New Direction Childcare & Learning Center

8VAC20-790-600-D-2

“Based on record review, the center did not ensure that all staff have certification in first aid appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in first aid training.”

8VAC20-790-600-D-1

“Based on record review, the center did not ensure that all staff have certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-780-550-P

“Based on record review and interview, the center did not ensure to maintain a complete written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. 3 injury reports were reviewed. 2 of the injury reports were missing the future prevent recurrence, and 2 were missing the time parent was notified.”

8VAC20-790-600-D-2

“Based on record review, the center did not ensure that all staff have certification in first aid appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in first aid training.”

8VAC20-790-600-D-1

“Based on record review, the center did not ensure that all staff have certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-780-550-P

“Based on record review and interview, the center did not ensure to maintain a complete written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. 3 injury reports were reviewed. 2 of the injury reports were missing the future prevent recurrence, and 2 were missing the time parent was notified.”

8VAC20-780-130-A

“Based on a review of children's records, the provider did not ensure that each child's record contained documentation of immunizations prior to attending the child day center. Evidence: 1. Child #1 record contained documentation of immunizations 2/23/2023. Child #1?s date of enrollment was 2/20/2023. 2. Child #4?s record contained documentation of immunizations 3/1/2023. Child # 4?s date of enrollment was 3/1/2023.”

8VAC20-780-270-A

“Based on review of the facility and outdoor play areas the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. The steering wheel the red metal car located on the preschool playground was broken and contained sharp edges. 2. There were three nails protruding from the wood on the red playhouse located on the preschool playground.”

8VAC20-780-500-C

“Based on observations the center failed to ensure that staff empty, clean, and sanitize toilet chairs (potty chairs) after each use. Evidence: 1. In the 2?s classroom, two potty chairs contained a yellow substance. The potty chairs were not emptied promptly, cleaned and sanitized after each use.”

8VAC20-780-130-A

“Based on a review of children's records, the provider did not ensure that each child's record contained documentation of immunizations prior to attending the child day center. Evidence: 1. Child #1 record contained documentation of immunizations 2/23/2023. Child #1?s date of enrollment was 2/20/2023. 2. Child #4?s record contained documentation of immunizations 3/1/2023. Child # 4?s date of enrollment was 3/1/2023.”

8VAC20-780-270-A

“Based on review of the facility and outdoor play areas the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: 1. The steering wheel the red metal car located on the preschool playground was broken and contained sharp edges. 2. There were three nails protruding from the wood on the red playhouse located on the preschool playground.”

8VAC20-780-500-C

“Based on observations the center failed to ensure that staff empty, clean, and sanitize toilet chairs (potty chairs) after each use. Evidence: 1. In the 2?s classroom, two potty chairs contained a yellow substance. The potty chairs were not emptied promptly, cleaned and sanitized after each use.”

8VAC20-780-500-A

“Based on observation and interview on June 23, 2022, the center did not ensure that children wash their hands with soap and running water after toileting. Evidence: Staff was observed changing a diaper. After the child was changed the child was put back on the floor and preceded to play with toys. The child's hands were not washed. Staff stated that wipes are used after a diaper change.”

8VAC20-780-510-I

“Based on observation and interview on June 23, 2022, the center did not ensure that prescription medication is maintained in the original, labeled container that was dispensed from a pharmacy. Evidence: A review of medications indicated a prescription for Albuterol for child #6 expired 5/25/22. Administration stated they accepted a refill of prescription Albuterol for child #6 and put it in the old prescription box. Administration acknowledged they did not receive the original box for the refill.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

8VAC20-780-500-A

“Based on observation and interview on June 23, 2022, the center did not ensure that children wash their hands with soap and running water after toileting. Evidence: Staff was observed changing a diaper. After the child was changed the child was put back on the floor and preceded to play with toys. The child's hands were not washed. Staff stated that wipes are used after a diaper change.”

8VAC20-780-510-I

“Based on observation and interview on June 23, 2022, the center did not ensure that prescription medication is maintained in the original, labeled container that was dispensed from a pharmacy. Evidence: A review of medications indicated a prescription for Albuterol for child #6 expired 5/25/22. Administration stated they accepted a refill of prescription Albuterol for child #6 and put it in the old prescription box. Administration acknowledged they did not receive the original box for the refill.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

22VAC40-665-580-E-1

“Based on a review of records and interview, the vendor did not obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of Staff #2 (DOH 7/5/19) did not contain documentation of certification in CPR. 2. Administration confirmed Staff #2 did not have CPR training.”

22VAC40-665-580-E-2

“Based on a review of records and interview, the vendor did not ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of Staff #2 (DOH 7/5/19) did not contain documentation of certification in first aid 2. Administration confirmed Staff #2 did not have first aid training.”

22VAC40-665-580-H

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training by March 1, 2020, and annually thereafter. Evidence: The record of Staff #3 (DOH 12/27/12) contained documentation of Preservice Training dated 3/29/21.”

22VAC40-185-240-A

“Based on a review of records, the center did not ensure staff receive training by the end of their first day of assuming job responsibilities. Evidence: The record of Staff #1 (DOH 7/16/21) contained documentation of orientation dated 4/18/18. Staff #1 is a rehire and there was no documentation that orientation was redone.”

22VAC40-185-160-A

“Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within 21 days of employment. Evidence: 1. The records of Staff #1 (DOH 7/16/21) and Staff #2 (DOH 7/5/19) did not contain documentation of a tuberculosis screening. 2. Administration confirmed the tuberculosis screenings were not completed.”

22VAC40-185-560-F

“Based on a review of the menu, the provider did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: Documentation of the center's menu contains two components of the USDA's three component requirement for breakfast and one component of the USDA's two component requirement for snack.”

22VAC40-191-40-D-6

“Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of a central registry finding dated 5/13/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021.”

22VAC40-80-120-E-2

“Based on observation and interview, the licensee did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted March 25, 2021, were not posted in the facility on the date of the inspection. 2. Administration acknowledged there were no posted findings.”

63.2(17)-1720.1-B-2

“Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of fingerprints dated 4/17/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021. Fingerprints should have been completed upon rehire.”

22VAC40-185-280-B

“Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The 3 year old classroom had a container of disinfectant wipes located on top of cubbies. The label of the disinfectant wipes states "keep out of the reach of children" and "caution." 2. Administration confirmed the wipes were not kept locked.”

22VAC40-665-580-E-1

“Based on a review of records and interview, the vendor did not obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of Staff #2 (DOH 7/5/19) did not contain documentation of certification in CPR. 2. Administration confirmed Staff #2 did not have CPR training.”

22VAC40-665-580-E-2

“Based on a review of records and interview, the vendor did not ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of Staff #2 (DOH 7/5/19) did not contain documentation of certification in first aid 2. Administration confirmed Staff #2 did not have first aid training.”

22VAC40-665-580-H

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training by March 1, 2020, and annually thereafter. Evidence: The record of Staff #3 (DOH 12/27/12) contained documentation of Preservice Training dated 3/29/21.”

22VAC40-185-240-A

“Based on a review of records, the center did not ensure staff receive training by the end of their first day of assuming job responsibilities. Evidence: The record of Staff #1 (DOH 7/16/21) contained documentation of orientation dated 4/18/18. Staff #1 is a rehire and there was no documentation that orientation was redone.”

22VAC40-185-160-A

“Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within 21 days of employment. Evidence: 1. The records of Staff #1 (DOH 7/16/21) and Staff #2 (DOH 7/5/19) did not contain documentation of a tuberculosis screening. 2. Administration confirmed the tuberculosis screenings were not completed.”

22VAC40-185-560-F

“Based on a review of the menu, the provider did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: Documentation of the center's menu contains two components of the USDA's three component requirement for breakfast and one component of the USDA's two component requirement for snack.”

22VAC40-191-40-D-6

“Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of a central registry finding dated 5/13/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021.”

22VAC40-80-120-E-2

“Based on observation and interview, the licensee did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted March 25, 2021, were not posted in the facility on the date of the inspection. 2. Administration acknowledged there were no posted findings.”

63.2(17)-1720.1-B-2

“Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1 (DOH 7/16/21) contained documentation of fingerprints dated 4/17/18. Administration stated Staff #1 was separated from employment from January 1, 2020 until July 16, 2021. Fingerprints should have been completed upon rehire.”

22VAC40-185-280-B

“Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The 3 year old classroom had a container of disinfectant wipes located on top of cubbies. The label of the disinfectant wipes states "keep out of the reach of children" and "caution." 2. Administration confirmed the wipes were not kept locked.”

22VAC40-185-400-B

“Based on a review of documentation and interviews, the center did not ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. An outside witness stated Staff #1 verbally threatened to "smack" a child and "smack" a phone out of the child's hand and that the Staff member then told the child she was going to tell her mom she smacked her. 2. During an interview Staff #1 stated she said "if you don't be quiet, I'm going to smack you and tell your mother I smacked you." Staff #1 provided the center a written statement. Review of the documentation of the written statement the staff member provided stated on September 29, 2021, she said "girl, I'm going to slap you and tell mom I did it." 3. Administration acknowledged that Staff #1 did make statements threatening to slap a child.”

22VAC40-185-40-E

“Based on review of documentation and interviews, the center did not ensure to comply with the center's own policies and procedures required by the standards. Evidence: 1. The center's discipline policy states "Our techniques for discipline involve positive reinforcement for good behavior and careful explanation of behavior that is unacceptable. Our disciplinary techniques are: redirection or removal of the child from the situation, verbal warning, taking away privileges, and time out." 2. Staff #1 provided a written statement indicating that on September 29, 2021, she said to a child in care, "girl, I'm going to slap you and tell mom I did it." 3. Administration acknowledged the Staff did not act within the center's policies and procedures.”