Greentree Christian School

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Hazardous cleaning materials were kept in an unlocked cabinet. The locking mechanisms were not secured in two classrooms.”

8VAC20-780-280-H

“Based on observation, cosmetics, medications, or other harmful agents shall not be stored in purses that are accessible to children. Evidence: A purse was accessible to children in the nursery room.”

8VAC20-780-510-I

“Based on review of children's medication, the center was not able to administer drugs to a child in accordance with the prescribers instructions pertaining to frequency. Evidence: The prescribers instructions for Child #1 stated that if symptoms do not improve, or symptoms return, more doses of epinephrine can be given about 5 minutes of more after the last dose., but there was only 1 epinephrine auto-injector available for Child #1.”

8VAC20-780-60-A

“Based on file review, and confirmed by center staff, there was not a work number for each parent who has custody for each child enrolled. Evidence: There was not a work phone number for each parent who has custody for Child #5.”

8VAC20-780-160-C

“Based on file review, and confirmed by center staff, staff members did not submit the results of a follow-up tuberculosis screening every two years from the date of the initial screening.. Evidence: There was no record of Staff #1 obtaining and submitting the results of a follow-up tuberculosis screening every two years from the date of the original screening. Staff #1's tuberculosis screening last occurred 2/25/2023.”

22.1-289-036-B-4

“Based on file review, and confirmed by center staff, the child day center did not obtain the search results of a child abuse and neglect registry from any state in which the staff member has resided in the preceding five years. Evidence: There was no search results of the child abuse and neglect registry from any state in which Staff #3 had resided in the preceding five years.”

8VAC20-780-60-A-8

“Based on review of children's records, there was not 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. Evidence: There was not a written care plan for Child #1, Child #2, and Child #1, who each have a diagnosed food allergy.”

8VAC20-780-280-H

“Based on observation, purses were found in areas accessible to children in the two and four year old classrooms. Evidence: Two purses were found within reach of children.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place that prevents access by children in the three year old classroom. Evidence: Corrective fluid labeled keep out of reach of children, was found in an unlocked drawer in reach of children.”

8VAC20-780-270-A

“Based on observation, equipment in the four year old classroom was not maintained in a safe condition. Evidence: A wooden shelving unit was observed stacked on top of another wooden shelving unit, creating a risk for tipping over.”

8VAC20-780-270-A

“Based on observation, a changing pad in the 2 year old classroom had visible tears. Evidence: Changing pad was observed with tears in the waterproof cover.”