Millwood School

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2, employed for 9 months, did not complete the Virginia Department of Education-sponsored orientation course.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The closet in the trailer was unlocked and open. The closet contained bottles of disinfectant spray and wipes labeled "hazardous" and "keep out of reach of children".”

8VAC20-780-290-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. All of the electrical outlets in the trailer were missing protective covers. Children as young as 4 years old were present in the trailer.”

8VAC20-780-380-A

“There shall be a posted daily schedule that allows for flexibility as children's needs require. A daily schedule was not posted in the after-school trailer.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. Medication was on site for child #4, and the written authorization for the medication expired 6 months ago.”

8VAC20-780-540-E

“One working, battery-operated radio is required in each building used by children. The trailer that is used by children did not have a battery-operated radio.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) and a menu listing foods to be served for meals and snacks during the current one week period shall be dated, posted in a location conspicuous to parents or given to parents, list any substituted food, and be kept on file for one week at the center. There was not a menu posted or available. Staff #1 stated that the center does not provide a menu to parents. The snack that was served to children consisted of individual snack size bags of pretzels. The most recent nutritional requirements of the USDA states that snack shall consist of two of the five components. One more component was required to meet the requirement.”

8VAC20-780-560-J

“Tables and high chair trays shall be sanitized before and after each use for feeding. A class of children transitioned from the trailer classroom and the after school children entered the classroom. The group of after school children were instructed to wash their hands and sit at the table to eat snack. The children were served and ate snack. The tables were not sanitized before or after snack.”

22.1-289.058

“Each building that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The trailer that serves preschool age children during the school day is not equipped with at least one carbon monoxide detector.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #6 who has been actively working at the center for the past 2 months, did not have any completed reference verifications on file.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Medication was on site for child #6. The written authorization for the medication was not signed by a Physician. The written authorization was signed by the parent and expired 3 months ago.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by 7 months.”

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. 1. The national criminal background check for staff #2 was received 18 days after the first day of employment. 2. The national criminal background check for staff #6 was received 15 days after the first day of employment.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. Child #6 has a documented food allergy that requires emergency medications. The emergency medication was on site. Child #6 was not listed on the allergy list.”

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. Medication was on site for child #6. The medication had a sticky note on it with the child's name written on it. The dosage amount or time to be given were not on the medication.”

8VAC20-780-510-E

“Long-term prescription drug and over-the-counter medication may be allowed with written authorization from the child's physician and parent. 1. Child #1 has a long term prescription medication on site. The long-term authorization form contained a physician signature. The authorization form did not contain a parent signature. 2. The long-term medication form for child #6 did not match the medication that was on site.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include an authorization for emergency medical care, a statement that the center will notify the parent when the child becomes ill and must be picked up, and a statement that the parent will inform the center within 24 hours of any communicable diseases within the household. The record for child #3, enrolled for 2 months, did not contain a signed written parent agreement.”

22.1-289.036-A

“Repeat Violation Every applicant for licensure and agent of an applicant for licensure shall undergo a background check every five years. 1. The most recent background checks for agent #4 were overdue by 3 years. 2. The most recent background checks for agent #5 were overdue by 1 year.”

22.1-289.036-B-2

“Every applicant for licensure and agent of an applicant for licensure shall undergo a background check within 30 days of employment or service. 1. The center did not obtain fingerprints for agent #1 who has been an officer of the board since 2021.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. 1. Staff #1 updated screening was due 3 days ago. 2. Staff #2 updated screening was due 15 days ago.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. The record for child #4, enrolled for 2 months, was missing the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-60-A-8

“Repeat violation 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. 1. Child #2, who has been enrolled for 2 months, has a diagnosed food allergy and did not have a written care plan in their file. 2. Child #3, who has been enrolled for 2 months, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-770-60-C-2

“The center is required to obtain the results of a central registry background check on all agents/board members within 30 days of service. 1. The center did not obtain a central registry background check for agent #1 who has been in service since 2021. 2. The center did not obtain a central registry background check for agent #2 who has been in service since 2021.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who has been enrolled for 2 months.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by 6 months.”

8VAC20-770-60-B

“Based on record review, and interview, the center failed to obtain a completed sworn statement or affirmation from an employee on or prior to the first day of employment. Evidence: 1. The record for staff #4, staff #5, staff #6, staff #7, and staff #8 did not contain a completed sworn statement or affirmation. 2. Interview with administration revealed that resource staff are not required to complete a sworn statement on or prior to employment.”

8VAC20-780-160-A

“Based on record review, and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff #4, date of employment 08/31/2000, did not contain documentation of a negative tuberculosis screening. 2. The record for staff #5, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening. 3. The record for staff #6, date of employment 08/1/2022, did not contain documentation of a negative tuberculosis screening. 4. The record for staff #7, date of employment 08/1/2021, did not contain documentation of a negative tuberculosis screening. 5. The record for staff #8, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening. 6. Interview with administration revealed that resource staff of the school are not required to obtain a tuberculosis screening prior to employment.”

8VAC20-780-260-A

“Based on documentation review, and interview, the center failed to obtain an annual fire inspection report. Evidence: 1. The most recent fire inspection was dated 10/31/22. An annual fire inspection was due on or before 10/31/2023. 2. Administration confirmed that an annual fire inspection was not conducted on or before 10/31/2023.”

8VAC20-780-40-M

“Based on record review, documentation review, and interview, the center failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Evidence: 1. The record for child #4 contained a written care plan for a food allergy. 2. The posted allergy list did not have child #4 listed on it. 3. Administration confirmed that child #4 was not on the posted allergy list.”

8VAC20-780-260-B

“Based on documentation review, and interview, the center failed to obtain annual approval from the health department. Evidence: 1. The most recent health inspection was dated 11/01/22. An annual health inspection was due on or before 11/01/2023. 2. Administration confirmed that an annual health inspection was not conducted on or before 11/01/2023.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that all staff shall complete the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for staff #5, staff #6, and staff #8 did not contain documentation of completion of the VDOE sponsored orientation course within 90 calendar days of employment.”

8VAC20-780-60-A-8

“Based on record review, documentation review, and interview the center failed to 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: 1. The record for child #3 indicated a food allergy. 2. Child #3 is listed on the center allergy list. 3. The record for child #3 did not contain a written care plan 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. 4. Administration confirmed that the record for child #3 did not contain a written care plan.”

22.1-289.035-B-2

“Repeat Violation Based on records review and interview, the center did not ensure that five applicants for employment underwent fingerprinting through the Department or its designee prior to beginning employment. Evidence: 1. The center did not forward the applicant's fingerprints and personal descriptive information for Staff # 4, Staff # 5, Staff # 6, Staff # 7, and Staff # 8 to the Department's designee, Office of Background Investigations. 2. The center instead obtained a (fingerprint-based) criminal history records check directly from the Virginia State Police for the five staff prior to employment. A letter with a finding of "eligible" was not obtained for these staff from the Office of Background Investigations as required for a satisfactory criminal record check. The Code of Virginia requires that an applicant's fingerprints and personal descriptive information obtained pursuant to subdivision 2 of 22.1-289.035 be forwarded by the Department or its designee through the Central Criminal Records Exchange to the Federal Bureau of Investigation for the purpose of obtaining national criminal history record information regarding such applicant. The Department or its designee then reports to the child day center whether the applicant is eligible to have responsibility for the safety and well-being of children”

22.1-289.035-B-2

“Based on records review and interview, the center did not ensure that three of five applicants for employment underwent fingerprinting through the Department or its designee prior to beginning employment. Evidence: 1. The center did not forward the applicant’s fingerprints and personal descriptive information for Staff 3, Staff 4, and Staff 5 to the Department’s designee, Office of Background Investigations. 2. The center instead obtained a (fingerprint-based) criminal history records check directly from the Virginia State Police for the three staff prior to employment. A letter with a finding of ?eligible? was not obtained for these staff from the Office of Background Investigations as required for a satisfactory criminal record check. The Code of Virginia requires that an applicant's fingerprints and personal descriptive information obtained pursuant to subdivision 2 of ? 22.1-289.035 be forwarded by the Department or its designee through the Central Criminal Records Exchange to the Federal Bureau of Investigation for the purpose of obtaining national criminal history record information regarding such applicant. The Department or its designee then reports to the child day center whether the applicant is eligible to have responsibility for the safety and well-being of children”

8VAC20-780-550-D

“Based on documentation review, and interview, the center failed to document that an evacuation drill took place each month. Evidence: The last evacuation drill that was documented was on 2/3/23. When asked, the Director acknowledged that the drills were not documented monthly.”

8VAC20-780-160-C

“Based on records review, the center failed to ensure that staff obtain and submit the results of a follow up tuberculosis screening at least every two years from the date of the initial screening. Evidence: The record for staff #1, date of employment 10/19/2018, contained a tuberculosis screening dated 10/19/2018. 2) The record for staff #3, date of employment, June 2019 contained a tuberculosis screening dated 8/21/2019. 3) The record for staff #5, date of employment September 1994 contained a tuberculosis screening dated 12/19/2018.”

8VAC20-780-160-A

“Based on records review, and interview, the center failed to ensure that staff obtain and submit the results of a negative tuberculosis screening on or before the first day of employment. Evidence: The record for staff #2, date of employment October 2021, did not contain documentation of a tuberculosis screening. When interviewed, the Director stated that the tuberculosis screening had not been completed for staff #2.”

8VAC20-770-60-B

“Based on records review, and observation, the center failed to ensure that staff complete a sworn statement prior to employment. Evidence: The record for staff #2, date of employment October 2021, and seen working alone in classroom #2 with children, did not contain a sworn statement.”

8VAC20-780-550-D

“Based on records review, and interview, the center failed to document that an evacuation drill took place each month. Evidence: The last evacuation drill that was documented was on 9/23/22. When asked, the Director stated that they do not conduct monthly evacuation drills.”

8VAC20-780-530-A-2

“Based on records review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present have within 90 days current certification in first aid. Evidence: The record for staff #2, date of employment October 2021, and seen working alone in classroom #2 with a group of children, did not contain documentation of first aid training.”

8VAC20-780-530-A-1

“Based on records review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present have, within 90 days current certification in CPR. Evidence: The record for staff #2, date of employment October 2021, and seen working alone in classroom #2 with a group of children, did not contain documentation of CPR training.”

22VAC40-185-140-A

“Based on review of two children's files, the facility failed to have documentation of a physical examination within one month after attendance. Evidence: Child A (date of enrollment 8/30/2021) and Child B (date of enrollment 8/30/2021) did not have documentation of an physical examination on file.”

22VAC40-185-130-A

“Based on review of two children's files, the facility failed to have documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: Child A (date of enrollment 8/30/2021) and Child B (date of enrollment 8/30/2021) did not have documentation of an immunization record on file.”