Greene County Child Care Center

8VAC20-780-510-F

“Based on interview and review of documentation, the center failed to ensure that the medication authorization was available to staff the whole time it is effective. Evidence: 1. Child #1 had an emergency medication, Albuterol, on site at the center. The medical authorization form from both the parent and physician expired on 04/11/2023. The medication had not been administered. 2. Staff #1 verified the dates on the authorization form. 3. Staff #2 verified that they had not obtained updated authorization forms.”

8VAC20-780-510-F

“Based on interview and review of documentation, the center failed to ensure that the medication authorization was available to staff the whole time it is effective. Evidence: 1. Child #1 had an emergency medication, Albuterol, on site at the center. The medical authorization form from both the parent and physician expired on 04/11/2023. The medication had not been administered. 2. Staff #1 verified the dates on the authorization form. 3. Staff #2 verified that they had not obtained updated authorization forms.”

8VAC20-780-160-C

“Based on review of staff files, the center failed to ensure that an updated tuberculosis screening/test was completed every two years. Evidence: 1. Staff #7's tuberculosis screening/test on file was dated 07/10/2020. An updated tuberculosis screening/test was required by 07/10/2022. 2. Administration verified that an updated tuberculosis screening/test had not been obtained.”

8VAC20-780-500-B

“Based on observation, a non-absorbent surface for diapering was not used. Evidence: 1. The diaper changing mat, located on the changing table in the back classroom, had small tears and holes on both sides of the mat. The holes and tears make the diaper changing mat non-absorbent. 2. Administration verified that the mat had small tears and holes on both sides of the mat.”

8VAC20-780-160-C

“Based on review of staff files, the center failed to ensure that an updated tuberculosis screening/test was completed every two years. Evidence: 1. Staff #7's tuberculosis screening/test on file was dated 07/10/2020. An updated tuberculosis screening/test was required by 07/10/2022. 2. Administration verified that an updated tuberculosis screening/test had not been obtained.”

8VAC20-780-500-B

“Based on observation, a non-absorbent surface for diapering was not used. Evidence: 1. The diaper changing mat, located on the changing table in the back classroom, had small tears and holes on both sides of the mat. The holes and tears make the diaper changing mat non-absorbent. 2. Administration verified that the mat had small tears and holes on both sides of the mat.”

8VAC20-780-160-C

“Based on review of staff records, the center failed to ensure that an updated tuberculosis screening/test was completed every two years. Evidence: 1. Staff #3's tuberculosis screening/test on file was dated 08/21/2019. A new tuberculosis screening/test was required by 08/21/2021. 2. Staff verified the date of the tuberculosis screening/test on file.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all equipment inside and outside shall be maintained in a safe and operable condition. Evidence: 1. There were three trikes located on the back porch that were rusted in several areas. 2. There were four trikes located on the back porch that had the handle bar grips missing exposing the metal edge of the handlebar. 3. Staff verified that the trikes were rusting and missing the handle bar grips.”

8VAC20-780-430-I

“Based on observation, the center failed to ensure that all personal articles used where labeled with the child's name. Evidence: In Classroom #1 there were five water bottles sitting behind a shelf that were not labeled with the child's name.”

8VAC20-780-160-C

“Based on review of staff records, the center failed to ensure that an updated tuberculosis screening/test was completed every two years. Evidence: 1. Staff #3's tuberculosis screening/test on file was dated 08/21/2019. A new tuberculosis screening/test was required by 08/21/2021. 2. Staff verified the date of the tuberculosis screening/test on file.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all equipment inside and outside shall be maintained in a safe and operable condition. Evidence: 1. There were three trikes located on the back porch that were rusted in several areas. 2. There were four trikes located on the back porch that had the handle bar grips missing exposing the metal edge of the handlebar. 3. Staff verified that the trikes were rusting and missing the handle bar grips.”

8VAC20-780-430-I

“Based on observation, the center failed to ensure that all personal articles used where labeled with the child's name. Evidence: In Classroom #1 there were five water bottles sitting behind a shelf that were not labeled with the child's name.”