Shenandoah Valley Child Development Center

22.1-289.036-A

“Based on a review of staff records and interview on June 24, 2024, the center failed to obtain the required repeat background checks for three agents every five years. Evidence: 1. The record of Board Member 1 and Board Member 2 did not contain documentation of a repeat fingerprint check. The most recent fingerprint result for Board Member 1 was dated 11/26/2018 and Board Member 2 was dated 01/14/2019. 2. The record of Board Member 1, Board Member 2, and Board Member 3 did not contain documentation of a repeat central registry check. The most recent central registry check result for Board Member 1 was dated 01/15/2019, Board Member 2 was dated 01/16/2019, and Board Member 3 was dated 01/15/2019. 3. The record of Board Member 2 did not contain documentation of a repeat sworn disclosure statement. The most sworn disclosure statement was dated 01/28/2019. 4. Administration confirmed that the Board Members did not have required repeat background checks every five years.”

8VAC20-780-320-B

“Based on observation and interview, the center did not ensure that each restroom be equipped with disposable towels. Evidence: 1. The bathroom used by the three-year old classroom did not have disposable towels available to the children. 2. When asked about the disposable towels, the staff stated that they were unsure of where the disposable towels to replenish.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas inside the center shall be maintained in a clean, safe and operable condition. Evidence: 1. The restrooms off of the Pre-K classrooms, the doorframes are grimy with dirt and debris. 2. In the Before and Afterschool building there is peeling paint in several areas that are accessible to children. 3. In the Two Year Old Classroom there is peeling paint near the rug area. The peeling paint is accessible to children.”

8VAC20-780-60-A-8

“Based on review of medications and children records, the center failed to ensure that a written allergy care plan was on site for each child with a diagnosed food allergy. Evidence: 1. Child #1 had an emergency medication, (Epi-Pen) at the center. The child has a food allergy. There was not a written allergy care plan on file for the child. 2. Administrative staff verified that they did not have a written allergy care plan for the child.”

22.1-289.035-B-4

“Based on review of staff records, the center failed to complete all required out-of-state background checks. Evidence: 1. Staff #3,date of employment 11/27/2023, indicated on a sworn disclosure statement dated 11/15/2023they had lived in one other state outside of Virginia within the past five years. There was not a completed sex offender name check in the record, that is required prior to the first date of employment. 2. Staff #4, date of employment, 08/15/2023, indicated on a sworn disclosure statement dated 08/03/2023, that they had lived in three other states outside of Virginia with in the past five years. There was not a criminal history background check completed for one of the states, that was required prior to employment. There was not sex offender name checks completed for three of the states. The sex offender name check is required prior to employment. There was not an out of state central registry check completed for three states. The central registry background check is required to be sent off within 30 days of employment. 3. Administrative staff verified that the out-of-state background checks had not been completed.”

8VAC20-780-320-B

“REPEAT Based on a temperature check, the hot water temperature in the restroom exceeded 120 degrees Fahrenheit. Evidence: In the Toddler Classroom the handwashing sink recorded a temperature of 138.1 degrees Fahrenheit.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: 1. In the Infant Classroom the diaper changing pad was torn and ripped in several places. 2. Staff #2 verified that the diaper changing table mat was torn and ripped in several places.”

8VAC20-780-500-A

“Based on observation, the center failed to wash children and staff hands at all the required times. Evidence: 1. In Pre-K Classroom Staff #1 assisted a child with blowing their nose. 2. The child or staff member did not wash their hands after any contact with body fluids. Both the staff and child went back into activities within the classroom.”

8VAC20-780-520-A

“Based on a review of over-the-counter products, the center failed to ensure that over-the-counter skin products were not kept beyond the expiration date of the product. Evidence: 1. In Classroom 3A's red pack back there was a tube of Aquaphor Healing Ointment that expired in August 2023. 2. Staff verified that the over-the-counter skin product was expired.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas inside the center shall be maintained in a clean, safe and operable condition. Evidence: 1. The restrooms off of the Pre-K classrooms, the doorframes are grimy with dirt and debris. 2. In the Before and Afterschool building there is peeling paint in several areas that are accessible to children. 3. In the Two Year Old Classroom there is peeling paint near the rug area. The peeling paint is accessible to children.”

8VAC20-780-60-A-8

“Based on review of medications and children records, the center failed to ensure that a written allergy care plan was on site for each child with a diagnosed food allergy. Evidence: 1. Child #1 had an emergency medication, (Epi-Pen) at the center. The child has a food allergy. There was not a written allergy care plan on file for the child. 2. Administrative staff verified that they did not have a written allergy care plan for the child.”

22.1-289.035-B-4

“Based on review of staff records, the center failed to complete all required out-of-state background checks. Evidence: 1. Staff #3,date of employment 11/27/2023, indicated on a sworn disclosure statement dated 11/15/2023they had lived in one other state outside of Virginia within the past five years. There was not a completed sex offender name check in the record, that is required prior to the first date of employment. 2. Staff #4, date of employment, 08/15/2023, indicated on a sworn disclosure statement dated 08/03/2023, that they had lived in three other states outside of Virginia with in the past five years. There was not a criminal history background check completed for one of the states, that was required prior to employment. There was not sex offender name checks completed for three of the states. The sex offender name check is required prior to employment. There was not an out of state central registry check completed for three states. The central registry background check is required to be sent off within 30 days of employment. 3. Administrative staff verified that the out-of-state background checks had not been completed.”

8VAC20-780-320-B

“REPEAT Based on a temperature check, the hot water temperature in the restroom exceeded 120 degrees Fahrenheit. Evidence: In the Toddler Classroom the handwashing sink recorded a temperature of 138.1 degrees Fahrenheit.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: 1. In the Infant Classroom the diaper changing pad was torn and ripped in several places. 2. Staff #2 verified that the diaper changing table mat was torn and ripped in several places.”

8VAC20-780-500-A

“Based on observation, the center failed to wash children and staff hands at all the required times. Evidence: 1. In Pre-K Classroom Staff #1 assisted a child with blowing their nose. 2. The child or staff member did not wash their hands after any contact with body fluids. Both the staff and child went back into activities within the classroom.”

8VAC20-780-520-A

“Based on a review of over-the-counter products, the center failed to ensure that over-the-counter skin products were not kept beyond the expiration date of the product. Evidence: 1. In Classroom 3A's red pack back there was a tube of Aquaphor Healing Ointment that expired in August 2023. 2. Staff verified that the over-the-counter skin product was expired.”

8VAC20-780-500-A

“Based on observation, the hot water temperature exceeded the required 120 degrees Fahrenheit. Evidence: 1. Licensing Inspector used a digital thermometer to obtain the temperature at the infant handwashing sink. 2. The water temperature at the hand washing sink registered 121.2 degrees Fahrenheit.”

8VAC20-780-500-A

“Based on observation, the hot water temperature exceeded the required 120 degrees Fahrenheit. Evidence: 1. Licensing Inspector used a digital thermometer to obtain the temperature at the infant handwashing sink. 2. The water temperature at the hand washing sink registered 121.2 degrees Fahrenheit.”

8VAC20-780-510-P

“Based on review of two medications, the center failed to ensure that all medication was returned to the parent after the 14 days past the authorization date. Evidence: 1. Child A's first medication authorization was completed on 06/07/2022 and was signed by the parent and physician. The medication was at the center the day of the inspection. 2. Child A's second medication authorization was completed on 03/20/2022 and was signed by the parent. The medication was at the center the day of the inspection. 3. The administration verified that the medication authorization had expired for both medications.”

8VAC20-780-510-E

“Based on review of center procedures, the center failed to include methods to prevent use of outdated medication. Evidence: 1. The licensing inspector reviewed medication polices in staff and parent handbooks. 2. The medication policies did not include methods to prevent use of outdated medication.”

8VAC20-780-160-C

“Based on review of six staff records and verification from administration, three staff members did not obtain the results of a two year follow-up tuberculosis (TB) screening. Evidence: 1. The most recent tuberculosis screening for Staff #1, #2, and #3 is 06/11/2020. An updated two-year negative screening or test has not been obtained for any of the staff members listed. 2. Administration verified that Staff #1, #2, and #3 did not have updated tuberculosis screening or tests.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening/test at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #5 date of hire is documented as 06/13/2022. 2. Date of tuberculosis screening/test on file is 06/15/2022. Administration verified the date of hire and the date of the tuberculosis screening/test on file.”

8VAC20-780-510-P

“Based on review of two medications, the center failed to ensure that all medication was returned to the parent after the 14 days past the authorization date. Evidence: 1. Child A's first medication authorization was completed on 06/07/2022 and was signed by the parent and physician. The medication was at the center the day of the inspection. 2. Child A's second medication authorization was completed on 03/20/2022 and was signed by the parent. The medication was at the center the day of the inspection. 3. The administration verified that the medication authorization had expired for both medications.”

8VAC20-780-510-E

“Based on review of center procedures, the center failed to include methods to prevent use of outdated medication. Evidence: 1. The licensing inspector reviewed medication polices in staff and parent handbooks. 2. The medication policies did not include methods to prevent use of outdated medication.”

8VAC20-780-160-C

“Based on review of six staff records and verification from administration, three staff members did not obtain the results of a two year follow-up tuberculosis (TB) screening. Evidence: 1. The most recent tuberculosis screening for Staff #1, #2, and #3 is 06/11/2020. An updated two-year negative screening or test has not been obtained for any of the staff members listed. 2. Administration verified that Staff #1, #2, and #3 did not have updated tuberculosis screening or tests.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening/test at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #5 date of hire is documented as 06/13/2022. 2. Date of tuberculosis screening/test on file is 06/15/2022. Administration verified the date of hire and the date of the tuberculosis screening/test on file.”

22VAC40-185-40-E Complaint related: Yes

“Based on review of policies and procedures, the licensee did not ensure operational responsibilities that the center's activities and services are maintained in compliance with the center's own policies and procedures required by these standards. Evidence: 1. In the discipline policy it states "Here at SVCDC we do not: Use any strategy that threatens, intimidates, or forces a child." 2. On 01/17/2020 and 01/18/2020, Child #1 was buckled in a chair on five separate occasions for the following durations: 57 minutes, 41 minutes, 16 minutes, 30 minutes, and 52 minutes. 3. Staff reported the Child #1 was buckled in the chair to prevent the child from biting.”

22VAC40-185-270-A Complaint related: Yes

“Based on review of video footage and interviews, center equipment was not maintained in a safe and operable condition. Evidence: 1. Staff reported that the chair used to deter Child #1 from biting had broken buckles and could only be buckled on one side. 2. Video footage showed Child #1 standing up dragging the chair while buckled on one leg.”

22VAC40-185-500-A Complaint related: No

“Based on review of video footage on 01/17/2020, staff failed to ensure handwashing before and after meals. Evidence: 1. Children did not wash, before or after eating lunch. Viewed at time stamp 23:09 (01/17/2020).”

22VAC40-185-410-1 Complaint related: Yes

“Based on review of video footage dated 01/17/2020-01/18/2020 and staff interviews, the center failed to ensure forbidden actions were not used by staff, specifically restricting movement through binding and forcing a child to assume an uncomfortable position. Evidence: 1. On 01/17/2020, Child #1 was buckled into a chair on four separate occasions totaling approximately two (2) hours and 24 minutes. 2. On 01/18/2020, Child #1 was buckled into a chair once for approximately 53 minutes. 3. During these periods, video footage showed the child dragging the chair while buckled on one leg, moving the chair across the floor while buckled, standing and walking while buckled in the chair, and bending forward to pick up toys on the floor while in the chair buckled.”

22VAC40-185-400-B Complaint related: Yes

“Based on review of video footage dated 01/17/2020-01/18/2020 and staff interviews, the center failed to ensure that behavioral guidance be constructive in nature, age, and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff reported that Child #1 would bite or attempt to bite others due to difficulty expressing himself. Child #1 was buckled into a chair to manage biting behavior. 2. Staff #1 buckled Child #1 into a chair a time stamp 19:51 (01/17/2020). Staff #2 unbuckled Child #1 at 20:48 (01/17/2020) after a total of approximately 57 minutes buckled. 3. Staff #2 buckled Child #1 into a chair at time stamp 21:32 (01/17/2020). Staff #2 unbuckled Child #1 at time stamp 22:13 (01/17/2020) after a total of approximately 41 minutes buckled. 4. Staff #1 buckled Child #1 into a chair at time stamp 22:32 (01/17/2020). Staff #2 unbuckled Child #1 at time stamp 22:48 (01/17/2020) after a total of approximately 16 minutes buckled. 5. Staff #1 buckled Child #1 into a chair at time stamp 23:03 (01/17/2020). A staff member unbuckled Child #1, at naptime, at time stamp 23:33 (01/17/2020) after a total of approximately 30 minutes buckled. 6. Staff #1 buckled Child #1 into a chair at time stamp 2:40 (01/18/2020). Staff #1 unbuckled Child #1 at time stamp 3:32 (01/18/2020) for a total of approximately 52 minutes buckled.”

22VAC40-185-400-A Complaint related: Yes

“Based on review of video footage dated 01/17/2020-01/18/2020 and staff interviews, the center failed to ensure staff interacted with children in order to promote the child's physical, emotional, and social well-being and provide needed help, comfort, and support. Evidence: 1. Center staff reported use of a buckled chair to deter Child #1 from biting. Child #1 was buckled in a chair for a combined total of approximately two (2) hours and 24 minutes on 01/17/2020 and approximately 52 minutes on 01/18/2020. 2. Two staff had their backs turned to Child #1 while the child was buckled in a chair. Child #1 stands up while buckled in a chair and begins dragging the chair across the floor while buckled on one leg. Time stamp 20:09 (01/17/2020). Staff reported that the chair had broken buckles and only one side of the chair could be buckled. 3. A staff member pushed Child #1 to the table while still buckled in the chair. Time stamp 20:12 (01/17/2020). 4. Child #1 dragged the chair across the classroom and bent over while buckled in the chair to pick up toys on the floor. Child #1 was waving hands in the air. Time stamp 20:40 (01/17/2020). Child #1 was unbuckled and released from the chair by staff at approximately 20:48. 5. While Child #1 was buckled in the chair, a child slapped Child #1 on the face and walks off. Time stamp 22:39 (01/17/2020).”

22VAC40-185-340-A Complaint related: Yes

“Based on review of video footage dated 01/17/2020-01/18/2020 and staff interviews, the center failed to ensure the care, protection, and guidance of each child in care. Evidence: 1. A child smacked Child #1 in the face while Child #1 was restricted in the chair. Time stamp 22:39 (01/17/2020). 2. Child #1 tried to bend over while restricted in the chair to pick up a toy off the floor. Time stamp 20:40 (01/17/2020). 3. Staff #2 moved Child #1 to group time while he was buckled in the chair. Time stamp 21:49 (01/17/2020). 4. Child #1 scooted his chair across the floor while buckled in the chair. Time stamps 20:09; 20:39; 21:43; 22:38 (01/17/2020). 5. Staff #2 pushed Child #1 back to the table while bucked in the chair and tossed a book on the table at him. Time stamp 21:32 (01/17/2020). 6. On 01/17/2020, Child #1 was buckled in the chair the first time for approximately 57 minutes, a second time for approximately 41 minutes, a third time for approximately 16 minutes, and a fourth time for approximately 30 minutes. On 01/18/2020, Child #1 was buckled in the chair once for approximately 52 minutes.”

63.2(17)-1720.1-B-2 Complaint related: No

“Based on review of staff records and verification from staff, the center did not ensure a staff member had a fingerprint-based background check within required timeframe prior to first day of employment. Evidence: 1. Staff #4's file contained a fingerprint background check that was over ninety days old from date of hire. Date of hire for Staff #4 was 02/10/2020. 2. Staff #4 was present and working at the center as a lead teacher on 02/25/2020. 3. Administration verified the date of hire for Staff #4 as 02/10/2020 and confirmed that the fingerprint background check had been completed on 06/13/2019 but not hired until 02/10/2020.”