E.M.R. Center

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. Staff #3 most recent criminal history check was overdue by 3 months and central registry check for was overdue by 4 months.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The carbon monoxide detector was not installed.”

8VAC20-780-550-I

“A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. The number for 911 and the regional poison control number was not posted.”

8VAC20-780-560-F

“A menu listing foods to be served for meals and snacks during the current one-week period shall be dated; be posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center. The center did not have a menu posted or available.”

8VAC20-780-40-I

“The center shall develop written procedures for injury prevention. Injury prevention procedures have not bee developed therefore unavailable.”

8VAC20-780-540-C

“First aid kits must include all required components. First aid supplies did not include tweezers and adhesive tape.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 employed for over 2 years, did not complete 16 hours of annual training during the past year.”

8VAC20-780-70

“Staff records shall include the name, address and telephone number of a person to be notified in an emergency and documentation of two or more references as to character and reputation as well as competency checked before employment. Staff #2 employed for more than 2 years did not have name address and phone number of a emergency contact and did not have documentation of at least 2 references.”

8VAC20-780-350-F

“The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff members. Policy and procedures for consistent care have not been developed therefore unavailable.”

8VAC20-780-40-I

“The center shall develop written procedures for injury prevention. Injury prevention procedures have not bee developed therefore unavailable.”

8VAC20-780-540-C

“First aid kits must include all required components. First aid supplies did not include tweezers and adhesive tape.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 employed for over 2 years, did not complete 16 hours of annual training during the past year.”

8VAC20-780-70

“Staff records shall include the name, address and telephone number of a person to be notified in an emergency and documentation of two or more references as to character and reputation as well as competency checked before employment. Staff #2 employed for more than 2 years did not have name address and phone number of a emergency contact and did not have documentation of at least 2 references.”

8VAC20-780-350-F

“The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff members. Policy and procedures for consistent care have not been developed therefore unavailable.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 3 obtained 11 of the 16 required hours in 2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff 1 was due 20 months ago. The updated TB screening for Staff 3 was due 16 months ago.”

8VAC20-780-560-G

“REPEAT VIOLATION When food is brought from home the food container must be clearly dated. None of the children’s lunchboxes were dated.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 3 obtained 11 of the 16 required hours in 2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff 1 was due 20 months ago. The updated TB screening for Staff 3 was due 16 months ago.”

8VAC20-780-560-G

“REPEAT VIOLATION When food is brought from home the food container must be clearly dated. None of the children’s lunchboxes were dated.”

8VAC20-780-560-J

“Tables shall be sanitized after each use for feeding. The lunch table was not sanitized after eating.”

8VAC20-780-560-G

“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. Food brought from home is not labeled with names or dates.”

8VAC20-780-560-F

“When snacks are provided, the menu must be dated. The snack menu was not dated.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. The center did not have documentation these drills have been completed within the past year.”

8VAC20-780-340-F

“Children under 10 years of age are required to be within actual sight and sound supervision of staff. Child 2 (age 3) and Child 3 (age 4) left the nap room, crossed the hall and entered an empty classroom. The children left the nap room and entered the preschool room and were alone without sight supervision for approximately two minutes.”

8VAC20-780-320-B

“Centers are required to have disposable towels or an air dryer in restrooms. The boy’s restroom did not have disposable towels or an air dryer.”

8VAC20-780-290-A-3

“Electrical outlets are required to have protective covers in areas used by preschoolers. The nap room, where the preschoolers were in care, had uncovered outlets.”

8VAC20-780-270-A

“REPEAT VIOLATION Areas of the center shall be maintained in a clean, safe, and operable condition. There were two holes in the hallway wall leading from the classrooms to the gym, two of four blinds in the multi-purpose room were broken, and there was a loose electrical outlet in the hall leading to the gym.”

8VAC20-780-260-A

“REPEAT VIOLATION The center is required to have an annual fire inspection. The fire inspection is overdue by 18 months.”

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 were six children in one group during the inspection, and the attendance sheet showed 22 children were there. Staff 3 said the other 16 were now at school and were expected to return later in the day.”

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 six months) had no information regarding allergies. The record for Child 1 (enrolled for three months) did not address physical problems.”

8VAC20-780-130-A

“Centers are required to obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Child 2 began attendance one day before the immunization record was given to the center.”

8VAC20-770-60-C-2

“The center is required to have a central registry finding within 30 days of employment for staff people. Staff 2, who has worked at the center for approximately six months, has no central registry finding in the staff record.”

8VAC20-780-340-C

“Centers are required to have on-site when children are present one staff member who meets the qualifications of program leader and an immediately available staff, volunteer, or other employee who has had instructions on instruction in how to contact appropriate authorities if there is an emergency. At the start of the inspection, the children were alone with Staff 1, whose record did not show any qualifications that this person was qualified as a program lead. A second staff person was not available at the center.”

8VAC20-780-560-J

“Tables shall be sanitized after each use for feeding. The lunch table was not sanitized after eating.”

8VAC20-780-560-G

“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. Food brought from home is not labeled with names or dates.”

8VAC20-780-560-F

“When snacks are provided, the menu must be dated. The snack menu was not dated.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. The center did not have documentation these drills have been completed within the past year.”

8VAC20-780-340-F

“Children under 10 years of age are required to be within actual sight and sound supervision of staff. Child 2 (age 3) and Child 3 (age 4) left the nap room, crossed the hall and entered an empty classroom. The children left the nap room and entered the preschool room and were alone without sight supervision for approximately two minutes.”

8VAC20-780-320-B

“Centers are required to have disposable towels or an air dryer in restrooms. The boy’s restroom did not have disposable towels or an air dryer.”

8VAC20-780-290-A-3

“Electrical outlets are required to have protective covers in areas used by preschoolers. The nap room, where the preschoolers were in care, had uncovered outlets.”

8VAC20-780-270-A

“REPEAT VIOLATION Areas of the center shall be maintained in a clean, safe, and operable condition. There were two holes in the hallway wall leading from the classrooms to the gym, two of four blinds in the multi-purpose room were broken, and there was a loose electrical outlet in the hall leading to the gym.”

8VAC20-780-260-A

“REPEAT VIOLATION The center is required to have an annual fire inspection. The fire inspection is overdue by 18 months.”

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 were six children in one group during the inspection, and the attendance sheet showed 22 children were there. Staff 3 said the other 16 were now at school and were expected to return later in the day.”

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 six months) had no information regarding allergies. The record for Child 1 (enrolled for three months) did not address physical problems.”

8VAC20-780-130-A

“Centers are required to obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Child 2 began attendance one day before the immunization record was given to the center.”

8VAC20-770-60-C-2

“The center is required to have a central registry finding within 30 days of employment for staff people. Staff 2, who has worked at the center for approximately six months, has no central registry finding in the staff record.”

8VAC20-780-340-C

“Centers are required to have on-site when children are present one staff member who meets the qualifications of program leader and an immediately available staff, volunteer, or other employee who has had instructions on instruction in how to contact appropriate authorities if there is an emergency. At the start of the inspection, the children were alone with Staff 1, whose record did not show any qualifications that this person was qualified as a program lead. A second staff person was not available at the center.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the inside areas were not maintained in a clean, safe, and operable condition. EVIDENCE: 1. The blinds in the multi-purpose room had broken blinds. 2. In the hallway from the classrooms to the gym and the hallway from the gym to the outside play area, there were holes in the walls.”

8VAC20-780-260-A

“Based on document review and interview, the center failed to have an annual fire inspection. EVIDENCE: The most recent fire inspection was dated 4/19/2023. Staff 1 confirmed it has not been done in the past year.”

8VAC20-780-320-B

“Based on observation, the center failed to equip a restroom with soap. EVIDENCE: There was no soap in the boy’s restroom.”

8VAC20-780-70

“Based on record review, the record for a staff person was missing some required information. EVIDENCE: The record for staff 3, hired 4-29-24 had no emergency contact information.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the inside areas were not maintained in a clean, safe, and operable condition. EVIDENCE: 1. The blinds in the multi-purpose room had broken blinds. 2. In the hallway from the classrooms to the gym and the hallway from the gym to the outside play area, there were holes in the walls.”

8VAC20-780-260-A

“Based on document review and interview, the center failed to have an annual fire inspection. EVIDENCE: The most recent fire inspection was dated 4/19/2023. Staff 1 confirmed it has not been done in the past year.”

8VAC20-780-320-B

“Based on observation, the center failed to equip a restroom with soap. EVIDENCE: There was no soap in the boy’s restroom.”

8VAC20-780-70

“Based on record review, the record for a staff person was missing some required information. EVIDENCE: The record for staff 3, hired 4-29-24 had no emergency contact information.”

8VAC20-780-270-A

“Based on observation, the center has not been maintained in clean, safe, and operable condition. EVIDENCE: In the corner of the game room near the entrance door, floor tiles are chipping and coming up.”