Millstone of Ivy

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry or sex offender registry from one state for Staff #5, who has been employed for more than a month and was working with children at the time of the inspection.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent sworn statement for staff #4 was overdue by a month.”

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. The center has not have immunization records for Child 3, at the center for two years and seven months, and Child 4, at the center for five months.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: Before the child's attendance; or Within 30 days after the first day of attendance. The center has not have physical examination documents for Child 3, at the center for two years and seven months, and Child 4, at the center for five months.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. The TB screening was completed for staff 4 was completed four months after coming into contact with children at the center.”

8VAC20-780-210-A

“Based on record review, the center failed to ensure that all program leaders had the required qualifications. Evidence: Staff # 1, 3, and 5 did not have verification of a high school diploma or equivalent.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous chemicals were locked. Evidence: 1.Observed in the lower school building across from the 2-year-old classroom was a bathroom that had 12 unlocked hazardous chemicals. The cabinet was approximately 4 foot off the ground. 2.Observed 6 bottles of hazardous chemicals sitting around the office that were not locked. 3.Observed in the bathroom in upper school building were 10 hazardous chemicals that were unlocked. The cabinet’s locking mechanisms did not prevent entry.”

22.1-289.036-A

“Based on record review and interview, the center failed to ensure agents of the application for licensure updated central registry background check, fingerprint background check and sworn statement every five years. Evidence: 1. The fingerprint results for board officer 1 are dated 9/17/18, the central registry results are dated 7/26/17 and the sworn statement is dated 7/11/17. 2. The director stated the background checks for board officer 1 have not been updated.”

8VAC20-780-260-B

“Based on record review and interview, the center failed to have an annual approval from the health department. Evidence: 1. The most current health inspection is dated 2/6/2023. 2. The director verified there is not a more current health inspection.”

8VAC20-780-240-A

“Based on interview, the center failed to ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The director advised staff 2's employment date was 8/15/22. 2. The director stated staff 2 has not completed the Virginia Department of Education-sponsored orientation course.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain the immunization record for two out of four staff records reviewed prior to the children's first date of attendance. Evidence: 1. Child 1's first date of attendance was documented as 1/3/23. The record did not contain an immunization record. 2. Child 1's first date of attendance was documented as 1/4/23. The record did not contain an immunization record. 3. The director verified both children are attending the center and they do not have immunization records for either child at this time.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure one out of four children's records reviewed contained all the required information. Evidence: 1. The record for child 1 did not contain the father's employer and phone number. 2. The director stated she was unaware if the father of child 1 worked or not.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children and that was completed within the last 30 calendar days of the date of employment for four out of four staff records reviewed. Evidence: 1. Staff 1's record documented the start date as 8/15/22. The documentation of the TB results are dated 8/19/22. 2. Staff 2's record documented the start date as 8/15/22. Staff 2's record does not contain documentation of the results of a TB screening. 3. Staff 3's record documented the start date as 8/1/22. The documentation of the TB results are dated 5/17/22. 4. Staff 4's record documented the start date as 8/15/22. The documentation of the TB results are dated 8/14/22. 5. The director verified the start dates and that the center did not have a TB screening for staff 2.”

8VAC20-780-530-A

“Based on observation and interview, the center failed to ensure at least one staff member was present in each classroom that is certified in CPR and first aid. Evidence: 1. Staff 3's was the only staff in the Bumble Bee's classroom. Staff 3's record did not contain documentation of being certified in CPR and first aid. There was only a certificate for completing the online class but not the hands on portion. 2. The director stated the co-teacher was absent that day and is certified in first aid and CPR.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to ensure staff completed a sworn statement or affirmation by the first day of employment for four out of four staff. Evidence: 1. Staff 1's record documented the hire date as 7/1/22. The sworn statement is dated 8/16/22. 2. Staff 2's record documented the hire date as 7/14/22. The sworn statement is dated 8/21/22. 3. Staff 1's record documented the hire date as 7/15/22. The sworn statement is dated 7/25/22. 4. Staff 1's record documented the hire date as 6/17/22. The sworn statement is dated 8/16/22. 5. The director verified the hire dates.”

8VAC20-780-510-G

“Based on review of medication, the center failed to ensure that the dosage amount was labeled on the medication. Evidence: 1. Child 2M had an emergency medication at the center that was not labeled with the dosage amount. 2. Staff verified that the medication was not labeled with the dosage amount.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas were maintained in a safe condition. Evidence: 1. In Classroom #3 in the Upper Building there is paint peeling in the restroom that the children use. 2. Staff verified that there was paint peeling in the restroom.”