Children's Harbor - Ghent

8VAC20-780-550-P Complaint related: No

“Based on observation and interviews, it was determined the facility did not ensure that the center maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence and contain all the required information. Evidence: 1.The injury record for child #1 did not contain the time the parent was notified. 2.The injury record for child #2 did not contain documentation of the date, time, and method that the parent was notified. 3.There was no written record for a bite injury that occurred on 7/23/24. 4. The Director confirmed the required injury documentation was not in the records.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. 1.There was rust on the stairs of the play equipment on the preschool playground. 2.There was a hole, approximately 3? wide in the wall of the two-year-old classroom. 3.The Director confirmed there was rust on the stairs and a hole in the wall.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the center did not ensure that documentation of additional immunizations was obtained once every six months for children under the age of two years. Evidence: 1.The immunization record for child # 5, who was 12 months old, was dated 6/28/23. An updated record was record after 12/28/2023. 2. The Director confirmed the update was not in the record.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. 1.In the infant room there were 3 bottles that were not dated or labeled to identify the owner.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that a monthly practice evacuation drill was implemented. Evidence: 1.There was no documentation of practice evacuation drills for December 2023 and January 2024. 2.The Director confirmed the drills were not documented.”

8VAC20-780-290-A-3

“Based on observation and interviews, it was determined that the facility did not ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1.One electrical outlet cover was missing in the infant classroom. 2.Three electrical outlets were missing in the two-year-old classroom. 3.One electrical outlet cover was missing in the three-year-old classroom. 4.The Director confirmed the covers were missing.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval have current certification in first aid appropriate to the ages of children in care. Evidence: 3.The record for staff #3, date of hire 1/25/2024 did not contain documentation of first aid certification. 4.The director confirmed the certification had not been received.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for staff #3, date of hire 1/25/2024 did not contain documentation of CPR certification. 2. The director confirmed the certification had not been received.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. 1.There was rust on the stairs of the play equipment on the preschool playground. 2.There was a hole, approximately 3? wide in the wall of the two-year-old classroom. 3.The Director confirmed there was rust on the stairs and a hole in the wall.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the center did not ensure that documentation of additional immunizations was obtained once every six months for children under the age of two years. Evidence: 1.The immunization record for child # 5, who was 12 months old, was dated 6/28/23. An updated record was record after 12/28/2023. 2. The Director confirmed the update was not in the record.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. 1.In the infant room there were 3 bottles that were not dated or labeled to identify the owner.”

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined that the center did not ensure that a monthly practice evacuation drill was implemented. Evidence: 1.There was no documentation of practice evacuation drills for December 2023 and January 2024. 2.The Director confirmed the drills were not documented.”

8VAC20-780-290-A-3

“Based on observation and interviews, it was determined that the facility did not ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1.One electrical outlet cover was missing in the infant classroom. 2.Three electrical outlets were missing in the two-year-old classroom. 3.One electrical outlet cover was missing in the three-year-old classroom. 4.The Director confirmed the covers were missing.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval have current certification in first aid appropriate to the ages of children in care. Evidence: 3.The record for staff #3, date of hire 1/25/2024 did not contain documentation of first aid certification. 4.The director confirmed the certification had not been received.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for staff #3, date of hire 1/25/2024 did not contain documentation of CPR certification. 2. The director confirmed the certification had not been received.”

8VAC20-780-410-1 Complaint related: No

“Based on observation, record review, staff documentation review, and interviews, it was determined that the center failed to ensure that the following actions are forbidden: roughly handling and restricting movement of a child as punishment. Evidence: 1. Child #1?s parent observed during pick up on October 24, 2023, that Child #1 had a busted lip that was slightly bleeding. Child #1 reported to his parent that Staff #1 hit their head on the wall in the bathroom because they would not take a nap.? 2. Per the documentation provided by Staff #2, Program Director, as well as Staff #2?s interview, in observing the video footage in the classroom, Staff #1 was observed rough handling the child on two occasions before forcefully pulling him from his cot and taking him into the bathroom because the child would not take a nap. After taking the child out of the bathroom, Staff #1 was observed placing both of their legs across Child #1 while on the cot and continued to check under the blanket they placed over Child #1?s head to see if the child was sleeping. 3. Staff #4 confirmed hearing loud screams from the bathroom on October 24, 2023, during naptime at the center. Staff #4 notice that when Child #1 was picked up by a parent, they had had a ?busted lip.? 4. Staff #2 and Staff #3 confirmed that the actions by Staff #1 are against the policies of Children’s Harbor and failed to keep the child safe. Staff #1 violated the agency’s policy of discipline. 5. As a result of the actions in the classroom with Child #1, Staff #1 was terminated on October 25, 2023.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. In the 4 year old classroom there is a cracked and broken toy bin, in reach of the children in care, that poses as a pinching hazard. 2. In the 4 year old classroom there is a wooden play closet for the children that has a broken hinge and an exposed screw that poses as an injury hazard to children in care. 3. In the shared 2 year old and 4 year old bathroom, there is a box of disposable gloves on the floor in reach of children in care. The gloves pose as chocking hazards to the children. 4. Staff #1 confirmed that the toy bin and broken play closet, in reach of children in care, are broken. Staff #1 confirmed and acknowledged the box of disposable gloves were on the floor of the bathroom and pose as a choking hazard.”

8VAC20-780-160-C

“Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #2 (date of hire May 2021) has an expired tuberculosis test dated May 14, 2021. 2. Staff #1, confirmed that Staff #2?s tuberculosis test is expired.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. In the 4 year old classroom there is a cracked and broken toy bin, in reach of the children in care, that poses as a pinching hazard. 2. In the 4 year old classroom there is a wooden play closet for the children that has a broken hinge and an exposed screw that poses as an injury hazard to children in care. 3. In the shared 2 year old and 4 year old bathroom, there is a box of disposable gloves on the floor in reach of children in care. The gloves pose as chocking hazards to the children. 4. Staff #1 confirmed that the toy bin and broken play closet, in reach of children in care, are broken. Staff #1 confirmed and acknowledged the box of disposable gloves were on the floor of the bathroom and pose as a choking hazard.”

8VAC20-780-160-C

“Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #2 (date of hire May 2021) has an expired tuberculosis test dated May 14, 2021. 2. Staff #1, confirmed that Staff #2?s tuberculosis test is expired.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. The 2 year old classroom had no labels or dates on the children’s sippy cups that clearly identifies the owner. There were 7 children present and 7 sippy cups. 2. Staff #1 confirmed that all 7 sippy cups in the 2 year old classroom did not have dates or labels that identifies the owner. The center responded with the following: The center will ensure that all sippy cups are labeled and dated clearly which identifies the owner.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. In the 2 year old classroom there was a cracked and broken toy bin, in reach of the children in care, that poses as a pinching hazard. 2. Staff #1 confirmed that the toy bin, in reach of children in care, was cracked and broken.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. The 2 year old classroom had no labels or dates on the children’s sippy cups that clearly identifies the owner. There were 7 children present and 7 sippy cups. 2. Staff #1 confirmed that all 7 sippy cups in the 2 year old classroom did not have dates or labels that identifies the owner. The center responded with the following: The center will ensure that all sippy cups are labeled and dated clearly which identifies the owner.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. In the 2 year old classroom there was a cracked and broken toy bin, in reach of the children in care, that poses as a pinching hazard. 2. Staff #1 confirmed that the toy bin, in reach of children in care, was cracked and broken.”

8VAC20-780-270-A

“Based on observation and interview it was determined that the center did not ensure that areas and equipment of the center be maintained safe condition. Evidence: 1. In entrance of the infant room has loose baseboard lining along the foot of the wall which is a tripping and injury hazard for children in care. 2. In the waddler classroom, there is a plastic toy bin that is broken which poses as a pinching hazard to children. 3. There is peeling paint in the 3 year old classroom in which chipped paint is on the floor near the children’s cots and designated sleeping area. 4. Staff #1 confirmed the physical plant issues of the center needs repair. Staff #1 confirmed the plastic bin was broken.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the waddler classroom, there were two disinfectant cleaners with the warning label, ?Harmful to Humans? in a cubby that are in reach of children in care. 2. Staff #1 confirmed there were two disinfectant cleaners unlocked in reach of children.”

8VAC20-780-270-A

“Based on observation and interview it was determined that the center did not ensure that areas and equipment of the center be maintained safe condition. Evidence: 1. In entrance of the infant room has loose baseboard lining along the foot of the wall which is a tripping and injury hazard for children in care. 2. In the waddler classroom, there is a plastic toy bin that is broken which poses as a pinching hazard to children. 3. There is peeling paint in the 3 year old classroom in which chipped paint is on the floor near the children’s cots and designated sleeping area. 4. Staff #1 confirmed the physical plant issues of the center needs repair. Staff #1 confirmed the plastic bin was broken.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the waddler classroom, there were two disinfectant cleaners with the warning label, ?Harmful to Humans? in a cubby that are in reach of children in care. 2. Staff #1 confirmed there were two disinfectant cleaners unlocked in reach of children.”

8VAC20-780-570-C

“Based on a record review and interview the center did not ensure there was a record of each child on formula and the required components. Evidence: Infant staff reported they do not have a written record of children on formula, instead they verbally communicate with each other.”

8VAC20-780-370-5

“Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.”

8VAC20-780-280-G

“Based on observation the center did not ensure substitute containers indicated its contents. Evidence: In the pre-k room there was a spray bottle in the windowsill that contained a liquid inside. The bottle was not labeled in any way that indicated its contents.”

8VAC20-780-330-B

“Based on observation the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: The poured-in-place resilient surfacing, underneath the play structure outside of the waddler room, had cracks and holes in it.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the infant room, there were two unsecured wooden cubby shelves in the play space where babies were observed crawling and pulling up on a play bar, posing a tipping hazard. In the pre-k room there was an unsecured wooden dress-up station in the middle of the room, posing a tipping hazard. 2. The baseboard in the hall before entering the infant room was separated from the wall. 3. In the waddler room there was peeling paint in the windowsill, in reach of children. 4. The bathroom outside the waddler room had cracks in the flooring.”

8VAC20-780-370-5

“Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.”

8VAC20-780-570-C

“Based on a record review and interview the center did not ensure there was a record of each child on formula and the required components. Evidence: Infant staff reported they do not have a written record of children on formula, instead they verbally communicate with each other.”

8VAC20-780-370-5

“Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.”

8VAC20-780-280-G

“Based on observation the center did not ensure substitute containers indicated its contents. Evidence: In the pre-k room there was a spray bottle in the windowsill that contained a liquid inside. The bottle was not labeled in any way that indicated its contents.”

8VAC20-780-330-B

“Based on observation the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: The poured-in-place resilient surfacing, underneath the play structure outside of the waddler room, had cracks and holes in it.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the infant room, there were two unsecured wooden cubby shelves in the play space where babies were observed crawling and pulling up on a play bar, posing a tipping hazard. In the pre-k room there was an unsecured wooden dress-up station in the middle of the room, posing a tipping hazard. 2. The baseboard in the hall before entering the infant room was separated from the wall. 3. In the waddler room there was peeling paint in the windowsill, in reach of children. 4. The bathroom outside the waddler room had cracks in the flooring.”

8VAC20-780-370-5

“Based on observation and interview, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day Evidence: Infant staff reported they provide tummy time to infants for as much as they feel they can tolerate.”