Rainbow Riders Childcare Center-Knollwood Site

8VAC20-780-510-I

“Based on review of medications the facility failed to ensure that medication had not expired. Evidence: The emergency medication for child D had an expiration date of 09/2023. The medication was still in the active medication cabinet, to be administered in an emergency.”

8VAC20-780-160-A

“Based on review of staff files the facility failed to ensure that tuberculosis screenings were completed within the required time frame. Evidence: Staff record #1, hire date 9/6/23, had documentation of TB testing dated 10/5/22. Upon hire the TB test may not be older than 30 days per the standards.”

8VAC20-780-160-C

“Based on review of staff files the facility failed to ensure that tuberculosis tests or screenings are renewed every two years as required. Evidence: The record for staff #3 had an expired TB test. The test on file expired 8/19/23. These are to be renewed every two years per the standard.”

8VAC20-780-500-B

“Based on review of the facility and discussions with staff the facility failed to ensure that appropriate diapering receptacles were used as required. Evidence: In the Orange room the diapering receptacle used did not meet standards. Staff were using a receptacle that they had to open by hand when disposing of a soiled diaper, which is not allowed.”

8VAC20-780-510-I

“Based on review of medications the facility failed to ensure that medication had not expired. Evidence: The emergency medication for child D had an expiration date of 09/2023. The medication was still in the active medication cabinet, to be administered in an emergency.”

8VAC20-780-160-A

“Based on review of staff files the facility failed to ensure that tuberculosis screenings were completed within the required time frame. Evidence: Staff record #1, hire date 9/6/23, had documentation of TB testing dated 10/5/22. Upon hire the TB test may not be older than 30 days per the standards.”

8VAC20-780-160-C

“Based on review of staff files the facility failed to ensure that tuberculosis tests or screenings are renewed every two years as required. Evidence: The record for staff #3 had an expired TB test. The test on file expired 8/19/23. These are to be renewed every two years per the standard.”

8VAC20-780-500-B

“Based on review of the facility and discussions with staff the facility failed to ensure that appropriate diapering receptacles were used as required. Evidence: In the Orange room the diapering receptacle used did not meet standards. Staff were using a receptacle that they had to open by hand when disposing of a soiled diaper, which is not allowed.”

8VAC20-780-330-B

“Based on observation, the school-age playground did not have the required depth of resilient surfacing. Evidence: 1. The inspector observed 2-3 inches of mulch around and under the playground equipment on the school-age playground.”

22VAC40-185-270-A

“Based on observation, there was a piece of playground equipment that needed to be maintained. Evidence: 1. On the large climbing equipment on the preschool playground, there was a piece of wood with an exposed nail at the top near the slide.”

8VAC20-780-330-B

“Based on observation, the school-age playground did not have the required depth of resilient surfacing. Evidence: 1. The inspector observed 2-3 inches of mulch around and under the playground equipment on the school-age playground.”

22VAC40-185-270-A

“Based on observation, there was a piece of playground equipment that needed to be maintained. Evidence: 1. On the large climbing equipment on the preschool playground, there was a piece of wood with an exposed nail at the top near the slide.”

8VAC20-780-245-J-3

“Based on interview and record review, there was a child in care for whom emergency medication was prescribed and there was not a staff person present when the child was in care. Evidence: 1. Child #6 was in care at the center when a staff person was not present who meets the requirements in subdivision 1 of this subsection. (MAT training) ( B-2 , Medium likelihood / serious harm)”

8VAC20-780-245-J-3

“Based on interview and record review, there was a child in care for whom emergency medication was prescribed and there was not a staff person present when the child was in care. Evidence: 1. Child #6 was in care at the center when a staff person was not present who meets the requirements in subdivision 1 of this subsection. (MAT training) ( B-2 , Medium likelihood / serious harm)”