Henrico Education Foundation - Skipwith

8VAC20-780-160-C

“Based on review of two staff records, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: The record of staff #2, employed 10/28/2021, contained documentation of a tuberculosis screening dated 01/20/2022, exceeding two years”

8VAC20-790-600-F

“Based on review of three staff records, the center did not ensure one staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: The record of staff #3, employed 01/09/2023, did not contain documentation of completing the department’s annual health and safety update course exceeding the annual requirement”

8VAC20-780-530-A-2

“Repeat Based on review of three staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. record of staff #3, contained documentation of CPR certification that expired on 11/20/2023. 2. Staff #3 was observed alone, and in charge of a group of children during the inspection on 01/30/202-24. 3. A member of management stated staff #3 did not have current CPR certification”

8VAC20-780-530-A-1

“Based on review of three staff records, observation and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. record of staff #3, contained documentation of CPR certification that expired on 11/20/2023. 2. Staff #3 was observed alone, and in charge of a group of children during the inspection on 01/30/202-24. 3. A member of management stated staff #3 did not have current CPR certification.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Child #1, age nine years, was observed exiting the art room and heading down the hallway to the restroom. Staff #2 remained in the art room with the door closed and could not see nor hear the child once he left the art room. The restrooms are located down the hallway which has multiple exits leading outside the building. Child #1 was out of sight and sound supervision for approximately one minutes. 2. Child #8 was observed exiting the art room and going to the cafeteria to retrieve something from his backpack. Staff #2 remained in the art room with the door closed and could not see nor hear the child once he left the art room. The cafeteria has multiple doors that exit the building. Child #8 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-240-A

“Based on review of three staff records, the center did not ensure one staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #1, employed 08/21/2023, contained documentation of the Virginia Department of Education sponsored orientation training dated 01/22/2024, exceeding 90 from employment.”

8VAC20-780-40-M

“Based on review of documentation and interview, the center did not maintain , in a way accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The allergy, sensitivities, and dietary restrict list reviewed was not dated and listed one child with a food allergy and one child with a sensitivity. The list was kept in the licensing notebook in the director’s office. 2. Staff #2 and staff #3, both in separate classrooms with children in care, stated they did not have an allergies, sensitivities, and dietary restrictions list and were unaware of any food allergies.”

8VAC20-780-140-A

“Repeat Based on review of five children’s records, the center did not obtain documentation of a physical before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #4, enrolled 08/21/2023, did not contain documentation of a physical examination, exceeding 30 days from the date of enrollment.”

8VAC20-780-130-A

“Based on review of five children’s records, the center did not obtain documentation of immunizations for one child before the child attended the center. Evidence: The record of child #1, enrolled 01/08/2024, did not contain documentation of immunizations exceeding the first day of attendance”

8VAC20-780-540-C

“Repeat Based on observation and interview, the center did not obtain all required items for the first aid kit. Evidence: The first aid kit did not contain a first aid instructional manual. The director stated she did not have a first aid manual.”

8VAC20-790-600-F

“Based on review of three staff records, the center did not ensure one staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: The record of staff #3, employed 01/09/2023, did not contain documentation of completing the department’s annual health and safety update course exceeding the annual requirement”

8VAC20-780-530-A-2

“Repeat Based on review of three staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. record of staff #3, contained documentation of CPR certification that expired on 11/20/2023. 2. Staff #3 was observed alone, and in charge of a group of children during the inspection on 01/30/202-24. 3. A member of management stated staff #3 did not have current CPR certification”

8VAC20-780-530-A-1

“Based on review of three staff records, observation and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. record of staff #3, contained documentation of CPR certification that expired on 11/20/2023. 2. Staff #3 was observed alone, and in charge of a group of children during the inspection on 01/30/202-24. 3. A member of management stated staff #3 did not have current CPR certification.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Child #1, age nine years, was observed exiting the art room and heading down the hallway to the restroom. Staff #2 remained in the art room with the door closed and could not see nor hear the child once he left the art room. The restrooms are located down the hallway which has multiple exits leading outside the building. Child #1 was out of sight and sound supervision for approximately one minutes. 2. Child #8 was observed exiting the art room and going to the cafeteria to retrieve something from his backpack. Staff #2 remained in the art room with the door closed and could not see nor hear the child once he left the art room. The cafeteria has multiple doors that exit the building. Child #8 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-240-A

“Based on review of three staff records, the center did not ensure one staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #1, employed 08/21/2023, contained documentation of the Virginia Department of Education sponsored orientation training dated 01/22/2024, exceeding 90 from employment.”

8VAC20-780-40-M

“Based on review of documentation and interview, the center did not maintain , in a way accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The allergy, sensitivities, and dietary restrict list reviewed was not dated and listed one child with a food allergy and one child with a sensitivity. The list was kept in the licensing notebook in the director’s office. 2. Staff #2 and staff #3, both in separate classrooms with children in care, stated they did not have an allergies, sensitivities, and dietary restrictions list and were unaware of any food allergies.”

8VAC20-780-140-A

“Repeat Based on review of five children’s records, the center did not obtain documentation of a physical before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #4, enrolled 08/21/2023, did not contain documentation of a physical examination, exceeding 30 days from the date of enrollment.”

8VAC20-780-130-A

“Based on review of five children’s records, the center did not obtain documentation of immunizations for one child before the child attended the center. Evidence: The record of child #1, enrolled 01/08/2024, did not contain documentation of immunizations exceeding the first day of attendance”

8VAC20-780-540-C

“Repeat Based on observation and interview, the center did not obtain all required items for the first aid kit. Evidence: The first aid kit did not contain a first aid instructional manual. The director stated she did not have a first aid manual.”

8VAC20-780-140-A

“Based on review of five children’s records, the center did not obtain documentation of a physical before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #3, enrolled 08/21/2023, did not contain documentation of a physical examination, exceeding 30 days from the date of enrollment.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain a written care plan for one 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: The record of child #6, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.”

8VAC20-780-530-A-2

“Based on review of three staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: The record of staff #2 did not contain documentation of current first aid certification. Staff #2 was observed alone and in charge of a group of children.”

8VAC20-780-540-C

“Based on observation and interview, the center did not obtain all required items for the first aid kit. Evidence: The first aid kit did not have a pair of tweezers. The director acknowledged there were no tweezers in the first aid kit.”

8VAC20-780-130-A

“Based on review of five children’s records, the center did not obtain documentation of immunizations before the child’s attendance. Evidence: 1. The record of child #1, enrolled 04/17/2023, did not contain documentation of immunizations. 2. The record of child #3, enrolled 08/29/2022, did not contain documentation of immunizations.”

22.1-289.035-B-4

“Based on review of three staff records, the center did not request an out of state search of the child abuse and neglect registry as required for each state an individual has resided in the past five years within 30 days of employment. Evidence: On 3/29/2023, the center was issued a violation notice citing an out-of-state child abuse and neglect registry check for staff #2 (employed 09/13/2022) that had not been requested by the 30th day of employment. On 03/29/2023 the center was notified of the violation and required to provide documentation within 10 days of the notification that an out-of-state child abuse & neglect registry had been requested. On 05/23/2023, a follow-up review of the record of staff #2 (employed 09/13/2022) did not contain documentation of a request for the out-of-state child abuse and neglect registry. This is a repeat violation from 03/29/2023.”

8VAC20-780-260-A

“Based on review of documentation and interview, the center did not obtain an annual fire inspection report. Evidence: The most recent fire inspection report was dated 10/20/2021, exceeding the annual requirement. The director stated that he did not have a copy of a current fire inspection.”

8VAC20-780-140-A

“Based on review of five children’s records, the center did not obtain documentation of a physical before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record of child #3, enrolled 08/29/2022, did not contain documentation of a physical examination.”

22.1-289.035-B-4

“Based on review of two staff records, the facility did not obtain an out of state criminal history name check for each state an individual has resided in the past five years prior to the first day of employment or a search of the child abuse and neglect registry as required. Evidence: 1. The sworn disclosure statement for Staff 1(date of employment 9/13/2022) indicated the staff had lived outside the state of Virginia in the past five years. 2. The record for Staff 1 did not contain documentation of a out of state criminal history check until 1/11/2023. 3. The record for Staff 1 did not contain documentation of a out of state search of the child abuse and neglect registry.”

8VAC20-780-60-A

“Based on review of 5 children's files, the facility failed to have 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: Child 1 and Child 2 have diagnosed food allergies, but did not have a written allergy action plan on file.”

8VAC20-780-160-A-1

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within the required timeframe. Evidence: The record of staff #2, hired on 9/1/21, contained documentation of a tuberculosis screening dated 11/10/21.”

8VAC20-780-500-A

“Based on observation and interview on January 25, 2022, the center did not ensure that children wash their hands with soap and running water or disposable wipes after eating meals or snacks. Evidence: After eating snack, children were observed to line-up and immediately proceed to transition to another activity in the gym. The children and staff passed the restroom but did not stop to wash hands. Administration confirmed they did not wash hands after eating snack.”

8VAC20-780-550-A

“Based on a review of the emergency preparedness plan and interview, the center did not ensure to have an emergency preparedness plan that addresses the most likely to occur emergency scenario or scenarios, including fire, severe storms, loss of utilities, natural disaster, chemical spills, intruder, violence at or near the center, terrorism specific to the locality, and other situations, including facility damage that requires evacuation, lockdown, or shelter-in-place. Evidence: The emergency preparedness plan did not contain documentation to include violence at or near the center or loss of utilities. Administration acknowledged the emergency plan wasn't updated.”

8VAC20-780-550-B

“Based on a review of the emergency preparedness plan and interview, the center did not ensure the emergency evacuation, shelter-in-place, and lockdown procedures contained all the procedural components. Evidence: 1. The plan did not contain the method of communication with parents and emergency responders. 2. The plan did not contain securing of information on allergies or food intolerances. 3. The plan did not contain accommodations or special requirements for children with special needs to ensure their safety during the evacuation or relocation. 4. The plan did not contain procedures to reunite children with a parent or authorized person designated by the parent to pick up the child. 5. Administration acknowledged the emergency preparedness plan wasn't updated.”

22.1-289.035-B-4

“Based on a review of records, the center did not ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of Staff #2, hired on 9/1/21, did not contain results of an out of state criminal history check and did not contain results of an out of state child abuse and neglect registry check. Staff #2 indicated living out of state in the preceding five years on Staff #2's sworn disclosure statement. 2. The record of Staff #3, hired on 8/9/21, contained documentation of an out of state sex offender registry dated 8/10/21. Staff #3 indicated living out of state in the past five years on Staff #3's sworn disclosure statement.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of Staff #2, hired on 9/1/21, contained documentation of a central registry finding dated 10/31/21. Administration acknowledged the check was late.”

8VAC20-770-40-D-1-a

“Based on a review of records and interview, the center did not ensure to obtain a central registry check for each officer of the board before the end of the 30 days after the change of officer. Evidence: The record of Officer #2, appointed to office 9/28/21, contained central registry results dated 12/23/21. Administration acknowledged the check was late.”

22.1-289.036-B-2

“Based on a review or records, the center did not ensure to obtain a fingerprint based national criminal record check within 30 days of appointment of a board officer. Evidence: The record of Officer #2, appointed to office 9/28/21, contained documentation of fingerprints dated 10/29/21.”

8VAC20-780-150-B

“Based on a review of children's records, the center did not ensure that immunizations received shall be signed by a physician, his designee, or an official of the local health department. Evidence: The record of child #2 contained documentation of immunizations that were not signed by a physician, his designee, or an official of a local health department.”

22VAC40-185-160-A

“Based on a review of records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within 21 days of employment. Evidence: The record of Staff #2 (DOH 5/13/21) contained documentation of a tuberculosis screening dated 9/21/21.”