Deep Creek Country Day School

8VAC20-780-80-B-2 Complaint related: No

“The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On 1/15/25 a toddler received a serious injury requiring medical attention. The center did not report the injury to the licensing representative.”

8VAC20-780-420-A Complaint related: Yes

“Before the child's first day of attending, parents shall be provided required information in writing. Parents were not provided in writing a copy of the parent handbook containing the required written information.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all of the required information.Staff #2, who has been working at the center for the past 11 months, had only 1 completed reference verification on file. 2 reference verifications is required. The address of an emergency contact for Staff #5 was not in the file. The following staff, Staff #1, Staff #4, Staff #5 and Staff #7, are documented as teachers however the files did not contain documentation of education.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. The record for Child #5 did not include the first date of attendance.”

8VAC20-780-130-E

“Repeat Violation The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The updated immunization documentation for Child #3 was overdue by 8 weeks.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/12/2024, were not posted.”

8VAC20-780-500-B

“Repeat Violation The diapering surface shall be used only for diapering or cleaning children. In the waddler and toddler classrooms a binder and a clipboard were on the diaper changing surfaces.”

8VAC20-780-560-G

“When food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. There were drinking containers that were not labeled with the date and the name of the child it belonged to.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children were served whole grapes in the three year old classroom.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In the school age area there was a hole in the wall close to the refrigerator, there was a missing wood floor board and loose floor tiles. In the bathroom the vanity was loose. In the cabinet under the sink a pipe was leaking and there was a full bucket of water underneath it. In a school age classroom the wall where an air conditioner was mounted had water damage and a black substance on it. The knob of a cabinet door was off and a screw with a sharp tip was exposed. On the playground there was chipped paint on a rocking horse. There was chipped paint and a hole on a climb in playground car.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Multiple cleaning products including Scrubbing Bubbles cleanser and disinfectants with the warning labels, ?Keep out of reach of children,? or "hazardous to humans" were unlocked in a school age classroom, within reach of children. In the three-year old classroom there were cans of Scrubbing Bubbles cleanser and Lysol spray in an unlocked cabinet in the bathroom. In the four year old classroom there was cleaning supplies including Oxy Clean and Scrubbing Bubbles in an unlocked closet.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. The following authorizations for medication had expired more than 14 days prior. The medications were not picked up by the parent or disposed of by the center. The medication authorization for Child #6 had expired 3 weeks prior. The medication authorization for Child #7 had expired 8 weeks prior. The medication authorization for Child #9 expired 12 weeks prior.”

8VAC20-780-330-B

“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. On the preschool/school age playground there was less than 2" of resilient surfacing in the fall zones of the climbing equipment, slides and swings. On the two year old playground there was less than 1" of resilient surfacing in the fall zones of the climbing equipment. At least 6" of resilient surfacing is required.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2, who had been employed for 11 months, did not have current CPR certification in the file.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of employment, current certification in first aid appropriate to the ages of children in care. Staff #2, who had been employed for 11 months, did not have current first aid certification in the file.”

8VAC20-780-550-O Complaint related: Yes

“Based on observation and interviews, it was determined that the facility did not ensure that the center notified the parent by the end of the day of any known minor injuries. Evidence: 1.On 12/1/2023 at approximately 3:15PM child #1 was involved in an altercation with child #2 a.Child #1 hit his head on a door frame when he was pushed by child #2. b. Following the incident child #1 was picked up by someone other than the parent. 2.The center did not call the parent to provide notification of the incident and injury. 3.The parent notified the center the following business day when child #1 complained that his head hurt. The child informed the parent of the incident. 4. The Director confirmed the center did not notify the parent.”

8VAC20-780-450-E

“Based on observation and interviews, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: 1.The waterproof covering on two cribs in the infant room were torn. In this condition the mattress was no longer waterproof and could not be properly cleaned or sanitized. 2.Staff #7 confirmed the mattresses were torn.”

8VAC20-780-450-A

“Based on observation and interviews, it was determined that the center did not ensure that when cots and mats are used by children during rest periods, they shall have linens consisting of a top and bottom cover. Evidence: 1.A child was sleeping on cot # 10. The child was laying directly on the cot. There was no bottom cover. 2.The Director confirmed the child did not have a bottom cover.”

8VAC20-780-350-B-1

“Repeat Violation Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained. Evidence: 1.There were 12 children ages 8 months to 24 months combined in the toddler classroom with 1 staff member. The ratio for children under 16 months of age is 1:4. 2.Staff #2 confirmed there were 12 children in the classroom. 3.Staff #2 confirmed the classroom was out of ratio.”

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: 3.In the 4-Year-Old classroom there was an outlet on a wall that was not covered. 4.The Director confirmed the outlet was not covered.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the 4-Year-Old classroom there was a can of shaving cream on shelf in the sink area of the classroom. The shaving cream was not in a locked cabinet. The label said, ?keep out of reach of children?. a.Staff #4 confirmed the shaving cream was not in a locked cabinet. 2.In the infant room there was a can of Lysol left out on the counter.”

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 peeling paint on the walls of the kindergarten classroom. 2.The Director confirmed the paint was peeling.”

8VAC20-780-60-A

“Repeat Violation Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. 1.The record for child #1 did not contain the parents work phone numbers. 2.The Director confirmed the information was not in the record.”

8VAC20-780-130-A

“Based on record review and interviews, it was determined the center did not ensure that the center obtained documentation that each child in care had received immunizations as required by the State Board of Health before the child attends the center. 1.Child #1 began care on 9/18/2023. This was 8 weeks before immunizations dated 11/14/2023 were received. 2.The Director confirmed the child began care before receiving documentation of immunization.”

8VAC20-770-60-B

“Based on record review and interview, it was determined the facility did not ensure that a sworn statement or affirmation is obtained prior to the first day of employment or beginning to serve as a volunteer. 1. The record for staff #6 did not contain documentation that a sworn statement had been obtained. 2.The Director confirmed the documentation was not in the record.”

8VAC20-780-70

“Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. 1.The record for staff #5 did not contain documentation of qualifications and 2 references. 2.The record for staff #1 did not contain the employee’s start date. 3.The Director confirmed the information was not in the staff member’s file.”

8VAC20-780-550-O Complaint related: Yes

“Based on observation and interviews, it was determined that the facility did not ensure that the center notified the parent by the end of the day of any known minor injuries. Evidence: 1.On 12/1/2023 at approximately 3:15PM child #1 was involved in an altercation with child #2 a.Child #1 hit his head on a door frame when he was pushed by child #2. b. Following the incident child #1 was picked up by someone other than the parent. 2.The center did not call the parent to provide notification of the incident and injury. 3.The parent notified the center the following business day when child #1 complained that his head hurt. The child informed the parent of the incident. 4. The Director confirmed the center did not notify the parent.”

8VAC20-780-450-E

“Based on observation and interviews, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: 1.The waterproof covering on two cribs in the infant room were torn. In this condition the mattress was no longer waterproof and could not be properly cleaned or sanitized. 2.Staff #7 confirmed the mattresses were torn.”

8VAC20-780-450-A

“Based on observation and interviews, it was determined that the center did not ensure that when cots and mats are used by children during rest periods, they shall have linens consisting of a top and bottom cover. Evidence: 1.A child was sleeping on cot # 10. The child was laying directly on the cot. There was no bottom cover. 2.The Director confirmed the child did not have a bottom cover.”

8VAC20-780-350-B-1

“Repeat Violation Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained. Evidence: 1.There were 12 children ages 8 months to 24 months combined in the toddler classroom with 1 staff member. The ratio for children under 16 months of age is 1:4. 2.Staff #2 confirmed there were 12 children in the classroom. 3.Staff #2 confirmed the classroom was out of ratio.”

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: 3.In the 4-Year-Old classroom there was an outlet on a wall that was not covered. 4.The Director confirmed the outlet was not covered.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the 4-Year-Old classroom there was a can of shaving cream on shelf in the sink area of the classroom. The shaving cream was not in a locked cabinet. The label said, ?keep out of reach of children?. a.Staff #4 confirmed the shaving cream was not in a locked cabinet. 2.In the infant room there was a can of Lysol left out on the counter.”

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 peeling paint on the walls of the kindergarten classroom. 2.The Director confirmed the paint was peeling.”

8VAC20-780-60-A

“Repeat Violation Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. 1.The record for child #1 did not contain the parents work phone numbers. 2.The Director confirmed the information was not in the record.”

8VAC20-780-130-A

“Based on record review and interviews, it was determined the center did not ensure that the center obtained documentation that each child in care had received immunizations as required by the State Board of Health before the child attends the center. 1.Child #1 began care on 9/18/2023. This was 8 weeks before immunizations dated 11/14/2023 were received. 2.The Director confirmed the child began care before receiving documentation of immunization.”

8VAC20-770-60-B

“Based on record review and interview, it was determined the facility did not ensure that a sworn statement or affirmation is obtained prior to the first day of employment or beginning to serve as a volunteer. 1. The record for staff #6 did not contain documentation that a sworn statement had been obtained. 2.The Director confirmed the documentation was not in the record.”

8VAC20-780-70

“Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. 1.The record for staff #5 did not contain documentation of qualifications and 2 references. 2.The record for staff #1 did not contain the employee’s start date. 3.The Director confirmed the information was not in the staff member’s file.”

8VAC20-780-550-O Complaint related: Yes

“Based on observation and interviews, it was determined that the facility did not ensure that the center notified the parent by the end of the day of any known minor injuries. Evidence: 1.On 12/1/2023 at approximately 3:15PM child #1 was involved in an altercation with child #2 a.Child #1 hit his head on a door frame when he was pushed by child #2. b. Following the incident child #1 was picked up by someone other than the parent. 2.The center did not call the parent to provide notification of the incident and injury. 3.The parent notified the center the following business day when child #1 complained that his head hurt. The child informed the parent of the incident. 4. The Director confirmed the center did not notify the parent.”

8VAC20-780-450-E

“Based on observation and interviews, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: 1.The waterproof covering on two cribs in the infant room were torn. In this condition the mattress was no longer waterproof and could not be properly cleaned or sanitized. 2.Staff #7 confirmed the mattresses were torn.”

8VAC20-780-450-A

“Based on observation and interviews, it was determined that the center did not ensure that when cots and mats are used by children during rest periods, they shall have linens consisting of a top and bottom cover. Evidence: 1.A child was sleeping on cot # 10. The child was laying directly on the cot. There was no bottom cover. 2.The Director confirmed the child did not have a bottom cover.”

8VAC20-780-350-B-1

“Repeat Violation Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained. Evidence: 1.There were 12 children ages 8 months to 24 months combined in the toddler classroom with 1 staff member. The ratio for children under 16 months of age is 1:4. 2.Staff #2 confirmed there were 12 children in the classroom. 3.Staff #2 confirmed the classroom was out of ratio.”

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: 3.In the 4-Year-Old classroom there was an outlet on a wall that was not covered. 4.The Director confirmed the outlet was not covered.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the 4-Year-Old classroom there was a can of shaving cream on shelf in the sink area of the classroom. The shaving cream was not in a locked cabinet. The label said, ?keep out of reach of children?. a.Staff #4 confirmed the shaving cream was not in a locked cabinet. 2.In the infant room there was a can of Lysol left out on the counter.”

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 peeling paint on the walls of the kindergarten classroom. 2.The Director confirmed the paint was peeling.”

8VAC20-780-60-A

“Repeat Violation Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. 1.The record for child #1 did not contain the parents work phone numbers. 2.The Director confirmed the information was not in the record.”

8VAC20-780-130-A

“Based on record review and interviews, it was determined the center did not ensure that the center obtained documentation that each child in care had received immunizations as required by the State Board of Health before the child attends the center. 1.Child #1 began care on 9/18/2023. This was 8 weeks before immunizations dated 11/14/2023 were received. 2.The Director confirmed the child began care before receiving documentation of immunization.”

8VAC20-770-60-B

“Based on record review and interview, it was determined the facility did not ensure that a sworn statement or affirmation is obtained prior to the first day of employment or beginning to serve as a volunteer. 1. The record for staff #6 did not contain documentation that a sworn statement had been obtained. 2.The Director confirmed the documentation was not in the record.”

8VAC20-780-70

“Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. 1.The record for staff #5 did not contain documentation of qualifications and 2 references. 2.The record for staff #1 did not contain the employee’s start date. 3.The Director confirmed the information was not in the staff member’s file.”

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 outside be maintained in a safe and operable condition. Evidence: 1. In the playground, there is a plastic play toy that has approximately four inches of standing water from the rain. The water poses as a hazard to the children in care. 2. In the school age room, a section of the hardwood floor has been removed due to water damage and has not been replaced. This poses as a tripping hazard to the children in care and has resulted in a child’s parent tripping on the surface. 3. Throughout the inside of building, there is chipping paint on the walls in the classrooms. 4. In the toddler room, there is about 6-8 inches of the baseboard missing from the wall and in reach of the toddlers in care. 5. The area carpet in the preschool age room is lifting at the edges and corners posing as a tripping hazard to the children in care. 6. In the school age room, the bathroom frame to the children’s bathroom is missing making the door difficult to close and open.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the documentation of the emergency evacuation drill log, the following were missing from the center’s log: Person conducting the drill, method of notification, special conditions, time to complete, problems encountered, and weather conditions. 2. Staff #1 confirmed that all the requirements to record on the documentation drill log were not recorded.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. In the infant room, the garbage used for diaper disposal requires staff to touch the exterior of the surface of the garbage. This was observed during a diaper change. 2. In the toddler room, the foot-operated garbage is broken and rusted. 3. Staff #1 confirmed that both storage systems for diapers did not meet licensing standards and that staff did use their hands to dispose of diapers.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that they shall maintain and keep at the center a separate record for each child enrolled which shall contain the work phone number each parent who has custody. Evidence: 1. Four of the ten children’s records observed did not have the work phone numbers for each parent. a. Child #1 (date of enrollment 5/16/23) did not have the work phone numbers listed for each parent. b. Child #2 (date of enrollment 3/17/23) did not have the work phone number for their father. c. Child #3 (date of enrollment 3/08/23) did not have the work phone numbers for both of their parents. d. Child #4 (date of enrollment 9/10/21) did not have the work phone number for both parents. 2. Staff #1 confirmed that the work phone numbers for Child #1, Child #2, Child #3, and Child #4 were not in their record.”

8VAC20-780-510-E

“Based on record review and interview, it was determined that the center did not ensure that when a child at the center requires medication, written authorization from the child's physician and parent must be kept in the record. Evidence: 1. Child #5 had written authorization from both a parent and physician for a prescription medication to be administered from 2/22/2022 to 2/22/2023. The center administered Child #5 the prescription medication on 5/02/2023 which is outside of the authorized timeframe. 2. Child #6 had written authorization from both a parent and physician for a prescription medication to be administered from 5/25/2023 to 6/01/2023. The medication was administered to Child #6 on 6/05/2023 and 6/08/2023. 3. Staff #1 confirmed that both Child #5 and Child #6 did not have written authorization by a parent and physician to administer medication at the given date. Staff #1 is aware that the medication was administered outside of the written authorization dates. .”

8VAC20-780-350-B-5

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio for school age eligible up to 9 years old are based on their approved waiver of one staff member to twenty school age children. Evidence: 1. In the school age room, one staff member was observed with 21 children in care. 2. Staff #1 and Staff #2 confirmed that they were out of ratio and there was one additional child in the classroom.”

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 outside be maintained in a safe and operable condition. Evidence: 1. In the playground, there is a plastic play toy that has approximately four inches of standing water from the rain. The water poses as a hazard to the children in care. 2. In the school age room, a section of the hardwood floor has been removed due to water damage and has not been replaced. This poses as a tripping hazard to the children in care and has resulted in a child’s parent tripping on the surface. 3. Throughout the inside of building, there is chipping paint on the walls in the classrooms. 4. In the toddler room, there is about 6-8 inches of the baseboard missing from the wall and in reach of the toddlers in care. 5. The area carpet in the preschool age room is lifting at the edges and corners posing as a tripping hazard to the children in care. 6. In the school age room, the bathroom frame to the children’s bathroom is missing making the door difficult to close and open.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the documentation of the emergency evacuation drill log, the following were missing from the center’s log: Person conducting the drill, method of notification, special conditions, time to complete, problems encountered, and weather conditions. 2. Staff #1 confirmed that all the requirements to record on the documentation drill log were not recorded.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. In the infant room, the garbage used for diaper disposal requires staff to touch the exterior of the surface of the garbage. This was observed during a diaper change. 2. In the toddler room, the foot-operated garbage is broken and rusted. 3. Staff #1 confirmed that both storage systems for diapers did not meet licensing standards and that staff did use their hands to dispose of diapers.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that they shall maintain and keep at the center a separate record for each child enrolled which shall contain the work phone number each parent who has custody. Evidence: 1. Four of the ten children’s records observed did not have the work phone numbers for each parent. a. Child #1 (date of enrollment 5/16/23) did not have the work phone numbers listed for each parent. b. Child #2 (date of enrollment 3/17/23) did not have the work phone number for their father. c. Child #3 (date of enrollment 3/08/23) did not have the work phone numbers for both of their parents. d. Child #4 (date of enrollment 9/10/21) did not have the work phone number for both parents. 2. Staff #1 confirmed that the work phone numbers for Child #1, Child #2, Child #3, and Child #4 were not in their record.”

8VAC20-780-510-E

“Based on record review and interview, it was determined that the center did not ensure that when a child at the center requires medication, written authorization from the child's physician and parent must be kept in the record. Evidence: 1. Child #5 had written authorization from both a parent and physician for a prescription medication to be administered from 2/22/2022 to 2/22/2023. The center administered Child #5 the prescription medication on 5/02/2023 which is outside of the authorized timeframe. 2. Child #6 had written authorization from both a parent and physician for a prescription medication to be administered from 5/25/2023 to 6/01/2023. The medication was administered to Child #6 on 6/05/2023 and 6/08/2023. 3. Staff #1 confirmed that both Child #5 and Child #6 did not have written authorization by a parent and physician to administer medication at the given date. Staff #1 is aware that the medication was administered outside of the written authorization dates. .”

8VAC20-780-350-B-5

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio for school age eligible up to 9 years old are based on their approved waiver of one staff member to twenty school age children. Evidence: 1. In the school age room, one staff member was observed with 21 children in care. 2. Staff #1 and Staff #2 confirmed that they were out of ratio and there was one additional child in the classroom.”

8VAC20-780-510-E

“Based on record review and interview, it was determined that the center did not ensure that when a child at the center requires medication, written authorization from the child's physician and parent must be kept in the record. Evidence: 1. Child #3 did not have authorization by a parent to administer medications in the facility. 2. Staff #1 confirmed that Child #3 did not have authorization by a parent to administer medication.”

8VAC20-780-245-J-3

“Based on observation and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 of this subsection. Evidence: 1. During the morning hours and transportation of children to and from school, there is a period of time when there is no MAT certified individual at the center. 2. During the arrival time of the renewal inspection, there was no MAT certified staff member present at the center. 3. Staff #1 and Staff #2 confirmed there is a period of time in the morning and during transportation that there is no MAT certified staff to provide emergency medications if needed.”

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 outside be maintained in a safe and operable condition. Evidence: 1. The white fence in the playground has peeling paint where paint chips are observed on the ground and in reach of children. 2. The table on the playground has a crack which poses as a pinching hazard to the children in care. 3. Staff #1 and Staff #2 confirmed the crack to the table poses as a pinching hazard and the fence has peeling paint.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that feeding bottles not be used while the child is in his designated sleeping location. Evidence: 1. In the toddler room, Child #2 was observed to have a bottle while lying down on their cot. 2. Staff #1 confirmed that Child #2 had his bottle while on the cot which is the child’s designated sleeping area.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the center did not ensure that employee criminal history records checks be made prior to the first day of employment. Evidence: 1. Staff #3 (date of hire March 2021) has their background checks dated June 22, 2021. 2. Staff #1 and Staff #2 confirmed the background checks were obtained after the hire date for Staff #1.”

8VAC20-780-510-P

“Based on observation and interview, it was determined that the center did not ensure that when an authorization for medication 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: 1. The medications (inhalers) for Child # 1 were expired with the date of July 2021. 2. Staff #1 confirmed that the medications for Child #1 were expired and the parents were not notified within 14 days to pick up.”

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 4 year old classroom, there are three bottles of disinfectant cleaner with a warning label, ?Keep out of reach of children? that are not locked. 2. In the infant room, there is a deodorizing liquid plug ins accessible to children. 3. Staff #1 confirmed the unlocked bottles of disinfectant cleaner and the plug ins accessible to children.”

8VAC20-780-510-E

“Based on record review and interview, it was determined that the center did not ensure that when a child at the center requires medication, written authorization from the child's physician and parent must be kept in the record. Evidence: 1. Child #3 did not have authorization by a parent to administer medications in the facility. 2. Staff #1 confirmed that Child #3 did not have authorization by a parent to administer medication.”

8VAC20-780-245-J-3

“Based on observation and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 of this subsection. Evidence: 1. During the morning hours and transportation of children to and from school, there is a period of time when there is no MAT certified individual at the center. 2. During the arrival time of the renewal inspection, there was no MAT certified staff member present at the center. 3. Staff #1 and Staff #2 confirmed there is a period of time in the morning and during transportation that there is no MAT certified staff to provide emergency medications if needed.”

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 outside be maintained in a safe and operable condition. Evidence: 1. The white fence in the playground has peeling paint where paint chips are observed on the ground and in reach of children. 2. The table on the playground has a crack which poses as a pinching hazard to the children in care. 3. Staff #1 and Staff #2 confirmed the crack to the table poses as a pinching hazard and the fence has peeling paint.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that feeding bottles not be used while the child is in his designated sleeping location. Evidence: 1. In the toddler room, Child #2 was observed to have a bottle while lying down on their cot. 2. Staff #1 confirmed that Child #2 had his bottle while on the cot which is the child’s designated sleeping area.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the center did not ensure that employee criminal history records checks be made prior to the first day of employment. Evidence: 1. Staff #3 (date of hire March 2021) has their background checks dated June 22, 2021. 2. Staff #1 and Staff #2 confirmed the background checks were obtained after the hire date for Staff #1.”

8VAC20-780-510-P

“Based on observation and interview, it was determined that the center did not ensure that when an authorization for medication 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: 1. The medications (inhalers) for Child # 1 were expired with the date of July 2021. 2. Staff #1 confirmed that the medications for Child #1 were expired and the parents were not notified within 14 days to pick up.”

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 4 year old classroom, there are three bottles of disinfectant cleaner with a warning label, ?Keep out of reach of children? that are not locked. 2. In the infant room, there is a deodorizing liquid plug ins accessible to children. 3. Staff #1 confirmed the unlocked bottles of disinfectant cleaner and the plug ins accessible to children.”

22VAC40-665-540-A

“Based on review of two staff records and interviews, the facility did not obtain a negative tuberculosis (TB) screening in a timely manner. Evidence: The TB screening for Staff #1 (Date of Hire 9/14/2021), who was on duty of the time of the inspection, was received on 12/20/21.”

22VAC40-185-510-N

“Based on review of medication at the facility and interview, it was determined that the center did not return medication 14 days after the authorization expired. Evidence: 1. There were multiple medications in the medication box where either the authorization had expired or the child was no longer enrolled. 2. The Director agreed that the medications needed to be returned to the parents or disposed of.”

22.1-289-036-B-4

“Based on review of two staff's records, it was determined that the facility did not ensure that employees had results of fingerprints prior to employment. Evidence: 1. The fingerprints of Staff # 1 (Date of Hire 09/14/2021), who was on duty on the time of inspection, were received on 09/21/2021. 2. Owner of facility believed that she had 30 days to obtain the fingerprints.”

22VAC40-185-350-E-3

“Based on observation, the center did not ensure that for every eight two year old children there was one staff present. Evidence: 1. 17 children were observed in a classroom with two staff members. 2. An additional staff member would be necessary to maintain ratios.”

22VAC40-665-540-A

“Based on review of two staff records and interviews, the facility did not obtain a negative tuberculosis (TB) screening in a timely manner. Evidence: The TB screening for Staff #1 (Date of Hire 9/14/2021), who was on duty of the time of the inspection, was received on 12/20/21.”

22VAC40-185-510-N

“Based on review of medication at the facility and interview, it was determined that the center did not return medication 14 days after the authorization expired. Evidence: 1. There were multiple medications in the medication box where either the authorization had expired or the child was no longer enrolled. 2. The Director agreed that the medications needed to be returned to the parents or disposed of.”

22.1-289-036-B-4

“Based on review of two staff's records, it was determined that the facility did not ensure that employees had results of fingerprints prior to employment. Evidence: 1. The fingerprints of Staff # 1 (Date of Hire 09/14/2021), who was on duty on the time of inspection, were received on 09/21/2021. 2. Owner of facility believed that she had 30 days to obtain the fingerprints.”

22VAC40-185-350-E-3

“Based on observation, the center did not ensure that for every eight two year old children there was one staff present. Evidence: 1. 17 children were observed in a classroom with two staff members. 2. An additional staff member would be necessary to maintain ratios.”

8VAC20-780-550-P

“Based on information obtained from the injury / accident report, it was determined that the facility did not ensure that all required elements were present on an injury report. Evidence: The injury report did not contain spaces to document the time of the injury or any treatment provided.”