Children's International - FSI

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent use of outdated medication. The emergency medication for Child 6 was expired for three months.”

8VAC20-780-350-B-2

“The required ratio for children ages 16 to 24 months is one staff per five children. One staff was observed supervising a group of eleven children aged 16 to 24 months for approximately two minutes.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. 1. A one-inch exposed nail head was observed in the door frame between Classroom 2 and the restroom. 2. A torn foam ball was observed in Classroom 1.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. 1. Child 1: Last immunizations were received at approximately 4? months of age. Updates are more than 15 months overdue. 2. Child 2: Last immunizations were received at approximately 4 months of age. Updates are more than 14 months overdue. 3. Child 3: Last immunizations were received at approximately 9? months of age. Updates are more than 1 year overdue. 4. Child 4: Last immunizations were received at approximately 12 months of age. Updates are more than 6 months overdue.”

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. Classroom 2 and Classroom 3 were observed to have unlocked cabinets containing spray disinfectant and disinfecting wipes.”

8VAC20-780-70

“Staff records shall contain all required information. Staff 1's record did not contain the staff member's date of hire.”

8VAC20-780-60-A

“Children's records shall contain a written care plan 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 1 and child 2's record did not contain an allergy plan despite having a diagnosed food allergy.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance the center's own policies and procedures that are required by these standards. Infants were observing sleeping in with blankets in cribs. Blankets were also observed draped over the sides of occupied cribs. The licensee's safe sleep policy states that blankets will not be used in cribs.”

8VAC20-780-430-A

“Materials shall be of an appropriate size for the child using it. Classroom 2 was observed to have 5 small foam shapes on a low shelf. The size of the foam pieces posed a choking hazard for the ages of the children in the room.”

8VAC20-780-240-B

“REPEAT VIOLATION Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 1's record did not contain documentation of an orientation.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to hire. Staff 5's Tuberculosis screening was obtained six days after hire.”

22.1-289.035-B-1

“All employees must provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Staff 5's sworn disclosure was completed one day after hire.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. 1. Staff 3 completed orientation twelve days after hire. 2. Staff 5 completed orientation ten days after hire.”

22.1-289.035-B-4

“The licensee must obtain a obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. No out-of-state background checks have been requested for Staff 5 who has been employed for two months, and who has disclosed a previous state of residence.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of hire and prior to coming into contact with children. Staff 4 worked for seven and a half months before providing a Tuberculosis screening.”

8VAC20-780-210-A

“Program leaders are required to meet the qualifications of the position. Staff 2 is operating as a "program leader", the staff member's record does not contain documentation that the staff member has met all of the qualifications of the role.”

8VAC20-780-240-B

“REPEAT VIOLATION Based on record review, staff did not complete all required orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 2's record contained an incomplete orientation training. The staff member has been employed for approximately three weeks.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas of the center were not maintained in a safe condition. Evidence: Chipping and flaking paint was observed on a wall in the Young Toddler Classroom.”

8VAC20-780-430-B

“Based on observation, materials were not age and stage appropriate for the ages of children in care. Evidence: Small pom poms and packing peanuts observed on an open shelf in the toddler room to be used as art material. These materials pose a choking hazard to this age group.”

22.1-289.011-F

“Based on observation, documents required by the Superintendent were not posted in a conspicuous place on the licensed premises. Evidence: The inspection findings from April 19, 2023 were not posted in the facility.”

22.1-289.035-A

“Based on record review, one staff did not have the results of a national criminal record check within the preceding five years. Evidence: The criminal record check for Staff 2 was conducted on 3/23/2018.”

22.1-289.035-B-4

“Based on record review, the center did not have the results of a criminal record check for a state an employee member was a resident of in the preceding five years. Evidence: Staff 6's record does not contain the results of a criminal record check for a state she has lived in within the preceding five years.”

8VAC20-780-40-K

“Based on record review, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: On the date of inspection the director could not produce written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

8VAC20-780-60-A

“Based on record review, one child's file from the sample reviewed did not contain all required information. Evidence: Child 4's record did not contain a written care plan for a diagnosed food allergy, to include instructions from a physician regarding food to which the child is allergic, and steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-240-A

“Based on record review, two staff hired after 10/13/2021 had not completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff 1 and Staff 2's records do not contain a completion certificate for the Virginia Department of Education-sponsored orientation course. Staff 1 was hired in November 2021. Staff 2 was hired November 2022.”

8VAC20-780-240-B

“Based on record review, staff did not complete orientation training prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 1's record does not have a completed orientation form on file.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe condition. Evidence: 1. In the two year old classroom, a wooden toy microwave cabinet was observed to have cracked and splintering wood on the back corner in an areas accessible to children. 2. The wooden planks at the base of the playground ramp were observed to be detaching from the ramp and exposing the finishing nails used to hold the planks in place. 3. Two steak knives were observed in an unlocked cabinet in the Young toddler classroom.”

8VAC20-780-570-E

“Based on observation, infant bottles were not labeled with the child's name and the date. Evidence: A bottle was observed in the refrigerator in the Infant classroom without a label indicating the child's name or the date.”

8VAC20-780-430-B

“Based on observation, materials available were not age and stage appropriate for the children in care. Evidence: 1. In the Older Toddler Classroom an open shelving unit was observed to contain open and accessible jars and containers of: pony beads, small rocks, small balls, glitter, and metallic confetti, which pose a choking hazard for children under the age of three. 2. In the Older Infant room an open container of small "googly eyes" was observed on a low shelf accessible to children, and posed a choking hazard. 3. In the Infant classroom, an unsealed sensory bottle containing dry rice and beans, and a canister containing small plastic pieces, were observed on open shelves accessible to children.”

8VAC20-780-280-G

“Based on observation, hazardous substances, not kept in original containers, were not labeled to clearly indicate their contents. Evidence: An unlabeled bottle containing a green liquid that a staff member identified as "cleaning solution" was observed in the Young Toddler classroom.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A canister of disinfectant wipes was observed on a low counter in the Preschool classroom. 2. A bottle of spray cleaner was observed in an unlocked cabinet in the Young Toddler classroom.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe condition. Evidence: A structural wooden platform in the Older Toddler classroom was observed with a chip in the wood approximately the size of a dime. The edges of the hole were sharp to the touch.”

8VAC20-780-50-A

“Based on observation children's records were not treated confidentially. Evidence: A list containing confidential student medical information was observed posted in publicly observable areas in the Older Toddler and Older Infant classrooms.”

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

“Based on record review, one renewal applicant did not have the results of a central registry check on file. Evidence: 1. The central registry check for Applicant 1 expired on 7/8/2021. 2. The sworn statement for Applicant 3 expired on 9/8/2022.”

8VAC20-780-280-G

“Based on observation, hazardous substances, not kept in original containers, were not labeled to clearly indicate their contents. Evidence: An unlabeled bottle containing a green liquid that a staff member identified as "cleaning solution" was observed in the Young Toddler classroom.”

8VAC20-780-520-D

“Based on observation, insect repellant was not kept in an area inaccessible to children. Evidence: Insect repellent was observed stored in a zip lock bag in a child's cubby in the Preschool classroom.”

22.1-289-036-B-4

“Based on record review, renewal applicants did not have the results of an out of state child abuse and neglect search by the end of their 30th day of employment, or the results of a criminal record check prior to the first day of service. Evidence: 1. Applicant 1's record does not contain the results of an out-of-state criminal record check for two listed out of state residences. 2. Applicant 2's record does not contain the results of an out-of-state criminal record check and an out- of-state central registry check for two listed out of state residences.”

8VAC20-780-520-B

“Based on observation, sunscreen was not kept in an area inaccessible to children. Evidence: Sunscreen was observed stored in a zip lock bag in a child's cubby in the Preschool classroom.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Liquid allergy medication and an epinephrine injector were observed inside of an unlocked storage box in the Older Toddler Classroom.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility were not posted. Evidence: The violation notice from the most recent inspection was not included in the posting of the findings.”

22VAC40-185-430-B

“Based on observation, not all materials available are age and stage appropriate for the children in care. Evidence: In the younger and older toddler classrooms crafting materials and toys were observed that are small enough to be considered a choking hazard and are not approved for use by children aged three years and younger.”

22VAC40-185-420-E-1

“Based on record review and staff statements, the daily record for infants did not contain all required information. Evidence: The daily record for infants did not contain the amount of time the infants spend on their stomachs.”

22VAC40-185-50-A

“Based on observation, not all children's records were treated confidentially. Evidence: An allergy list containing children's names and medical information was observed posted in plain view in the Older Toddler classroom.”

22VAC40-185-270-A

“Based on observation, not all equipment outside the center was maintained in a safe condition. Evidence: Two small toys on the outdoor playground were observed with cracks and broken fingers that could snag skin or cause an entrapment of fingers.”

22.1-289-036-B-4

“Based on record review, one staff member's record did not contain the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The out of state central registry check for Staff 3 was conducted on 12/20/2020 by another facility and not the current licensed facility. 2. The record for Staff 3 did not contain a sex offender registry check.”

22.1-289.036-B-2

“Based on record review, one of three staff records did not contain the results of a national criminal background check requested by the facility, Evidence: Staff 3's record contains a fingerprint criminal record check that was requested by a facility other than the current licensed facility. The results are dated 12/4/2020 and were requested by the Vinci School of Alexandria.”

8VAC20-780-70

“Based on record review, three of three staff member records did not contain all required reference checks. Evidence: Staff 1, 2, and 3's record contain one of the two required reference checks.”

22.1-289.036-B-3

“Based on record review, two of three staff member's records did not contain the findings of a central registry check. Evidence: Staff 2 and 3's record do not contain the results of a central registry check.”

8VAC20-780-245-J-3

“Based on record review and director statement, children in care with emergency medication were not always in the care of a staff member or independent contractor who meets the requirement. Evidence: Staff 4 is currently the only staff member trained to administer medications. On the date of inspection the director stated that the employee was not onsite. On the date of inspection there were children with emergency medications in attendance.”