Little River Day School

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 10 The record for Staff #1 did not contain the work phone number of each parent who has custody.”

8VAC20-780-245-J-3

“Based on documentation review, child for whom emergency medications have been prescribed were not always under the care of a staff member who is MAT trained. Evidence: 1) Child #1 has emergency medication in the center. Staff assigned to Child #1's class are not MAT trained.”

8VAC20-780-40-M

“Based on documentation review, allergy plans were not dated or kept confidential in each room or area where children are present as required. Evidence: 1) Allergy plans were not available for review in the following rooms: Infants, Toddlers, 2 year-olds, and 3 year-olds. 2) The allergy list available in the 4/5 year-olds room was not dated nor covered to maintain the information confidential.”

8VAC20-780-240-C

“Based on record review, orientation training did not include all required topics. Evidence: 1) The record for Staff #4 did not contain documentation of having completed training in Safe sleep practices and Shaken baby syndrome/Head trauma.”

8VAC20-790-600-F

“Based on record review, staff did not complete, annually, the required department's health and safety update course. Evidence: 1) The most recent documentation for the department's health and safety update course in Staff #2's record was dated 02/26/2020; and in the record for Staff #4 was dated 09/20/2022.”

8VAC20-780-350-B-1

“Based on observation, the center failed to maintain the required ratio for infants ages birth to 16 months. Evidence: During the inspection, from 11:27 am until 11:31 am, there were 5 infants with only one staff member present.”

8VAC20-770-60-C-2

“Based on a review of children's records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: Staff #1's record does not include documentation of a completed central registry finding within 30 days of employment.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to obtain all required documents for each child enrolled. Evidence: -Child #3 and Child #4's records do not contain documentation of the names of persons authorized to pick up the child. -Child #1's record does not contain documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420-e-3”

8VAC20-780-420-E-3

“Based on a review of children's records, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: Child #4 and #5's records do not contain documentation of an annual review.”

8VAC20-780-520-C

“Based on observation, the center failed to obtain written parent authorization noting any known adverse reactions and a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Evidence: There was no authorization form for Child #6 through Child #”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering. Based on observation, the center failed to ensure that diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: - In the 2 Year Old Classroom, the changing pad had hole's that rendered it nonabsorbent. - The classroom use Clorox wipes on changing surfaces then dry with paper towel.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands are washed with soap and running water after toileting. Evidence: - In the Infant Room, after an infant diaper change, the caregiver did not was the infant's hands. - In the Infant Room, after an infant diaper change, the caregiver did not wash her hands.”

8VAC20-780-440-B

“Based on observation, the center failed to ensue that rest mats shall be identified for use by a specific child. Evidence: There were 2 rest mats that were not labeled with a specific child's name.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant Room, the refrigerator contained yogurt that did not have a date.”

8VAC20-780-550-F

“Based on a review of emergency logs, the center failed to practice lockdown annually. Evidence: The center did not have documentation of a lockdown practice drill within the last year.”

8VAC20-780-550-C

“Based on observation, the center failed to ensure that emergency evacuation procedures are posted in a location conspicuous to staff and children on each floor of each building. Evidence: The emergency evacuation procedures were not posted.”

8VAC20-770-60-B

“Based on a review of staff records, the center failed to obtain a completed sworn statement or affirmation on the first day of employment. Evidence: Staff #2's record did not have documentation of a sworn statement or affirmation. Date of Hire 05/12/2022”

8VAC20-780-40-M

“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, sensitivities and dietary restrictions documented in the allergy plan required in 8VAC20-780-60-A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The center did not have any allergy, sensitivities or dietary restrictions documented in any classroom or inside play space.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to maintain and keep at the center the required documentation for each child enrolled. Evidence: Child #2's record did not contain documentation of of work phone numbers and place of employment of each parent who has custody. Child #4's record did not contain documentation of place of employment for each parent who has custody. Child #5's record did not contain documentation of work phone number for each parent who has custody. Child #4's record did not contain documentation of the names of persons authorized to pick up the child.”

8VAC20-780-70

“Based on a review of staff records, the center failed to obtain documentation of the address of a person to be notified in an emergency. Evidence: Staff #1, #2 and #3's records did not contain documentation of the address for emergency notification.”

8VAC20-780-210-A

“Based on staff record review, the center failed to ensure that staff members in the program leader position met required qualification. Evidence: Staff #3 and #4's records did not have documentation of meeting requirements for program leader position.”

8VAC20-780-420-E-3

“Based on a review of children's records, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: Child #4 and #5's records do not contain documentation of an annual review.”

8VAC20-780-520-C

“Based on observation, the center failed to obtain written parent authorization noting any known adverse reactions and a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Evidence: There was no authorization form for Child #6 through Child #”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering. Based on observation, the center failed to ensure that diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: - In the 2 Year Old Classroom, the changing pad had hole's that rendered it nonabsorbent. - The classroom use Clorox wipes on changing surfaces then dry with paper towel.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands are washed with soap and running water after toileting. Evidence: - In the Infant Room, after an infant diaper change, the caregiver did not was the infant's hands. - In the Infant Room, after an infant diaper change, the caregiver did not wash her hands.”

8VAC20-780-440-B

“Based on observation, the center failed to ensue that rest mats shall be identified for use by a specific child. Evidence: There were 2 rest mats that were not labeled with a specific child's name.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant Room, the refrigerator contained yogurt that did not have a date.”

8VAC20-780-550-F

“Based on a review of emergency logs, the center failed to practice lockdown annually. Evidence: The center did not have documentation of a lockdown practice drill within the last year.”

8VAC20-780-550-C

“Based on observation, the center failed to ensure that emergency evacuation procedures are posted in a location conspicuous to staff and children on each floor of each building. Evidence: The emergency evacuation procedures were not posted.”

8VAC20-770-60-B

“Based on a review of staff records, the center failed to obtain a completed sworn statement or affirmation on the first day of employment. Evidence: Staff #2's record did not have documentation of a sworn statement or affirmation. Date of Hire 05/12/2022”

8VAC20-780-40-M

“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, sensitivities and dietary restrictions documented in the allergy plan required in 8VAC20-780-60-A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The center did not have any allergy, sensitivities or dietary restrictions documented in any classroom or inside play space.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to maintain and keep at the center the required documentation for each child enrolled. Evidence: Child #2's record did not contain documentation of of work phone numbers and place of employment of each parent who has custody. Child #4's record did not contain documentation of place of employment for each parent who has custody. Child #5's record did not contain documentation of work phone number for each parent who has custody. Child #4's record did not contain documentation of the names of persons authorized to pick up the child.”

8VAC20-780-70

“Based on a review of staff records, the center failed to obtain documentation of the address of a person to be notified in an emergency. Evidence: Staff #1, #2 and #3's records did not contain documentation of the address for emergency notification.”

8VAC20-780-210-A

“Based on staff record review, the center failed to ensure that staff members in the program leader position met required qualification. Evidence: Staff #3 and #4's records did not have documentation of meeting requirements for program leader position.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to maintain and keep at the center the required documentation for each child enrolled. Evidence: Child # 2's record does not have documentation of a physician's name and phone number/ Child #1 and #2's records do not have documentation of names of persons authorized to pick up the child. Child #2, #4 and #5's records do not have documentation of viewing proof of the child's identity and age.”

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that required records were obtained and maintained at the center. Evidence: Staff #1, #2, #3, #4 and #5's records do not have documentation of emergency contacts. Staff #5's record does not have documentation of two reference checks.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Three Year Old room, there was diaper cream, marked keep out of reach on a low shelf. In the Four Year Old room, there were Clorox Wipes and Lysol on a shelf. In the Playroom/Nap Room, there was a bottle of hand sanitizer on the book shelf.”

8VAC20-780-440-L

“Based on observation, the center failed to ensure that comforters shall not be used by children under two years of age. Evidence: In the Infant room - ages 4 months - 12 months old, Child #A was observed with a large blanket while sleeping in his crib.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant room, there were eggs and sweet potatoes in containers in the refrigerator; however, they did not have any label's on them.”

8VAC20-780-570-B

“Based on observation, the center failed to ensure that bottle fed infants who cannot hold their own bottles shall be held when fed. Evidence: In the Infant room (4 months - 12 months) an infant was observed lying on their back and not being held during a feeding.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared formula shall be refrigerated, dated and labeled with the child's name. Evidence: In the Infant room, in the refrigerator there were four bottles without labels and there was one bottled on the counter without a label.”

8VAC20-780-160-C

“Based on a review of staff records, the center failed to ensue that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: Staff #4's tuberculosis test expired 02/24/2022.”

8VAC20-780-130-A

“Based on a review of children's records, 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: Child #2's record does not have documentation of immunizations before or on the first day of attendance. First Date of Attendance - 06/20/2020.”

8VAC20-780-140-A

“Based on a review of children's records, the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance. Evidence: Child #2's record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 06/02/2020.”

8VAC20-770-60-B

“Based on a review of staff records, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: Staff #5's record does not have documentation of a completed sworn statement or affirmation. Date of hire 03/28/2022.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to maintain and keep at the center the required documentation for each child enrolled. Evidence: Child # 2's record does not have documentation of a physician's name and phone number/ Child #1 and #2's records do not have documentation of names of persons authorized to pick up the child. Child #2, #4 and #5's records do not have documentation of viewing proof of the child's identity and age.”

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that required records were obtained and maintained at the center. Evidence: Staff #1, #2, #3, #4 and #5's records do not have documentation of emergency contacts. Staff #5's record does not have documentation of two reference checks.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Three Year Old room, there was diaper cream, marked keep out of reach on a low shelf. In the Four Year Old room, there were Clorox Wipes and Lysol on a shelf. In the Playroom/Nap Room, there was a bottle of hand sanitizer on the book shelf.”

8VAC20-780-440-L

“Based on observation, the center failed to ensure that comforters shall not be used by children under two years of age. Evidence: In the Infant room - ages 4 months - 12 months old, Child #A was observed with a large blanket while sleeping in his crib.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant room, there were eggs and sweet potatoes in containers in the refrigerator; however, they did not have any label's on them.”

8VAC20-780-570-B

“Based on observation, the center failed to ensure that bottle fed infants who cannot hold their own bottles shall be held when fed. Evidence: In the Infant room (4 months - 12 months) an infant was observed lying on their back and not being held during a feeding.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared formula shall be refrigerated, dated and labeled with the child's name. Evidence: In the Infant room, in the refrigerator there were four bottles without labels and there was one bottled on the counter without a label.”

8VAC20-780-160-C

“Based on a review of staff records, the center failed to ensue that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: Staff #4's tuberculosis test expired 02/24/2022.”

8VAC20-780-130-A

“Based on a review of children's records, 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: Child #2's record does not have documentation of immunizations before or on the first day of attendance. First Date of Attendance - 06/20/2020.”

8VAC20-780-140-A

“Based on a review of children's records, the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance. Evidence: Child #2's record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 06/02/2020.”

8VAC20-770-60-B

“Based on a review of staff records, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: Staff #5's record does not have documentation of a completed sworn statement or affirmation. Date of hire 03/28/2022.”