Ms Babs Nursery School

22.1-289.035-A

“The center is required to have applicants undergo a background check every five years. The most recent central registry check for applicant #1 was overdue by four months.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #7, who is currently working, was dated one day after their first day of employment. The sworn statement for Staff #3, who is currently working, was dated one day after their first day of employment.”

22.1-289.035-B-4

“Repeat Violation: The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #7, employed for four months, did not have documentation of requesting a central registry check from one state.”

8VAC20-780-60-A-8

“Repeat Violation: Each center shall maintain and keep at the center a separate record for each child enrolled that contains 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. Child #10, present at the time of the inspection, had a food allergy and did not have an allergy care plan present.”

8VAC20-780-40-I

“The center shall develop written procedures for injury prevention. The center did not have written procedures for injury prevention at the time of the inspection.”

8VAC20-780-160-A

“Repeat Violation: Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening that has 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. Staff #7, employed for four months, had a tuberculosis screening that was dated 90 days prior to hire date. Staff #2, employed for two months, had a tuberculosis screening that was dated five months prior to hire date.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. On the preschool playground, there was a toy truck that was broken, exposing sharp edges. 2. A plastic playground structure located on the preschool playground, had a hole in the slide that exposed sharp edges that could snag clothing or skin. 3.The wood on the top step outside of the back door leading to the playground area, was chipped exposing a hole that could pose as a tripping hazard.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. In the infant classroom, there were three bottles of prepared formula in the refrigerator that were not dated.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #5 was not signed and dated.”

8VAC20-780-140-A

“(Repeat Violation) 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. 1. There was no physical examination in the record of child #2 and child #4, who had been enrolled for four months. 2. There was no physical examination in the record for child #5, who had been enrolled for over 30 days.”

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. Child #4, who had been attending for four months, did not have documentation of an immunization record on file.”

8VAC20-780-140-A

“(Repeat Violation) 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 #4, who had been enrolled for five months.”

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 from one state for Staff #5, who has been employed for more than a month and have been working with children.”

8VAC20-780-160-A

“(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The record for staff #5 did not have documentation of a negative tuberculosis screening. Staff #5 has been working with children for two months.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #5, did not have documentation of completed orientation training. Staff #5 has been working with children for two months.”

8VAC20-780-550-P

“The center is to maintain a written record of children's serious and minor injuries that contain all of the required information and where entries are made on the day of occurrence. One report was missing the date when the parent was notified, and two reports were missing the date and time when the parent was notified.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #9 was onsite, but the medication authorization expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed, and the medication was not returned or disposed of as required.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1, staff #2, staff #3 and staff #4, who is working with children, has not yet completed this course.”

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 had been enrolled for three years.”

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Medication for Child #9 was onsite without a medication authorization in the child’s record.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and label in a way that identifies the owner. In the Bumblebee classroom, there were 9 water bottles not dated and labeled in a way that identified the owner.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 had no documentation of a negative tuberculosis screening and has been employed for one year and five months.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #5 updated screening was due 1 year ago and Staff #6 updated screening was due 3months ago. The updated screenings have not yet been completed.”

8VAC20-780-60-A-8

“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 #8, who has been enrolled for one month, has a diagnosed food allergy and did not have a written care plan in their file. 2. Child #9, who has been enrolled for over a year, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all agents/board members shall undergo background checks every five years. Evidence: 1. The record for Agent #1 contained a national criminal background check dated 4/26/2018. Agent #1 should have undergone a criminal background check on or before 4/26/2023. 2. The director verified that a criminal background check had not been completed for agent #1 since 2018.”

8VAC20-780-160-C

“(Repeat Violation) Based on record review and interview with staff, the center failed to ensure that all staff obtained a tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #2 contained an initial tuberculosis screening dated on 3/1/2021. Staff #2?s date of hire was 2/23/2021. 2. The record for staff #3 contained an initial tuberculosis screening date on 2/27/2022. Staff #3?s date of hire was 2/28/2022. 3. Staff #2 verified that an updated tuberculosis screening had not been completed for staff #2 and staff #3.”

8VAC20-780-60-A

“(Repeat Violation) Based on review of records, the center failed to ensure that each child’s record contained all required information. Evidence: 1. The record for child #4 (enrollment date 3/4/2024) and child #6 (enrollment date 3/4/2024), did not contain the parent’s work number. 2. The record for child #7 (enrollment date 4/8/2024) did not contain a work number for dad.”

8VAC20-780-510-E

“Based on a review of medication and interview, the center did not follow the procedures for maintaining medication on-site. Evidence: 1. In the Bumble Bee’s classroom, there was an EpiPen in a locked cabinet that had expired 6/2024. 2. Staff stated that they were not aware that the medication had expired.”

8VAC20-780-245-A

“Based on record review, the center did not ensure that staff completed the annual minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.The record for staff #3 (hired 2/28/2022) did not contain documentation of the 16 hours of required annual training. There was only 2 hours of training documented for February 2022-February 2023. 2. The record for staff #4 (hired 10/14/2021) did not contain documentation of the 16 hours of required annual training. There was only 6 hours of training documented for October 2022-October 2023.”

8VAC20-780-270-A

“(Repeat Violations) Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: A blue child size chair in the toddler classroom, was torn on seat of the chair exposing the webbing.”

8VAC20-780-500-A Complaint related: No

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water before and after diapering and children's hands shall be washed with soap and running water after a diaper change. Evidence: A staff member in the infant classroom was observed diapering a child. Staff did not wash their hands or the child’s hands after diapering. After diapering the child, staff placed the child on the floor and staff picked up several other objects in the classroom.”

8VAC20-780-60-A-8

“Based on review of 6 children records, 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: The record for child #2 (enrollment date 5/15/2023), did not contain an allergy action.”

8VAC20-780-160-A

“(Repeat Violation) Based on record review, the center did not ensure that documentation of negative tuberculosis (Tb) test for each employee met all requirements. Evidence: 1. The records for staff #2 (date of hire 1/29/2024) and staff # 3 (date of hire 1/29/2024), did not contain documentation of a negative tuberculosis test. 2. The director stated that both staff #2 and staff #3 completed a tuberculosis test but was unable to provide the documentation.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on a review of staff records, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: 1. The record for staff # 4 did not contain documentation of a completed central registry background. Staff #4?s employment date was 7/31/2023.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that all electrical outlets shall have protective covers. Evidence: 1. An electrical outlet in the Crickets classroom on the backwall, did not have an outlet cover. 2. In the June Bugs classroom under the while board, there was an electrical outlet that did not have an outlet cover.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, shell be maintained in a clean safe and operable conditions. Evidence: 1. On the toddler playground, the log cabin contained a crack in the window about 2-3 inches long. The crack exposed sharp edges. 2. In the Bumble Bees classroom behind the door, there is a hole in the wall about 3-4 ? inches. 3. The director stated that the owner is aware of the crack in the log cabin and plans to remove the equipment from the playground area.”

8VAC20-780-160-C

“Based on documentation review, the center did not obtain updated tuberculosis (TB) tests or screenings for each staff member every two years. Evidence: 1. The Tuberculosis (TB) test for staff 2 was last conducted on 4/17/2021. Staff 2 should have completed an updated Tuberculosis (TB) test or screening on or before 4/17/2023. 2. The director verified that staff 2 had not completed an updated Tuberculosis test/screening.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #1 (DOH: 5/31/2023) did not contain the results of a central registry background check. 2. The record of staff #4 (DOH: 7/11/2023) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

8VAC20-780-550-D

“Based on record review, the center failed to implement a monthly practice evacuation drill. Evidenced: 1. There was no documentation that drills were conducted for May, June, and July 2023. The last drill documented was 4/2023. 2. The director was aware that drills had not been documented.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that all prepared infant formula shall be dated. Evidence: 1. 14 Bottles of prepared infant formula, was not labeled with the date. 2. The director was aware that the prepared bottles of infant formula had not been labeled with the date.”

8VAC20-780-240-B

“Based on record review, the center did not maintain complete records for each staff member. Evidence: The record for staff 1 and staff 4 did not contain documentation of orientation.”

8VAC20-780-500-A Complaint related: No

“Based on observation, the center did not ensure that children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: 1. A staff in the Joe’s classroom did not wash the infant’s hands after diapering. Staff removed the infant from the changing table and sat the infant on the carpet.”

8VAC20-780-270-A Complaint related: No

“Based on observation, the center failed to maintain areas and equipment of the center, inside and outside, in a clean, safe, and operable condition. Evidence: 1. The stairs outside leading up to the June Bug and Bumblebee classroom, had six nails that were protruding approximately 1 inch -2 inches from the stairs. 2. The director stated that she would contact the owner and have him hammer the nails down. The director stated that children will not use the stairs until the repairs have been made. 3. The wall in the kitchen next to the door, has a large hole in the wall about 5 ? - 6 inches stuffed with plastic bags. 4. The director said that she was aware of the hole.”