The Gingerbread Cottage Preschool, Inc. - Staples Mill

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #4, who has been employed for more than a month and was working alone with children at the time of the inspection.”

8VAC20-780-60-A-8

“A written care plan is required 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. Child #2, who has been in attendance for one month, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-160-A

“Based on a review of five staff records and interview, the center did not ensure to obtain a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required. Evidence: 1. The record of staff #1 (date of employment: 8/19/2024) contained a TB screening dated 8/22/2024. 2. Administration acknowledged that the screening was received after the start of employment.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the two year old classroom, a bottle of sanitizer was observed unlocked on top of a cabinet. 2. A classroom staff member stated that the bottle was usually kept on top of the cabinet.”

8VAC20-780-130-A

“Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child has received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child #4 (date of attendance: 10/2/2023) contained an immunization record dated 10/3/2023. 2. Administration acknowledged that the immunization record was received after the first date of attendance.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers were disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. A step trashcan was not observed by the center's diaper changing station. 2. Administration acknowledged that a step trash can or other accepted alternative receptacle was not being used.”

8VAC20-780-160-A

“Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for one staff that had been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record of staff #1 (date of employment: 8/21/2023) contained a TB screening dated 6/26/2023. 2. Administration acknowledged that the TB screening did not fall within the required time frame.”

8VAC20-780-60-A-8

“Based on a review of five child records and interview, the center did not ensure to obtain a written care plan for one 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 record of child #2 (date of attendance: 9/5/2023) did not contain the required allergy care plan documentation. The record indicated that child #2 had a diagnosed food allergy. 2. Administration acknowledged that they had the child's medication authorization but not an allergy care plan.”

8VAC20-780-70

“Based on record review, the center did not ensure one of four staff records contained all required documentation. Evidence: The record of staff #4 (employment date: 1/5/2023) did not contain documentation to demonstrate that the individual possesses the education required by the job position.”

8VAC20-780-550-B

“Based on record review, the center did not ensure that the emergency preparedness plan contained all of the required procedural components. Evidence: The emergency preparedness plan did not contain the following: 1. Evacuation Procedures: a. Accommodations or special requirements for children with special needs. 2. Shelter-In-Place Procedures: a. Accommodations or special requirements for children with special needs. 3. Continuity of operations to ensure essential functions are maintained in an emergency. 4. Staff training requirement, drill frequency and plan review and update.”