Teachable Moments Preschool

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 08/21/2023. There were no findings from a search of the central registry for Staff 1 available for review during the inspection. Staff 1 was observed working during the inspection. 2. The record for Staff 2 contained a documented hire date of 04/08/2024. The search of the central registry for Staff 2 was dated 06/28/2024; the findings were not obtained within 30 days of employment. 3. The record for Staff 3 contained a documented hire date of 04/08/2024. The search of the central registry for Staff 3 was dated 06/28/2024; the findings were not obtained within 30 days of employment. 4. The record for Staff 5 contained a documented hire date of 11/27/2023. The search of the central registry for Staff 5 was dated 01/22/2024; the findings were not obtained within 30 days of employment.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water before feeding or helping children with feeding. Evidence: Staff 6 did not wash their hands before feeding a child a bottle.”

8VAC20-780-520-A

“Based on document review, the center failed to ensure that all nonprescription drugs shall be used in accordance with the manufacturer’s recommendations. Evidence: The manufacturer’s instruction for Medication 2 states the following, ?Ages 2-11 years?. The dosage amount for Medication 2, when used for children under 2 years states, ?ask a doctor?. The medication authorization form for Medication 2 did not include dosage instructions from a physician. The medication administration log contained documentation that Medication 2 had been administered to Child 6 (age 13 mo.) on the following dates: 05/01/2024, 05/02/2024, 05/07/2024, 06/03/2024, and 06/12/2024.”

8VAC20-780-570-C

“Based on observation and staff interviews, the center failed to ensure that the record for each child on formula shall contain the brand of formula and the child’s feeding schedule. Evidence: Staff 7 stated that there was not a record with the brand of formula and the child’s feeding schedule for each of the 3 children on formula.”

8VAC20-780-340-A

“Based on the review of video footage, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: Video footage shows Staff 1 sitting in a chair in front of 3 children that were seated in highchairs. Child 1 (7 months old) can be seen falling forward out of the highchair, striking their head on a small refrigerator, landing on their face and shoulder on the floor, and coming to rest on their face/stomach; Child 1 immediately began to cry. The tray of the highchair had not been placed on the highchair nor had Child 1 been strapped into the highchair. Child 1 fell approximately 23 inches from the seat of the highchair to the floor. Staff 1 did not ensure the care and protection of Child 1 when she did not place strap the child into the highchair.”

8VAC20-780-570-A

“Based on the review of video footage, the center failed to ensure that when a child is placed into an infant seat or highchair, the protective belt shall be fastened securely. Evidence: Video footage shows Child 1 (7 months old) falling forward out of a highchair, striking their head on a small refrigerator, landing on their face and shoulder on the floor, and coming to rest on their face/stomach. The protective belt of the highchair had not been securely fastened around Child 1.”

8VAC20-780-130-A

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child 1 did not contain an immunization record. Child 1 was observed in care during the inspection.”

8VAC20-780-140-A

“REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of the child’s physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 4 did not contain physical examinations. Staff 7 verified the start date for Child 4 was 10/02/2023. 2. The record for Child 5 did not contain physical examinations. Staff 7 verified the start date for Child 5 was 10/30/2023.”

8VAC20-780-60-A

“REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 2. The record for Child 2 did not contain the following information: : the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 3. The record for Child 3 did not contain the following information: written agreements between the parent and the center as required by the standards; and first date of attendance. 4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person provided and there was not an addressed provided for that person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 6. The record for Child 6 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance.”

8VAC20-780-210-A

“Based on record review and staff interview, the center failed to ensure that one of the program leader qualifications is met when assigning the position of program lead. Evidence: The record for Staff 2 contained a documented job title of program leader. Staff 2 stated that they were a program lead and was observed in the role of program lead during the inspection. The documentation in the record for Staff 2 did not support that Staff 2 meets one of the qualifications required by the standards to hold the position of a program leader.”

8VAC20-780-440-B

“Based on observation, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: Child 1 was observed sleeping in crib that was not identified for their use; the crib was not labeled.”

8VAC20-780-510-P

“Based on document review and observation, the center failed to ensure that 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. Evidence: The authorization for Medication 6 expired on 12/22/2023. The medication was still on-site during the 01/11/2024 inspection; the authorization was not renewed nor was the medication disposed of by 01/05/2024.”

8VAC20-780-130-A

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child 1 did not contain an immunization record. Child 1 was observed in care during the inspection.”

8VAC20-780-140-A

“REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of the child’s physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child 4 did not contain physical examinations. Staff 7 verified the start date for Child 4 was 10/02/2023. 2. The record for Child 5 did not contain physical examinations. Staff 7 verified the start date for Child 5 was 10/30/2023.”

8VAC20-780-60-A

“REPEAT VIOLATION/SYSTEMIC VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 2. The record for Child 2 did not contain the following information: : the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 3. The record for Child 3 did not contain the following information: written agreements between the parent and the center as required by the standards; and first date of attendance. 4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person provided and there was not an addressed provided for that person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance. 6. The record for Child 6 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; previous child day care and schools attended by the child; name of any additional programs or school that the child is concurrently attending and the grade or class level; and first date of attendance.”

8VAC20-780-210-A

“Based on record review and staff interview, the center failed to ensure that one of the program leader qualifications is met when assigning the position of program lead. Evidence: The record for Staff 2 contained a documented job title of program leader. Staff 2 stated that they were a program lead and was observed in the role of program lead during the inspection. The documentation in the record for Staff 2 did not support that Staff 2 meets one of the qualifications required by the standards to hold the position of a program leader.”

8VAC20-780-440-B

“Based on observation, the center failed to ensure that cribs shall be identified for use by a specific child. Evidence: Child 1 was observed sleeping in crib that was not identified for their use; the crib was not labeled.”

8VAC20-780-510-P

“Based on document review and observation, the center failed to ensure that 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. Evidence: The authorization for Medication 6 expired on 12/22/2023. The medication was still on-site during the 01/11/2024 inspection; the authorization was not renewed nor was the medication disposed of by 01/05/2024.”

8VAC20-780-150-B

“Based on record review, the center failed to ensure that each immunization/physical examination report shall include the date of the physical examination and dates immunization were received and shall be signed by a physician, his designee, or an official of the local health department. Evidence: The immunization records in the record for Child 1, 2 and 3 were not signed by a physician, his designee, or an official of the local health department.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/13/2023; the screening was not completed prior to coming into contact with children. 2. The record for Staff 2 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/16/2023; the screening was not completed prior to coming into contact with children. 3. The record for Staff 3 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/19/2023; the screening was not completed prior to coming into contact with children. 4. The record for Staff 4 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/17/2023; the screening was not completed prior to coming into contact with children. 5. The record for Staff 5 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/12/2023; the screening was not completed prior to coming into contact with children.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 08/21/2023. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: 1. The record for Staff 1 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 1 was dated 08/22/2023. 2. The record for Staff 2 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 2 was dated 08/22/2023. 3. The record for Staff 3 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 3 was dated 08/22/2023. 4. The record for Staff 4 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 4 was dated 08/22/2023. 5. The record for Staff 5 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 5 was dated 08/22/2023.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 3 contained a documented hire date of 08/21/2023. There were no findings from a search of the central registry for Staff 3 available for review during the 11/06/2023 inspection. Staff 3 was observed working during the inspection. 2. The record for Staff 4 contained a documented hire date of 08/21/2023. The search of the central registry for Staff 4 was dated 10/16/2023; the findings were not obtained within 30 days of employment. 3. The record for Staff 5 contained a documented hire date of 08/21/2023. There were no findings from a search of the central registry for Staff 5 available for review during the 11/06/2023 inspection. Staff 5 was observed working during the inspection.”

8VAC20-780-340-F

“Based on observations, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 5 was observed being taken out of their classroom to receive services from an outside organization. During that time Child 1 was not within actual sight and sound supervision of staff.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance. 2. The record for Child 2 did not contain the following information: when applicable, work phone number and play of employment of each parent who has custody; name and phone number of the child’s physician; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were not designated people listed); names of person authorized to pick up the child; allergies and intolerances to medication or any other substances, and actions to take in an emergency situation; written agreements between the parent and the center as required by the standards; and first date of attendance. 3. The record for Child 3 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance. 4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (both designated people listed were the child’s parents); written agreements between the parent and the center as required by the standards; and first date of attendance. 5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance.”

8VAC20-780-550-G

“Based on document review, the center failed to ensure that the documentation of emergency evacuation drills contain all of the elements as required by the standards. Evidence: The documentation of the emergency evacuation drills did not contain the following information: identity of the person conducting the drill; the method used for notification of the drill; number of staff participating; any special conditions simulated; and problems encountered if any.”

8VAC20-780-140-A

“Based on staff interviews, the center failed to obtain a copy of the child’s physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: The records for Child 1, 2, 3 and 4 did not contain physical examinations. Staff 6 verified that 08/21/2023 was the first date of attendance for all four of the children.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check); and documentation that the individual possesses the education, certification, and experience required by the job title. 2. The record for Staff 2 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check). 3. The record for Staff 3 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check). 4. The record for Staff 4 did not contain the following information: job title; and documentation that the individual possesses the education, certification, and experience required by the job title. 5. The record for Staff 5 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check).”

8VAC20-780-40-N

“Based on staff interviews, the center failed to develop written playground safety procedures that shall include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children and method of maintaining resilient surfacing. Evidence: Applicant 1 stated that the playground safety procedures had not been developed.”

8VAC20-780-550-A

“Based on staff interviews, the center failed to have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. Evidence: Applicant 1 stated that they did not have a written emergency preparedness plan.”