James Madison University

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The list did not contain the name of one child with a dietary restriction.”

8VAC20-780-70

“Staff records shall include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #3 did not have documentation required for the job position.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center did not maintain compliance with the center's procedures for administering medication which requires following all MAT procedures. The five rights were not matched as a prescribed medication was not given to the right child. On (date) Staff #1 administered a medication to child #1 (two years of age) that was prescribed to Child #2.”

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. On January 22, 2025 Staff #1 administered a prescription medication to a two-year-old that was not the child identified on the prescription label.”

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. The janitor's closet with left propped open with two buckets of cleaning mixture on top of a cart on wheels and other hazardous substances inside.”

8VAC20-780-510-E

“The center's procedures for administering medication shall: For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage; Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent; and Include methods to prevent use of outdated medication. The center's procedures do not contain the required information.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. The emergency medication for Child #5 could not be found.”

22.1-289.035-B-2

“Based on record review and interview, the center failed to ensure fingerprint results were submitted for a new staff member prior to employment. Evidence: The record for staff 5 documents employment date as 8/15/22. The center does not have the required fingerprint results per the administrator.”

8VAC20-780-60-A-8

“(REPEAT VIOLATION)Based on record review and interview, the center does not have a written care plan for a child with a diagnosed food allergy. Evidence: The medication and supporting documentation for child 9 was reviewed. The center does not have a written care plan for child 9's food allergy.”

8VAC20-780-510-F

“Based on record review and interview, the center failed to maintain a medication authorization available to staff during the entire time it is effective. Evidence: The medication and documentation for child 8 was reviewed. The center does not have parent authorization to administer medication.”

8VAC20-770-60-C-2

“(REPEAT VIOLATION) Based on record review and interview, the center failed to ensure central registry findings were obtained within 30 days of employment. Evidence: Per the administrator the hire date for staff 6 was 12/14/2023. The record for staff 6 did not contain findings of a central registry background check.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure staff submitted documentation of a negative TB screening within the last 30 calendar days of the date of employment. and prior to coming into contact with children. Evidence: The record for staff 5 documents the date of employment as 8/15/22. The TB documentation is dated 9/26/22”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure a new staff member completed a sworn statement or affirmation before employment. Evidence: The record for staff 5 documents the employment date as 8/15/22. The sworn statement is dated 9/14/22.”

8VAC20-780-40-M

“(REPEAT VIOLATION) Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: 1. In each classroom, staff were unable to locate a current written list of all children’s allergies, sensitivities, and dietary restrictions. 2. Staff #7 confirmed the classrooms did not contain a written list of all children’s allergies, sensitivities, and dietary restrictions.”

8VAC20-780-60-A

“Based on review of records, the center failed to ensure that each child’s record contained the required information. Evidence: 1. Child #1?s record was missing the phone number of the child’s physician. 2. Child #2?s record was missing the phone number for the place of employment for both parents. 3. Child #3?s record was missing the phone number of the child’s physician. 4. Child #6?s record was missing the phone number for the place of employment for both parents. 5. Child #7?s record was missing the name and phone number of the child’s physician. 5. Staff #7 confirmed that the items were missing from the children’s records.”

8VAC20-780-60-A-8

“Based on interview, the center did not have a written care plan for each child with a diagnosed food allergy. Evidence: 1. Staff #3 confirmed that Child #8 had an epinephrine pen for a food allergy. There was not a written care plan available for Child #8.”

8VAC20-780-330-B

“Based on measurement, the center failed to ensure that when playground equipment is provided, resilient surfacing complies with the minimum safety standards. Evidence: 1. The mulch depth was measured in various places on the toddler and preschool playgrounds. The mulch did not meet the minimum safety requirement of six inches in depth. 2. Staff #7 confirmed the mulch was not six inches in depth.”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure that when food is brought from home, food containers are clearly labeled in a way that identifies the owner. Evidence: 1. In the Purple Pups classroom, there was four cups without names, nine cups without date and eight lunchboxes without dates. Staff #3 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 2. In the Gold classroom, there was eight cups without names, 14 cups without dates and four lunchboxes without dates and names. Staff #6 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 3. In the Purple classroom, there was four cups without dates, two cups without names, four lunchboxes without dates and three lunchboxes without names. Staff #2 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 4. In the Royal Dukes classroom, there was nine lunchboxes without dates and nine cups without dates. Staff #7 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 5. In the Madison Mini’s classroom, there was 12 lunchboxes without dates and 15 cups without dates. Staff #4 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names. 6. In the Duke Dogs classroom, there was 14 lunchboxes without dates, five lunchboxes without dates, four cups without a name and seven cups without dates. Staff #1 confirmed that the contents of the cups and lunchboxes were brought from home and were missing the dates and names.”

8VAC20-780-70

“(REPEAT VIOLATION) Based on record review and interview, the center failed to ensure staff records contained documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position. Evidence: 1. Staff #3?s record did not contain evidence of qualifications. Staff #7 confirmed that the record did not contain the required documentation.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain an immunization record for one out of five children's records reviewed. Evidence: 1. The record for child 1, start date 8/23/22, did not contain an immunization record. 2. The administrator verified they did not have an immunization record for child 1.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure five out of five staff records contained documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position. Evidence: 1. A review of all staff records that were present in the three classrooms did not contain documentation and certification of how any of the teachers met lead teacher qualifications. 2. The director was able to verbally advise the educational background for the staff which showed how they met lead teacher qualifications but did not have documentation to demonstrate.”

22.1-289.011-F

“Based on observation, the center failed to post the most current inspection. Evidence: 1. At the entrance to the center the inspection posted was dated 3/22/22. The last inspection conducted was dated 12/1/22. 2. The director verified that is the location they posted inspections.”

8VAC20-780-40-M

“Based on interview, the center failed to maintain a written list of children's allergies, sensitivities, and dietary restrictions in a confidential manner in each classroom where the children are present. Evidence: 1. In the Gold classroom the teacher stated a child had a food allergy. She was unable to provide a written list of the child's allergies in the classroom. 2. The director stated the child was moved to the classroom recently and the list was not moved.”