The Goddard School at Short Pump

8VAC20-780-70

“Based on a review of nine (9) staff records and interview, the center did not ensure that complete records were kept for eight (8) staff. Evidence: 1. The record of staff #1 (date of employment: 11/16/2022) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #2 (date of employment:11/30/2022) did not contain the required references. The record of staff #3 (date of employment:9/12/2022) did not contain the required references. The record of staff #4 (date of employment: 11/17/2022) did not contain the required references. The record of staff #5 (date of employment:11/28/2022) did not contain the required references. The record of staff #6 (date of employment:10/17/2022) did not contain documentation to demonstrate that the individual possessed the required orientation. Administration stated that the orientation was completed but not documented. The record of staff #7 (date of employment: 8/22/2022) did not contain documentation to demonstrate that the individual possessed the required orientation. Administration stated that the orientation was completed but not documented. The record of staff #9 (date of employment: 5/23/2022) contained incomplete references. The documented references did not include the results of the phone calls. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-340-D

“Based on observation, a review of records and interview, the center did not ensure that in each grouping of children at least one staff member who met the qualifications of a program leader or program director was regularly present. Evidence: 1. In the preschool room staff #3 was observed working in single ratio with 10 children. Staff #3 was identified as an aide during interview as well as in the staff's record. 2. Administration acknowledged that a lead was not present in the preschool room and that staff #3 regularly worked alone.”

8VAC20-780-530-A-1

“Based on observation and interview, the center did not ensure that at least one staff in each classroom or area where children were present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: 1. In the preschool classroom, staff #3 was observed working alone with 10 children. Staff #3 stated that she was not CPR certified. 2. Administration acknowledged that staff #3 was not CPR certified.”

8VAC20-780-530-A-2

“Based on observation and interview, the center did not ensure that at least one staff in each classroom or area where children were present had current certification in certification in first aid. Evidence: 1. In the preschool classroom, staff #3 was observed working alone with 10 children. Staff #3 stated that she was not first aid certified. 2. Administration acknowledged that staff #3 was not first aid certified.”

8VAC20-780-550-D

“Based on a review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. The center's drill logs were reviewed. An evacuation drill was not documented in November of 2022. 2. Administration stated that an evacuation drill had not been completed in November.”

22.1-289.035-B-2

“Based of a review of nine (9) staff records and interview, the center did not ensure to complete a fingerprint background check for one (1) staff prior to the first date of employment as required. Evidence: 1. The record of staff #9 (date of employment: 5/23/2022) contained a fingerprint background check dated 5/26/2022. 2. Administration acknowledged that the fingerprint results were received after the first date of employment.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In eight (8) classrooms, rest mats were observed with rips and tears that exposed the foam cushioning. In the preschool room, two (2) children's arm chairs were observed with torn fabric. Areas of chipped and peeling paint were observed in the toddler and toddler two classrooms. Rust was observed on the hinges of four (4) cribs in the infant room. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-240-A

“Based on a review of nine (9) staff records and interview, the center did not ensure that two (2) staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #7 (date of employment: 8/22/2022) did not contain documentation that the course had been completed. The record of staff #8 (date of employment: 7/27/2022) did not contain documentation that the course had been completed. 2. Administration acknowledged that the staff had not completed the required orientation course.”

22.1-289.035-B-4

“Based on a review of nine (9) staff records and interview, the center did not ensure that one (1) staff had the required out of state background checks within the required time frames. Evidence: 1. The record of staff #9 (date of employment: 5/23/2022) contained a sworn statement that indicated that the staff had resided outside of Virginia within the preceding five (5) years. 2. The record of staff #9 did not contain the out of state criminal history name check that was required prior to the first date of employment for non-NFF states. 3. The record of staff #9 did not contain documentation of an out of state child abuse and neglect search by the end of the 30th day of employment. 4. Administration acknowledged that the out of state background checks had not been completed or requested for staff #9.”

8VAC20-780-240-E

“Based on a review of nine (9) staff records and interview, the center did not ensure that within 30 days of the first date of employment, two (2) staff completed the required orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. The record of staff #3 (date of employment: 9/12/2022) did not contain documentation of CPR and first aid orientation. The record of staff #6 (date of employment: 10/17/2022) did not contain documentation of CPR and first aid orientation. 2. Administration acknowledged that the CPR and first aid orientation had not been completed within the 30 days.”

8VAC20-770-60-C-2

“Based on a review of nine (9) staff records and interview, the center did not ensure to obtain a central registry finding for four (4) staff by the end of the 30th date of employment as required. Evidence: 1. The record of staff #3 (date of employment: 9/12/2022) did not contain a central registry finding. The record of staff #6 (date of employment: 10/17/2022) contained a central registry finding dated 11/22/2022. The record of staff #8 (date of employment: 7/27/2022) contained a central registry finding dated 9/4/2022. The record of staff #9 (date of employment: 5/23/2022) contained a central registry finding dated 7/14/2022. 2. Administration acknowledged that the findings were not received by the 30th day of employment.”

8VAC20-780-160-A

“Based on a review of nine (9) staff records and interview, the center did not ensure that nine (9) staff members submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #1 (date of employment: 11/16/2022) did not contain a TB screening. The record of staff #2 (date of employment: 11/30/2022) did not contain a TB screening. The record of staff #3 (date of employment: 9/12/2022) contained a TB screening dated 7/16/2022.The record of staff #4 (date of employment: 11/17/2022) did not contain a TB screening.The record of staff #5 (date of employment: 11/28/2022) did not contain a TB screening. The record of staff #6 (date of employment: 10/17/2022) did not contain a TB screening.The record of staff #7 (date of employment: 8/22/2022) did not contain a TB screening. The record of staff #8 (date of employment: 7/27/2022) contained TB screening dated 8/16/2022. The record of staff #9 (date of employment: 5/23/2022) contained a TB screening dated 5/25/2022. 2. Administration acknowledged that the TB screenings were not received within the required time frame.”

22.1-289.035-A

“Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of a repeat central registry for 1 staff every 5 years as required. Evidence: 1. The record of staff #9 (DOH:4/28/2005) contained a central registry dated 10/19/2016. 2. Administration acknowledged that the repeat central registry had not been received.”

22.1-289.035-B-2

“Based on a review of staff staff records and interview, the center did not ensure to obtain the results of a fingerprint background check for 1 staff prior to the first date of employment as required. Evidence: 1. The record of staff #4 (DOH:1/6/2022) contained a portability approval for a fingerprint check dated after hire on 1/19/2022. 2. Administration acknowledged that the background check results were received after the first date of employment.”

22.1-289.035-B-4

“Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of an out of state sex offender background check from any state in which the individual has resided in the preceding five years prior to hire for 1 staff as required. Staff hired prior to 7/1/2020 had until 12/31/2020 to comply with the out of state background check requirements. Evidence: 1. The record of staff #7 (DOH: 8/12/2019) contained a sworn statement that indicated they had resided outside of the state within the preceding 5 years. The record did not contain and out of state sex offender check. 2. Administration acknowledged that the check was missing.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a central registry background check for 2 staff within 30 days of employment as required. Evidence: 1. The record of staff #6 (DOH:9/8/2021) contained a central registry dated 12/22/2021. The record of staff #8 (DOH:10/25/2021) contained a central registry dated 12/22/2021. 2. Administration acknowledged that the background checks had not been received within the required frame.”

8VAC20-780-130-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation that 1 child had received the immunizations required by the State Board of Health before the child's first date of enrollment. Evidence: 1. The record of child #9 (DOE:9/7/2021) contained an immunization record dated 9/10/2021. 2. Administration acknowledged that the record was received after the first date of enrollment.”

8VAC20-780-140-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain a physical examination by or under the direction of a physician: Before the child's attendance; or within 30 days after the first day of attendance for 1 child a required. Evidence: 1. The record of child #7 (DOE: 1/3/2022) did not contain documentation of a physical examination. 2. Administration acknowledged that the document had not been obtained.”

8VAC20-780-160-A-2

“Based on a review of 10 staff records and interview, the center did not ensure that 1 staff had a tuberculosis (TB) screening that was completed within the last 30 calendar days of the date of employment as required. Evidence: 1. The record of staff #1 (DOH:1/17/2022) contained a TB screening dated 1/2/2021. 2. Administration acknowledged that the screening was not completed within 30 calendar days of the date of employment.”

8VAC20-780-40-M

“Based on observation and interview, 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: 1. A current dated list of children with diagnosed allergies was not observed in each room where children were present. Administration identified children in care with diagnosed food allergies. 2. Administration acknowledged that a current dated list was not kept in each room.”

8VAC20-780-240-A

“Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of the Virginia Department of Education-sponsored orientation within 90 calendar days of employment for 5 staff as required. Evidence: 1. The records of staff #1 (DOH:1/17/2022), staff #2 (DOH:11/29/2021), staff #3 (DOH:1/26/2022), staff #4 (DOH:1/6/2022) and staff #8 (DOH:10/25/2021) did not contain documentation of the Virginia Department of Education-sponsored orientation course. 2. Administration acknowledged that the staff did not complete the training.”

8VAC20-780-245-A

“Based on a review of 10 staff records and interview, the center did not ensure that 3 staff annually completed 16 hours of training appropriate to the age of children in care as required. Evidence: 1. The records of staff #5 (DOH:5/17/2019), staff #7 (DOH:8/12/2019) and staff #9 (DOH:4/28/2005) did not contain record of 16 hours of annual training. 2. Administration acknowledged that the staff had not completed the required annual training.”

8VAC20-780-245-L

“Based on record review and interview, the center did not ensure that there was always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Administration stated that they did not have staff with current Daily Health Observation training.”

8VAC20-780-260-B

“Based on record review and interview, the center did not ensure to obtain annual approval from the health department, or approvals of a plan of correction, for meeting requirements for: water supply; sewage disposal system; and food service, if applicable. Evidence: 1. The last documented health inspection was dated 12/14/2020. 2. Administration acknowledged that an annual approval report from 2021 had not been obtained.”

8VAC20-780-130-E

“Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation of additional immunizations once every six months for children under the age of two years for 1 child as required. Evidence: 1. The record of child #2 (DOE:8/18/2021) contained one immunization record dated 8/11/2021. The record did not contain updated immunizations. 2. Administration acknowledged that updated immunizations had not been obtained.”

63.2(17)-1720.1-B-4

“Based on record review and interview, the center did not ensure to obtain out of state background checks for one staff during the required time frames. Evidence: 1. The record of staff #4 (DOH: 09/29/2021) contained a sworn statement that indicated that the staff member resided outside of the state within the preceding 5 years. 2. The record did not contain the results of an out of state child abuse and neglect registry. 3. The record contained the results of an out of state criminal history name check dated after the first date of employment on 09/30/2021. 4. Administration acknowledged that the background checks were not obtained during the required time frames.”