The Merit School Learning Center #21

8VAC20-780-40-M

“Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 8/21/2023 and not current per staff interview; 2) The list included children that no longer attend; and 3) The list did not include all children that had sensitivities and preferences/dietary restrictions”

8VAC20-780-40-M

“Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 8/21/2023 and not current per staff interview; 2) The list included children that no longer attend; and 3) The list did not include all children that had sensitivities and preferences/dietary restrictions”

8VAC20-780-60-A-8

“Based on review of documentation, the center did not have a written care plan for each child with a diagnosed food allergy from a physician regarding the food which the child is allergic and the steps to be taken in the even of a suspected or confirmed allergic reaction. Evidence: Child #2, enrolled 3/27/2022, has a diagnosed food allergy to Egg and did not have an allergy care plan on file.”

8VAC20-780-60-A-8

“Based on review of documentation, the center did not have a written care plan for each child with a diagnosed food allergy from a physician regarding the food which the child is allergic and the steps to be taken in the even of a suspected or confirmed allergic reaction. Evidence: Child #2, enrolled 3/27/2022, has a diagnosed food allergy to Egg and did not have an allergy care plan on file.”

8VAC20-780-400-A

“Based on staff interviews and review of documentation, it was determined that staff did not always interact with children in a manner that promoted the child’s physical, emotional, and social well-being. Evidence: In the preschool class, Staff #2 said in a loud voice tone "I?ve had enough" and took Child #1, age 2 years old, by the ears and moved them back and forth with her hands while saying "we need to use our listening ears". Further documentation and interviews revealed that Child #1 had some previously diagnosed hearing loss that contributed to Child #1's ability to hear.”

8VAC20-780-130-A

“Based on review of documentation, the center failed to obtain documentation of immunizations prior to a child's attendance Evidence: Child #1, start date 8/8/2022, immunizations were dated 10/3/2022. Child #3, start date 6/14/2021, immunizations were dated 9/15/2022.”

8VAC20-780-240-B

“Based on review of documentation, it was determined that the center did not have documentation of required orientation training prior to staff working alone with children and no later than seven days of assuming job responsibilities. Evidence: Staff #1, date of hire 7/21/2022, orientation training was dated 9/7/2022.”

8VAC20-780-140-A

“Based on review of documentation, it was determined that the center failed to obtain documentation of a physical exam for each child enrolled by the 30th day of attendance. Evidence: Child #1, start date 8/8/20222, physical was dated 10/3/2022. Child #3, stat date 6/14/2021, physical was dated 9/15/2022.”

8VAC20-780-130-A

“Based on review of documentation, the center failed to obtain documentation of immunizations prior to a child's attendance Evidence: Child #1, start date 8/8/2022, immunizations were dated 10/3/2022. Child #3, start date 6/14/2021, immunizations were dated 9/15/2022.”

8VAC20-780-240-B

“Based on review of documentation, it was determined that the center did not have documentation of required orientation training prior to staff working alone with children and no later than seven days of assuming job responsibilities. Evidence: Staff #1, date of hire 7/21/2022, orientation training was dated 9/7/2022.”

8VAC20-780-140-A

“Based on review of documentation, it was determined that the center failed to obtain documentation of a physical exam for each child enrolled by the 30th day of attendance. Evidence: Child #1, start date 8/8/20222, physical was dated 10/3/2022. Child #3, stat date 6/14/2021, physical was dated 9/15/2022.”

8VAC20-780-245-J-3

“Based on review of documentation and interview with staff, the center failed to ensure staff were properly trained in emergency medication administration for rectal medications. Evidence: Child #3, has prescription diazepam on site, that is required to be administered rectally and no staff on site have the required Medication Administration Training (MAT) Rectal Medication Certification.”

22.1-289.035-A

“Based on review of documentation, it was determined that the center failed to obtain Central registry background checks every five years. Evidence: Staff #3?s central registry background check results were dated 9/29/2016.”

8VAC20-780-520-C

“Based on observation, not all diaper ointments were labeled with the child’s name as required. Evidence: In the toddler room, a pertroleum jelly and aquaphor were observed and were not labeled. In the preschool explorers room, an aquaphor healing cream, two aquaphor tubes, one vaseline and one bourdeaux butt paste was not labeled”

8VAC20-780-510-L

“Based on observation, the center failed to ensure medication was kept in a locked place. Evidence: In the Two’s classroom/Preschool Explorers, a tube of prescription triamcinolone acetonide was observed in an unlocked plastic cubby above the diapering area.”

8VAC20-780-510-I

“Based on observation, the center failed to ensure medication requirements were followed. Evidence: In the Two’s classroom/Preschool Explorers, a tube of prescription triamcinolone acetonide was observed in an unlocked plastic cubby above the diapering area. The prescription medication did not have the original medication label, was not labeled with the child's name, the dosage amount, and the time or times to be given.”

8VAC20-780-510-E

“Based on review of documentation and interview with staff, it was determined that the center did not follow it's medication policy that includes obtaining parent authorization for all medication for children in care. Evidence: Child #3, has nonprescription Tylenol on site and there was no signed authorization from the parent.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain tuberculosis (TB) screenings or test results before staff came in contact with children or TB documentation that was completed no later than 30 days before employment. Evidence: Staff #4, start date 4/19/2022, did not have documentation of a TB in the file. Staff #5, start date 1/11/2022, TB documentation was dated 9/22/2021.”

8VAC20-780-245-J-3

“Based on review of documentation and interview with staff, the center failed to ensure staff were properly trained in emergency medication administration for rectal medications. Evidence: Child #3, has prescription diazepam on site, that is required to be administered rectally and no staff on site have the required Medication Administration Training (MAT) Rectal Medication Certification.”

22.1-289.035-A

“Based on review of documentation, it was determined that the center failed to obtain Central registry background checks every five years. Evidence: Staff #3?s central registry background check results were dated 9/29/2016.”

8VAC20-780-520-C

“Based on observation, not all diaper ointments were labeled with the child’s name as required. Evidence: In the toddler room, a pertroleum jelly and aquaphor were observed and were not labeled. In the preschool explorers room, an aquaphor healing cream, two aquaphor tubes, one vaseline and one bourdeaux butt paste was not labeled”

8VAC20-780-510-L

“Based on observation, the center failed to ensure medication was kept in a locked place. Evidence: In the Two’s classroom/Preschool Explorers, a tube of prescription triamcinolone acetonide was observed in an unlocked plastic cubby above the diapering area.”

8VAC20-780-510-I

“Based on observation, the center failed to ensure medication requirements were followed. Evidence: In the Two’s classroom/Preschool Explorers, a tube of prescription triamcinolone acetonide was observed in an unlocked plastic cubby above the diapering area. The prescription medication did not have the original medication label, was not labeled with the child's name, the dosage amount, and the time or times to be given.”

8VAC20-780-510-E

“Based on review of documentation and interview with staff, it was determined that the center did not follow it's medication policy that includes obtaining parent authorization for all medication for children in care. Evidence: Child #3, has nonprescription Tylenol on site and there was no signed authorization from the parent.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain tuberculosis (TB) screenings or test results before staff came in contact with children or TB documentation that was completed no later than 30 days before employment. Evidence: Staff #4, start date 4/19/2022, did not have documentation of a TB in the file. Staff #5, start date 1/11/2022, TB documentation was dated 9/22/2021.”