Children's Harbor Eastern Shore

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. There was a container of sanitizer with a warning label on the sink in the staff lounge where the door was standing open. 2. There was a spray bottle labeled bleach and water and a pump antibacterial hand sanitizer on a cabinet inside the exterior door of the two year old classroom. Both had warning labels. 3. Staff 1 acknowledged that the above listed fluids were not in locked locations inaccessible to the children.”

8VAC20-780-430-I

“Based upon observation and staff interview, the facility has not ensured that children's personal articles are individually assigned. Evidence: 1. The two year old children were observed in the hallway upon returning from outdoor play. The children's water bottles were not labeled with the children's names. 2. Staff stated that the names must have come off the bottles.”

8VAC20-780-510-E

“Based upon observation and staff interview, the facility has not ensured that the procedures for administering medication ensure that there is written parent authorization for any medication that is to be administered to a child. Evidence: 1. There was albuterol stored for potential administration to child 1, child 2 and child 4. There was no written parent authorizations for the medications to be administered. 2. There was epinephrine stored for emergency administration to child 3. There was no written parent authorization for the medication to be administered. 3. Staff 1 acknowledged that written parent authorizations were not obtained for the above listed medication.”

8VAC20-780-550-G

“Based upon review of records and staff interview, the facility has not ensured that documentation of emergency drills includes all required information. Evidence: 1. Beginning in February 2023, the facility's emergency evacuation drill record include only the date of the drill, the number of children present and the time to evacuate. The records did not include the name of the person conducting the drill, the method used for notification of the drill, the number of staff participating, any problems encountered and weather conditions. 2. Staff 1 acknowledged that the new drill record did not include all required documentation.”

8VAC20-780-550-P

“Based upon review of records and staff interview, the facility has not ensured that the written record of children's injuries includes all required documentation. Evidence: 1. An injury record dated 03/15/2023 for child 6 does not have documented the time the parent was notified of the child's injury or how the parent was notified of the injury. 2. Staff 1 verified that the injury record was missing both the time and how the parent was notified of the injury.”

8VAC20-780-570-E

“Based upon observation and staff interview, the facility has not ensured that prepared infant formula is dated and labeled with the child's name. Evidence: 1. None of the prepared bottles in the infant room were labeled with the children's names and dates. 2. Staff 1 acknowledged that the bottles were not labeled with names and dates.”

22.1-289.035-B-4

“Based upon review of staff files and staff interview, the facility has not ensured that they had obtained a copy of the results of a search of the child abuse and neglect registry and sex offender registry from any state in which an individual has resided in the preceding five years before the staff person reported for work at the child day center. Evidence: 1. The sworn disclosure statement completed by staff 5, who was hired and began working at the facility on 3/6/2023 indicated that staff 6 had lived in Missouri within the preceding five years. The facility had not received results of a search of the child abuse and neglect registry or sex offender check from Missouri. 2. Staff 1 acknowledged that results of a child abuse and neglect registry and sex offender registry searches had not been obtained.”

8VAC20-780-280-D

“Based upon observation and staff interview, the facility has note ensured that cleaning and sanitizing materials are stored in areas physically separate from food. Evidence: 1. In the two year old classroom, there were containers of cheese puffs and pretzels, identified by staff as snack items for those children who may not eat the foods listed on the menus, stored under the diaper changing table on the same shelf as cleaning and sanitizing fluids. 2. Staff 1 acknowledged that the children's food items were stored with cleaning fluids”

8VAC20-780-320-B

“Based upon observation and measurements, the facility has not ensured that the restrooms have warm running water that does not exceed 120 degrees F. Evidence: 1. Staff 1 measured that water temperature in the preschool boys' bathroom at 133 degrees F. 2. There was no warm water in the preschool girls' bathroom.”

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. There was a container of sanitizer with a warning label on the sink in the staff lounge where the door was standing open. 2. There was a spray bottle labeled bleach and water and a pump antibacterial hand sanitizer on a cabinet inside the exterior door of the two year old classroom. Both had warning labels. 3. Staff 1 acknowledged that the above listed fluids were not in locked locations inaccessible to the children.”

8VAC20-780-430-I

“Based upon observation and staff interview, the facility has not ensured that children's personal articles are individually assigned. Evidence: 1. The two year old children were observed in the hallway upon returning from outdoor play. The children's water bottles were not labeled with the children's names. 2. Staff stated that the names must have come off the bottles.”

8VAC20-780-510-E

“Based upon observation and staff interview, the facility has not ensured that the procedures for administering medication ensure that there is written parent authorization for any medication that is to be administered to a child. Evidence: 1. There was albuterol stored for potential administration to child 1, child 2 and child 4. There was no written parent authorizations for the medications to be administered. 2. There was epinephrine stored for emergency administration to child 3. There was no written parent authorization for the medication to be administered. 3. Staff 1 acknowledged that written parent authorizations were not obtained for the above listed medication.”

8VAC20-780-550-G

“Based upon review of records and staff interview, the facility has not ensured that documentation of emergency drills includes all required information. Evidence: 1. Beginning in February 2023, the facility's emergency evacuation drill record include only the date of the drill, the number of children present and the time to evacuate. The records did not include the name of the person conducting the drill, the method used for notification of the drill, the number of staff participating, any problems encountered and weather conditions. 2. Staff 1 acknowledged that the new drill record did not include all required documentation.”

8VAC20-780-550-P

“Based upon review of records and staff interview, the facility has not ensured that the written record of children's injuries includes all required documentation. Evidence: 1. An injury record dated 03/15/2023 for child 6 does not have documented the time the parent was notified of the child's injury or how the parent was notified of the injury. 2. Staff 1 verified that the injury record was missing both the time and how the parent was notified of the injury.”

8VAC20-780-570-E

“Based upon observation and staff interview, the facility has not ensured that prepared infant formula is dated and labeled with the child's name. Evidence: 1. None of the prepared bottles in the infant room were labeled with the children's names and dates. 2. Staff 1 acknowledged that the bottles were not labeled with names and dates.”

22.1-289.035-B-4

“Based upon review of staff files and staff interview, the facility has not ensured that they had obtained a copy of the results of a search of the child abuse and neglect registry and sex offender registry from any state in which an individual has resided in the preceding five years before the staff person reported for work at the child day center. Evidence: 1. The sworn disclosure statement completed by staff 5, who was hired and began working at the facility on 3/6/2023 indicated that staff 6 had lived in Missouri within the preceding five years. The facility had not received results of a search of the child abuse and neglect registry or sex offender check from Missouri. 2. Staff 1 acknowledged that results of a child abuse and neglect registry and sex offender registry searches had not been obtained.”

8VAC20-780-280-D

“Based upon observation and staff interview, the facility has note ensured that cleaning and sanitizing materials are stored in areas physically separate from food. Evidence: 1. In the two year old classroom, there were containers of cheese puffs and pretzels, identified by staff as snack items for those children who may not eat the foods listed on the menus, stored under the diaper changing table on the same shelf as cleaning and sanitizing fluids. 2. Staff 1 acknowledged that the children's food items were stored with cleaning fluids”

8VAC20-780-320-B

“Based upon observation and measurements, the facility has not ensured that the restrooms have warm running water that does not exceed 120 degrees F. Evidence: 1. Staff 1 measured that water temperature in the preschool boys' bathroom at 133 degrees F. 2. There was no warm water in the preschool girls' bathroom.”

8VAC20-780-430-I

“Based on interviews, it was determined that the licensee did not ensure that personal items are individually assigned. Evidence: 1. The bottles that the children used for water were not labeled with their name. 2. Staff #6 (Program Director) confirmed that the bottles the children were using to drink water were not individually assigned.”

8VAC20-780-280-B

“Based on observation, it was determined that the facility did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a can of disinfectant spray sitting on the top of the toilet in the bathroom located in the main lobby area. 2. Staff #6 (program Director) confirmed there were hazardous substances present that were not kept in a locked place.”

8VAC20-780-430-I

“Based on interviews, it was determined that the licensee did not ensure that personal items are individually assigned. Evidence: 1. The bottles that the children used for water were not labeled with their name. 2. Staff #6 (Program Director) confirmed that the bottles the children were using to drink water were not individually assigned.”

8VAC20-780-280-B

“Based on observation, it was determined that the facility did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a can of disinfectant spray sitting on the top of the toilet in the bathroom located in the main lobby area. 2. Staff #6 (program Director) confirmed there were hazardous substances present that were not kept in a locked place.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule. Evidence: 1. There was no document that contained the feeding schedule for each child who is on formula. 2. Staff #11 (Program Director) confirmed that there was not a feeding schedule for each child who is on formula available for viewing during the inspection.”

8VAC20-780-520-B

“Based on observation and interview, it was determined that the facility did not ensure that sunscreen shall be inaccessible to children under five years of age. Evidence: 1. The Licensing Inspector observed a can of sunscreen in a cubby in the Preschool classroom. 2. Staff #11 (Program Director) confirmed that the sunscreen was accessible to the children present in the classroom.”

22.1-289.035-B-4

“Based on a review of ten staff records, it was determined that the licensee did not ensure that they obtain a copy of the results of a criminal record check from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #7 did not contain documentation of a completed criminal record check from Pennsylvania. The sworn statement indicated staff #7 had previously lived in Pennsylvania within the last 5 years. 2. Staff #11 (Program Director) confirmed the sex offender registry check and search of the central registry from the State of Pennsylvania.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule. Evidence: 1. There was no document that contained the feeding schedule for each child who is on formula. 2. Staff #11 (Program Director) confirmed that there was not a feeding schedule for each child who is on formula available for viewing during the inspection.”

8VAC20-780-520-B

“Based on observation and interview, it was determined that the facility did not ensure that sunscreen shall be inaccessible to children under five years of age. Evidence: 1. The Licensing Inspector observed a can of sunscreen in a cubby in the Preschool classroom. 2. Staff #11 (Program Director) confirmed that the sunscreen was accessible to the children present in the classroom.”

22.1-289.035-B-4

“Based on a review of ten staff records, it was determined that the licensee did not ensure that they obtain a copy of the results of a criminal record check from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for staff #7 did not contain documentation of a completed criminal record check from Pennsylvania. The sworn statement indicated staff #7 had previously lived in Pennsylvania within the last 5 years. 2. Staff #11 (Program Director) confirmed the sex offender registry check and search of the central registry from the State of Pennsylvania.”