Miss Alyson's

8VAC20-780-550-D

“Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill. Evidence: The evacuation drill log did not contain documentation of an evacuation drill for the month of October 2023. The director acknowledged a drill had not been documented for October 2023.”

8VAC20-780-40-M

“Based on review of children’s records and review of the allergy, sensitivities, and dietary restriction list, the center did not ensure all dietary restrictions were included on the current written list. Evidence: The written allergy, sensitivities, and dietary restriction list did not include the dietary restriction for child #5 as listed in the record of child #5.”

8VAC20-780-550-D

“Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill. Evidence: The evacuation drill log did not contain documentation of an evacuation drill for the month of October 2023. The director acknowledged a drill had not been documented for October 2023.”

8VAC20-780-40-M

“Based on review of children’s records and review of the allergy, sensitivities, and dietary restriction list, the center did not ensure all dietary restrictions were included on the current written list. Evidence: The written allergy, sensitivities, and dietary restriction list did not include the dietary restriction for child #5 as listed in the record of child #5.”

8VAC20-790-600-D-2

“Based on review of seven staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of first aid certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of first aid certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in first aid.”

8VAC20-790-600-D-1

“Based on review of seven staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of CPR certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of CPR certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in CPR.”

8VAC20-780-550-P

“Based on review of 13 written children’s incident/ accident reports, the center did not ensure all required information was documented for four of the incident/ accident reports. Evidence: Four incident reports dated 03/21/2023, 04/05/2023, 04/11/2023 and 05/12/2023 did not contain the following required information; date and time parent was notified of the injury, and documentation on how the parent was notified.”

8VAC20-780-70

“Based on review of seven staff records, the center did not obtain documentation that two or more references as to the character and reputation were checked before employment for one staff member. Evidence: 1. The record of staff #1, employed 05/09/2023, contained documentation of only one reference when at least two references are required. 2. The director acknowledged only one reference was documented in the record.”

22.1-289.035-A

“Based on review of seven staff records and interview, the center did not ensure one staff obtained background checks every five years. Evidence: 1. The record for staff #2 (employed 04/30/2018) contained the results of a fingerprint national criminal record check dated 04/27/2018, exceeding five years. 2. The director confirmed a request to update the fingerprint national criminal record check had not yet been obtained.”

8VAC20-790-600-D-2

“Based on review of seven staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of first aid certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of first aid certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in first aid.”

8VAC20-790-600-D-1

“Based on review of seven staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of CPR certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of CPR certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in CPR.”

8VAC20-780-550-P

“Based on review of 13 written children’s incident/ accident reports, the center did not ensure all required information was documented for four of the incident/ accident reports. Evidence: Four incident reports dated 03/21/2023, 04/05/2023, 04/11/2023 and 05/12/2023 did not contain the following required information; date and time parent was notified of the injury, and documentation on how the parent was notified.”

8VAC20-780-70

“Based on review of seven staff records, the center did not obtain documentation that two or more references as to the character and reputation were checked before employment for one staff member. Evidence: 1. The record of staff #1, employed 05/09/2023, contained documentation of only one reference when at least two references are required. 2. The director acknowledged only one reference was documented in the record.”

22.1-289.035-A

“Based on review of seven staff records and interview, the center did not ensure one staff obtained background checks every five years. Evidence: 1. The record for staff #2 (employed 04/30/2018) contained the results of a fingerprint national criminal record check dated 04/27/2018, exceeding five years. 2. The director confirmed a request to update the fingerprint national criminal record check had not yet been obtained.”

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: The metal weather striping at the bottom of the preschool classroom door leading outside has separated from the bottom of the door. The stripe bows out and has a Sharpe edge that could snap the skin of a child.”

8VAC20-770-60-C-2

“Based on review of three staff records, the center did not obtain the central registry finding for one staff within 30 days of employment or volunteer service. Evidence: 1. The record of staff #3, hired 01/10/2022, had a completed central registry dated 03/08/2022, exceeding the 30 days from hire. 2. Administration reported they did not have documentation of following up on the status of the central registry after 30 days from hire.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not obtain an annual approval from the health department. Evidence: 1. The most recent health inspection report was dated 07/30/2019, exceeding the annual requirement. 2. Administration reported they had reached out to the health department requesting a current inspection however it was not documented.”

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: The metal weather striping at the bottom of the preschool classroom door leading outside has separated from the bottom of the door. The stripe bows out and has a Sharpe edge that could snap the skin of a child.”

8VAC20-770-60-C-2

“Based on review of three staff records, the center did not obtain the central registry finding for one staff within 30 days of employment or volunteer service. Evidence: 1. The record of staff #3, hired 01/10/2022, had a completed central registry dated 03/08/2022, exceeding the 30 days from hire. 2. Administration reported they did not have documentation of following up on the status of the central registry after 30 days from hire.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not obtain an annual approval from the health department. Evidence: 1. The most recent health inspection report was dated 07/30/2019, exceeding the annual requirement. 2. Administration reported they had reached out to the health department requesting a current inspection however it was not documented.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #5 expired 09/28/2021, The medication had not been returned to the parent nor had the parent renewed the medication authorization form.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #5 expired 09/28/2021, The medication had not been returned to the parent nor had the parent renewed the medication authorization form.”