EL ROI Child Care

8VAC20-780-160-C

“Based on review and observation, the facility did not ensure 1 of 4 staff have documentation of a negative TB test or screening within the past two years. Evidence: The record for staff #5 had a most recent TB screening dated 9/17/2021. Staff was observed present during inspection preparing lunch for the children.”

8VAC20-780-70

“Repeat Violation Based on review, facility did not ensure 3 of 5 staff records have documentation of required information. Evidence: The records for staff #1 (start date 3/6/2023), staff #2 (start date 5/11/2023) and staff #4 (start date 10/6/2022) are designated at a ?teacher? (program leader) and there is not documentation of qualifications for the position.”

8VAC20-780-550-P

“Based on review, facility did not ensure 2 of 3 injury reports have documentation of required information. Evidence: The record for child #1 had documentation of two injury reports. One report completed on 4/13/2023 did not have date parent was notified. One report on 7/26/2023 did not have date and time parent was notified.”

8VAC20-780-60-A

“Repeat Violation Based on review, facility did not ensure 4 of 5 child records have documentation of required information. Evidence: The following was found during review of child records: 1. The record for child #1 (start date 8/23/2022) did not have father’s home address. 2. The records for child #2 (start date 7/1/2022), child #3 (start date 10/19/2022), and child #5 (start date 9/19/2023) did not have mother’s employment phone number.”

8VAC20-780-140-A

“Based on review, facility did not ensure 1 of 5 child records have a physical examination within 30 days after first day of attendance. Evidence: The record for child #2 (start date 7/1/2022) did not have a physical examination.”

8VAC20-780-420-E-3

“Based on interview, facility did not ensure parents are provided written information about their child’s development, behavior, adjustment and needs at least semi-annually. Evidence: Provider stated that they regularly talk with parents and give updates regarding their child however they have not provided a written update to parents about their child’s development, behavior, adjustment and needs.”

8VAC20-780-70

“Repeat Violation Based on review, facility did not ensure 3 of 5 staff records have documentation of required information. Evidence: The records for staff #1 (start date 3/6/2023), staff #2 (start date 5/11/2023) and staff #4 (start date 10/6/2022) are designated at a ?teacher? (program leader) and there is not documentation of qualifications for the position.”

8VAC20-780-550-P

“Based on review, facility did not ensure 2 of 3 injury reports have documentation of required information. Evidence: The record for child #1 had documentation of two injury reports. One report completed on 4/13/2023 did not have date parent was notified. One report on 7/26/2023 did not have date and time parent was notified.”

8VAC20-780-60-A

“Repeat Violation Based on review, facility did not ensure 4 of 5 child records have documentation of required information. Evidence: The following was found during review of child records: 1. The record for child #1 (start date 8/23/2022) did not have father’s home address. 2. The records for child #2 (start date 7/1/2022), child #3 (start date 10/19/2022), and child #5 (start date 9/19/2023) did not have mother’s employment phone number.”

8VAC20-780-140-A

“Based on review, facility did not ensure 1 of 5 child records have a physical examination within 30 days after first day of attendance. Evidence: The record for child #2 (start date 7/1/2022) did not have a physical examination.”

8VAC20-780-420-E-3

“Based on interview, facility did not ensure parents are provided written information about their child’s development, behavior, adjustment and needs at least semi-annually. Evidence: Provider stated that they regularly talk with parents and give updates regarding their child however they have not provided a written update to parents about their child’s development, behavior, adjustment and needs.”

8VAC20-780-60-A

“Based on review, facility did not ensure 2 of 5 children's records have documentation of required information. Evidence: The following was found during record review: 1. The record for child #3 did not have first date of attendance and a second emergency contact. 2. The record for child #5 (start date 11/3/2022) did not have an address for one of the emergency contacts and physician information (name and phone number).”

8VAC20-780-70

“Based on review, facility did not ensure staff record contains required information. Evidence: The record for staff #1 (start date 3/6/2023) did not have a second reference check.”

8VAC20-780-450-D

“Based on observation, facility did not ensure that when pillows are used that they are assigned for individual use and covered with pillow cases. Evidence: In the 3's classroom, 3 children were observed napping on pillows that were not covered with a pillow case.”

8VAC20-780-330-B

“Based on observation, facility did not ensure there is resilient surfacing in required fall zones under and around climbing equipment or equipment with moving parts on the outside playground. Evidence: The following was observed on the outside playground: 1. There is 2' of fall zone between the plastic cube slide and the wooden border of the playground when there should be at least 6'. 2. There is 4' of fall zone between the first climbing caterpillar and the wooden border of the playground when there should be at least 6'. 3. There is 3' of fall zone between a second plastic climbing caterpillar and the wooden border of the playground when there should be at least 6'. 4. There is 4' of fall zone between the plastic slide and the brick building when there should be at least 6'.”

8VAC20-780-450-A

“Based on observation, facility did not ensure during designated rest period children have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on all three edges. Evidence: The following was observed during naptime: 1. In the 2's room, 3 of 7 children did not have a bottom cover. 2. In the 3's room, 4 of 9 children did not have a bottom cover.”

22.1-289.035-B-4

“Based on review, facility did not ensure out of state background checks are completed when a staff has lived outside of the state of Virginia within the past 5 years. Evidence: The record for staff #1 (start date 3/6/2023) had documentation of living in two additional states within the past 5 years and there were not completed background checks for those states to include criminal history search and child abuse/neglect search.”

8VAC20-780-60-A

“Based on review, facility did not ensure 2 of 5 children's records have documentation of required information. Evidence: The following was found during record review: 1. The record for child #3 did not have first date of attendance and a second emergency contact. 2. The record for child #5 (start date 11/3/2022) did not have an address for one of the emergency contacts and physician information (name and phone number).”

8VAC20-780-70

“Based on review, facility did not ensure staff record contains required information. Evidence: The record for staff #1 (start date 3/6/2023) did not have a second reference check.”

8VAC20-780-450-D

“Based on observation, facility did not ensure that when pillows are used that they are assigned for individual use and covered with pillow cases. Evidence: In the 3's classroom, 3 children were observed napping on pillows that were not covered with a pillow case.”

8VAC20-780-330-B

“Based on observation, facility did not ensure there is resilient surfacing in required fall zones under and around climbing equipment or equipment with moving parts on the outside playground. Evidence: The following was observed on the outside playground: 1. There is 2' of fall zone between the plastic cube slide and the wooden border of the playground when there should be at least 6'. 2. There is 4' of fall zone between the first climbing caterpillar and the wooden border of the playground when there should be at least 6'. 3. There is 3' of fall zone between a second plastic climbing caterpillar and the wooden border of the playground when there should be at least 6'. 4. There is 4' of fall zone between the plastic slide and the brick building when there should be at least 6'.”

8VAC20-780-450-A

“Based on observation, facility did not ensure during designated rest period children have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on all three edges. Evidence: The following was observed during naptime: 1. In the 2's room, 3 of 7 children did not have a bottom cover. 2. In the 3's room, 4 of 9 children did not have a bottom cover.”

22.1-289.035-B-4

“Based on review, facility did not ensure out of state background checks are completed when a staff has lived outside of the state of Virginia within the past 5 years. Evidence: The record for staff #1 (start date 3/6/2023) had documentation of living in two additional states within the past 5 years and there were not completed background checks for those states to include criminal history search and child abuse/neglect search.”

8VAC20-780-160-A

“Based on record review and staff interview the center did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1 confirmed that Staff #4?s TB screening was dated 11-1-2022 and the first date of employment was 10-6-2022.”

8VAC20-780-80-A

“Based on observation and staff interviews the center did not ensure 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. Evidence: Staff #5, in the 2-3 year old room and Staff #4, in the 4-5 year old room both confirmed their attendance sheets were not accurate at the time of inspection.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #1 confirmed that the list of children’s names listing their allergies and food sensitivities (in the 4-5 year old room) was dated 2021. She further stated additional information has been added since that time but she has not added the current date.”

22.1-289.035-B-4

“Based on record review and staff interview the center did not ensure to obtain a copy of the results of 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: Staff #1 confirmed that Staff #2?s first date of employment was 4-26-2022 and they had not obtain an out of state child abuse and neglect record check for Florida where they had lived within the last five years.”

8VAC20-780-330-B

“Based on observation and Staff interview the center did not ensure stationary equipment with climbing or moving parts on the playground had six feet on all sides of the equipment. Evidence: Staff #1 confirmed the following items did not have six feet between them 1. There was approximately 3 feet between 2 caterpillar tunnels that the children climb through and on top of. 2. There was approximately 3 ? feet between a little tykes slide and the fence. 3. There was approximately 2 feet between a little tykes slide and the fence.”

8VAC20-780-450-A

“Based on observation and Staff interview the center did not ensure Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. Evidence: Staff #1 confirmed that one child in the 2-year-old room did not have a bottom cover and that one child in the 4-5 year old room did not have a top or bottom cover.”

8VAC20-780-440-E

“Based on observation and staff interview the center did not ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Staff #1 confirmed there were only approximately 2-4 inches between 3 children in the 3 year old classroom and only 2-4 inches between 2 children in the 2 year old classroom.”

8VAC20-780-160-A

“Based on record review and staff interview the center did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1 confirmed that Staff #4?s TB screening was dated 11-1-2022 and the first date of employment was 10-6-2022.”

8VAC20-780-80-A

“Based on observation and staff interviews the center did not ensure 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. Evidence: Staff #5, in the 2-3 year old room and Staff #4, in the 4-5 year old room both confirmed their attendance sheets were not accurate at the time of inspection.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #1 confirmed that the list of children’s names listing their allergies and food sensitivities (in the 4-5 year old room) was dated 2021. She further stated additional information has been added since that time but she has not added the current date.”

22.1-289.035-B-4

“Based on record review and staff interview the center did not ensure to obtain a copy of the results of 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: Staff #1 confirmed that Staff #2?s first date of employment was 4-26-2022 and they had not obtain an out of state child abuse and neglect record check for Florida where they had lived within the last five years.”

8VAC20-780-330-B

“Based on observation and Staff interview the center did not ensure stationary equipment with climbing or moving parts on the playground had six feet on all sides of the equipment. Evidence: Staff #1 confirmed the following items did not have six feet between them 1. There was approximately 3 feet between 2 caterpillar tunnels that the children climb through and on top of. 2. There was approximately 3 ? feet between a little tykes slide and the fence. 3. There was approximately 2 feet between a little tykes slide and the fence.”

8VAC20-780-450-A

“Based on observation and Staff interview the center did not ensure Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. Evidence: Staff #1 confirmed that one child in the 2-year-old room did not have a bottom cover and that one child in the 4-5 year old room did not have a top or bottom cover.”

8VAC20-780-440-E

“Based on observation and staff interview the center did not ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Staff #1 confirmed there were only approximately 2-4 inches between 3 children in the 3 year old classroom and only 2-4 inches between 2 children in the 2 year old classroom.”

8VAC20-780-540-B

“Based on observation, facility did not ensure first aid kits are accessible to staff but not accessible to children. Evidence: While children were outside playing, the first aid kit was stored on the outside steps used to enter the building. A child was observed picking up the first aid kit. The kit was accessible to children.”

8VAC20-780-350-B-3

“Based on observation, facility did not ensure there is at least one staff for every eight children that are two years old. Evidence: At approximately 12:15 PM, one staff was present with eleven children in the 2's classroom. Child #3, age two years, was the youngest in the group.”

8VAC20-780-280-B

“Based on observation, facility did not ensure hazardous substances are kept locked. Evidence: Spray Disinfectant labeled "Caution....keep out of reach of children" was stored on the sink counter in the hall women's restroom that is used by children.”

8VAC20-780-270-A

“Based on observation, facility did not ensure areas and equipment of the center are maintained in a clean, safe and operable manner. Evidence: In the 3's room, there is peeling paint on the baseboards, lower door frame and window sill.”

8VAC20-780-80-A

“Based on observation and review, facility did not ensure there is a written record of children in attendance that documents the arrival and departure of each child as it occurs. Evidence: At approximately 12:15 PM, twenty-eight children were observed present and twenty-two children were noted on the attendance sheet.”

8VAC20-780-500-B

“Based on observation, facility did not ensure all requirements are met in the diapering area. Evidence: The following was observed: 1. A child's lunch box and a piece of child art was laying on the diapering surface in the play room. 2. The diaper disposal system in the two year old room required staff to push the button to open the lid.”

8VAC20-780-540-B

“Based on observation, facility did not ensure first aid kits are accessible to staff but not accessible to children. Evidence: While children were outside playing, the first aid kit was stored on the outside steps used to enter the building. A child was observed picking up the first aid kit. The kit was accessible to children.”

8VAC20-780-350-B-3

“Based on observation, facility did not ensure there is at least one staff for every eight children that are two years old. Evidence: At approximately 12:15 PM, one staff was present with eleven children in the 2's classroom. Child #3, age two years, was the youngest in the group.”

8VAC20-780-280-B

“Based on observation, facility did not ensure hazardous substances are kept locked. Evidence: Spray Disinfectant labeled "Caution....keep out of reach of children" was stored on the sink counter in the hall women's restroom that is used by children.”

8VAC20-780-270-A

“Based on observation, facility did not ensure areas and equipment of the center are maintained in a clean, safe and operable manner. Evidence: In the 3's room, there is peeling paint on the baseboards, lower door frame and window sill.”

8VAC20-780-80-A

“Based on observation and review, facility did not ensure there is a written record of children in attendance that documents the arrival and departure of each child as it occurs. Evidence: At approximately 12:15 PM, twenty-eight children were observed present and twenty-two children were noted on the attendance sheet.”

8VAC20-780-500-B

“Based on observation, facility did not ensure all requirements are met in the diapering area. Evidence: The following was observed: 1. A child's lunch box and a piece of child art was laying on the diapering surface in the play room. 2. The diaper disposal system in the two year old room required staff to push the button to open the lid.”