022) were observed napping on cots in the infant B classroom.”

8VAC20-780-560-F

“Based on observation, and interviews with staff, the facility did not follow the most recent age-appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA when providing lunch. Evidence: children in the toddler classroom were served water with lunch, not milk.”

8VAC20-780-440-G

“Based on observation, staff interview, and review of documentation, it was determined that the facility did not ensure that cribs are used for all children under 12 months of age. Evidence: 1) child #1 (date of birth: 5/29/22), child #2 (date of birth: 6/13/2022) and child #3 (date of birth: 5/13/2022) were observed napping on cots in the infant B classroom.”

8VAC20-780-560-F

“Based on observation, and interviews with staff, the facility did not follow the most recent age-appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA when providing lunch. Evidence: children in the toddler classroom were served water with lunch, not milk.”

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

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

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance documents the arrival and departure of all children in care as it occurs. Evidence: 1) In the infant A class, seven children were observed, however only five children were listed on the attendance sheet; 2) In the infant B class, three children were observed, however four children were listed on the attendance sheet.”

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

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

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance documents the arrival and departure of all children in care as it occurs. Evidence: 1) In the infant A class, seven children were observed, however only five children were listed on the attendance sheet; 2) In the infant B class, three children were observed, however four children were listed on the attendance sheet.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #4 and child #5, with diagnosed food allergies, did not contain an allergy care plan.”

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #4 and child #5, with diagnosed food allergies, did not contain an allergy care plan.”

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #4 and child #5, with diagnosed food allergies, did not contain an allergy care plan.”

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”