Malcolm Cole Child Care Center

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The poured in place resilient surfacing around the tree was separating and causing a trip hazard. The plastic coverings around the down spouts on the toddler playground were cracked and had sharp edges. The plastic wrap around a medal board was not removed and caused a potential choking hazard”

8VAC20-780-290-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. The area between two infant rooms had several electrical outlets that did not have protective covers.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the upstairs playground the poured in place resilient surfacing around the tree was separating and causing a trip hazard.”

8VAC20-780-430-I

“Personal articles shall be individually assigned. There was a pacifier in the infant room that was not labeled with the owner’s name.”

8VAC20-780-430-I

“Personal articles shall be individually assigned. There was a pacifier in the infant room that was not labeled with the owner’s name.”

8VAC20-780-350-B-3

“The required ratio for children ages 16 to 24 months is one staff per five children. Staff #11 was observed supervising seven children alone (youngest child was 23 months old).”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #10 did not have documentation that an immunization record had been obtained before the child attended the center.”

8VAC20-780-520-C

“If diaper ointment or cream is use, the following requirements shall be met: These products do not need to be kept locked but shall be inaccessible to children. In the Infant D classroom, the cabinet under the changing table was unlocked and contained six containers of diaper cream. There were mobile children in the classroom and the diaper cream was accessible to the children.”

8VAC20-780-510-F

“REPEAT VIOLATION The medication authorization shall be available to staff during the entire time it is effective. In the Preschool A classroom, there was emergency medication for Child #8. There was no medication authorization form available to the staff.”

8VAC20-780-500-B

“There shall be sight and sound supervision for all children when a child is being diapered. Staff shall ensure immediate safety of a child during diapering. 1. In the Toddler D room, four children were observed in the classroom while Staff #3 was changing a diaper in the diapering area which was not in the classroom. The children were not in sight of the staff member while changing the diaper. The children in the classroom ranged in age from 17 to 22 months. 2. In the Toddler C room, Staff # 12 was observed changing four diapers. Each time, Staff #12 stepped away and out of reach from the child on the changing table to throw away the diaper in the trash can. The children in the classroom ranged in age from 16 months to 23 months.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before and after a diaper change. Staff #12 was observed changing four diapers. Staff #12 did not wash hands before or after changing each diaper.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers. 1. In the Two A restroom, one outlet did not have a protective cover. 2. In the Kindergarten Prep A restroom, one outlet did not have a protective cover. 3. In the Preschool A restroom, one outlet did not have a protective cover.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. If a key is use, the key shall not be accessible to children. 1. In the Infant D room, the cabinet under the changing table was unlocked. There was one bottle labeled ?Multiquat Sanitizer?. 2. In the Toddler C room, the closet door had the key in the door. There was cleaning supplies in the closet. 3. In the Two’s A room, the closet door had the key in the door. There was cleaning supplies in the closet. 4. In the Two’s B room, the closet door had the key in the door. There was cleaning supplies in the closet. 5. In the Two’s C, the cabinet in the bathroom was unlocked. There was cleaning supplies in the cabinet.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education and experience required by the job position shall be kept on file for each staff person. Staff #3, who was the program leader and the only staff in the Toddler D room, did not have documentation of program director qualifications on file. Staff #7, who was the program director and the only staff in the Two C room, did not have documentation of program director qualifications on file.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. One immunization record for Child #5 was not signed and dated. Two immunization records for Child #2 was not signed and dated.”

8VAC20-780-350-B-3

“The required ratio for children ages 16 to 24 months is one staff per five children. Staff #11 was observed supervising seven children alone (youngest child was 23 months old).”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #10 did not have documentation that an immunization record had been obtained before the child attended the center.”

8VAC20-780-520-C

“If diaper ointment or cream is use, the following requirements shall be met: These products do not need to be kept locked but shall be inaccessible to children. In the Infant D classroom, the cabinet under the changing table was unlocked and contained six containers of diaper cream. There were mobile children in the classroom and the diaper cream was accessible to the children.”

8VAC20-780-510-F

“REPEAT VIOLATION The medication authorization shall be available to staff during the entire time it is effective. In the Preschool A classroom, there was emergency medication for Child #8. There was no medication authorization form available to the staff.”

8VAC20-780-500-B

“There shall be sight and sound supervision for all children when a child is being diapered. Staff shall ensure immediate safety of a child during diapering. 1. In the Toddler D room, four children were observed in the classroom while Staff #3 was changing a diaper in the diapering area which was not in the classroom. The children were not in sight of the staff member while changing the diaper. The children in the classroom ranged in age from 17 to 22 months. 2. In the Toddler C room, Staff # 12 was observed changing four diapers. Each time, Staff #12 stepped away and out of reach from the child on the changing table to throw away the diaper in the trash can. The children in the classroom ranged in age from 16 months to 23 months.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before and after a diaper change. Staff #12 was observed changing four diapers. Staff #12 did not wash hands before or after changing each diaper.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers. 1. In the Two A restroom, one outlet did not have a protective cover. 2. In the Kindergarten Prep A restroom, one outlet did not have a protective cover. 3. In the Preschool A restroom, one outlet did not have a protective cover.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. If a key is use, the key shall not be accessible to children. 1. In the Infant D room, the cabinet under the changing table was unlocked. There was one bottle labeled ?Multiquat Sanitizer?. 2. In the Toddler C room, the closet door had the key in the door. There was cleaning supplies in the closet. 3. In the Two’s A room, the closet door had the key in the door. There was cleaning supplies in the closet. 4. In the Two’s B room, the closet door had the key in the door. There was cleaning supplies in the closet. 5. In the Two’s C, the cabinet in the bathroom was unlocked. There was cleaning supplies in the cabinet.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education and experience required by the job position shall be kept on file for each staff person. Staff #3, who was the program leader and the only staff in the Toddler D room, did not have documentation of program director qualifications on file. Staff #7, who was the program director and the only staff in the Two C room, did not have documentation of program director qualifications on file.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. One immunization record for Child #5 was not signed and dated. Two immunization records for Child #2 was not signed and dated.”

8VAC20-780-550-G

“Based on review of documentation and interview, the center failed to maintain documentation of shelter-in-place drills. Evidence: 1. There was no documentation of shelter-in-place drills at the time of the inspection. Staff #14 confirmed that there was no documentation of the shelter-in-place drills.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years old. Evidence: 1. Child #1?s date of birth is 12/11/2022 and start date was 07/31/2023. Immunizations on file were dated 07/31/2023 and 03/02/2024. Immunizations had not been obtained every six months. 2. Child #2?s date of birth is 12/15/2022 and the start date was 07/10/2023. Immunizations on file were dated 06/19/2023. Immunizations had not been obtained every six months.”

8VAC20-780-510-F

“Based on review of documentation, the center failed to ensure that the medication authorization form is available to staff during the entire time it is effective. Evidence: 1. Child #6, #11, #12 and #13 had emergency medication on site but there was no medication authorization forms. 2. Staff #14 confirmed that the medication for Child #6, #11, #12 and #13 were effective.”

8VAC20-780-60-A

“Based on review of documentation, the center failed to maintain a record for each child that contained the required information. Evidence: 1. Child #4?s record was missing an annual update, one emergency contact and proof of identity.”

8VAC20-780-510-G

“Based on medication review the center failed to have one emergency medication, with the pharmacy label attached,to include: the child's name, the name of the medication, the dosage amount and the time or times to be given. Evidence: 1. The medication and medication paperwork was reviewed for Child #5. 2. The medication did not contain the pharmacy label to include the child's name, the name of the medication, the dosage amount and the time/times to be given. 3. Staff confirmed the pharmacy label was not included on the medication.”