Lunenburg-Nottoway Educational Foundation

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Child #2 requires medication for a documented food allergy. The child carries the medication in the bookbag. The center did not obtain written physician's orders allowing the child to carry the medication in the bookbag.”

8VAC20-780-510-G

“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. Child #2 requires a prescription medication. The medication was in a zip lock bag inside the child's bookbag. The medication was not labeled with the child's name, the dosage amount, and the time or times to be given.”

8VAC20-780-350-B-4

“The staff to children ratio for 3 year old's up to school age is 1 staff for every 10 children. There were 11 children, youngest child 3 years old, with 1 staff supervising the grouping..”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. The lock on the door to the afterschool trailer building was not operable.”

8VAC20-780-60-A-9

“The child's record must contain information regarding any special accommodations needed. Child #2 has a documented food allergy that requires medication. The child carries the medication in their bookbag. The record for child #2 did not contain information regarding this special accommodation that is needed.”

8VAC20-780-260-B

“The center must obtain annual approval from the health department for meeting requirements for water supply, sewage disposal system, and food service. The annual approval from the health department was overdue by 5 months.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed this course, which is overdue by 4 months.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.”

22.1-289.035-B-1

“Repeat Violation The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #7, who has been employed for 2 days, did not have a completed sworn statement.”

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #7, who has been employed for 2 days, did not have a completed national criminal background check. Staff #7 was working in a classroom with children and counted in ratio.”

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 #7, employed for 2 days, did not have a central registry search requested.”

8VAC20-780-160-A

“Repeat Violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #7, employed for 2 days, did not submit documentation of a negative tuberculosis screening. Staff #7 was working with children at the time of the inspection.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 updated screening was due 1 month ago. The updated screening has not yet been completed.”

8VAC20-780-40-M

“Repeat Violation The center is required to maintain 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. Child #2, enrolled for 5 months, has a documented food sensitivity. There was not an allergy list posted with child #2 listed.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. 1. Staff #4, who is working with children, has not yet completed this course which is overdue by 3 months. 2. Staff #5, who is working with children, has not yet completed this course which is overdue by 2 months. 3. Staff #7, who is working with children, has not yet completed this course which is overdue by 3 months.”

8VAC20-780-245-M

“The center is required to maintain documentation of annual training that allows for identification by individual staff member and is considered part of the staff member's record. The documentation shall include the name of the staff, training topic, evidence that the training has been completed, training delivery method, the entity or individual providing the training, the number of training hours received, and the date of the training. 1. The record for staff #1, #2, and #3, did not contain any documentation of annual trainings. Administration stated that all staff are required to attend annual in-service training days, which satisfy the required annual training hours, but they do not provide documentation of the trainings.”

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department. The most recent annual health inspection was completed on 05/15/2023.”

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 #3, who has been enrolled for 6 weeks, has a diagnosed food allergy and did not have a written care plan in their record.”

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 the children. The screening for staff #3 was completed 5 days after employment.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. 1. The sworn statement for staff #1, who is currently working, was dated 6 days after their first day of employment. 2. The sworn statement for staff #2, who is currently working, was dated 1 day after their first day of employment. 3. The sworn statement for staff #3, who is currently working, was dated 1 day after their first day of employment.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. Classroom #1 did not have a posted current list of all children's allergies. The record for child #3 stated that the child has a food allergy. Child #3 has been enrolled for 6 weeks.”

8VAC20-780-40-M

“Based on interview, the center failed to maintain a current written dated list of all children’s allergies in each room or area where children are present. Evidence: When asked, the teachers and Director stated that they did not have a written allergy list.”

8VAC20-780-60-A

“Based on records review, and interview, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instruction 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: The record for child #1, date of enrollment 08/13/2022, and the record for child #3, date of enrollment 08/18/21, each had documentation by the parent that the child had an allergy to nuts. Both children have an epi-pen on site at the center. Neither record contained a written allergy care plan. When asked, the Director stated she did not realize she needed to have that.”

22.1-289.058

“Based on observation and interview, the center was not equipped with at least one carbon monoxide detector, Evidence: The center did not have a carbon monoxide detector installed. The director confirmed, the center did not have a carbon monoxide detector.”

8VAC20-780-510-L

“Based on observation and interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the three year old classroom, two unlocked medications were observed in a tote bag on the bookshelf accessible to children in care. Staff #4 stated the medications were in the tote bag to be transported with them as they changed locations within the school.”