Perfect Harmonies Childcare and Development

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. The door on the wooden playhouse on the playground was broken at the hinges presenting a pinch hazard. 2.The Director confirmed the door needed repair.”

8VAC20-780-510-N

“Based on record review and interview, it was determined the center did not keep a record of medication given to children that included all the required information. Evidence: 1.The documentation of medication given to child #6 did not include the following: a. amount of medication administered to the child. b.the day and time the medication was administered to the child. 2.The Director confirmed the required information was not documented.”

8VAC20-780-330-B

“Repeat Violation Based on observation, it was determined that the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (mulch) around the climbing equipment on the preschool playground was only 1-2 inches in depth, this was less than the required minimum depth of 6?. 2.There were grass and weeds growing in the mulch. 3.Staff #4 confirmed more mulch was needed to reach the 6? minimum depth”

22.1-289.035-B-2

“Based on record review and interview, it was determined the facility did not ensure that fingerprint background checks are obtained prior to the first day of employment Evidence: 1.Staff # 1 (hire date 3/5/24) was hired and began working before the criminal history record check (fingerprints) was received on 4/3/24. 2. The Director confirmed the criminal history record check was not received prior to the staff member beginning employment.”

8VAC20-780-540-E

“Based on observation and interview, it was determined the facility did not ensure that there was one working, battery-operated radio in each building used by children. Evidence: 1.The battery-operated radio did not have charged batteries, therefore it was not working. 2.The Director confirmed the radio was not working.”

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Evidence: 1.There was no documentation of first aid certification in the record for staff #1 who was hired on 11/16/23. 2.The Director confirmed the certification was not in the record.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.There was no documentation of CPR certification in the record for staff #1 who was hired on 11/16/23. 2.The Director confirmed the certification was not in the record.”

8VAC20-790-600-F

“Repeat Violation Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: 1. The records for staff #3 and #4 did not include documentation of completing the annual health and safety update training for 2023. a.The last health and safety update documentation for staff #3 was dated 2/1/22. b.The last documentation of health and safety update training for staff #4 was dated 9/27/21. 2.The Director confirmed the updates were not in the record.”

8VAC20-780-550-P Complaint related: No

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children's serious and minor injuries. Evidence: 1. The injury report for child #1 did not contain the time the injury occurred. 2. The Director confirmed the time was not documented.”

8VAC20-780-270-A Complaint related: Yes

“(A2) 8VAC20-780-270 Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center, inside and out, shall be maintained in a safe and operable condition. Evidence: 1.The wood fence on the playground had boards that were cracked and splintering. 2.On the playground, there was a metal pipe approximately 2 ? inches in diameter protruding approximately 3-4 inches from the ground posing a trip hazard. The pipe had a sharp edge on it. 3.The Director confirmed the fence was cracked and a pipe was sticking up out of the ground.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on record review and interviews, it was determined the center did not inform the departments representative as soon as practical, but not to exceed two business days, of an injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1.On Friday, January 5th, at approximately 4:40pm, staff contacted child #1?s parent to report a possible injury to the child’s foot or ankle. 2.Child #1 was picked up from the center and taken to the emergency room. The child was treated for a fractured ankle. 3.The parent of child #1 informed the Director over the weekend that the ankle was fractured. 4.The center did not inform the licensing representative of the injury and did not file a serious injury report. 5.The Director confirmed licensing was not informed of the injury.”

8VAC20-790-600-F

“Based on review of records and interviews, it was determined the vendor did not ensure that staff who work directly with children annually attend 16 hours of training, to include the department's health and safety update course. Evidence: The record for staff #3 (last completed 9/27/2021) and staff #4 (last completed 7/11/2019) did not contain documentation of completing the annual health and safety update coarse.”

8VAC20-780-330-B

“Based on observation and interviews, it was determined the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards, tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (mulch) around the climbing equipment on the preschool playground was less than the required minimum depth of 6?. 2.Staff #4 confirmed more mulch was needed to reach the 6? minimum depth.”

8VAC20-780-550-D

“Repeat violation Based on record reviews and interviews, it was determined the center did not ensure that a monthly practice evacuation drill was implemented. Evidence: 1.The emergency drill log did not contain documentation that an evacuation drill was conducted in October 2023. 2.Staff #4 confirmed an October drill was not documented.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1.In the infant room refrigerator there was an opened jar of sweet potatoes that was not labeled with the name or date of the owner. 2.Staff in the infant room confirmed the jar was not labeled.”

8VAC20-780-60-A

“Based on the review of children’s records and interviews, it was determined the center did not ensure that each child’s record contains all required information. Evidence: 1.The records for child #1, child #3 and child #4 did not include documentation that each child had 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. 2.Staff #4 reviewed the records and confirmed the record did not contain documentation of a physical examination.”

8VAC20-780-70

“Based on a review of 5 staff records, it was determined the center did not ensure that a record was kept for each staff member with all required information. Evidence: 1.The record for staff #1 did not include documentation that two or more references as to the character, reputation and competency were check before employment. 2.The records for staff # 2 and staff #3 did not include the signature of the person making the reference check over phone.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1.In the two year old classroom there were two torn rest mats in use at nap time. 2.On the one year old playground a board on the lower section of a fence was unattached and provided children access to a nail protruding from the board. 3.In the infant room there were loose fitting sheets on two mattresses posing a suffocation hazard.”

8VAC20-790-600-F

“Based on review of records and interviews, it was determined the vendor did not ensure that staff who work directly with children annually attend 16 hours of training, to include the department's health and safety update course. Evidence: The record for staff #3 (last completed 9/27/2021) and staff #4 (last completed 7/11/2019) did not contain documentation of completing the annual health and safety update coarse.”

8VAC20-780-330-B

“Based on observation and interviews, it was determined the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards, tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (mulch) around the climbing equipment on the preschool playground was less than the required minimum depth of 6?. 2.Staff #4 confirmed more mulch was needed to reach the 6? minimum depth.”

8VAC20-780-550-D

“Repeat violation Based on record reviews and interviews, it was determined the center did not ensure that a monthly practice evacuation drill was implemented. Evidence: 1.The emergency drill log did not contain documentation that an evacuation drill was conducted in October 2023. 2.Staff #4 confirmed an October drill was not documented.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1.In the infant room refrigerator there was an opened jar of sweet potatoes that was not labeled with the name or date of the owner. 2.Staff in the infant room confirmed the jar was not labeled.”

8VAC20-780-60-A

“Based on the review of children’s records and interviews, it was determined the center did not ensure that each child’s record contains all required information. Evidence: 1.The records for child #1, child #3 and child #4 did not include documentation that each child had 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. 2.Staff #4 reviewed the records and confirmed the record did not contain documentation of a physical examination.”

8VAC20-780-70

“Based on a review of 5 staff records, it was determined the center did not ensure that a record was kept for each staff member with all required information. Evidence: 1.The record for staff #1 did not include documentation that two or more references as to the character, reputation and competency were check before employment. 2.The records for staff # 2 and staff #3 did not include the signature of the person making the reference check over phone.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1.In the two year old classroom there were two torn rest mats in use at nap time. 2.On the one year old playground a board on the lower section of a fence was unattached and provided children access to a nail protruding from the board. 3.In the infant room there were loose fitting sheets on two mattresses posing a suffocation hazard.”

8VAC20-780-570-I

“Based on observation and interview the center did not ensure there was a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care maintained at the center. Evidence: The infant staff stated they did not have emergency supplies because only 1 child was on breastmilk. The emergency bag did not have any bottles or nipples or water to mix with the commerical formula in the event of an emergency.”

8VAC20-770-60-C-2

“Based on a record review and interview the center did not ensure all all staff had a central registry finding within 30 days of employment. Evidence: Based on a record review, Staff #3 (hired 06/13/2022) did not have documentation of having a central registry check.”

8VAC20-780-540-A

“Based on observation the center did not have all required items in the first aid kit. Evidence: The first aid kit did not have a triangular bandages.”

8VAC20-780-560-F

“Based on observation the center did not ensure when choosing to provide meals and snacks, all requirements were met. Evidence: The center had a menu for November posted in the kitchen and not in area that is accessible to parents.”

22.1-289.035-B-4

“Based on a record review the center did not ensure all staff had the required background checks from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #3 (hired 06/13/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check, central registry check or a sex offender check. 2. Staff #4 (hired 09/08/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check or a sex offender check from that state.”

8VAC20-780-570-I

“Based on observation and interview the center did not ensure there was a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care maintained at the center. Evidence: The infant staff stated they did not have emergency supplies because only 1 child was on breastmilk. The emergency bag did not have any bottles or nipples or water to mix with the commerical formula in the event of an emergency.”

8VAC20-770-60-C-2

“Based on a record review and interview the center did not ensure all all staff had a central registry finding within 30 days of employment. Evidence: Based on a record review, Staff #3 (hired 06/13/2022) did not have documentation of having a central registry check.”

8VAC20-780-540-A

“Based on observation the center did not have all required items in the first aid kit. Evidence: The first aid kit did not have a triangular bandages.”

8VAC20-780-560-F

“Based on observation the center did not ensure when choosing to provide meals and snacks, all requirements were met. Evidence: The center had a menu for November posted in the kitchen and not in area that is accessible to parents.”

22.1-289.035-B-4

“Based on a record review the center did not ensure all staff had the required background checks from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #3 (hired 06/13/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check, central registry check or a sex offender check. 2. Staff #4 (hired 09/08/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check or a sex offender check from that state.”

22VAC40-185-500-A

“Based on observation the center did not ensure all requirements were met when handwashing. Evidence: Staff was observed changing a child's diaper in the infant room. Staff did not wash their hands before changing the child's diaper.”

22VAC40-185-40-H

“Based on a record review the center did not ensure public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate was maintained. Evidence: The center's liability policy had an expiration date of 11/27/2021.”

22VAC40-185-550-D

“Based on a record review the center did not have documentation of having practiced monthly evacuation drills. Evidence: The log the center uses to record evacuation drills did not list a drill for the month of April.5”

22VAC40-185-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: The floor in the staff bathroom was soft and sinking.”

22VAC40-185-500-A

“Based on observation the center did not ensure all requirements were met when handwashing. Evidence: Staff was observed changing a child's diaper in the infant room. Staff did not wash their hands before changing the child's diaper.”

22VAC40-185-40-H

“Based on a record review the center did not ensure public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate was maintained. Evidence: The center's liability policy had an expiration date of 11/27/2021.”

22VAC40-185-550-D

“Based on a record review the center did not have documentation of having practiced monthly evacuation drills. Evidence: The log the center uses to record evacuation drills did not list a drill for the month of April.5”

22VAC40-185-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: The floor in the staff bathroom was soft and sinking.”