Elsa's Blessings Day School

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries that include all required information. An injury record for Child #2 was missing the date and time parents were notified, and documentation on how parents were notified. An injury record for Child #3 did not contain the date and time parents were notified.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB for Staff #1 was dated seven weeks prior to date of employment. Staff #2 has been employed for two months.”

8VAC20-780-320-B

“Each restroom are provided for children shall be equipped with disposable towels within reach of children. One restroom did not contain disposable towels.”

8VAC20-780-420-E-3

“Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of child #2 had not been updated in over 19 months which is overdue by seven months.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child 9 was onsite, but the medication authorization had expired three months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Two medications for Child #8 were onsite, but the medication authorizations had expired over two months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-150-B

“Immunization reports shall be signed by a physician or designee. The immunization report in the record for Child #5 was not signed by a physician or designee.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for four months, was missing the following required components: work phone number and place of employment of each parent who has custody; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; documentation of viewing proof of the child's identity and age”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of child #6 had not been updated in over 17 months which is overdue by five months.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include: 1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately; 2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; 3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. Child #4 has been attending the center for 4 months. The record for Child #4 did not contain the required written agreements signed by the parent.”

8VAC20-780-60-A-8

“Children's records must 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 has a diagnosed food allergy. The record for Child #1 did not contain a written care plan as required. Child #1 has been attending the center for one month.”

8VAC20-780-70

“Centers are required to maintain a record for each staff person which includes documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. The record for Staff #3, who has been employed for more than one month, did not contain documentation that 1 of 2 required references were checked. The record for Staff #5, who has been employed for four months, did not contain documentation that 1 of 2 required references were checked.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The sex offender registry check in the record Staff #2 was obtained more than two months after Staff #2's first date of employment. The sex offender registry check in the record Staff #3 was obtained one day after Staff #3's first date of employment.”

8VAC20-780-410-1 Complaint related: Yes

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On 09/19/2024, Staff #1 forced Child #1 (age 2 years) to assume an uncomfortable position by holding the child’s arms behind the child's back to restrict movement during the designated rest period. Child #1 was laying face down on their cot. For approximately 15 minutes, each time Child #1 would move their arms forward, Staff #1 placed both of the child’s arms behind Child #1 and held them down to restrict movement. Staff #1 also roughly handled Child #1 while placing them back in a face down position when Child #1 attempted to get up from the cot. Staff #1 stopped attempting to restrict Child #1's movement when Staff #2 entered the classroom.”

8VAC20-780-410-5 Complaint related: Yes

“The following act is forbidden: withholding or forcing of food or rest. During the designated rest period on 09/19/2024, Staff #1 held the arms of Child #1 (age 2 years) behind the child's back, holding the child down and restricting the child's movement to ensure the child remained on their assigned cot and rested during the designated rest period. Staff #1 engaged in this action for approximately 15 minutes before stopping when Staff #2 entered the classroom.”

8VAC20-780-400-B Complaint related: Yes

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. During the designated rest period on 09/19/2024, Staff #1 did not provide behavioral guidance constructive in nature and age and stage appropriate. Staff #1 used restriction of movement by holding Child #1?s (age 2 years) arms behind the child's back in order to ensure Child #1 remained on their cot during the designated rest period.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for less than one week, did not have documentation of requesting a central registry check from one state Staff #2 identified as a state in which they resided in the past 5 years.”

8VAC20-780-240-I

“Centers are required to maintain documentation of orientation training for each staff member. The record for Staff #2, who has been employed for 4 weeks, did not contain documentation of orientation training.”

8VAC20-780-410-1 Complaint related: Yes

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On 09/19/2024, Staff #1 forced Child #1 (age 2 years) to assume an uncomfortable position by holding the child’s arms behind the child's back to restrict movement during the designated rest period. Child #1 was laying face down on their cot. For approximately 15 minutes, each time Child #1 would move their arms forward, Staff #1 placed both of the child’s arms behind Child #1 and held them down to restrict movement. Staff #1 also roughly handled Child #1 while placing them back in a face down position when Child #1 attempted to get up from the cot. Staff #1 stopped attempting to restrict Child #1's movement when Staff #2 entered the classroom.”

8VAC20-780-410-5 Complaint related: Yes

“The following act is forbidden: withholding or forcing of food or rest. During the designated rest period on 09/19/2024, Staff #1 held the arms of Child #1 (age 2 years) behind the child's back, holding the child down and restricting the child's movement to ensure the child remained on their assigned cot and rested during the designated rest period. Staff #1 engaged in this action for approximately 15 minutes before stopping when Staff #2 entered the classroom.”

8VAC20-780-400-B Complaint related: Yes

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. During the designated rest period on 09/19/2024, Staff #1 did not provide behavioral guidance constructive in nature and age and stage appropriate. Staff #1 used restriction of movement by holding Child #1?s (age 2 years) arms behind the child's back in order to ensure Child #1 remained on their cot during the designated rest period.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for less than one week, did not have documentation of requesting a central registry check from one state Staff #2 identified as a state in which they resided in the past 5 years.”

8VAC20-780-240-I

“Centers are required to maintain documentation of orientation training for each staff member. The record for Staff #2, who has been employed for 4 weeks, did not contain documentation of orientation training.”

8VAC20-780-570-E

“Prepared infant formula must be clearly dated. Two bottles with formula were not dated.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Three children's food containers were not dated.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, behavioral guidance provided to children was not constructive in nature and age and stage appropriate. Evidence: 1. Staff in the 2B classroom utilized threat of a fictional character as a means of behavior management in the classroom. 2. One staff member reported observing another staff saying to the children "Do you need to see [name]? [name] is watching you." when children were misbehaving. 3. Another staff member reported "We say [name] is listening to us when children are getting a little too loud, and say [name] is sleeping to get them to be quiet." 4. A third staff member reported hearing a staff member tell a child that "if she didn't start behaving better, the bear was going to get her." 5. Staff stated "[name]" was from the "Going on a bear hunt" song which was often played in the classroom. The center reported following a transition from class 2B to 3A, staff stated one child became visibly upset upon hearing "the bear hunt" song.”