Just Kids Child Development Early Learning Campus, St. Lukes

8VAC20-780-430-I

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure if combs, toothbrushes, or other personal articles are used, they shall be individually assigned. Evidence: Three unlabeled pacifiers were observed in the infant room.”

8VAC20-780-340-A

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: On 11/21/2023 at approximately 10:45 am, Child 6 (18 months) and Child 7 (21 months) were observed strapped into a stroller which was left unattended in the hallway for approximately 1.5 minutes. During that time, Child 1 was observed repeatedly striking Child 2 approximately 6 times on the head and face. Child 2 was observed crying and bringing their left arm and hand over their face and head to protect themselves. Staff 1 was unaware of these actions until the Licensing Inspector brought the incident to their attention.”

8VAC20-780-330-B

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The resilient surfacing, (mulch) under the small climbing equipment with the blue slides measured less than one inch. The ground was visible at the bottom of the slide. The small climbing equipment measured approximately 3? tall. The required amount of resilient surfacing is 6?. Children were observed using this equipment. 2. The resilient surfacing, (mulch) under the large climbing equipment with the blue slide measured approximately one inch. The large climbing equipment measured approximately 5?9? tall. The required amount of resilient surfacing is 6?. Children were observed using this equipment. 3. The resilient surfacing, (mulch) under the ?stepping pads? measured approximately two inches. The ?stepping pads? equipment measured approximately 16? off the ground. The required amount of resilient surfacing is 6?. Children were observed using this equipment.”

8VAC20-780-280-F

“SYSTEMIC VIOLATION Based on observations and interview with staff, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: An unlabeled spray bottle containing purple liquid was located in the unlocked bottom drawer of a 3-drawer unit located in the ?4s? room. Staff 5 confirmed the purple liquid was ?Fabuloso and bleach mixture.?”

8VAC20-780-280-B

“SYSTEMIC VIOLATION Based on observations and interviews with staff, the center failed to ensure that 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. Evidence: An aerosol can of ?disinfectant spray? and an unlabeled spray bottle containing purple liquid was located in the unlocked bottom drawer of a 3 drawer unit located in the ?4s? room. Staff 5 confirmed the purple liquid was ?Fabuloso and bleach mixture.?”

8VAC20-780-80-A

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure that 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. Evidence: 1. The attendance record in the ?3-year-old? room indicated 11 children were present. There were 10 children observed in care at the time the attendance record was reviewed. The attendance did not document the departure as it occurred. 2. The attendance record in the ?Step Up Infant (2)? room indicated 7 children were present. There were 6 children observed in care at the time the attendance record was reviewed. The attendance did not document the departure as it occurred.”

8VAC20-780-40-M

“SYSTEMIC VIOLATION Based on observation, 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, sensitives and restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. Evidence: A written list of children’s allergies, sensitives and restrictions was available for review in the kitchen during the inspection. The name of Child 1 was not listed. Child 1 has a documented food allergy requiring an allergy care plan. This list was not in each room where children where present.”

8VAC20-780-140-A

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 5 documented the first date of attendance of 07/13/2022. The physical examination was dated 02/20/2023.”

8VAC20-780-130-A

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 4 documented the first date of attendance as 10/09/2023. The immunization record was obtained 10/11/2023.”

8VAC20-780-430-K

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure provision shall be made for an individual place for each child’s belongings. Evidence: 1. Approximately 6 book bags, 7 jackets/coats, and a bag of pull ups were observed on a 2-shelf unit in the ?4?s? room. 2. Approximately 3 book bags, and 5 jackets/coats were observed on the floor in the ?old 2?s? room.”

8VAC20-780-510-P

“Based on observation and record review, the center failed to ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed. Evidence: The authorization for Medication 1 expired on 10/01/2022. Medication 1 was observed at the center on 11/21/2023.”

8VAC20-780-560-F

“Based on observation, the center failed to ensure that when a center chooses to provide meals or snacks, the center shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United Stated Department of Agriculture. Evidence: All the required components for lunch were not provided. Lunch requires 5 of the following 5 components: fluid milk, meat/meat alternate, vegetables, fruits, and grains. Children were observed being served chicken nuggets, corn, and green beans. No grain or fluid milk was served with the meal.”

8VAC20-780-340-F

“SYSTEMIC VIOLATION Based on observations, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: On 11/21/2023 at approximately 10:45 am, 4 children from the ?Step Up Infant (2)? room, ages 16 months- 24 months, were observe strapped into a stroller which was left unattended in the hallway for approximately 1.5 minutes. Staff 1 was observed in the classroom with one child placing linens on cots/mats while the 4 children were in the stroller in the hallway; during this time the 4 children in the stroller were not within sight and sound supervision of staff.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 1 contained a documented hire date of 06/12/2023. Staff 6 verified that Staff 1 began working at the center on 06/15/2023. The tuberculosis screening in the record for Staff 1 was dated 06/17/2023. The tuberculosis screening had not been completed prior to coming into contact with children.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The Toddler Class was observed finishing up breakfast, returning to their classroom and immediately beginning to play with various toys. The children did not wash their hands with soap and running water or a disposable wipe after eating breakfast.”

8VAC20-770-60-C-2

“Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The documented hire date in the record for Staff 2 was 03/31/2023. There were no findings from a search of the central registry available for review during the inspection. 2. The documented hire date in the record for Staff 4 was 08/20/2022. The findings from a search of the central registry were dated 11/06/2022.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 4 did not contain a physical examination; the documented first date of attendance for Child 4 was 11/01/2021.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children; documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 2 contained a documented hire date of 03/31/2023. The tuberculosis screening was dated 07/04/2022. The tuberculosis screening had not been completed within 30 calendar days from employment.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the work phone number and place of employment of each parent (there was not a work phone number provided for both parents); phone number of the child’s physician; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated person was incomplete); allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and first date of attendance. 2. The record for Child 2 did not contain the following information: first date of attendance. 3. The record for Child 3 did not contain the following information: first date of attendance. 4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record (the most recent update took place on 11/01/2021). 5. The record for Child 5 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record (the most recent update took place on 09/20/2021).”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: date of employment. 2. The record for Staff 2 did not contain the following information: job title; name, address, and telephone number of a person to be notified in an emergency; and documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position. 3. The record for Staff 3 did not contain the following information: job title; documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record and the reference did not contain the signature of the person making the call as required). 4. The record for Staff 4 did not contain the following information: documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record and the reference did not contain the signature of the person making the call as required). 5. The record for Staff 5 did not contain the following information: documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that 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. Evidence: 1. There were 10 children observed in care in the Infant Class; there were only 7 children marked present on the attendance record. The daily attendance did not document the arrival of each child as it occurs. 2. There were 5 children observed in care in the Toddler Class; there were 6 children marked in attendance. The daily attendance did not document the departure of each child as it occurs. 3. There were 5 children observed in care in the 2 year old class; there were 6 children marked in attendance. The daily attendance did not document the departure of each child as it occurs. 4. There were 11 children observed in care in the 2 ?-3 year old class; there were only 8 children marked present on the attendance record. The daily attendance did not document the arrival of each child as it occurs.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 3 contained a documented hire date of 02/27/2023. There was no documentation to demonstrate that Staff 3 has completed orientation training in the record. Staff 3 was observed working during the inspection.”

8VAC20-780-350-B-2

“Based on observation and interviews, the center failed to ensure that the required staff to child ratio, 1 staff for every 5 children for children 16 months up to 24 months, is met whenever children are in care. Evidence: There were 7 children, ages 16 months-24 months, and 1 staff observed in the 16-24 month old class during rest time. Staff 6 stated that they were the only staff member with the 7 children following lunch until the children went down for nap. The required ratio for this age group is 1 staff for every 5 children.”

8VAC20-780-370-1

“Based on observation and interviews, the center failed to ensure that when an infant is placed in their crib, they shall be placed on their backs. Evidence: 1. There were signs posted on the wall behind the cribs that read ?you can lay me on my back or my stomach?. Staff verified that they do place children in their cribs on their stomachs. 2. A child was observed sleeping on their stomach in their crib. Staff verified that they had placed the child on their stomach.”

8VAC20-780-510-B

“Based on observations and interviews, the center failed to ensure that nonprescription medication shall be administered only with written authorization from the parent. Evidence: 1. There was written documentation that Medication 1 had been administered on 03/02/2023. There was not a written authorization from the parent available for review. Staff 7 stated that they had thrown the authorization forms in the trash once they expired. 2. There was written documentation that Medication 3 had been administered multiple times between 04/06/2023 and 05/09/2023. There was not a written authorization from the parent available for review. Staff 7 stated that they had thrown the authorization forms in the trash once they expired.”

8VAC20-780-560-M

“Based on observations, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 6 was observed drinking from a sippy cup while walking around in the infant room.”

8VAC20-780-570-C

“Based on interviews, the center failed to ensure that the record of each child on formula shall contain the brand of formula and the child’s feeding schedule. Evidence: Staff 5 verified that there were a total of 7 children on formula in the Infant Class. There was not a record for each child on formula that included the brand of formula and the child’s feeding schedule for any of the 7 children on formula available for review during the inspection.”

22.1-289.036-A

“Based on record review, the center failed to ensure that all applicants shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The record for Applicant 1 contained a criminal record fingerprint eligibility letter dated 03/06/2018; the date on the most recent eligibility letter was 06/13/2023. 2. The record for Applicant 3 contained a criminal record fingerprint eligibility letter dated 03/06/2018; the date on the most recent eligibility letter was 06/13/2023.”

8VAC20-770-60-C-2

“Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The documented hire date in the record for Staff 2 was 03/31/2023. There were no findings from a search of the central registry available for review during the inspection. 2. The documented hire date in the record for Staff 4 was 08/20/2022. The findings from a search of the central registry were dated 11/06/2022.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 4 did not contain a physical examination; the documented first date of attendance for Child 4 was 11/01/2021.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children; documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 2 contained a documented hire date of 03/31/2023. The tuberculosis screening was dated 07/04/2022. The tuberculosis screening had not been completed within 30 calendar days from employment.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the work phone number and place of employment of each parent (there was not a work phone number provided for both parents); phone number of the child’s physician; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated person was incomplete); allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and first date of attendance. 2. The record for Child 2 did not contain the following information: first date of attendance. 3. The record for Child 3 did not contain the following information: first date of attendance. 4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record (the most recent update took place on 11/01/2021). 5. The record for Child 5 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record (the most recent update took place on 09/20/2021).”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: date of employment. 2. The record for Staff 2 did not contain the following information: job title; name, address, and telephone number of a person to be notified in an emergency; and documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position. 3. The record for Staff 3 did not contain the following information: job title; documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record and the reference did not contain the signature of the person making the call as required). 4. The record for Staff 4 did not contain the following information: documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference in the record and the reference did not contain the signature of the person making the call as required). 5. The record for Staff 5 did not contain the following information: documentation to demonstrate that the individual possesses the educational, certification, and experience required by the job position.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that 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. Evidence: 1. There were 10 children observed in care in the Infant Class; there were only 7 children marked present on the attendance record. The daily attendance did not document the arrival of each child as it occurs. 2. There were 5 children observed in care in the Toddler Class; there were 6 children marked in attendance. The daily attendance did not document the departure of each child as it occurs. 3. There were 5 children observed in care in the 2 year old class; there were 6 children marked in attendance. The daily attendance did not document the departure of each child as it occurs. 4. There were 11 children observed in care in the 2 ?-3 year old class; there were only 8 children marked present on the attendance record. The daily attendance did not document the arrival of each child as it occurs.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 3 contained a documented hire date of 02/27/2023. There was no documentation to demonstrate that Staff 3 has completed orientation training in the record. Staff 3 was observed working during the inspection.”

8VAC20-780-350-B-2

“Based on observation and interviews, the center failed to ensure that the required staff to child ratio, 1 staff for every 5 children for children 16 months up to 24 months, is met whenever children are in care. Evidence: There were 7 children, ages 16 months-24 months, and 1 staff observed in the 16-24 month old class during rest time. Staff 6 stated that they were the only staff member with the 7 children following lunch until the children went down for nap. The required ratio for this age group is 1 staff for every 5 children.”

8VAC20-780-370-1

“Based on observation and interviews, the center failed to ensure that when an infant is placed in their crib, they shall be placed on their backs. Evidence: 1. There were signs posted on the wall behind the cribs that read ?you can lay me on my back or my stomach?. Staff verified that they do place children in their cribs on their stomachs. 2. A child was observed sleeping on their stomach in their crib. Staff verified that they had placed the child on their stomach.”

8VAC20-780-510-B

“Based on observations and interviews, the center failed to ensure that nonprescription medication shall be administered only with written authorization from the parent. Evidence: 1. There was written documentation that Medication 1 had been administered on 03/02/2023. There was not a written authorization from the parent available for review. Staff 7 stated that they had thrown the authorization forms in the trash once they expired. 2. There was written documentation that Medication 3 had been administered multiple times between 04/06/2023 and 05/09/2023. There was not a written authorization from the parent available for review. Staff 7 stated that they had thrown the authorization forms in the trash once they expired.”

8VAC20-780-560-M

“Based on observations, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 6 was observed drinking from a sippy cup while walking around in the infant room.”

8VAC20-780-570-C

“Based on interviews, the center failed to ensure that the record of each child on formula shall contain the brand of formula and the child’s feeding schedule. Evidence: Staff 5 verified that there were a total of 7 children on formula in the Infant Class. There was not a record for each child on formula that included the brand of formula and the child’s feeding schedule for any of the 7 children on formula available for review during the inspection.”

22.1-289.036-A

“Based on record review, the center failed to ensure that all applicants shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The record for Applicant 1 contained a criminal record fingerprint eligibility letter dated 03/06/2018; the date on the most recent eligibility letter was 06/13/2023. 2. The record for Applicant 3 contained a criminal record fingerprint eligibility letter dated 03/06/2018; the date on the most recent eligibility letter was 06/13/2023.”

22.1-289.035-B-2

“Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 02/17/2023. There was not an employment eligibility letter available for review during the 03/08/2023 inspection. Staff 1 stated that Staff 2 had been an employee that had worked at the center but was no longer an employee. Staff 1 stated that Staff 2 had never completed a fingerprint background check.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to coming into contact with children. Evidence: The record for Staff 2 contained a documented hire date of 02/17/2023. There was not documentation of a negative tuberculosis screening available for review during the 03/08/2023 inspection. Staff 1 stated that Staff 2 had worked at the center but was no longer an employee.”

8VAC20-780-70

“Based on record review, the center failed to ensure that all staff records contain all of the elements as required by the standards. Evidence: The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation to demonstrate that the individual possesses orientation training; and date of separation from employment.”

8VAC20-780-130-E

“Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 5 was confirmed to be 13 months old. The most recent documentation of immunizations in the record for Child 5 was dated 07/18/2022. The documented first date of attendance for Child 5 was 07/25/2022. Documentation of additional immunizations were not obtained every six months for a child under two years.”

8VAC20-780-150-B

“Based on document review, the center failed to ensure that each report of physical examination and immunizations shall include the date of the physical examination and the date the immunizations were received and shall be signed by a physician, his designee or an official of a local health department. Evidence: 1. The immunization record in the record for Child 1 was not signed by a physician, his designee or an official of a local health department. 2. The immunization record in the record for Child 4 was not signed by a physician, his designee or an official of a local health department.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that 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. Evidence: There was a clear plastic spray bottled labeled ?Clorox and water? on the diaper changing table of the Toddler Room. The bottle was accessible to the children. Children were observed in the diaper changing area of the classroom.”

8VAC20-780-340-D

“Based on record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present. Evidence: The Toddler Class was observed in the care of Staff 2 and Staff 5. Staff 6 that Staff 2 was the program lead and that Staff 5 was a program aid. The review of the record for Staff 2 determined that Staff 2 did not meet the qualifications of a program leader or program director. The review of the record for Staff 5 determined that Staff 2 did not meet the qualifications of a program leader or program director. There was not at least one staff member who meets the qualification of a program leader or program director regularly present with the Toddler Class.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The Toddler Class was observed finishing lunch, immediately returning to their classroom, and getting on their cots for rest time. The children in the Toddler Class did not wash their hands with soap and running water or a disposable wipe after eating lunch.”

8VAC20-780-530-A

“Based on record review, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR and first aid. Evidence: 1. There was not at least one staff member with a current certification in CPR and First Aid in the Toddler Class. 2. There was not a least one staff member with a current certification in CPR and First Aid in the 2-3 year old class.”

8VAC20-780-560-F-4

“Based on observation, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: The Toddler Class and the 2 Year Old Class was observed during lunch. The children, ages 16 months-2 years, were served fruit cocktail that contained whole grapes; whole grapes are considered to be potential choking hazards.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses of both designated people were incomplete). 2. The record for Child 4 did not contain information regarding allergies and intolerances to medication or any other substances and actions to take in an emergency.”

22.1-289.035-B-2

“Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 02/17/2023. There was not an employment eligibility letter available for review during the 03/08/2023 inspection. Staff 1 stated that Staff 2 had been an employee that had worked at the center but was no longer an employee. Staff 1 stated that Staff 2 had never completed a fingerprint background check.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to coming into contact with children. Evidence: The record for Staff 2 contained a documented hire date of 02/17/2023. There was not documentation of a negative tuberculosis screening available for review during the 03/08/2023 inspection. Staff 1 stated that Staff 2 had worked at the center but was no longer an employee.”

8VAC20-780-70

“Based on record review, the center failed to ensure that all staff records contain all of the elements as required by the standards. Evidence: The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation to demonstrate that the individual possesses orientation training; and date of separation from employment.”

8VAC20-780-130-E

“Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 5 was confirmed to be 13 months old. The most recent documentation of immunizations in the record for Child 5 was dated 07/18/2022. The documented first date of attendance for Child 5 was 07/25/2022. Documentation of additional immunizations were not obtained every six months for a child under two years.”

8VAC20-780-150-B

“Based on document review, the center failed to ensure that each report of physical examination and immunizations shall include the date of the physical examination and the date the immunizations were received and shall be signed by a physician, his designee or an official of a local health department. Evidence: 1. The immunization record in the record for Child 1 was not signed by a physician, his designee or an official of a local health department. 2. The immunization record in the record for Child 4 was not signed by a physician, his designee or an official of a local health department.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that 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. Evidence: There was a clear plastic spray bottled labeled ?Clorox and water? on the diaper changing table of the Toddler Room. The bottle was accessible to the children. Children were observed in the diaper changing area of the classroom.”

8VAC20-780-340-D

“Based on record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present. Evidence: The Toddler Class was observed in the care of Staff 2 and Staff 5. Staff 6 that Staff 2 was the program lead and that Staff 5 was a program aid. The review of the record for Staff 2 determined that Staff 2 did not meet the qualifications of a program leader or program director. The review of the record for Staff 5 determined that Staff 2 did not meet the qualifications of a program leader or program director. There was not at least one staff member who meets the qualification of a program leader or program director regularly present with the Toddler Class.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The Toddler Class was observed finishing lunch, immediately returning to their classroom, and getting on their cots for rest time. The children in the Toddler Class did not wash their hands with soap and running water or a disposable wipe after eating lunch.”

8VAC20-780-530-A

“Based on record review, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR and first aid. Evidence: 1. There was not at least one staff member with a current certification in CPR and First Aid in the Toddler Class. 2. There was not a least one staff member with a current certification in CPR and First Aid in the 2-3 year old class.”

8VAC20-780-560-F-4

“Based on observation, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: The Toddler Class and the 2 Year Old Class was observed during lunch. The children, ages 16 months-2 years, were served fruit cocktail that contained whole grapes; whole grapes are considered to be potential choking hazards.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses of both designated people were incomplete). 2. The record for Child 4 did not contain information regarding allergies and intolerances to medication or any other substances and actions to take in an emergency.”

8VAC20-780-550-B

“Based on document review, the center failed to ensure that the emergency preparedness plan shall contain all of the procedural components as required by the standards. Evidence: 1. The evacuation procedures did not include the following information: accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation. 2. The shelter-in-place procedure did not include the following information: securing of essential documents, including attendance records, parent contact information for staff and supplies are taken to the assembly point or relocation site; and accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation. 3. The lockdown procedures did not include the following information: accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation. 4. The emergency preparedness plans did not include information regarding the continuity of operations to ensure that essential functions are maintained during an emergency.”