Noah's Ark Infant Care

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1, child #2 and child #3, who were under two years did not have additional immunizations in their record.”

8VAC20-780-210-A

“Program leaders shall have fulfilled a high school program completion or the equivalent. The record for staff #1, staff #2 and staff #3 did not have documentation of a high school completion program or the equivalent.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. The facility did not comply with their mediation policies requiring prescription medication to be kept in a locked location and over the counter ointments to be inaccessible to children. There was prescription lotion and topical ointment for child 5 stored in the child's open low cubby. There was no written parent permission for the application of the prescription lotion.”

8VAC20-780-60-A

“The separate record for each child shall include the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached. The record provided for child 3 did not include the street address for one of the emergency contact persons.”

8VAC20-780-60-A

“The separate record for each child shall include the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached. The record provided for child 3 did not include the street address for one of the emergency contact persons.”

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. An infant was in care for nine months without documentation that the child received the required immunizations.”

8VAC20-780-80-A

“Repeat Violation For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were nine children in care in the infant room but only 8 children had been added to the attendance record.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician. A well baby check for an infant in care for 8 months did not have the child's name and was not signed by a physician.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. A fifteen month old child attended for nine months without any immunization updates.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean condition. There was paper litter scattered throughout the infant outdoor play space.”

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. An infant was in care for nine months without documentation that the child received the required immunizations.”

8VAC20-780-80-A

“Repeat Violation For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were nine children in care in the infant room but only 8 children had been added to the attendance record.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician. A well baby check for an infant in care for 8 months did not have the child's name and was not signed by a physician.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. A fifteen month old child attended for nine months without any immunization updates.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean condition. There was paper litter scattered throughout the infant outdoor play space.”

8VAC20-780-80-A

“Based upon review of record and observation, the facility has not ensured that a written record of daily attendance documenting the arrival and departure of each child as it occurs is maintained. Evidence: The written record of children's attendance at the time of arrival of the inspector at 12:50 PM indicated that there were nine infants in care. A head count revealed that there were ten infants in care. Infant 4 had not been added to the record.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods. Evidence: 1. There was a container of sanitizing wipes with a warning label stored on the diaper changing station. 2. There was fragrance oil with a warning label on the shelf/room divider. 3. There was a container of aerosol air freshener with a warning label in the unlocked bathroom.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment of the center are safe. Evidence: There was water-filled bottle warmer on a shelving unit beside the diaper changing table. the cord from the bottle warmer was hanging loose between the shelf and the changing table, allowing for the possibility that a child could pull the bottle warmer off of the shelf onto him/herself.”

8VAC20-780-340-C

“Based upon observation and staff interview, the facility has not ensured that during the stated hours of operation, there is always on the premises when one or more children are present, one staff who is the program leader and another immediately available second staff person. Evidence: Upon arrival of the inspector at 9:30 AM, staff 1 was on duty by herself with three infants. When asked, staff 1 stated that she is usually the only staff person on duty in the facility. Staff 2 arrived and stated that she covers breaks for staff 1, but is not at the facility unless needed to cover for staff 1.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. The safety clasp on storage area under the diaper changing station was not latched. There was a spray bottle of bleach/water sanitizing liquid stored in this unlocked area under the changing table. 2. There was a tube of diaper ointment with a warning label to include "keep out of reach of children" in an open bin on the low storage shelving unit beside the changing table. 3. The door to the laundry room does not have a lock or child proof latch. There was laundry detergent, disinfectant spray and multi-purpose cleanser, all with warning labels, stored in this room.”