Robert L. Taylor Childcare Center

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. The record for child #3, enrolled for over a year did not have documentation of a physical examination.”

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 time to be given. There was one epinephrine pen being kept in the office for a child. The epinephrine pen was not labeled with the child’s name, or dosage amount.”

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 #8 had one medication which expired on 3/26. The medication was not sent home or disposed.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #3 was not signed and dated by a physician, his designee, or an official of the local health department.”

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department or approvals of a plan of correction, for meeting requirements for their water supply and sewage disposal system. The center had not obtained a Report of Environmental Sanitation in the last year.”

8VAC20-780-510-I

“Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian. There was no written parent/guardian or physician authorization to administer prescription medications to children #7.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was no record of shelter-in-place drills practiced in 2024.”

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department or approvals of a plan of correction, for meeting requirements for their water supply and sewage disposal system. The center had not obtained a Report of Environmental Sanitation in the last year.”

8VAC20-780-510-I

“Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian. There was no written parent/guardian or physician authorization to administer prescription medications to children #7.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was no record of shelter-in-place drills practiced in 2024.”

8VAC20-780-350-B-1 Complaint related: No

“The required ratio for children ages birth ? 16 months is one staff per four children. On November 21, 2024, in the Infant II classroom there was 1 staff with 6 children from approximately 8:30am ? 10:03am. The youngest child was 13 months.”

8VAC20-780-340-A Complaint related: No

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. On November 21, 2024, staff #1 was supervising six children, the youngest child in the group was 13 months of age. Staff #1 was reading a story with three of the children, while three other children were playing. Child #1 began to cry. Staff #1 asked child #1 to ?come here? which was when Staff #1 noticed a braid hanging from child #1?s scalp. Staff #1 immediately called for assistance, and she held and consoled child #1. 2. Staff #1 stated that she did not know how child #1?s braid became detached from Child # 1?s scalp.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #5 is currently working and has a TB screening that was dated 3 days after their first day of employment.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #5 is currently working and has a TB screening that was dated 3 days after their first day of employment.”

8VAC20-780-270-A

“Based on observations, areas, and equipment inside and outside the center were not maintained in a clean, safe, and operable condition. Evidence: 1. In the infant II classroom, there were soft blocks that were torn on the edges exposing the inside materials. 2. In the 4?s classroom, there was a blue plastic child size chair with a crack in the seat measuring 4-6 inches that can pinch, or scratch skin and snag clothing. There was a rug that had fraying edges, posing a trip hazard to the children.”

8VAC20-780-40-M

“Based on observation, the center did not ensure to 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. Evidence: The allergy lists posted in the infant classroom posted on a wall uncovered. The list was not kept confidential.”

8VAC20-780-270-A

“Based on observations, areas, and equipment inside and outside the center were not maintained in a clean, safe, and operable condition. Evidence: 1. In the infant II classroom, there were soft blocks that were torn on the edges exposing the inside materials. 2. In the 4?s classroom, there was a blue plastic child size chair with a crack in the seat measuring 4-6 inches that can pinch, or scratch skin and snag clothing. There was a rug that had fraying edges, posing a trip hazard to the children.”

8VAC20-780-40-M

“Based on observation, the center did not ensure to 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. Evidence: The allergy lists posted in the infant classroom posted on a wall uncovered. The list was not kept confidential.”