The Eastern Ridge School

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow up tuberculosis (TB) screening. Staff #2's follow-up TB screening expired five months ago. Staff #4's follow-up TB screening expired seven months ago.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In Classroom B and Classroom C, sanitizers and disinfectants were located on a high shelf in the bathrooms and not in a locked place using a safe locking method.”

22.1-289.058

“Child day centers that serves pre-school age children shall be equipped with at least one carbon monoxide detector. The child day center was not equipped with at least one carbon monoxide detector.”

8VAC20-780-210-A

“Based on record review and interview, the center did not ensure that each program leader had all required qualifications. Evidence: The director and staff #2 confirmed that staff #2 did not have required program leader qualifications, including transcripts, on file during the inspection.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure areas and equipment of the center, outside, were maintained in a clean, safe and operable condition. 1. The green wood table in the butterfly yard had 2 wood slats that were splintered, and not secured to the table and a protruding rusted nail. 2. The mud kitchen bench had 2 protruding rusted nails and 4 wood slats that were splintered, cracked and had deteriorating wood. 3. The wood fence in the meadow was broken. 4. The wood fence located in the pathway between the school and the meadow was broken.”

8VAC20-780-160-C

“Based on record review, 1 of 3 staff did not obtain a tuberculosis screening every two years. Evidence: The most recent tuberculosis screening documented in the record for Staff #2 was dated 1/17/2022”

8VAC20-780-60-A

“Based on record review, 2 of 5 children’s records did not contain all required information. Evidence: 1. The record for Child #2 did not contain documentation of the name address and telephone number of 1 of 2 individuals to contact in an emergency if the parents cannot be reached. 2. The information for the child’s mother was listed on the documentation requesting emergency contacts.”

22.1-289.011-F

“Based on record review, required documents were not posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent licensing inspection were not posted on the day of the inspection.”

8VAC20-780-240-E

“Based on record review, 3 of 4 staff reviewed did not complete orientation in first aid and cardiopulmonary resuscitation (CPR) within the first 30 days of employment. Evidence: 1. Staff #1 began employment on 10/02/2023. Staff completed orientation training in first aid and CPR on 1/16/2024, more than 30 days after the first day of employment. 2. Staff #2 began employment on 6/22/2023. Staff completed orientation training in first aid and CPR on 08/22/2023, more than 30 days after the first day of employment. 3. Staff #3 began employment on 11/06/2023. Staff completed orientation training in first aid and CPR on 1/16/2024, more than 30 days after the first day of employment.”

8VAC20-780-550-B

“Based on record review, the center's emergency preparedness plan did not contain all required procedural components. Evidence: 1. The most recent emergency preparedness plan does not contain procedures for lockdown.”

8VAC20-780-270-A

“Based on observation, areas of the center outside were not maintained in a safe condition. Evidence: 1. Two large detached tree limbs, each more than 6 feet in height, were observed leaning against a protruding limb of a tree in the outside play area. The limbs were not secure and could be easily moved by touching them.”

22.1-289.035-A

“Based on record review, fingerprint-based criminal history record check results were not obtained every 5 years for 1 of 4 staff reviewed. Evidence: 1. The fingerprint-based criminal history record check results in the record for Staff #4 were dated 9/25/2023. The preceding fingerprint-based criminal history record check results in the record for Staff #4 were dated 7/23/2018, more than 5 years prior to the most current results.”

8VAC20-780-550-F

“Based on documentation review and interview with the provider, lockdown procedures were not practiced at least annually. Evidence: 1) In the 2022 emergency drills log provided for review, a lockdown drill for the year 2022 was not documented. 2) The provider stated that they did not conduct a lockdown drill for the year 2022.”

8VAC20-780-520-B

“Based on observation, requirements for when using sunscreen were not met: Sunscreen does not need to be kept locked but shall be inaccessible to children Evidence: 1) On the date of inspection, four bottles of sunscreen were observed on a wagon on the Sassafras playground.”

8VAC20-780-40-H

“Based on documentation review, the center did not ensure to maintain public liability insurance. Evidence: 1) On the date of inspection, the proof of insurance form available for review was dated with effective dates of 01/17/2022-2023. 2) During the inspection, a program representative made efforts to produce a current proof of insurance form from their electronics records with no success.”

8VAC20-780-60-A

“Based on record review, one out of three records reviewed did not contain all required information. Evidence: 1) At the time of the inspection, the record for Child #1 did not contain the following information: name, home address, and home phone number of a second parent who has custody; work phone number and place of employment of a second parent who has custody; name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. 2) During the inspection, a program representative made efforts to produce the information from their electronics records with no success.”

8VAC20-780-510-P

“Based on medication and medication documentation review, the center did not ensure that when an authorization for medication expired, the parent be notified that the medication needed to be picked up within 14 days or the medication was disposed of by the center. Evidence: 1) On the date of inspection, emergency medication in the center for Child #1 had authorization dated with an expiration date of 08/16/2022. The medication itself had an expiration date of 11/2022.”

8VAC20-780-60-A-8

“Based on record review, the center did not ensure to obtain 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. Evidence: 1) The health exam in the record for Child #1 stated that Child #1 has been diagnosed with a food allergy. A written care plan for Child #1's allergy was not available for review.”

8VAC20-780-80-A

“Based on documentation review, the center did not ensure to keep an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) There were 7 children in attendance in the Acorns class. The attendance record had 6 children documented. Child # 4 attendance was not documented. 2) There were 7 children in attendance in the Sassafras class. The attendance record had 6 children documented. Child #5 attendance was not documented.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment or within 90 days from October 13 2021 for staff hired before this date. Evidence: 1) On the date of inspection, the records for Staff #2 (start date 02/10/2014) and Staff #3 (start date 01/20/2022) did not contain documentation of having completed the Virginia Department of Education-sponsored orientation course.”

22.1-289.035-B-4

“Based on record review, a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years was not obtained for 1 of 2 staff reviewed. Evidence: 1. Staff #1 (hire date 6/20/2022) has resided outside of the state of Virginia in the preceding 5 years. 2. An out of state child abuse and neglect registry check inquiry was requested on 6/20/2022. No results of the inquiry had been obtained and no follow-up with the agency had been completed at the time of the inspection.”

8VAC20-780-240-A

“Based on record review, 2 of 2 staff records reviewed did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1 began employment on 6/20/2022. The record for Staff #1 did not contain documentation of the completion of the orientation course. Staff #2 began employment on 1/20/2022. The record for Staff #2 did not contain documentation of the completion of the orientation course”

8VAC20-780-40-J

“Based on record review, injury prevention procedures were not updated at least annually. Evidence: the center’s injury prevention plan was last updated in 2020.”

8VAC20-780-550-D

“Based on record review, evacuation drills were not practiced monthly. Evidence: An emergency evacuation drill was not completed during the month of May 2022.”

8VAC20-780-160-A

“Based on record review, documentation of a negative tuberculosis screening was not submitted at the time of employment for 1 of 2 staff reviewed. Evidence: The documentation of a negative tuberculosis screening for Staff #1 (date of hire 6/20/2022) was dated 7/7/2022.”

8VAC20-770-40-D-1-a

“Based on record review, 3 of 4 Agent records did not contain required background checks within 30 days of being designated as an agent. 1. Agent #1 assumed their role as an agent on 12/06/2021. The sworn statement of affirmation in the record for Agent #1 was dated 11/3/2022. The fingerprint-based criminal history record check results in the record for Agent #1 were dated 9/21/2022. The Virginia central registry check results in the record for Agent #1 were dated 11/2/2022. 2. Agent #2 assumed their role as an agent on 12/06/2021. The sworn statement of affirmation in the record for Agent #2 was dated 8/5/2022. The fingerprint-based criminal history record check results in the record for Agent #2 were dated 9/13/2022. The Virginia central registry check results in the record for Agent #2 were dated 10/31/2022. 3. Agent #3 assumed their role as an agent on 12/6/2021. The sworn statement of affirmation in the record for Agent #3 was dated 11/3/2022. The fingerprint-based criminal history record check results in the record for Agent #3 were dated 11/1/2022. The Virginia central registry check results in the record for Agent #3 were dated 11/14/2022.”

8VAC20-780-550-D

“Based on record review, the center did not implement an evacuation drill monthly. Evidence: A fire drill was not practiced during the month of August 2021.”