Miss Alyson's

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: A canister of sanitizer deodorizer was observed on an open shelf in the bathroom. The door of the bathroom was closed but not locked. Staff stated children did not use that bathroom.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain all required documentation for one staff record. Evidence: 1. The record of staff #2, employed 10/03/2023, contained one written reference dated 10/19/2023, exceeding the date of employment. The record did not contain a second reference as required by the standards. 2. Two or more references as to character and reputation are required to be checked before employment or volunteering.”

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: A canister of sanitizer deodorizer was observed on an open shelf in the bathroom. The door of the bathroom was closed but not locked. Staff stated children did not use that bathroom.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain all required documentation for one staff record. Evidence: 1. The record of staff #2, employed 10/03/2023, contained one written reference dated 10/19/2023, exceeding the date of employment. The record did not contain a second reference as required by the standards. 2. Two or more references as to character and reputation are required to be checked before employment or volunteering.”

8VAC20-790-600-F

“Based on review of four staff records, the center did not ensure one staff completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #2, contained documentation of completion of the department’s annual health & safety update training dated 10/18/2020. There was no documentation for the 2021 and 2022 year.”

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt was fastened securely. Evidence: Child #7 was observed being feed in a highchair without the protective belt being fastened. Staff acknowledged the belt was not fastened.”

8VAC20-790-600-F

“Based on review of four staff records, the center did not ensure one staff completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #2, contained documentation of completion of the department’s annual health & safety update training dated 10/18/2020. There was no documentation for the 2021 and 2022 year.”

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt was fastened securely. Evidence: Child #7 was observed being feed in a highchair without the protective belt being fastened. Staff acknowledged the belt was not fastened.”

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

“Based on interview and video footage reviewed, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: On November 1, 2022, staff #1 and staff #2 assisted children into a wagon just outside the classroom door while staff #3 and staff #4 lined the remaining children up to go for a nature walk. Staff #1 stated she did not conduct a head count. While on the nature walk photos were taken of the children and posted on the Pro-care app for parents. At 10:35, The parent of child #1 texted the center and asked if her child was ok as she did not see him in any photos. Staff #1 stated at that point she did a head count and child #1 was not with the group. Staff #3 ran back to the classroom where she found Child #1 standing at the door. Staff #1, staff #2, staff #3 and staff #4 were unaware that Child #1 was left behind in the classroom until they were notified by the parent. It is estimated that Child #1 was out of sight and sound supervision for approximately 15 minutes.”

8VAC20-780-40-E Complaint related: Yes

“Based on review of the center’s policies and procedures and interviews, the center did not ensure that the center’s activities and services were in compliance with the center’s own policies and procedures related to supervision that are required by the standards. Evidence: 1) During interviews, staff #1 reported that on 11/04/2022, during the transition from the classroom to the outdoors, Child #1, two-years old, was mistakenly left in the classroom unsupervised for approximately 15 minutes. Staff #1 reported that a name-to-face check was not completed upon exiting the classroom. Staff #1, staff #2, Staff #3 and staff #4 were unaware that Child #1 was left behind in the classroom. Staff #1 reported that at approximately 10:35 am, the parent of child #1 texted staff #1 asking if child #1 was ok as she did not see him in any photos that were being sent out of the nature walk. Staff #3 returned to the classroom where child #1 was waiting by the door. 2) The center’s Child Supervision Policy stated, ?Classroom teachers are responsible for the supervision and whereabouts of the children assigned to their care at all times, which entails conducting regular headcounts. Name to face head counts are to be done anytime the class is leaving the room to go outside to the playground, once on the playground and going on field trips to ensure no child is hiding or left behind. ?”

8VAC20-780-510-G

“Based on review of medication and interview, the facility did not ensure medication was labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Evidence: 1. Medication was observed in a Ziploc bag with the child’s name written on the bag, however the medication did not have the pharmacy label nor did it have the original container with information regarding the dosage, and times to be given. 2. The director stated they did not have the label or original container listing the required information.”

8VAC20-780-550-B

“Based upon review of the emergency preparedness plan (EPP), the facility has not ensured that the emergency preparedness plan includes all required procedural components. Evidence: 1. The EPP does not address the staff training requirement and the plan review and update. 2. The director stated the last review of the EPP was 08/02/2021.”

8VAC20-780-510-G

“Based on review of medication and interview, the facility did not ensure medication was labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Evidence: 1. Medication was observed in a Ziploc bag with the child’s name written on the bag, however the medication did not have the pharmacy label nor did it have the original container with information regarding the dosage, and times to be given. 2. The director stated they did not have the label or original container listing the required information.”

8VAC20-780-550-B

“Based upon review of the emergency preparedness plan (EPP), the facility has not ensured that the emergency preparedness plan includes all required procedural components. Evidence: 1. The EPP does not address the staff training requirement and the plan review and update. 2. The director stated the last review of the EPP was 08/02/2021.”

8VAC20-770-60-C-2

“Based on review of five staff records and interview, the center did not obtain a central registry finding for one staff within 30 days of employment. Evidence: 1. The record for staff #1, hired 03/09/2022, did not contain the results of a central registry finding. The record did not contain documentation that the central registry had been requested and the staff has been continuously employed. 2. The director stated that a central registry for Staff #1, had not been requested.”

8VAC20-770-40-D-6

“Based on review of five staff records and interview, the center did not ensure a required sworn statement from an applicant, licensee, registrant, or other person required to obtain background checks was not dated more than 90 days prior to the date of employment, volunteering, residing in the home. Evidence: 1. The record for staff #1, hired 03/09/2022, had documentation of a sworn statement dated 08/31/2021,exceeding 90 days prior to hire. 2. The director stated, staff #1 was delayed in staring employment and an updated sworn statement was not completed at the time of employment.”

22.1-289.035-B-2

“Based on a review of five staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment and within the required time frame. Evidence: 1. The national fingerprint check for Staff #1, hired on 03/09/2022, was dated 09/02/2021 exceeding 90 days prior to employment. 2. The director reported Staff #1 was delayed in starting employment and a new fingerprints background check was not completed prior to hire.”

8VAC20-780-70

“Based on review of five staff records and interview, the center did not obtain all required documentation for one staff record. Evidence: 1. The record of staff #1, hired 03/09/2022, did not have documentation of two or more references as to the character and reputation as well as competency that were checked before employment. 2.The director stated two references for staff #1 had not been obtained.”

8VAC20-770-60-C-2

“Based on review of five staff records and interview, the center did not obtain a central registry finding for one staff within 30 days of employment. Evidence: 1. The record for staff #1, hired 03/09/2022, did not contain the results of a central registry finding. The record did not contain documentation that the central registry had been requested and the staff has been continuously employed. 2. The director stated that a central registry for Staff #1, had not been requested.”

8VAC20-770-40-D-6

“Based on review of five staff records and interview, the center did not ensure a required sworn statement from an applicant, licensee, registrant, or other person required to obtain background checks was not dated more than 90 days prior to the date of employment, volunteering, residing in the home. Evidence: 1. The record for staff #1, hired 03/09/2022, had documentation of a sworn statement dated 08/31/2021,exceeding 90 days prior to hire. 2. The director stated, staff #1 was delayed in staring employment and an updated sworn statement was not completed at the time of employment.”

22.1-289.035-B-2

“Based on a review of five staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment and within the required time frame. Evidence: 1. The national fingerprint check for Staff #1, hired on 03/09/2022, was dated 09/02/2021 exceeding 90 days prior to employment. 2. The director reported Staff #1 was delayed in starting employment and a new fingerprints background check was not completed prior to hire.”

8VAC20-780-70

“Based on review of five staff records and interview, the center did not obtain all required documentation for one staff record. Evidence: 1. The record of staff #1, hired 03/09/2022, did not have documentation of two or more references as to the character and reputation as well as competency that were checked before employment. 2.The director stated two references for staff #1 had not been obtained.”