Primrose School of Atlee Commons

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

“In interviews on 7/3/2024 staff reported that, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Staff #1 was witnessed having child#2 put their hands in their mouth and bite down on their hand to see how it felt as punishment for biting another child.”

8VAC20-780-40-E Complaint related: No

“Based on documentation review and interviews, the center failed to follow their own policies related to behavior guidance. Evidence: 1. Review of document titled ?Positive Behavioral Guidance? states that ?teachers are encouraged to embrace strategies that help learn how to identify feelings and make safe choices to express those emotions. The following strategies are the core of the Positive Behavioral Guidance Police: Rules of the Roost, Positive Acknowledgment or response to Specific Prosocial Behaviors, identifying feelings and the use of appropriate words to describe them, redirection, providing choices, talk it out/conflict resolution, using the primrose friends puppets to support. Prevention is a key component of Primrose’s Positive Behavior Guidance approach. Knowing each child as an individual and implementing the Balanced Learning curriculum as intended are at the core of Positive Behavior Guidance. Developing in understanding of developmentally appropriate behaviors and their potential causes, will further help teachers anticipate and effectively respond to behaviors when they occur?. 2. Review of documented title Staff Prohibited Behaviors 7.6 located in the employee handbook states ?Employees are not permitted to display any of the following behaviors. Violation of this policy could result in disciplinary action, up to and including termination. The use of corporal punishment. Corporal punishment means punishment inflicted directly on the body including, but not limited to: Hitting, spanking (refers to striking a child with an open hand on the buttocks or extremities with the intention of modifying behavior without causing physical injury), shaking, slapping, twisting, pulling, squeezing, or biting?. 3. reported that staff #1 entered the infant classroom with child #2. As staff #1 and child #2 entered the classroom, child #2 was crying and upset. Child #2 went to put his fingers in his mouth when staff #1 pulled the child’s hands down forcefully while telling the child to ?put your hands down? harshly. Staff #1 was seen smacking child #2?s hand two times. 4. Staff #1 was witnessed having child#2 put their hands in their mouth and bite down on their hand to see how it felt as punishment for biting another child.”

8VAC20-780-410-6 Complaint related: No

“Based on interview, the center failed to ensure that certain actions or threats thereof are forbidden including verbal remarks which are demeaning to the child. Evidence: Staff witnessed staff #1 asking child #2 ?if he would like to be placed in a crib because that’s where babies go when they don?t listen?. Staff stated that child #2 looked upset but wasn?t crying.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews, the facility failed assure that certain forbidden actions or threats of forbidden actions did not occur. Evidence: In interviews on 7/3/2024 staff reported that staff #1 entered the infant classroom with child #2. As staff #1 and child #2 entered the classroom, child #2 was crying and upset. Child #2 went to put his fingers in his mouth when staff #1 pulled the child’s hands down forcefully while telling the child to ?put your hands down? harshly. Staff #1 was seen smacking child #2?s hand two times.”

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. Evidence: Evidence: In the PreK 1 classroom, there was a can of air freshener spray and a container of hand sanitizer in an unlocked cabinet in the restroom that was accessible to children. The can of air freshener and the container of hand sanitizer were labeled "keep out of reach of children".”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, areas, and equipment inside and outside were not maintained in a safe and operable condition. Evidence: The poured in place surfacing on the Pre-K playground, 3-year and 4-year-old playground, and the infant and toddler playground, had multiple circular areas approximately 4-5 inches inches wide where the poured in place surfacing was missing.”

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. Evidence: Evidence: In the PreK 1 classroom, there was a can of air freshener spray and a container of hand sanitizer in an unlocked cabinet in the restroom that was accessible to children. The can of air freshener and the container of hand sanitizer were labeled "keep out of reach of children".”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, areas, and equipment inside and outside were not maintained in a safe and operable condition. Evidence: The poured in place surfacing on the Pre-K playground, 3-year and 4-year-old playground, and the infant and toddler playground, had multiple circular areas approximately 4-5 inches inches wide where the poured in place surfacing was missing.”

8VAC20-780-270-A

“8VAC20-780-270-A (Repeat violations) Based on observation, areas of the center, inside, were not maintained in a clean, safe, and operable condition. Evidence: 1. In the toddler classroom, there was chipped blue paint on the boarder of the window seal. 2. In preschool classroom, there was chipped green paint on a boarder on the wall in the front of the classroom under the bulletin board.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that a current written list of all children's allergies, sensitivities, and dietary restrictions is maintained and documented in the allergy plan that is dated and kept confidential in each room or area where children are present. Evidence: 1. The dietary restrictions lists in the classrooms were posted in a way that the information was not covered or protected to keep it confidential.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the toddler classroom, Staff #9 was observed changing a diaper and did not wash their hands or the child’s hands after the diaper change.”

8VAC20-780-270-A

“8VAC20-780-270-A (Repeat violations) Based on observation, areas of the center, inside, were not maintained in a clean, safe, and operable condition. Evidence: 1. In the toddler classroom, there was chipped blue paint on the boarder of the window seal. 2. In preschool classroom, there was chipped green paint on a boarder on the wall in the front of the classroom under the bulletin board.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that a current written list of all children's allergies, sensitivities, and dietary restrictions is maintained and documented in the allergy plan that is dated and kept confidential in each room or area where children are present. Evidence: 1. The dietary restrictions lists in the classrooms were posted in a way that the information was not covered or protected to keep it confidential.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the toddler classroom, Staff #9 was observed changing a diaper and did not wash their hands or the child’s hands after the diaper change.”

8VAC20-790-600-D-2

“Based on record review the center failed to ensure that staff have Current certification in first aid appropriate to the ages of children in care. However, staff who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. During the 90-day period, there must always be at least one staff with current CPR and first aid training present during operating hours of the center. Evidence: 1. Staff #7's record did not contain documentation of first aid certification. Staff # 7's hire date was 1/3/2023.”

8VAC20-790-600-D-1

“Based on record review the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. Staff #7's record did not contain documentation of a complete CPR certification. 2. An administrator verified that CPR was not completed for staff # 7.”

8VAC20-790-600-D-2

“Based on record review the center failed to ensure that staff have Current certification in first aid appropriate to the ages of children in care. However, staff who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. During the 90-day period, there must always be at least one staff with current CPR and first aid training present during operating hours of the center. Evidence: 1. Staff #7's record did not contain documentation of first aid certification. Staff # 7's hire date was 1/3/2023.”

8VAC20-790-600-D-1

“Based on record review the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. Staff #7's record did not contain documentation of a complete CPR certification. 2. An administrator verified that CPR was not completed for staff # 7.”

8VAC20-780-560-F

“Based on observation, and interview, the center did not ensure when food was provided the most recent USDA nutritional requirements. Evidence: 1.The inspector observed children eating breakfast that did not contain all of the USDA nutritional requirements. 2. Breakfast consisted of orange slices, strudels, and water. 3. Milk was not provided for breakfast.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that all prepared infant formula was labeled with the date. Evidence: 1. 6 out of 15 prepared bottles of formula, were not labeled with the date.”

8VAC20-780-270-A

“Based on observation, areas and furnishings of the family day home were found in an unsafe condition. Evidence: 1. A blue child size chair in the reading area located in the PreK classroom, was torn on both arms of the chair exposing the webbing. 2. A child size red chair in the Early Preschool classroom, was torn on the corners of the arm exposing the webbing.”

8VAC20-780-270-A

“Based on observation the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. A red chair in the 3 year old classroom, was torn in the middle of the chair and on the arms of the chair’s vinyl exposing the cushion. 2. A red chair in the 2 year old classroom had a tear on both arms of the chair exposing the cushion. 3. Chipped paint was observed in the 3 year old and 4 year old classrooms on the window frames. 4. The hot water knob at the sink in the 4?s classroom, was broken.”