Children's Int'l School -Alexandria

8VAC20-780-270-A

“Areas and equipment inside of the center, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint. Peeling paint was observed on the walls in classroom #1 and #3 at a location within reach of the children.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment and every five years thereafter. The sworn statement for Staff #4, who is currently working, is overdue by 23 months.”

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering or changing. The vinyl changing pad was observed to have numerous tears exposing the absorbent fiber fill on the inside.”

22.1-289.035-A

“The facility must obtain an updated Sworn Statement every five years, as required, for all staff. The sworn statement for Staff #3 was not updated every five years. The sworn statement on file had expired over three months ago.”

8VAC20-780-80-A

“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. There was no documentation on the arrival time of two children in classroom #1.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the products shall be labeled with the child's name. A tube of Neosporin was not label with a name.”

8VAC20-780-520-D

“If insect repellent is used, the repellent shall be inaccessible to children. In classroom #1, there were four containers of insect repellent that were accessible to children.”

22.1-289.035-A

“The facility must obtain an updated Sworn Statement every five years, as required, for all staff. The sworn statement for Staff #3 was not updated every five years. The sworn statement on file had expired over three months ago.”

8VAC20-780-80-A

“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. There was no documentation on the arrival time of two children in classroom #1.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the products shall be labeled with the child's name. A tube of Neosporin was not label with a name.”

8VAC20-780-520-D

“If insect repellent is used, the repellent shall be inaccessible to children. In classroom #1, there were four containers of insect repellent that were accessible to children.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided for meeting requirements for food service. The last documentation of the annual environmental sanitation inspection was in August 2023.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided for meeting requirements for food service. The last documentation of the annual environmental sanitation inspection was in August 2023.”

8VAC20-780-550-E

“Based on record review, shelter in place procedures were not practiced a minimum of twice a year. Evidence: There was one documentation of a shelter-in-place procedure on 9/29/23.”

8VAC20-780-500-A

“Based on observation, the staff did not wash their hands with soap and running water before and after helping a child use the toilet. Evidence: Staff # 5 did not wash their hands before and after helping children use the toilet.”

8VAC20-780-550-F

“Based on record review and interview, lockdown procedures were not practiced at least annually. Evidence: 1. No documentation for a lockdown procedure practiced. 2. The center director acknowledged there was not a separate lockdown procedure practiced.”

8VAC20-770-60-C-2

“Based on record review and interview, the licensed child day program did not have a central registry finding within the 30 days of employment. Evidence: 1. The record for Staff #4 (DOH 6/28/23) did not contain a Virginia Central Registry finding. 2. The director confirmed that Staff #4 did not have a Central Registry finding in their record.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. The record for Child #3 (date of enrollment 06/26/23) did not have documentation of a physical examination by a physician within 30 days after the first day of attendance.”

8VAC20-780-70

“Based on record review, staff records did not have documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The records for Staff #4 (DOH 6/28/23) did not have documentation of two (2) or more references before employment. 2. The Director acknowledged there was only one (1) reference check for Staff #4.”

8VAC20-780-510-P

“Based on review of the medication being stored at the center, it was determined that the licensee did not ensure that when an authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #5 was expired (expired November 2022), but the medication was still at the center.”

8VAC20-780-510-E

“Based on review of medications and authorizations, the center's procedures did not meet requirements to administer medication. Evidence: Child #4 had an emergency allergy medication on site but did not have the physician's authorization as required for long-term prescriptions.”

8VAC20-780-520-C

“Based on record review and interview, the center failed to obtain written parent authorization noting any known adverse reaction shall be obtained. Evidence: 1. Child #1 did not have parent authorization on file for Eucerin ointment. 2. Child #5 did not have parent authorization on file for Aquaphor ointment 2. Child #6 did not have parent authorization on file for Aquaphor ointment 3. Child #7 did not have parent authorization on file for Aquaphor ointment 4. The provider acknowledged there were not written parent authorizations for Child #1, #5, #6, and #7.”

22.1-289.035-A

“Based on record review, the provider did not obtain documentation for a 5 year repeat check. Evidence: 1. Staff #3's record did not have documentation of a 5 year criminal history repeat check. 2. The last documentation of a criminal history check expired on 3/10/2022.”

22.1-289.035-B-4

“Based on record review, the child day center did not obtain a copy of the results of an out-of-state sex offender registry check and a search of the child abuse and neglect registry by the end of the 30th day of employment. Evidence: Staff #5 (DOH 10/17/22) did not have documentation of out-of-state sex offender registry check nor an out-of-state child abuse and neglect registry search.”

8VAC20-780-160-A

“Based on record review, staff record did not contain documentation of a negative tuberculosis test or screening at the time of employment. Evidence: Staff #1 date of hire is 9/9/22 and at the time of inspection (3/16/22) there is no documentation of a TB test/screening on file.”

8VAC20-780-160-C

“Based on record review, 1 of 5 staff records did not contain documentation of a current TB test or screening, conducted every two years from the date of the first initial screening or test. Evidence: Staff #3 (DOH 09/1989) most recent documented TB test was dated 10/14/2010. (expired: 10/14/2012).”

8VAC20-780-270-A

“Based on observation, the center did not ensure the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: There was chipped and peeling paint above the sink in the children's restroom.”

8VAC20-780-510-G

“Based on observation and interview, medication was not labeled with the child's name, the name of the medication, the dosage amount and the time or times to be given. Evidence: 1. A bottle of Hyland's Cough & Mucus syrup was in a plastic bag with dispensers and not label with a child's name. 2. Staff #2 stated the Hyland's Cough & Mucus syrup belong to Child #4. 3. An epi-pen for Child #1 was in a clear plastic baggie, and not labeled with the name of the medication, the dosage and the time or times. 4. The provider acknowledge the epi-pen for Child #1 was not labeled.”

8VAC20-780-520-C

“Based on record review, the center did not obtain written parent authorization noting any known adverse reactions if diaper ointment or cream is used. Evidence: Child #2 had no written parent authorization for diaper ointment.”

22.1-289.035-B-2

“Based on record review, the provider did not obtain a criminal history record check prior to the 1st day of their employment. Evidence: Staff #2 (DOH 9/1/22) does not have documentation of criminal history check in file.”

8VAC20-780-510-G

“Based on observation, medication was not labeled with the name of the medication, the dosage amount, and the time or times to be given. Evidence: Medication (Auri-9) had a handwritten label with name of child #2 on it.”

8VAC20-780-500-B

“Based on observation and interview, staff did not clean the diapering surface with soap and water and then sanitize after each use. Evidence: 1. A cleaning bottle that contained soap and water was not available. 2. Staff #3 acknowledged wiping the diapering surface only with a bleach solution.”

8VAC20-770-60-C-2

“Based on record review, the central registry finding was not received within 30 days of employment. Evidence: 1. Staff #1 (DOH 9/19/22) did not have central registry results within 30 days of employment. 2. Staff #2 (DOH 9/19/22) did not have central registry result within 30 days of employment.”

8VAC20-780-160-A

“Based on record review, the documentation of tuberculosis (TB) screening was not completed within the last 30 calendar days of the date of employment. Evidence: Staff #1 (DOH 9/1/22) TB screening was conducted on 2/4/22.”

8VAC20-780-160-A

“Based on record review, staff record did not contain documentation of a negative Tuberculosis (TB) test or screening at the time of employment. Evidence: Record for Staff #2 (DOH 9/1/22) has no documentation of a TB test/screening at the time of inspection (10/13/22).”

8VAC20-780-40-M

“Based on record review, the center failed to obtain 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. Evidence: Child #2 did not have a written allergy plan with instruction from the physician.”

8VAC20-780-290-A-3

“Based on observation, the electrical outlets did not have protective covers. Evidence: 1. The 3-4?s class had an electrical outlet without protective cover in an area used by children. 2. The 2?s class had an electrical outlet in the block area without a protective cover.”

8VAC20-780-280-B

“Based on observation, potentially poisonous materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Open shelves under the sink in Pre-K class have potentially poisonous materials that are accessible to children. There is only a curtain covering the materials. 2. Open shelves under the sink in the older 3?s class have potentially poisonous materials that are accessible to children. There is only a curtain covering the materials. 3. A Staff purse with medication inside was accessible to children. 4. The 2?s class has an unlocked cabinet under the sink with bottles of bleach and cleaning products inside.”

8VAC20-780-80-A

“Based on observation and interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The Pre-K class had 12 children in attendance at the time of inspection (10/13/22) and no documentation of their arrival in the center for the day. 2. The Twos class had 9 children in attendance at the time of inspection (10/13/22) and no documentation of their arrival in the center for the day. 3. Staff #4 acknowledged no documentation of attendance had been completed for the day.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain 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. Evidence: Child #2 did not have a written allergy plan with instruction from the physician.”