The Merit School of Stafford Lakes # 25

8VAC20-780-550-F

“Based on documentation review, and an interview with staff, it was determined that lockdown procedures were not practiced at least annually. Evidence: the last documented lockdown drill was conducted on: 7/21/2021.”

8VAC20-780-510-E

“Based on observation, and review of documentation, the facility failed to follow their own medication procedures as required. Evidence: 1) there was an over-the-counter medication (infant's pain relief) on site, and the short-term authorization form, signed only by the parent, was dated 10/5/2022 and expired: 10/15/2022. 2) there was an over-the-counter (children's allergy relief) medication on site that did not have an authorization form signed by the parent or physician.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-500-B

“Based on observation, and an interview, the facility failed to ensure that diapers (and wipes) are disposed of 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: Staff in the infant room used their hand to open the trash can lid to dispose of the diaper, wipes and gloves after a diaper change.”

22.1-289.035-A

“Based on review of five staff records, it was determined that the facility did not have a repeat central registry report for all staff every five years as required. Evidence: The record for staff #1 had a central registry search report dated: 7/27/2017.”

8VAC20-780-550-F

“Based on documentation review, and an interview with staff, it was determined that lockdown procedures were not practiced at least annually. Evidence: the last documented lockdown drill was conducted on: 7/21/2021.”

8VAC20-780-510-E

“Based on observation, and review of documentation, the facility failed to follow their own medication procedures as required. Evidence: 1) there was an over-the-counter medication (infant's pain relief) on site, and the short-term authorization form, signed only by the parent, was dated 10/5/2022 and expired: 10/15/2022. 2) there was an over-the-counter (children's allergy relief) medication on site that did not have an authorization form signed by the parent or physician.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-500-B

“Based on observation, and an interview, the facility failed to ensure that diapers (and wipes) are disposed of 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: Staff in the infant room used their hand to open the trash can lid to dispose of the diaper, wipes and gloves after a diaper change.”

22.1-289.035-A

“Based on review of five staff records, it was determined that the facility did not have a repeat central registry report for all staff every five years as required. Evidence: The record for staff #1 had a central registry search report dated: 7/27/2017.”

8VAC20-780-520-C Complaint related: Yes

“Based on interviews and a review of documentation, it was determined that not all diaper ointment/cream use followed all requirements. Evidence: In the infant class, there were three diaper ointment/creams that were not labeled with the child's name and in the toddler class, there was one diaper ointment/cream that was not labeled with the child's name. The following children, with diaper ointment/cream on site, did not have written parent authorization to apply diaper ointment/cream noting any known adverse reactions: child # 1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 and #17.”

8VAC20-780-490-C Complaint related: Yes

“Based on interviews and a review of documentation, it was determined that children at the center were exposed to a communicable disease and the facility failed to notify parents within 24 hours or the next business day of the center's having been informed. Evidence: there were approximately eight positive cases of COVID-19 reported to the facility between 8/1 and 8/20/2022 and there is no documentation that all parents were informed of their child's exposure within 24 hours of notification.”

8VAC20-780-520-C Complaint related: Yes

“Based on interviews and a review of documentation, it was determined that not all diaper ointment/cream use followed all requirements. Evidence: In the infant class, there were three diaper ointment/creams that were not labeled with the child's name and in the toddler class, there was one diaper ointment/cream that was not labeled with the child's name. The following children, with diaper ointment/cream on site, did not have written parent authorization to apply diaper ointment/cream noting any known adverse reactions: child # 1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 and #17.”

8VAC20-780-490-C Complaint related: Yes

“Based on interviews and a review of documentation, it was determined that children at the center were exposed to a communicable disease and the facility failed to notify parents within 24 hours or the next business day of the center's having been informed. Evidence: there were approximately eight positive cases of COVID-19 reported to the facility between 8/1 and 8/20/2022 and there is no documentation that all parents were informed of their child's exposure within 24 hours of notification.”