Kid Central- Farmington

8VAC20-780-550-P

“Based on a review of records and interview, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report of child #4 and child #6 did not contain documentation of any future action to prevent recurrence of the injury. 2. Staff # 3 confirmed the information was missing.”

8VAC20-780-510-F

“Based on a review of medication and interview, the center failed to ensure the medication authorization for one medication was available to staff during the entire time they were effective. Evidence: 1. On December 14, 2023, one medication was observed on-site for child # 7. There was no documentation of medication authorization in the record of child #7. Staff # 3 confirmed there was no parent authorization for the medication.”

8VAC20-780-510-I

“Based on observation and interview on May 16, 2023, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child’s name, prescriber’s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #6 has an Epi-pen at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #3 confirmed the center did not have the original container or label.”

8VAC20-780-510-G

“Based on observation on May 16, 2023, the center failed to ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. There was a bottle of children's ibuprofen that was not labeled with a child's name or the time to be given. 2. Staff #3 confirmed the medication wasn't labeled.”

8VAC20-780-60-A-8

“Based on a review of children's records and interview on May 16, 2023, the center failed to ensure 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: 1. The record of child #1 contains documentation on the child's physical that child #1 has a diagnosed food allergy. 2. The record of child #1 did not contain documentation of an allergy care plan. 3. Staff #3 confirmed there was no allergy care plan for child #1.”

8VAC20-780-510-I

“Based on observation and interview on May 16, 2023, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child’s name, prescriber’s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #6 has an Epi-pen at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #3 confirmed the center did not have the original container or label.”

8VAC20-780-510-G

“Based on observation on May 16, 2023, the center failed to ensure that medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1. There was a bottle of children's ibuprofen that was not labeled with a child's name or the time to be given. 2. Staff #3 confirmed the medication wasn't labeled.”

8VAC20-780-60-A-8

“Based on a review of children's records and interview on May 16, 2023, the center failed to ensure 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: 1. The record of child #1 contains documentation on the child's physical that child #1 has a diagnosed food allergy. 2. The record of child #1 did not contain documentation of an allergy care plan. 3. Staff #3 confirmed there was no allergy care plan for child #1.”

8VAC20-790-600-B

“Based on a review of staff records, the provider failed to ensure within the first 90 days of employment of service all caregivers complete Virginia Pre-Service Training for Childcare Staff. Evidence: The record of staff #1, hired 8/2/21, contained documentation of Preservice Training dated 12/7/21.”

8VAC20-780-130-A

“Based on a review of children’s records on November 1, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1, enrolled 7/13/22, contained documentation of immunizations dated 10/31/22. 2. The record of child #4, enrolled 8/9/22, contained documentation of immunizations dated 9/27/22.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on November 1, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of central registry results dated 12/29/21. Administrator #1 confirmed the results were late.”

8VAC20-780-245-A

“Based on a review of staff records and interview on November 1, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #3 contained documentation of 4 hours of training from6/13/21 to 6/13/22. 2. Administrator #1 acknowledged the annual training hours were not complete.”

8VAC20-780-240-B

“Based on a review of staff records and interview on November 1, 2022, the center failed to ensure staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of orientation dated 2/17/22. 2. Administrator #1 indicated that staff #2 initially started with the Early Head Start program and submitted another documentation of orientation that was dated 12/6/21. 3. The documentation of orientation was signed and dated as completed on 12/6/21, however, the form completed indicated it was updated in October 2022 and therefore could not have been signed on 12/6/21. 4. Administrator #1 confirmed the form was ?doctored.?”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of the Virginia Department of Education sponsored orientation dated 8/15/22.”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of the Virginia Department of Education sponsored orientation dated 8/15/22.”

8VAC20-790-600-B

“Based on a review of staff records, the provider failed to ensure within the first 90 days of employment of service all caregivers complete Virginia Pre-Service Training for Childcare Staff. Evidence: The record of staff #1, hired 8/2/21, contained documentation of Preservice Training dated 12/7/21.”

8VAC20-780-130-A

“Based on a review of children’s records on November 1, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1, enrolled 7/13/22, contained documentation of immunizations dated 10/31/22. 2. The record of child #4, enrolled 8/9/22, contained documentation of immunizations dated 9/27/22.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on November 1, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of central registry results dated 12/29/21. Administrator #1 confirmed the results were late.”

8VAC20-780-245-A

“Based on a review of staff records and interview on November 1, 2022, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #3 contained documentation of 4 hours of training from6/13/21 to 6/13/22. 2. Administrator #1 acknowledged the annual training hours were not complete.”

8VAC20-780-240-B

“Based on a review of staff records and interview on November 1, 2022, the center failed to ensure staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of orientation dated 2/17/22. 2. Administrator #1 indicated that staff #2 initially started with the Early Head Start program and submitted another documentation of orientation that was dated 12/6/21. 3. The documentation of orientation was signed and dated as completed on 12/6/21, however, the form completed indicated it was updated in October 2022 and therefore could not have been signed on 12/6/21. 4. Administrator #1 confirmed the form was ?doctored.?”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of the Virginia Department of Education sponsored orientation dated 8/15/22.”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #2, hired 11/11/21, contained documentation of the Virginia Department of Education sponsored orientation dated 8/15/22.”