Plains Area Daycare Center

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #5, who had been employed for over two years, did not have a central registry search requested.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for over four months.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. In the toddler room staff changed the two children’s diaper and did not wash the children’s hands with soap and water.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. In the toddler room the diaper surfacing was not cleaned and sanitized after each change. After the second diaper change the diapering surfacing was cleaned and not sanitized. The sanitizing bottle was empty.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Classroom #3 did not have a current list in the classroom.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Classroom #3 did not have a current list in the classroom.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the day of employment current certification in cardiopulmonary resuscitation (CPR). Staff #3?s CPR certification was completed two months late.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the day of employment current certification in first aid. Staff #3?s first aid certification was completed two months late.”

8VAC20-770-60-C-2

“REPEAT VIOALTION For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #2 did not have central registry search results on file during the inspection and has been employed for 14 months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for four months, did not have a central registry search requested on file.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3, who is currently working, was dated nine days after their first day of employment.”

8VAC20-780-570-A

“When a child is placed in an infant seat, the protective belt shall be fastened. Two children were in Bumbo seats in the infant room, and both children were not fastened with a protective belt.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 completed the course one month late.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the day of employment current certification in cardiopulmonary resuscitation (CPR). Staff #3?s CPR certification was completed two months late.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the day of employment current certification in first aid. Staff #3?s first aid certification was completed two months late.”

8VAC20-770-60-C-2

“REPEAT VIOALTION For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #2 did not have central registry search results on file during the inspection and has been employed for 14 months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for four months, did not have a central registry search requested on file.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3, who is currently working, was dated nine days after their first day of employment.”

8VAC20-780-570-A

“When a child is placed in an infant seat, the protective belt shall be fastened. Two children were in Bumbo seats in the infant room, and both children were not fastened with a protective belt.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 completed the course one month late.”

8VAC20-770-70-A

“Based on review of records, the center failed to ensure that each staff record contained documentation to demonstrate that the individual possesses the education, certification and experience required by the job position, and orientation and training as required. Evidence: 1. Staff #6 confirmed that Staff #5 was the program leader in the 2-and-a-half-year-old class. Staff #5?s record did not contain documentation that Staff #5 possessed the education, certification and experience required for program leader. 2. Staff #5?s record did not contain 16 hours of annual training for the training year of 11/30/2022 to 11/29/2023. 3. Staff #3?s record did not contain 16 hours of annual training for the training year of 5/25/2023 to 5/25/2024.”

8VAC20-770-70-A

“Based on review of records, the center failed to ensure that each staff record contained documentation to demonstrate that the individual possesses the education, certification and experience required by the job position, and orientation and training as required. Evidence: 1. Staff #6 confirmed that Staff #5 was the program leader in the 2-and-a-half-year-old class. Staff #5?s record did not contain documentation that Staff #5 possessed the education, certification and experience required for program leader. 2. Staff #5?s record did not contain 16 hours of annual training for the training year of 11/30/2022 to 11/29/2023. 3. Staff #3?s record did not contain 16 hours of annual training for the training year of 5/25/2023 to 5/25/2024.”

8VAC20-780-150-B

“Based on interview and review of documentation, the center failed to ensure that each immunization report was signed by a physician, his designee or an official of the health department. Evidence: 1. Child #3?s immunization reports dated 10/26/2022 and 09/20/2023 did not contain a signature from a physician, his designee or an official of the health department. 2. Staff #6 confirmed that the immunization reports did not contain a signature from a physician, his designee or an official of the health department.”

8VAC20-770-60-C-2

“Based on interview and review of records, the center failed to ensure that central registry results are received by the 30th day of employment. Evidence: 1. Staff #1?s start date was 09/18/2023. There were no central registry results on file at the time of the inspection. Staff #6 confirmed that the central registry results had not been received.”

8VAC20-780-130-A

“Based on review of documentation and interview, the center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1. Child #1?s start date on file was 09/25/2023. Immunizations on file were dated 10/06/2023. 2. Staff #6 confirmed that the immunizations were not obtained before the child’s first day of attendance.”

8VAC20-780-40-J

“Based on interview, the center failed to update injury prevention procedures at least annually. Evidence: 1. Staff #6 confirmed that the injury prevention procedures had not been updated at least annually.”

8VAC20-780-150-B

“Based on interview and review of documentation, the center failed to ensure that each immunization report was signed by a physician, his designee or an official of the health department. Evidence: 1. Child #3?s immunization reports dated 10/26/2022 and 09/20/2023 did not contain a signature from a physician, his designee or an official of the health department. 2. Staff #6 confirmed that the immunization reports did not contain a signature from a physician, his designee or an official of the health department.”

8VAC20-770-60-C-2

“Based on interview and review of records, the center failed to ensure that central registry results are received by the 30th day of employment. Evidence: 1. Staff #1?s start date was 09/18/2023. There were no central registry results on file at the time of the inspection. Staff #6 confirmed that the central registry results had not been received.”

8VAC20-780-130-A

“Based on review of documentation and interview, the center failed to obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1. Child #1?s start date on file was 09/25/2023. Immunizations on file were dated 10/06/2023. 2. Staff #6 confirmed that the immunizations were not obtained before the child’s first day of attendance.”

8VAC20-780-40-J

“Based on interview, the center failed to update injury prevention procedures at least annually. Evidence: 1. Staff #6 confirmed that the injury prevention procedures had not been updated at least annually.”