NVFS Child Development Center

8VAC20-780-245-J-3

“The Center is required to ensure that children are always in the care of a staff member who has satisfactorily completed a training program for the purpose of administration of emergency medication that has been prescribed. There were no staff on site that were certified to administer Child #1?s medication.”

8VAC20-780-240-G

“Volunteers who work more than six hours per week shall receive training on the center's emergency procedures within the first week of volunteering. The file for Staff #1 did not contain documentation of a completed training on the center's emergency procedures as required.”

8VAC20-780-70

“The Center is required to maintain documentation for staff records including two or more references as to character and reputation as well as competency were checked before employment. The file for Staff #1 (hired 2-19-26) did not contain 2 references.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water, before and after helping a child use the toilet; before and after a diaper change; after the staff member uses the toilet; after any contact with body fluids; before feeding or helping children with feeding; and before preparing or serving food or beverages. Staff #2 did not wash their hands before changing a diaper, between the diaper changes of 2 children, or after diaper changing.”

8VAC20-780-80-A

“The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Rainbow 1 classroom, there were 12 children present, but the written record reflected there were 16 children present.”

8VAC20-780-280-B

“The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children. Evidence: In the bathroom area where the door was unlocked, 3 containers of toothpaste containing labels that stated, ?Keep out of Reach of Children? and the word ?Warning? on the labels were stored on an open shelf.”

8VAC20-780-340-F

“(Repeat Violation) The Center is required to ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: During inspection in the Rainbow 1 classroom, there were 2 teachers located on the far side of the classroom when a child exited the classroom through a gate and entered the hallway, then entered into the bathroom area behind another half wall where they were out of sight and sound supervision.”

8VAC20-780-530-A

“The Center is required to have at least one staff member in each classroom or area where children are present that had obtained CPR and first aid training. Evidence: The file for Staff #1 did not contain documentation for completion of CPR and first aid training.”

8VAC20-780-80-A

“The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Rainbow 1 classroom, there were 12 children present, but the written record reflected there were 16 children present.”

8VAC20-780-280-B

“The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children. Evidence: In the bathroom area where the door was unlocked, 3 containers of toothpaste containing labels that stated, ?Keep out of Reach of Children? and the word ?Warning? on the labels were stored on an open shelf.”

8VAC20-780-340-F

“(Repeat Violation) The Center is required to ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: During inspection in the Rainbow 1 classroom, there were 2 teachers located on the far side of the classroom when a child exited the classroom through a gate and entered the hallway, then entered into the bathroom area behind another half wall where they were out of sight and sound supervision.”

8VAC20-780-530-A

“The Center is required to have at least one staff member in each classroom or area where children are present that had obtained CPR and first aid training. Evidence: The file for Staff #1 did not contain documentation for completion of CPR and first aid training.”

8VAC20-780-510-E

“Based on review of 2 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication that requires written medication authorization should be given from the child’s physician and parent for a long term medication. Evidence: For a medication for Child #1, no dates of authorization were given from the physician.”

8VAC20-780-330-A

“Based on observation and staff interview, the center did not ensure that playgrounds should be located and designed to protect children from hazards. Evidence: 1)On the right side of the playground, there are 7 rubber tiles that are curled up in a way that they could cause a tripping hazard. 2)On the left side of the playground, there are 7 rubber tiles with gapping in between that could cause a tripping hazard.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: Upon entry to the center, a child was observed sitting on the floor directly in front of the front door to the center and behind a half wall where no staff member was able to see the child.”

8VAC20-780-510-E

“Based on review of 2 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication that requires written medication authorization should be given from the child’s physician and parent for a long term medication. Evidence: For a medication for Child #1, no dates of authorization were given from the physician.”

8VAC20-780-330-A

“Based on observation and staff interview, the center did not ensure that playgrounds should be located and designed to protect children from hazards. Evidence: 1)On the right side of the playground, there are 7 rubber tiles that are curled up in a way that they could cause a tripping hazard. 2)On the left side of the playground, there are 7 rubber tiles with gapping in between that could cause a tripping hazard.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: Upon entry to the center, a child was observed sitting on the floor directly in front of the front door to the center and behind a half wall where no staff member was able to see the child.”

8VAC20-770-60-C-2

“Based on staff interview and review of 2 staff files and 1 volunteer file, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation that a central registry search was completed within 30 days of employment.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present. Evidence: At the time of inspection, the list of children’s allergies, sensitivities, and dietary restrictions (dated 8/14/23) located in the classroom was not current for all applicable children in the classroom. Child #1 has a physician diagnosed food allergy that was not on the list.”

8VAC20-770-70-A

“Based on review of 3 staff records and interview with staff, the center did not obtain all of the required documentation for staff records. Evidence: There was no file for Volunteer #1 (Start date 6/2023) who was at the center participating in classroom instruction and observation. The Staff and volunteer indicated that the volunteer is present monthly in the classroom.”

8VAC20-780-60-A-8

“Based on review of 3 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-770-60-B

“Based on staff interview and review of 2 staff records and 1 volunteer record, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

22.1-289.035-B-2

“Based on staff interview and review of 2 staff records and 1 volunteer record, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation of a fingerprint background check completed prior to their date of hire.”

8VAC20-770-60-C-2

“Based on staff interview and review of 2 staff files and 1 volunteer file, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation that a central registry search was completed within 30 days of employment.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present. Evidence: At the time of inspection, the list of children’s allergies, sensitivities, and dietary restrictions (dated 8/14/23) located in the classroom was not current for all applicable children in the classroom. Child #1 has a physician diagnosed food allergy that was not on the list.”

8VAC20-770-70-A

“Based on review of 3 staff records and interview with staff, the center did not obtain all of the required documentation for staff records. Evidence: There was no file for Volunteer #1 (Start date 6/2023) who was at the center participating in classroom instruction and observation. The Staff and volunteer indicated that the volunteer is present monthly in the classroom.”

8VAC20-780-60-A-8

“Based on review of 3 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-770-60-B

“Based on staff interview and review of 2 staff records and 1 volunteer record, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

22.1-289.035-B-2

“Based on staff interview and review of 2 staff records and 1 volunteer record, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Volunteer #1 (Start date 6/2023) did not contain documentation of a fingerprint background check completed prior to their date of hire.”