Children's Enrichment Program

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by three months.”

8VAC20-780-60-A-8

“A written care plan is required 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. Child #3, who has been enrolled for over a year, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-320-B

“REPEAT VIOALTION Each restroom area provided for children shall have sinks with running warm water that does not exceed 120F. The water in the girl’s restroom sink was 124.5F.”

8VAC20-780-560-G

“When food is brought from home, the food container shall be clearly dated. None of the lunchboxes and water bottles that were brought from home were dated.”

8VAC20-780-250-C

“A notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review shall be posted. The asbestos notice was not posted.”

22.1-289.035-A

“Based on review of records, the center failed to ensure that background checks are repeated every five years. Evidence: 1. Staff #1?s criminal history background check was dated 05/29/2018. There was no updated criminal history background check for Staff #1. 2. Staff #1?s sworn disclosure was dated 08/28/2018. There was no updated sworn disclosure for Staff #1. 3. Staff #5?s central registry check was dated 01/14/2019. There was no updated central registry check for Staff #5. 4. Staff #1 confirmed that the background checks had not been repeated every five years.”

8VAC20-780-350-B-4

“Based on observation, the center failed to ensure the staff: child ratios are maintained whenever children are in care. Evidence: 1. During the inspection, Staff #5 was observed in the hallway and then entering the classroom. The licensing inspector entered the classroom with Staff #5 and observed Staff #6 alone with 11 children. Staff #6 confirmed that the youngest child in the group was three years old. The 1:10 staff: child ratio for children three years up to school age was not meet.”

8VAC20-780-320-B

“Based on measurement, the center failed to ensure that water temperature in the bathrooms does not exceed 120F. Evidence: 1. The water in the restroom in Staff #4?s classroom measured 121.3F.”

8VAC20-780-510-E

“Based on review of policy, the center’s procedures for administering medication did not include methods to prevent use of outdated medication. Evidence 1. The ?Medication acceptance and administration? procedure provided by the center did not include a method to prevent use of dated medication.”

8VAC20-780-510-G

“Based on review of medication and interview, the center failed to ensure that medication is labeled with the child’s name, the name of the medication, the dosage and the time or times to be given. Evidence: 1. An epinephrine pen was observed in a plastic bag with Child #6?s name on the bag. It was not labeled with the name of the medication, the dosage and the time or times to be given. 2. Staff #6 confirmed the label with the required information was missing.”

8VAC20-780-530-A-1

“Based on observations and interview, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Staff #5 was observed to be the only staff member on the playground with seven children. 2. Staff #5?s CPR certification expired on 09/15/2023. Staff #6 confirmed that Staff #5 did not have current CPR certification.”

8VAC20-780-530-A-2

“Based on observations and interview, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in first aid. Evidence: 1. Staff #5 was observed to be the only staff member on the playground with seven children. 2. Staff #5?s first aid certification expired on 09/15/2023. Staff #6 confirmed that Staff #5 did not have current first aid certification.”

8VAC20-780-60-A

“Based on review of records and observation, the center failed to ensure that each child’s record contained a written care plan from a physician for each child with a diagnosed food allergy. Evidence: 1. For Child #6, a diagnosed allergy was indicated on the medication form. Child #6?s file did not contain a written care plan. 2. Staff #1 confirmed that there was not written care plan for Child #6?s file.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that the water temperature did not exceed 120?F. Evidence: 1. The water in girls? restrooms was measured and it read 121.2?F.”

8VAC20-780-530-A-1

“Based on review of records and interviews, the center failed to ensure that there was at least one staff in each classroom where children are present with current certification cardiopulmonary resuscitation (CPR). Evidence: 1. In Classroom #1, Staff #4 and #7 were present. 2. Staff #4?s CPR certification expired on 9/24/22. 3. Staff #7 did not have CPR certification on file. 4. Staff #1 confirmed that neither staff had current CPR certification.”

8VAC20-780-530-A-2

“Based on review of records and interviews, the center failed to ensure that there was at least one staff member in each classroom where children are present with current certification first aid. Evidence: 1. In Classroom #1, Staff #4 and #7 were present. 2. Staff #4?s First Aid certification expired on 9/24/22. 3. Staff #7 did not have First Aid certification on file. 4. Staff #1 confirmed that neither staff had current First Aid certification.”

8VAC20-780-280-B

“Based on observations and interviews, the center failed to ensure that hazardous substances were kept in a locked place. Evidence: 1. In Classroom #2, there were Clorox wipes, lysol spray and shaving cream in an unlocked cabinet. Staff #3 confirmed that these items were not in a locked place. 2. In Classroom #4, there were 2 bottles of spray adhesive, Clorox wipes and Borax in an unlocked cabinet. Staff #1 confirmed that these items were not in a locked place. 3. In Classroom #5, there were Clorox wipes, Lysol disinfecting spray (2), Up and Up disinfecting wipes and a box of [name] magic erasers in an unlocked cabinet. Staff #5 confirmed that these items were not in a locked place.”

8VAC20-780-380-A

“Based on observation and interviews the center failed to ensure a daily schedule was posted. Evidence: 1. In Classroom #1 there was no daily schedule posted. Staff #7 confirmed that there was no daily schedule posted in the classroom. 2. In Classroom #3 there was no daily schedule posted. Staff #6 confirmed that there was no daily schedule posted in the classroom.”

8VAC20-780-130-A

“Based on the review of three children's records and verification from the director, there was not an immunization record in the file for one child showing that the child was adequately immunized. Evidence 1. The record for Child #2 did not contain documentation that the child had received all of the immunizations required. Date of enrollment for Child #2 was 08/24/2021. 2. The director confirmed that the immunization record was not in the child's file.”