LeafSpring School at Hanover

8VAC20-780-280-B

“Based on observation, the center failed to ensure hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of Clorox wipes was stored in an unlocked cabinet in the student kitchen in the school age building. 2. A container with sunscreen was stored on top of a shelf in the Pre-K classroom. The sunscreen was labeled with ?keep out of reach of children?.”

8VAC20-780-70

“Based on review of records and staff interview, the center did not ensure that staff records contained the required information. Evidence: 1. The record for staff # 7 did not have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. 2. Staff stated that documentation of staff # 7's education had not been received.”

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The staff record for Staff #4 contained a national criminal background check dated 7/2/2018. Staff #4 should have undergone a criminal background checks on or before 7/2/2023. 2. The director verified that a criminal background check had not been completed for staff #4 since 2018.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that electrical outlets shall have protective covers. Evidence: 1. In the gaming room in the school age building, there were two electrical outlets that did not have protective covers. 2. Two outlet covers in the gym did not have protective covers.”

8VAC20-780-60-A

“(Repeat violation) Based on record review, children's files did not contain all required information. Evidence: 1. The record for child # 1 did not contain the address for 1 of 2 emergency contacts. Child # 1?s date of enrollment was 6/27/2022. 2. The record for child #4 did not contain the place of employment for two of the listed parents and the parents work number. Child # 4?s date of enrollment was 12/7/2020. 3. The record for child # 5 did not contain the parents work phone number. Child # 5?s date of enrollment was 9/7/2021. 4. The record for child # 7 did not contain the parents work phone number. Child # 7?s date of enrollment was 6/2/2024. 5. The record for child # 9 did not contain the parents work number. Child # 9?s date of enrollment was 4/24/2024.”

8VAC20-780-550-F

“Based on record review, the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1. There was not documentation of a completed lockdown drill in 2023.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The wooden rail outside of the playhouse on the playground, have chipped paint and splintering wood. 2. A blue child size chair in the reading area located in the PreK classroom, was torn on seat of the chair exposing the webbing.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that documentation of a negative tuberculosis (TB) screening or test was submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #5 had an employment date of 10/30/23 and did not have a completed tuberculosis (TB) test or screening.”

22.1-289.035-B-4

“Based on review of records, the center failed to ensure that all out of state background checks were obtained. Evidence: 1. Staff # 1 (hire date 6/21/2023) lived outside the state of Virginia in the past five years in a non NFF state (national fingerprint file). Staff #1 is required to have a criminal background and a CPS from that state.”

8VAC20-780-240-I

“Based on review of staff records, the center failed to ensure that all staff records contained documentation of orientation training Evidence: 1. Staff #3?s file contained no documentation of orientation training. Staff # 3?s employment date was 6/14/2023.”

8VAC20-780-270-A

“(Repeat Violations) Based on observation, areas, and equipment, inside, were not maintained in a clean, safe, and operable condition. Evidence: 1. In the Yellow Birds classroom, there was chipped paint on the backwall under the window above the carpet. 2. In the PreK II classroom, there was a blue child size chair that was torn on the edges and the front of the seat exposing the inside cushioning. 3. 1 of 3 sinks in the boy’s bathroom located in the school age building, has a broken faucet lever.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain all information for children’s records. Evidence: 1. Child #10?s record indicates an egg allergy. The record for Child #10 did not include a written allergy care plan.”

8VAC20-780-40-M

“Based on observation, the center did not 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. Evidence: 1. The allergy list in the Green Pines classroom, and the Orange Birds classroom were not covered.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that documentation of a negative tuberculosis (TB) screening or test was submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #5 had an employment date of 10/30/23 and did not have a completed tuberculosis (TB) test or screening.”

22.1-289.035-B-4

“Based on review of records, the center failed to ensure that all out of state background checks were obtained. Evidence: 1. Staff # 1 (hire date 6/21/2023) lived outside the state of Virginia in the past five years in a non NFF state (national fingerprint file). Staff #1 is required to have a criminal background and a CPS from that state.”

8VAC20-780-240-I

“Based on review of staff records, the center failed to ensure that all staff records contained documentation of orientation training Evidence: 1. Staff #3?s file contained no documentation of orientation training. Staff # 3?s employment date was 6/14/2023.”

8VAC20-780-270-A

“(Repeat Violations) Based on observation, areas, and equipment, inside, were not maintained in a clean, safe, and operable condition. Evidence: 1. In the Yellow Birds classroom, there was chipped paint on the backwall under the window above the carpet. 2. In the PreK II classroom, there was a blue child size chair that was torn on the edges and the front of the seat exposing the inside cushioning. 3. 1 of 3 sinks in the boy’s bathroom located in the school age building, has a broken faucet lever.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain all information for children’s records. Evidence: 1. Child #10?s record indicates an egg allergy. The record for Child #10 did not include a written allergy care plan.”

8VAC20-780-40-M

“Based on observation, the center did not 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. Evidence: 1. The allergy list in the Green Pines classroom, and the Orange Birds classroom were not covered.”

8VAC20-790-550-2-e

“Based on review of ten staff records, two staff member did not have the required first aid and CPR training within the required time frame. Evidence: 1. Staff #1?s (hire date 3/8/2023) file, did not contained documentation of first aid and CPR certification. 2. Staff #2?s (hire date 3/8/2023) file, did not contain documentation of first aid and CPR certification.”

8VAC20-780-550-D

“Based on a review of records and interview, the licensee failed to maintain a record of practice drills for one year. Evidence: 1. There was no fire drill documented for November 2022 in the practice drill log. 2. In an interview with the director, it was determined that a drill was completed but had not been recorded in the log.”

8VAC20-780-240-B

“Based on record review for 10 staff, the center did not ensure that all staff completed orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #1?s record did not contain documentation of a completed orientation. Staff # 1?s date of employment was 3/8/2023. 2. Staff #3?s record did not contain documentation of a completed orientation. Staff #3?s date of employment was 3/8/2023. 3. The center director stated that staff #1 and staff #2 has complete orientation but was waiting for staff to return orientation form.”

8VAC20-780-60-A

“Based on record review, children's records did not contain the required information. Evidence: 1. Child #9's record did not contain documentation of the names of the persons authorized to pick up the child. 2. Child #10?s record did not contain documentation of the names of the persons authorized to pick up the child.”

8VAC20-780-40-M

“Based on observation, the center did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. In the green room there was a list of children's allergies/sensitivities posted on the outside of a cabinet. This list was visible and not kept confidential.”

8VAC20-790-550-2-e

“Based on review of ten staff records, two staff member did not have the required first aid and CPR training within the required time frame. Evidence: 1. Staff #1?s (hire date 3/8/2023) file, did not contained documentation of first aid and CPR certification. 2. Staff #2?s (hire date 3/8/2023) file, did not contain documentation of first aid and CPR certification.”

8VAC20-780-550-D

“Based on a review of records and interview, the licensee failed to maintain a record of practice drills for one year. Evidence: 1. There was no fire drill documented for November 2022 in the practice drill log. 2. In an interview with the director, it was determined that a drill was completed but had not been recorded in the log.”

8VAC20-780-240-B

“Based on record review for 10 staff, the center did not ensure that all staff completed orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #1?s record did not contain documentation of a completed orientation. Staff # 1?s date of employment was 3/8/2023. 2. Staff #3?s record did not contain documentation of a completed orientation. Staff #3?s date of employment was 3/8/2023. 3. The center director stated that staff #1 and staff #2 has complete orientation but was waiting for staff to return orientation form.”

8VAC20-780-60-A

“Based on record review, children's records did not contain the required information. Evidence: 1. Child #9's record did not contain documentation of the names of the persons authorized to pick up the child. 2. Child #10?s record did not contain documentation of the names of the persons authorized to pick up the child.”

8VAC20-780-40-M

“Based on observation, the center did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. In the green room there was a list of children's allergies/sensitivities posted on the outside of a cabinet. This list was visible and not kept confidential.”

8VAC20-790-600-B

“Based on record review for seven staff records, the center failed to document Virginia preservice training for 1 staff within the first 90 days of employment. Evidence: 1. Staff #2?s file did not contain documentation of the Virginia Preservice training. Staff #2?s DOH 7/3/2022”

8VAC20-780-140-B

“Based on record review, the center failed to ensure that each child had a physical exam within 12 months prior to attendance for children two years of age through five years of age. Evidence: 1. Based on the age of child #4 (four years old) at enrollment, 9/12/2022, the physical examination was not completed within one year prior. The date of the physical examination for child #4 was 5/13/20 (child was two years old at that time).”

8VAC20-780-280-B

“Based on observation, the center failed to keep 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: 1. A bottle of bleach water solution was unlocked on a shelf in the gym.”

8VAC20-780-130-A

“Based on record review of 7 child records, the center failed to ensure that 1 child records had an immunization documentation that the child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #3 record had an immunization document 5/23/21. 2. Child #3?s enrollment date was 5/3/2021.”

8VAC20-780-270-A

“Base on observation, the center failed to keep areas and equipment of the center, inside and outside, maintained in a clean, safe and operable condition. cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1.The vinyl covering on a blue chair located in the Pre-K classroom, was torn and exposed the foam padding on the front corner of each side of the chair. 2. A wooden fence in the back of the toddler playground, has a protruding nail. 3. The entry and exit frame of the playhouse located on the main playground, has chipped wood that can snag skin and clothes.”

8VAC20-790-600-B

“Based on record review for seven staff records, the center failed to document Virginia preservice training for 1 staff within the first 90 days of employment. Evidence: 1. Staff #2?s file did not contain documentation of the Virginia Preservice training. Staff #2?s DOH 7/3/2022”

8VAC20-780-140-B

“Based on record review, the center failed to ensure that each child had a physical exam within 12 months prior to attendance for children two years of age through five years of age. Evidence: 1. Based on the age of child #4 (four years old) at enrollment, 9/12/2022, the physical examination was not completed within one year prior. The date of the physical examination for child #4 was 5/13/20 (child was two years old at that time).”

8VAC20-780-280-B

“Based on observation, the center failed to keep 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: 1. A bottle of bleach water solution was unlocked on a shelf in the gym.”

8VAC20-780-130-A

“Based on record review of 7 child records, the center failed to ensure that 1 child records had an immunization documentation that the child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #3 record had an immunization document 5/23/21. 2. Child #3?s enrollment date was 5/3/2021.”

8VAC20-780-270-A

“Base on observation, the center failed to keep areas and equipment of the center, inside and outside, maintained in a clean, safe and operable condition. cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1.The vinyl covering on a blue chair located in the Pre-K classroom, was torn and exposed the foam padding on the front corner of each side of the chair. 2. A wooden fence in the back of the toddler playground, has a protruding nail. 3. The entry and exit frame of the playhouse located on the main playground, has chipped wood that can snag skin and clothes.”

8VAC20-790-600-D-2

“Based on a review of 10 staff records and interview, the center did not ensure that 1 staff obtained current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #4 (DOH: 8/3/2021) did not contain documentation of a First Aid certification. 2. Administration acknowledged that the staff was not certified.”

8VAC20-790-600-D-1

“Based on a review of 10 staff records and interview, the center did not ensure that 1 staff obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #4 (DOH: 8/3/2021) did not contain documentation of a CPR certification. 2. Administration acknowledged that the staff was not certified.”

8VAC20-780-550-D

“Based on a review of records and interview, the center did not ensure to implement a monthly practice evacuation drill as required. Evidence: 1. An evacuation drill was not documented in April of 2022. 2. Administration acknowledged that an evacuation drill had not been completed that month.”

22.1-289.035-A

“Based on review of 10 staff records and interview, the center did not ensure to obtain a repeat sworn statement background check every 5 years for 1 staff as required. Evidence: 1. The record of staff #9 (DOH:1/16/2017) contained a sworn statement dated 1/11/2017. 2. Administration acknowledged that the repeat sworn statement had not been obtained.”

8VAC20-780-140-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain a physical record for 1 child before attendance or within 30 days after the first day of attendance as required. Evidence: 1. The record of child #4 (DOE: 5/17/2021) contained a physical dated 8/31/2021. 2. Administration acknowledged that the physical was received late.”

8VAC20-780-140-B

“Based on a review of 10 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period. Evidence: 1. The record of child #7 (DOE:1/3/2022) contained a physical record dated 12/14/2020. If physicals are received prior to enrollment, they must be completed within 12 months prior to attendance for children two years of age through five years of age. Child #7 was 3 years old at the time of enrollment. 2. The record of child #5 (DOE: 2/7/2022) contained a physical dated 11/18/2021. If physicals are received prior to enrollment, they must be completed within two months prior to attendance for children six months of age and younger. Child #5 was 4 months old at the time of the enrollment. 3. Administration acknowledged that the physical date did not fall within the required time frame.”

8VAC20-780-70

“Based on a review of 10 staff records and interview, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment for 2 staff as required. Evidence: 1. The records of staff #2 (DOH:4/4/2022) and staff #3 (DOH:4/19/2022) were missing documentation of the required references. 2. Administration acknowledged the references were missing from the records.”

22.1-289.058

“Based on observation and interview, the center did not ensure that each building that was build before 2015 and serves preschool aged children was equipped with at least one carbon monoxide detector as required. Evidence: 1. A carbon monoxide detector was not observed in the center's 2 buildings that serve preschool aged children. 2. Administration acknowledged that the buildings were not equipped with a detector.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 1 staff as required. Evidence: 1. The record of staff #6 (DOH:10/1/2021) contained a central registry background check dated 1/3/2022. 2. Administration acknowledged that the central registry was not received within the required time frame.”

8VAC20-790-600-D-2

“Based on a review of 10 staff records and interview, the center did not ensure that 1 staff obtained current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #4 (DOH: 8/3/2021) did not contain documentation of a First Aid certification. 2. Administration acknowledged that the staff was not certified.”

8VAC20-790-600-D-1

“Based on a review of 10 staff records and interview, the center did not ensure that 1 staff obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment as required. Evidence: 1. The record of staff #4 (DOH: 8/3/2021) did not contain documentation of a CPR certification. 2. Administration acknowledged that the staff was not certified.”

8VAC20-780-550-D

“Based on a review of records and interview, the center did not ensure to implement a monthly practice evacuation drill as required. Evidence: 1. An evacuation drill was not documented in April of 2022. 2. Administration acknowledged that an evacuation drill had not been completed that month.”

22.1-289.035-A

“Based on review of 10 staff records and interview, the center did not ensure to obtain a repeat sworn statement background check every 5 years for 1 staff as required. Evidence: 1. The record of staff #9 (DOH:1/16/2017) contained a sworn statement dated 1/11/2017. 2. Administration acknowledged that the repeat sworn statement had not been obtained.”

8VAC20-780-140-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain a physical record for 1 child before attendance or within 30 days after the first day of attendance as required. Evidence: 1. The record of child #4 (DOE: 5/17/2021) contained a physical dated 8/31/2021. 2. Administration acknowledged that the physical was received late.”

8VAC20-780-140-B

“Based on a review of 10 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period. Evidence: 1. The record of child #7 (DOE:1/3/2022) contained a physical record dated 12/14/2020. If physicals are received prior to enrollment, they must be completed within 12 months prior to attendance for children two years of age through five years of age. Child #7 was 3 years old at the time of enrollment. 2. The record of child #5 (DOE: 2/7/2022) contained a physical dated 11/18/2021. If physicals are received prior to enrollment, they must be completed within two months prior to attendance for children six months of age and younger. Child #5 was 4 months old at the time of the enrollment. 3. Administration acknowledged that the physical date did not fall within the required time frame.”

8VAC20-780-70

“Based on a review of 10 staff records and interview, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment for 2 staff as required. Evidence: 1. The records of staff #2 (DOH:4/4/2022) and staff #3 (DOH:4/19/2022) were missing documentation of the required references. 2. Administration acknowledged the references were missing from the records.”

22.1-289.058

“Based on observation and interview, the center did not ensure that each building that was build before 2015 and serves preschool aged children was equipped with at least one carbon monoxide detector as required. Evidence: 1. A carbon monoxide detector was not observed in the center's 2 buildings that serve preschool aged children. 2. Administration acknowledged that the buildings were not equipped with a detector.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 1 staff as required. Evidence: 1. The record of staff #6 (DOH:10/1/2021) contained a central registry background check dated 1/3/2022. 2. Administration acknowledged that the central registry was not received within the required time frame.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 5 staff as required. Evidence: 1. The record of staff # 1 (9/13/2021) contained the results of a central registry background check dated 11/23/2021. The record of staff #2 (DOH: 10/12/2021) contained the results of a central registry background check dated 11/30/2021. The record of staff #3 (DOH: 10/27/2021) did not contain the results of a central registry background check. The record of staff #4 (DOH: 11/1/2021) did not contain the results of a central registry background check. The record of staff #5 (DOH: 10/5/2021) contained the results of a central registry background check dated 11/30/2021. 2. Administration acknowledged that the central registry background checks were not received within the required time frame.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 5 staff as required. Evidence: 1. The record of staff # 1 (9/13/2021) contained the results of a central registry background check dated 11/23/2021. The record of staff #2 (DOH: 10/12/2021) contained the results of a central registry background check dated 11/30/2021. The record of staff #3 (DOH: 10/27/2021) did not contain the results of a central registry background check. The record of staff #4 (DOH: 11/1/2021) did not contain the results of a central registry background check. The record of staff #5 (DOH: 10/5/2021) contained the results of a central registry background check dated 11/30/2021. 2. Administration acknowledged that the central registry background checks were not received within the required time frame.”