Madison Day School

22.1-289.035-A Complaint related: No

“The center is required to have employees undergo a background check every five years. The most recent central registry check for Staff #2 was overdue by six weeks.”

8VAC20-780-340-F Complaint related: Yes

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On November 4, 2024 at approximately 5:30pm, Infant #1 (age 13 months) and Infant #2 (age 14 months) were left in the Infant classroom unsupervised for approximately two minutes while Staff #1 went to retrieve a bottle from a bag in the hallway.”

8VAC20-780-350-B-1 Complaint related: No

“The required ratio for children ages birth to 16 months is one staff per four children. During the inspection, Staff #5 was observed leaving the Infant classroom to take out the trash leaving two staff supervising 10 infants. Later, Staff #5 was observed leaving the Infant classroom to put bottles away in the hallway. During the inspection, Staff #4 from another Infant classroom left the classroom to put things away in the hallway, leaving that classroom with two teachers supervising 9 children.”

8VAC20-780-550-O Complaint related: Yes

“The center shall notify the parent by the end of the day of any known minor injuries. On November 12, 2024 at approximately 12:15pm, Staff #1 observed Infant #1 (age 13 months), bumping their face on a shelf. The parents were not notified by the end of the day of this incident. The parents noticed the injury after the infant was picked up and the injury required outside medical attention.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The violation notice and inspection summary posted at the center was dated 4/15/2024 and their most recent was 8/1/2024.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. A locked, but accessible drawer in the Sr. Preschool classroom contained two bottles of White Out stating ?Keep Away from Children.?”

8VAC20-780-270-B

“Appropriate barriers are required to prevent children from being burned, shocked, or injured from heating equipment. The door to the water heater in the Toddler classroom had a broken lock and was easily opened.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #11 was onsite, but the medication and authorization form had expired 28 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required”

8VAC20-780-70

“REPEAT VIOLATION Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who has been actively working at the center for the past 2 years and 10 months, had only one completed reference verification on file.”

8VAC20-780-350-B-4

“The required ratio for children ages 3 up to school age eligible is one staff per ten children. Staff #6 was observed supervising 11 children alone in the Pre-K classroom from 10:00am to 10:25am, until a second teacher joined.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4?s updated screening was due 3 months ago. The updated screening has not yet been completed.”

8VAC20-780-270-A

“REPEAT VIOLATION The center shall ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. -Rust was around the knobs of the sink in the Jr. Preschool 2 classroom. -The front laminate of a cabinet was peeling off in two places in the Jr. Preschool 1 classroom. -There were cracks throughout the floor tile in the Pre-K classroom around the cot area. -Each of the 9 spinning numbers on the big playground had cracks, holes, and sharp edges. -The turf outside on the big playground contained cracks and areas of missing pieces”

8VAC20-780-340-A Complaint related: Yes

“Based on video review, staff supervising children did not always ensure their care, protection, and guidance. Evidence: - Infant #1 (5 months) was non-mobile and unable to roll over. Infant #1 was laid on a plastic tarp on their tummy for approximately 17 minutes between 9:42am and 9:59am. Infant #1 was found limp and unresponsive when staff #4 went to pick them up from their tummy. -At approximately 9:40am, staff #1, staff #4, staff #5, and staff #6 brought 10 infants, including Infant #1, to the outside playground and laid them on a plastic tarp for water play. Staff #6 left after assisting. -At 9:42am, Infant #1 was confirmed to be on the plastic tarp on their tummy through a posted photograph. -From approximately 9:48am to 9:55am, staff #1 began misting the infants with water from the hose. -At approximately 9:56am, staff #1 and staff #5 began to carry infants inside one-by-one. -At approximately 9:59am, when staff #4 picked up infant #1 they noticed infant #1 was limp and unresponsive. -At approximately 10:00am, 911 was called. The police and ambulance arrived on scene at approximately 10:04am. -Reports taken from medics on scene confirmed there was a small amount of water on the tarp. Statements given to the medics from staff at the school confirmed the infant was found face down in water. Medics reported the child’s clothes were wet and ?while in the medic unit the patient did cough up a small amount of water.?”

8VAC20-780-270-A Complaint related: No

“Based on observation, the center did not ensure areas outside were maintained in a safe and operable condition. Evidence: A hole approximately 3 inches in diameter was in the turf on the playground across from the office causing a tripping hazard.”

8VAC20-780-360-A Complaint related: Yes

“Based on video review and statements, the center did not ensure daily activities for infants were age and stage appropriate. Evidence: -From approximately 9:48am to 9:55am, staff #1 began misting 10 infants (including Infant #1), who were laying on a plastic tarp, with water from the hose; causing a small amount of water to form on the plastic tarp. -Infant #1 (5 months) was non-mobile and unable to roll over. Infant #1 was laid on a plastic tarp on their tummy for approximately 17 minutes between 9:42am and 9:59am. Infant #1 was found face down in water and was limp and unresponsive when staff #4 went to pick them up from their tummy at 9:59am.”

8VAC20-780-70 Complaint related: No

“Based on file review, the center did not have the required information in staff records. Evidence: The record for Staff #1 (date of hire 6/27/24) was missing the name, address, and telephone number of an emergency contact and the required health information.”

22.1-289.035-B-4 Complaint related: No

“Based on file review, the center did not obtain the necessary out-of-state background checks for all employees. Evidence: The record for Staff #6 (date of hire 6/14/21) was missing an out-of-state child abuse and neglect search.”

8VAC20-780-530-A

“REPEAT VIOLATION Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. Evidence: Staff #1 and Staff #2, who were supervising a classroom, did not hold a current CPR and First Aid certification.”

8VAC20-780-550-G Complaint related: No

“Based on record review and interview, the center did not ensure documentation was maintained of emergency evacuation drills. Evidence: The Director acknowledged they did not document drills completed in the month of June.”

8VAC20-780-530-A Complaint related: No

“Based on record review, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. Evidence: Staff #1 and Staff #4, who were supervising a classroom, did not hold a current CPR and First Aid certification.”

8VAC20-770-60-C-2 Complaint related: No

“Based on record review, the center did not deny continued employment for an employee that did not have a Central Registry finding within 30 days of employment. Evidence: The file for Staff #4 (DOH 4/12/2023), had completed Central Registry Results for a person other than the employee. The results in the file were for a person not employed at the center, with a different first name, date of birth, and social security number.”

8VAC20-780-550-G Complaint related: No

“Based on record review and interview, the center did not ensure documentation was maintained of emergency evacuation drills. Evidence: The Director acknowledged they did not document drills completed in the month of June.”

8VAC20-780-530-A Complaint related: No

“Based on record review, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. Evidence: Staff #1 and Staff #4, who were supervising a classroom, did not hold a current CPR and First Aid certification.”

8VAC20-770-60-C-2 Complaint related: No

“Based on record review, the center did not deny continued employment for an employee that did not have a Central Registry finding within 30 days of employment. Evidence: The file for Staff #4 (DOH 4/12/2023), had completed Central Registry Results for a person other than the employee. The results in the file were for a person not employed at the center, with a different first name, date of birth, and social security number.”

8VAC20-780-290-A-3

“Based on observation, the electrical outlets did not have protective covers that are of a size that cannot be swallowed by children. Evidence: There were two unused outlets located on the counter in the "Toddler's" room that were not covered with protective covers.”

8VAC20-780-240-E

“Based on review of staff records, the center failed to ensure that within 30 days of the first day of employment, staff must complete training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 1, #2, #4 and #5's records do not contain documentation of completion of CPR and First Aid Training. Staff #1 - DOH - 10/5/2017 Staff #2 - DOH - 02/2/2022 Staff #4 - DOH - 02/06/2019 Staff #5 - DOH - 05/17/2021”

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 2 refrigerator, the child's food had the child's name, but was not dated.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler 1 classroom, medication was not kept in a locked place using a safe locking method.”

8VAC20-780-540-C

“Based on observation, the center failed to ensure that all required items were included in the first aid kit. Evidence: In Toddler 1 classroom, the first aid kit was missing the following required items - gauze pads, antiseptic cleaner, gloves, a thermometer and an ice pack.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center will be maintained in a clean, safe and operable condition. Evidence: 1. In Infant 1 and Infant 2 classrooms the fabric floor mats are cracked and frayed. 2. In the Sr. Preschool classroom, the paint is peeling from the wall. 3. In the Infant 2 classroom, the temperature on the thermometer had a reading of 54 degrees.”

8VAC20-780-240-A

“Based on review of staff records, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff #1's record does not have documentation of the completion of the Virginia Department of Education sponsored orientation course.”

8VAC20-780-210-A

“Based on record review, the center did not ensure that, a staff members in the program leader position did not meet required qualifications. Evidence: Staff member #4 and #5, records did not contain documentation of program leader qualifications.”

8VAC20-780-280-H

“Based on observation, the center failed to ensure that purses are not accessible to children Evidence: There were two staff purses in classrooms Jr. PK1 and Jr. PK2, that were accessible to the children.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: In the Sr. Preschool classroom, an outlet cover was missing near the shelves on the back wall.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all outlets had protective covers. Evidence: In the Toddler 1 classroom, one outlet cover was missing. In the Infant 2 classroom 2 outlet covers were missing. .”

8VAC20-780-540-A

“Based on observation the center failed to ensure that the first aid kit contained all required supplies. Evidence: The first aid kit was missing a first aid manual and ice packs.”

8VAC20-780-550-C

“Based on observation, the center failed to ensure that emergency preparedness information was posted in every building and on every floor in which children are served. Evidence: The Emergency Preparedness Plan was not posted in the facility.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas inside and outside of the center are maintained in a clean, safe and operable condition; Evidence: In the Pre-K classroom there is paint peeling from the wooden tray in the bathroom. In the Sr. Preschool classroom there is chipping and peeling paint around the baseboard. In the Jr. Preschool 1 classroom there is peeling paint on the wall near the changing table.”