Karter School of Gainesville

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current first aid certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of first aid certification on file.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of CPR certification on file.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff E was observed carrying a soiled diaper in a plastic bag and taking it to a trash can outside instead of disposing the diaper in the foot-operated trash can at the diaper changing area.”

8VAC20-780-350-B-1

“The required ratio for children ages birth - 16 months is one staff per four children. Two staff were observed supervising 17 children (youngest child 14 months old) during rest time, from 1:00 p.m. - 2:30 p.m.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff A, who had been employed for four months, did not have a central registry search requested. Staff C, who had been employed for one month and twelve days did not have a central registry search requested.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

8VAC20-780-60-A-8

“A written care plan is required 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. Child A and Child B, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-80-A

“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. At approximately 1:15 p.m. on 09/30/2024, there were 12 children present in the primary room #1, but only 11 children were marked present on the attendance record. At approximately 1:20 p.m. there was no attendance record available to account for the seven children who were present in the nap room. At approximately 1:25 p.m. there were five children present in the primary room #2, but 14 children were market present on the attendance record.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff B and Staff C, who have been actively working at the center for the past month, did not have any completed reference verifications on file.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current first aid certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of first aid certification on file.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of CPR certification on file.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff E was observed carrying a soiled diaper in a plastic bag and taking it to a trash can outside instead of disposing the diaper in the foot-operated trash can at the diaper changing area.”

8VAC20-780-350-B-1

“The required ratio for children ages birth - 16 months is one staff per four children. Two staff were observed supervising 17 children (youngest child 14 months old) during rest time, from 1:00 p.m. - 2:30 p.m.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff A, who had been employed for four months, did not have a central registry search requested. Staff C, who had been employed for one month and twelve days did not have a central registry search requested.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

8VAC20-780-60-A-8

“A written care plan is required 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. Child A and Child B, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-80-A

“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. At approximately 1:15 p.m. on 09/30/2024, there were 12 children present in the primary room #1, but only 11 children were marked present on the attendance record. At approximately 1:20 p.m. there was no attendance record available to account for the seven children who were present in the nap room. At approximately 1:25 p.m. there were five children present in the primary room #2, but 14 children were market present on the attendance record.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff B and Staff C, who have been actively working at the center for the past month, did not have any completed reference verifications on file.”

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation form before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a sworn statement form on file.”

8VAC20-780-550-E

“Based on review of the emergency drill log it was determined that shelter in place drill's were not practiced at least twice per year. Evidence: The most recent documentation that a shelter in place drill had taken place was on 05/16/2022.”

8VAC20-770-60-C-2

“Based on review of five staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a central registry check on file.”

8VAC20-780-160-A

“Based on review of five staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening on file before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a TB screening on file.”

8VAC20-780-60-A-8

“Based on review of six children's records and review of the center's allergy list it was determined that not all children with a diagnosed food allergy had a written care plan on file. Evidence: Child A and Child B are documented on the center's allergy list as having a diagnosed food allergy. There is not an allergy care plan on file for child A and child B to indicate instructions and actions to take place if the children come in contact with the specific allergen.”

8VAC20-780-550-F

“Based on review of the center's emergency drill log it was determined that lockdown drills were not precited at least annually. Evidence: The most recent lockdown drill was documented to have taken place on 05/23/22.”

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation form before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a sworn statement form on file.”

8VAC20-780-550-E

“Based on review of the emergency drill log it was determined that shelter in place drill's were not practiced at least twice per year. Evidence: The most recent documentation that a shelter in place drill had taken place was on 05/16/2022.”

8VAC20-770-60-C-2

“Based on review of five staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a central registry check on file.”

8VAC20-780-160-A

“Based on review of five staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening on file before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a TB screening on file.”

8VAC20-780-60-A-8

“Based on review of six children's records and review of the center's allergy list it was determined that not all children with a diagnosed food allergy had a written care plan on file. Evidence: Child A and Child B are documented on the center's allergy list as having a diagnosed food allergy. There is not an allergy care plan on file for child A and child B to indicate instructions and actions to take place if the children come in contact with the specific allergen.”

8VAC20-780-550-F

“Based on review of the center's emergency drill log it was determined that lockdown drills were not precited at least annually. Evidence: The most recent lockdown drill was documented to have taken place on 05/23/22.”

8VAC20-780-340-F

“Based on interviews it was determined that children did not always remain within sight and sound supervision of staff as required. Evidence: On 9/13/23 at around 5:00 pm two staff and eight children from the toddler class were lining up to come inside from the playground. Staff A was in the front of the line and staff B was in the back of the line. Staff and the children walked into the toddler classroom. Staff A kept two children in the toddler room while Staff B escorted the rest of the children to the activity room. A name to face attendance check was not conducted upon arrival to the toddler classroom or the activity room. Child A (20 months) remained outside for around 5-9 minutes. Child A's parent arrived at 5:09 pm to the activity room to retrieve their child. The parent was directed to the toddler room. As the parent was walking into the toddler room Staff A observed child A still playing on the playground and ran outside to retrieve child A. The child was then brought inside to their parent.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1.) The record for staff A (start date: 08/07/2023) did not contain documentation of a person to contact in an emergency. 2.) The record for staff A (start date: 08/07/2023) did not have documentation of two references as required.”

8VAC20-780-40-M

“Based on review of documentation it was determined that the center failed to maintain an up to date list of children's allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list on file was dated 04/13/2023. Child C had emergency medication on site for a diagnosed food allergy but was not listed on the center's allergy list.”

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation before the first day of employment. Evidence: The record for staff A (start date: 08/07/2023) did not contain documentation of a completed sworn statement form.”

8VAC20-780-60-A-8

“Based on review of the food allergy list and review of two children's records it was determined that not all children with food allergies had an written allergy care plan on file. Evidence: The records for Child A and Child B did not contain documentation of a written allergy care plan. Child A and Child B were documented to have food allergies on the center's allergy list.”

8VAC20-780-340-F

“Based on interviews it was determined that children did not always remain within sight and sound supervision of staff as required. Evidence: On 9/13/23 at around 5:00 pm two staff and eight children from the toddler class were lining up to come inside from the playground. Staff A was in the front of the line and staff B was in the back of the line. Staff and the children walked into the toddler classroom. Staff A kept two children in the toddler room while Staff B escorted the rest of the children to the activity room. A name to face attendance check was not conducted upon arrival to the toddler classroom or the activity room. Child A (20 months) remained outside for around 5-9 minutes. Child A's parent arrived at 5:09 pm to the activity room to retrieve their child. The parent was directed to the toddler room. As the parent was walking into the toddler room Staff A observed child A still playing on the playground and ran outside to retrieve child A. The child was then brought inside to their parent.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1.) The record for staff A (start date: 08/07/2023) did not contain documentation of a person to contact in an emergency. 2.) The record for staff A (start date: 08/07/2023) did not have documentation of two references as required.”

8VAC20-780-40-M

“Based on review of documentation it was determined that the center failed to maintain an up to date list of children's allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list on file was dated 04/13/2023. Child C had emergency medication on site for a diagnosed food allergy but was not listed on the center's allergy list.”

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation before the first day of employment. Evidence: The record for staff A (start date: 08/07/2023) did not contain documentation of a completed sworn statement form.”

8VAC20-780-60-A-8

“Based on review of the food allergy list and review of two children's records it was determined that not all children with food allergies had an written allergy care plan on file. Evidence: The records for Child A and Child B did not contain documentation of a written allergy care plan. Child A and Child B were documented to have food allergies on the center's allergy list.”

8VAC20-780-280-B

“Based on observation of classroom 2 it was determined that not all hazardous substances were kept locked preventing access by children. Evidence: Hazardous substances such as disinfectant spray, bleach water, adhesive remover, and medication was observed in an unlocked closet in classroom two.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were maintained in safe condition. Evidence: 1.) The paneling is beginning to detach from the sink cabinet creating sharp edges on the bottom-left and right side of the cabinet. 2.) Two bolts are protruding from the playground barrier creating a tripping hazard.”