Riverside Child Development & Learning Center

8VAC20-780-330-C

“Ground supports shall be covered with materials that protect children from injury. A four way spring bouncer has been installed on top of resilient surfacing and there are no materials covering the metal supports.”

8VAC20-780-80-A

“Repeat Violation For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for PreK was not accurate as it listed 14 children in care and there were only 12.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. One medication for Child #1 did not include the child's name, the dosage amount, and the time or times to be given.”

8VAC20-780-270-A

“Repeat Violation The areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. There is metal bolt that is rusty and protruding from the ground support of the 4 person spring bouncer.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Child #2 has a medication authorization for 1 medication. The authorization had expired by over 3 weeks and the medication dad not been returned or disposed of as required.”

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. This list shall be dated and kept confidential in each room or area where children are present. The list in the Young Toddlers and Old Toddlers rooms were not kept confidential and the list was not dated in the Young Toddler room.”

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

“The following actions or threats thereof are forbidden; physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. Staff #1 was observed lifting up Child #1 so his feet were not on the ground by grasping him under both of his arms and then roughly laying him down on their back on a nap mat.”

8VAC20-780-410-5 Complaint related: Yes

“The following actions or threats thereof are forbidden: Withholding or forcing of rest. It was determined that at least three staff members in Classroom #1 placed cool gel packs on children's upper backs to keep them awake prior to lunch being served.”

8VAC20-780-270-A

“Repeat Violation Areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment. The trashcan in Room E had areas of flacking rust.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for Classroom A was not accurate as it listed 7 children in care and there were 9.”

8VAC20-780-510-P

“Repeat Violation When an authorization for medication expires, the facility shall notify parents the medication must be picked up within 14 days of the authorization expiration or that a new authorization should be completed. Child #1 has 3 medication authorization for 3 medications, and the authorizations were overdue by more then 2 weeks. The authorizations had not been renewed, and the medications had not been returned or disposed of as required.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Child #1 had 1 medication (medication A) with an expired authorization by over 2 months, and the medication had not been sent home or disposed as required.”

8VAC20-780-60-A-8

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is required. There was not a care plan for child #1, who has a diagnosed food allergy.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The following areas were not in compliance; 1.The playground surfacing/rubber padding has a 12? by 6? divot in the surfacing and it possess as a tripping hazard. 2.There are areas of chipped, peeling paint and cracked drywall in classroom B, D, F and Classroom G. 3.There are 9 nap mats observed that have areas of broken and cracked plastic edges with exposed foam/cushioning.”

8VAC20-780-150-B

“Immunization records are required to be signed by a physician, his designee, or an official of the local health department. The immunization records for Child #4 and Child #5 were not signed. Child #4 has been enrolled for over 3 weeks and Child #5 has been enrolled for 7 weeks.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets should have protective covers. There were 3 uncovered outlets in both Classroom D and Classroom G.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. A medication (medication B) was observed in an unlocked box stored on top of refrigerator in Classroom G.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Child #1 had 1 medication (medication A) with an expired authorization by over 2 months, and the medication had not been sent home or disposed as required.”

8VAC20-780-60-A-8

“A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction is required. There was not a care plan for child #1, who has a diagnosed food allergy.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The following areas were not in compliance; 1.The playground surfacing/rubber padding has a 12? by 6? divot in the surfacing and it possess as a tripping hazard. 2.There are areas of chipped, peeling paint and cracked drywall in classroom B, D, F and Classroom G. 3.There are 9 nap mats observed that have areas of broken and cracked plastic edges with exposed foam/cushioning.”

8VAC20-780-150-B

“Immunization records are required to be signed by a physician, his designee, or an official of the local health department. The immunization records for Child #4 and Child #5 were not signed. Child #4 has been enrolled for over 3 weeks and Child #5 has been enrolled for 7 weeks.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets should have protective covers. There were 3 uncovered outlets in both Classroom D and Classroom G.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. A medication (medication B) was observed in an unlocked box stored on top of refrigerator in Classroom G.”

8VAC20-780-500-B

“(Repeat Violation) The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff did not clean or sanitize the diaper changing surface after a diaper change.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before and after a diaper change and children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff did not wash their hands after changing a child’s diaper and did not wash the child's hands after the diaper change.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in CPR and shall include an in-person competency demonstration. The staff with a group of twelve, two-year-old children, had not completed the in-person competency demonstration required.”

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. This list shall be dated and kept confidential in each room or area where children are present. Child #3 has milk sensitivity, Child #5 has a nut allergy and Child #6 has an egg allergy and their names were not written on a current list in their classrooms. These 3 children are in sperate classrooms.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the "older" playground there were areas of rust, chipping and peeling paint on the metal playground piece.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per 4 children. 1.Staff #7 was observed alone in the classroom supervising 8 children , the youngest child, child #2 was age 10 months old. Staff #7 was alone for approximately an hour. 2. Staff #6 was observed alone in the classroom supervising 5 children, the youngest child, child #6 was age 15 months old. Staff #6 was alone for approximately an hour.”

8VAC20-780-500-B

“The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #8 was observed diapering a child and did not wash or sanitize the diaper pad.”