Noah's Ark Daycare Center

8VAC20-780-570-B Complaint related: No

“Based on observations and interviews the center failed to ensure that Bottles shall not be propped or used while the child is in his designated sleeping location. Evidence: While touring the infant room there was found a crib mattress propped up with a square pillow. The staff stated that the infant that occupies this crib is propped up in the crib to drink the bottle.”

8VAC20-780-270-A

“Repeat Violation Based on observation the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: A wall in the boys bathroom has paint peeling that is accessible to the children.”

8VAC20-780-270-A

“Repeat Violation Based on observation the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: A wall in the boys bathroom has paint peeling that is accessible to the children.”

8VAC20-780-210-A-4-a Complaint related: No

“Based on record reviews the center failed to ensure that program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent. Have six months of supervised programmatic experience. Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children. Evidence: 1. Staff #4 (hire date 8/19/19 was promoted to lead teacher 9/1/22. The training documentation used was dated from 4/12/21-11/9/22, which exceeds the six-month time frame for completing 24 hours of training.”

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

“Based on interviews the center failed to ensure that children under 10 years of age shall be within actual sight and sound supervision of staff. Evidence: On June 1, 2023, at approximately 9:15 A.M., there were two staff and two children, two years old on the playground. At 9:37 AM staff #3 came to the playground with her class of five children. Staff #3 reported seeing child #1 on the playground. At approximately 9:50 A.M. staff # 1 called out to her class that it was time for snack. Staff #1 did not see child #1 at that time. At 10:15 A.M. staff #1 contacted staff #6 by phone and reported that child #1 was missing. At approximately 2:00 pm, approximately four hours after the child was noticed to be missing, child #1 was found approximately .1 mile from the center.”

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

“Based on interviews the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. On June 1, 2023, six staff and 19 children, 16 months-five years, were on the playground. Child #1, two years old, left the fenced playground through an unlocked gate. Child #1 was missing for approximately 25-30 minutes when staff realized that the child was missing. 2. Child #1 was missing for approximately four hours. The child was located in a thicket of saw briers and had a few scratches about the face and arms. The conditions outside were sunny and 79 degrees. The FBI, State Police, local sheriffs? office, fire and rescue, local search and rescue, department of Game and Inland Fisheries, K-9 unit, drones, helicopter, and several community volunteers searched for child #1. Child #1 was not visibly upset when he was found.”

8VAC20-780-140-A Complaint related: Yes

“Based on record review the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #1 enrolled on 8/2022 but did not have a physical examination on file.”

8VAC20-780-410-2 Complaint related: Yes

“Based on interviews and photographs the center failed to ensure that the following actions or threats thereof are forbidden: Enclosure in a small, confined space or any space that the child cannot freely exit himself. Evidence: 1. Staff # 10 ,9 ,7, 6, stated that child #1 (three years old) has been placed in a highchair for approximately 30 minutes while in the classroom, especially during nap time. Staff #7 and #6 stated that child #1 was placed in the highchair because the child would wake up all the other children in the classroom. 2. Staff # 6, 7, stated that child #1 has been placed in a highchair periodically throughout the day while in the ?big room?. When the child would try to go on the stage, touch a broom or hit other children, the child would be placed in the highchair. Staff # 6 & 7 stated that Child #1 would be in the highchair 15-30 minutes, most days. 3. Staff #7 stated that child #1 was placed in the highchair because the child was allergic to corn. When the center served corn staff #7 would place child #1 in the highchair so the child would not encounter the corn. There was no documentation in the record of child #1 indicating that the child had food allergies.”

8VAC20-780-400-C Complaint related: No

“Based on interviews, the center failed to ensure that when time out is used as a discipline technique it shall be used sparingly and shall not exceed one minute for each year of the child’s age. Evidence: Staff #9 stated that child #1 was placed in time out by staff #7 on many occasions. These time outs would last 5-10 minutes each time. Child #1 is three years old and would be limited to three minutes for time out.”

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

“Based on interviews the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. During interviews on 5/31/2023 it was determined that Child #1 (three years old) was put in a highchair by staff #7. Staff #7 and #6 stated that child #2 was placed in a highchair for more than 15 minutes, but less than 30 minutes during nap time. This has been happening daily since the beginning of May, 2023.”

8VAC20-770-60-C-2

“Based on record reviews the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: Staff # 7 has a hire date of 1/30/2023, there are no central registry checks on file for this staff person.”

8VAC20-780-270-A

“Based on observation the center failed to ensure that Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable 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: Located on the big playground is a blue, green, orange seesaw. The top area is broken and is a pinch point that could snag skin. The PVC pipe that surrounds the playground has some areas that are cracked and has a hole. These areas could snag skin. The ground covering is showing in several places on the playground. This is a tripping hazard for the children.”

8VAC20-780-510-P

“Based on record reviews and interviews the center failed to ensure that 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. Evidence: Child #1 has a signed authorization dated 1/31/23, child #2 has a signed authorization dated 1/24/23, child #3 has a signed authorization dated 1/8/23, and child #4 has a signed authorization dated 2/9/23. All four of these medications are at the center.”

8VAC20-780-510-E

“Based on record reviews the center failed to ensure that non-prescription medication, be consistent with the manufacturer's instructions for age, duration and dosage. Also, Duration of the parent's authorization of medication shall expire or be renewed after 10 work days. Evidence: 1. Child #2, 3 & 4 all under the age of two years had non-prescription medications at the center for oral pain relief. The manufacturer's instructions stated that for children under two years of age a doctor needs to authorize administration. There are no doctors authorizations on file. 2. Child #1 has a medication authorization dated 1/31/23, the medication has been administered daily since then. Child #2 has a medication authorization dated that was signed 1/24/23 and was administered on that date. Child #3 has a medication authorization dated 1/8/23 and no medication has been administered. Child #4 has a medication authorization dated 2/9/23 and was administered on that date.”

8VAC20-770-40-D-1-a

“Based on record reviews the center failed to ensure that a new person designated as or agent who is or will be involved in the day-to-day operations of the facility have a current Search of central registry check before the end of 30 days. Evidence: Board member #5 has an appointment date to the board of July 2020. There are no central registry checks on file for this board member.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Located in the three year old classroom on top of the cubbies was two cans of Lysol disinfectant spray, not locked.”

8VAC20-780-500-C

“Based on observation the center failed to ensure that toilet (potty) chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: Located in the girls bathroom were two toilet (potty) chairs. One chair had urine in it, a class came in to use the toilet (potty) chairs. The one had not been emptied promptly, cleaned or sanitized after each use.”

8VAC20-780-510-B

“Based on record reviews the center failed to ensure that prescription and non-prescription medication shall be given to a child only with written authorization from the parent. Evidence: Child #5 had a non-prescription medication at the center. There was no written authorization by the parent for the medication.”

8VAC20-770-60-C-2

“Based on record reviews the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: Staff # 7 has a hire date of 1/30/2023, there are no central registry checks on file for this staff person.”

8VAC20-780-270-A

“Based on observation the center failed to ensure that Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable 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: Located on the big playground is a blue, green, orange seesaw. The top area is broken and is a pinch point that could snag skin. The PVC pipe that surrounds the playground has some areas that are cracked and has a hole. These areas could snag skin. The ground covering is showing in several places on the playground. This is a tripping hazard for the children.”

8VAC20-780-510-P

“Based on record reviews and interviews the center failed to ensure that 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. Evidence: Child #1 has a signed authorization dated 1/31/23, child #2 has a signed authorization dated 1/24/23, child #3 has a signed authorization dated 1/8/23, and child #4 has a signed authorization dated 2/9/23. All four of these medications are at the center.”

8VAC20-780-510-E

“Based on record reviews the center failed to ensure that non-prescription medication, be consistent with the manufacturer's instructions for age, duration and dosage. Also, Duration of the parent's authorization of medication shall expire or be renewed after 10 work days. Evidence: 1. Child #2, 3 & 4 all under the age of two years had non-prescription medications at the center for oral pain relief. The manufacturer's instructions stated that for children under two years of age a doctor needs to authorize administration. There are no doctors authorizations on file. 2. Child #1 has a medication authorization dated 1/31/23, the medication has been administered daily since then. Child #2 has a medication authorization dated that was signed 1/24/23 and was administered on that date. Child #3 has a medication authorization dated 1/8/23 and no medication has been administered. Child #4 has a medication authorization dated 2/9/23 and was administered on that date.”

8VAC20-770-40-D-1-a

“Based on record reviews the center failed to ensure that a new person designated as or agent who is or will be involved in the day-to-day operations of the facility have a current Search of central registry check before the end of 30 days. Evidence: Board member #5 has an appointment date to the board of July 2020. There are no central registry checks on file for this board member.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Located in the three year old classroom on top of the cubbies was two cans of Lysol disinfectant spray, not locked.”

8VAC20-780-500-C

“Based on observation the center failed to ensure that toilet (potty) chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: Located in the girls bathroom were two toilet (potty) chairs. One chair had urine in it, a class came in to use the toilet (potty) chairs. The one had not been emptied promptly, cleaned or sanitized after each use.”

8VAC20-780-510-B

“Based on record reviews the center failed to ensure that prescription and non-prescription medication shall be given to a child only with written authorization from the parent. Evidence: Child #5 had a non-prescription medication at the center. There was no written authorization by the parent for the medication.”

8VAC20-780-540-E

“Based on observation and interviews the center failed to have all the required nonmedical emergency supplies at the center. Evidence: The center did not have a battery operated radio on site.”

8VAC20-780-245-A

“Based on record reviews the center failed to ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: Staff #3 (hire date 8/25/13) has 11 hours of annual training. Staff #4 (hire date 2/26/21) has six hours of annual training and staff #5 (hire date 10/14/19) has eight hours of annual training.”

8VAC20-780-70

“Based on record review the center failed to keep all the required information on each staff person. Evidence: 1. Staff records # 1, 2, and 4 do not have the name, address and phone number of a person to be notified in an emergency. 2. Staff #2 (hire date 4/4/22) does not have reference check on file.”

8VAC20-780-540-E

“Based on observation and interviews the center failed to have all the required nonmedical emergency supplies at the center. Evidence: The center did not have a battery operated radio on site.”

8VAC20-780-245-A

“Based on record reviews the center failed to ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of the children in care. Evidence: Staff #3 (hire date 8/25/13) has 11 hours of annual training. Staff #4 (hire date 2/26/21) has six hours of annual training and staff #5 (hire date 10/14/19) has eight hours of annual training.”

8VAC20-780-70

“Based on record review the center failed to keep all the required information on each staff person. Evidence: 1. Staff records # 1, 2, and 4 do not have the name, address and phone number of a person to be notified in an emergency. 2. Staff #2 (hire date 4/4/22) does not have reference check on file.”

22.1-289.035-B-2

“Based on record reviews, the facility failed to ensure that prior to employment or volunteering, all persons who work alone with children have completed fingerprint background checks. Evidence: 1. The inspector reviewed three staff records. Staff record #1 contained fingerprint based background check results dated 03/02/2022. Staff #1's date of employment was 01/17/2022. Staff record #2 did not contain results of a fingerprint based background check and staff's date of employment was 11/18/2021.”

22.1-289.035-B-2

“Based on record reviews, the facility failed to ensure that prior to employment or volunteering, all persons who work alone with children have completed fingerprint background checks. Evidence: 1. The inspector reviewed three staff records. Staff record #1 contained fingerprint based background check results dated 03/02/2022. Staff #1's date of employment was 01/17/2022. Staff record #2 did not contain results of a fingerprint based background check and staff's date of employment was 11/18/2021.”

22VAC40-185-340-A Complaint related: No

“Based on interviews, center staff failed to ensure care, protection and guidance to a child they were supervising. Evidence: 1. On September 14, 2021, at approximately 5:00pm, staff 1 and staff 2 left a 14 month old child (child 1) alone in a classroom when staff and children exited the classroom and walked into the hallway. 2. The inspector interviewed staff 1. Staff 1 stated, ?Kids were all together on the playground and it was time to transition and come inside. I was in front of the line and staff 2 was also there. Staff 3 was behind getting the rest of the kids. We walked through the classroom and into the hallway and child 1?s dad was there to get him. I told child 1?s dad that child 1 was still on the playground and he went to see and came back inside and found child 1 in the classroom. Staff 3 was at the door in the classroom from the playground side. I went on into another room with the kids that I had.? 3. The inspector interviewed staff 2. Staff 2 stated, ?We all came inside from the playground. Staff 3 was still outside trying to get a couple of kids to come inside. Staff 1 was leading the kids inside and I was on the side. Staff 3 would have been in the back. We walked through the classroom and into the hall. Child 1?s dad was there and asked where child 1 was. Staff 1 told child 1?s dad that child 1 was still outside. I was still in the hallway waiting with two kids and child 1?s dad came back in. About that time, I guess child 1?s dad saw child 1 in the classroom. Staff 3 was with him.? 4. The inspector interviewed staff 3. Staff 3 stated, ?We were on the playground and everyone was coming in except two kids, one had his shoes off and I had to go and get him. The door was propped open to the classroom from the playground side while I was getting the kids in. While I was still on the playground, child 1?s dad came and asked me where child 1 was and I said he went in with the other kids. I then walked in the door and saw child 1 playing at the kitchen and child 1?s dad came in from the hallway. I walked child 1 over to his dad.?”

22VAC40-185-340-F Complaint related: No

“Based on interviews, center staff failed to have a child under 10 years of age in actual sight and sound supervision. Evidence: 1. Staff 1, staff 2 and staff 3 reported that a 14 month old child (child 1) was left unsupervised in a classroom on September 14, 2021, at approximately 5:00pm. Staff 1 and staff 2 entered the classroom from the playground with a group of children, including child 1. Both staff 1 and 2 reported that they walked through the classroom and exited the classroom into the hallway. Child 1 did not exit the classroom and was left alone in the classroom. Staff 3 remained on the playground when staff 1, staff 2 and the group of children entered the classroom and exited the classroom into the hallway. Staff 3 entered the classroom from the playground and saw child 1 alone in the classroom. 2. The inspector interviewed staff 1, staff 2 and staff 3 and asked how long child 1 was alone in the classroom. Staff 1 stated, ?Child 1 was alone in the classroom for a few seconds.? Staff 2 stated, ?Child 1 was probably alone just a little while, a minute or a few seconds.? Staff 3 stated, ?Child 1 was in the classroom for just a few seconds.?”