Mile High Kids and Community Development - Essex

8VAC20-780-160-C

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

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. In Classroom A, Teacher #1, was assisting Child #1 in the restroom for several minutes. There was no other teacher within sight of the children in Classroom A. Teacher #2, who was a provider in Classroom B, was asked to check-in on Classroom A, while Teacher #1 was assisting in the stall with Child #1.”

8VAC20-780-210-A Complaint related: Yes

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet experience or educational qualifications. Classroom B’s program leader, Staff #3, did not meet the experience nor educational qualifications as a program leader, according to her file.”

8VAC20-780-130-A

“Based on a review of five children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: T he record of Child #1, enrolled 08/14/2023 did not contain documentation that the child received the immunizations required. The record contained a note from the child's physician indicating "4 year old vaccines deferred by family?.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all required information for each staff record. Evidence: 1. The record of staff #1, employed 03/08/2023, contained documentation of two reference dated 03/11/2023 and 03/10/2023. Documentation of two or more references are required to be checked before employment. 2. The record of staff #5, employed 09/02/2023, did not contain documentation of two or more references. Documentation of two or more references are required to be checked before employment.”

8VAC20-780-350-B-5

“Based on observation and interview, the center did not ensure the staff-to-child ratio for three-year-olds up to school age eligible were maintained whenever children were in care. Evidence: 1. The licensing inspector arrived and signed in at the elementary school office at 11:50 am. Staff #1 was observed in the office with a child for dismissal. Staff #1 returned to the Essex 1 classroom at approximately 11:58 am where staff #2 was alone supervising 15 children ages three years to four years. 2. Upon interview, Staff #2 stated when children have early dismissals or when staff need to retrieve lunch for the cafeteria, then one staff is in the classroom alone. 3. The required staff-to child ratio for children three years up to school age eligible is one staff to every ten children. Staff #2 was out of ratio in the Essex 1 classroom for approximately ten minutes”

8VAC20-780-60-A-8

“Based on review of children's records and documentation, the center did not obtain a written care plan 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. Evidence: The record of child #4 confirmed a diagnosed food allergy. An allergy care plan was in the record however it was not complete nor was it signed by the physician. A note from the child’s physician was in the record and stated the child has an allergy to shellfish and if there were any questions to contact the office.? Both the note and the care plan did not 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.”

22.1-289.035-B-2

“Based on a review of five staff records and interviews, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment. Evidence: The national fingerprints-based criminal record search in the record of Staff #5, employed on 09/02/2023, was dated 09/25/2023. During interview, a member of management confirmed Staff #5 started employment on 09/02/23 and the fingerprint-based criminal record search was obtained after.”

8VAC20-770-60-C-2

“60- C-2 Based on review of six staff records, the center did not obtain the results of a central registry background check within 30 days of employment for two staff members. Evidence: 1. The record of staff #3, employed 03/06/2023, did not contain documentation of a central registry background check. 2. The record of staff #4, employed 11/01/2022, contained a central registry check dated 01/30/2023, exceeding 30 days from the date of employment.”

8VAC20-780-240-A

“Based on review of six staff records, the center did not ensure one staff completed the Virginia Department of Education- sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #1, employed 11/01/2022, did not contain documentation of completion of the Virginia Department of Education orientation course exceeding 90 calendar days.”

8VAC20-770-60-B

“Based on review of six staff records, the center did not obtain a completed sworn statement prior to the first day of employment for three staff members. Evidence: 1. The record of staff #2, employed 11/01/2022, had documentation of a sworn statement dated 11/03/2022 exceeding the first day of employment. 2. The record of staff #4, employed 11/01/2022, had documentation of a sworn statement dated 11/03/2022 exceeding the first day of employment. 3. The record of staff #5, employed 11/01/2022, had documentation of a sworn statement dated 11/03/2022 exceeding the first day of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The outdoor climbing equipment on the playground had visible rust on the platform and railing where the paint had peeled off or was worn off. Children were observed playing on the equipment during the inspection. 2. The bench to the drum set on the playground was broken in half exposing a jagged edge that could snag the skin of a child.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain results of the national fingerprint base criminal history background check prior to employment. Evidence: 1. The record of staff #2, employed 11/01/2022, had an approved portability fingerprint check dated 11/22/2022, exceeding the employment date. 2. The record of staff #4, employed 11/01/2022, had an approved portability fingerprint check dated 11/10/2022, exceeding the employment date. 3. The record of staff #5, employed 11/01/2022, had an approved portability fingerprint check dated 11/10/2022, exceeding the employment date.”

22.1-289.035-B-2

“Based on review of staff records, the center did not obtain results of the national fingerprint base criminal history background check prior to employment. Evidence: The record of staff #1, employed 11/01/2022, had an approved portability fingerpring check dated 11/22/2022, exceeding the employment date.”

8VAC20-770-60-B

“Based on review of staff records, the center did not obtain a completed sworn statement prior to the first day of employment. Evidence: The record of staff #1, employed 11/01/2022, had documentation of a sworn statement dated 11/02/2022.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff #1, employed 11/01/2022, had documentation of a tuberculosis screening dated 11/02/2022, exceeding the first day of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center, inside and outside were maintained in a clean, safe and operable condition. Evidence: The wooden deck ramp used by children to enter and exit the building has one wooden spindle that is cracked creating a jagged and sharp edge that could snag the skin of a child in care.”

8VAC20-780-540-E

“Based on observation, the center did not maintain one battery-operated radio in each building used by children. Evidence: A battery-operated radio was observed on site however there were no batteries.”

8VAC20-780-240-D

“Based on review of staff records and documentation of policies and procedures, the center did not provide staff within seven days of employment, in writing, the center’s information including policies and procedures. Evidence: Staff #1, employed 11/01/2022, did not receive in writing policies and procedures that were site specific to the center”