The Sprout School at St. Andrews

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. The record of staff #3 contained documentation of a tuberculosis screening that expired nine days ago. An updated tuberculosis screening has not been conducted.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. The record of child #1, enrolled for two months, did not contain written agreements between the parent and the center, and the work phone number of each parent who has custody. 2. The record of child #2, enrolled 14 days, did not contain the address for the two-emergency contact listed, and the work phone number of each parent who has custody. 3. The record of child #3, enrolled for 29 days, did not contain the work phone number of each parent who has custody. 4. The record of child #4, enrolled for two months, did not contain the phone number for one emergency contact. 5. The record of child #5, enrolled for two months, did not contain the phone number of one emergency contact.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. A lower cabinet in the infant room has a broken top hinge causing the door to fall forward and open, posing a risk of hitting a child.”

8VAC20-780-520-A

“All nonprescription drugs and over-the-counter skin products shall be used in accordance with the manufacturer's recommendations. Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product. The over-the-counter diaper cream for child #6, had an expiration date of 02/2026.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually, attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #5, employed for nine years, did not have documentation of completing the annual health and safety update training for 2025. The most recent training was dated 11/06/2024.”

8VAC20-780-260-A

“Repeat The center shall provide the licensing representative with an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent documentation of a fire inspection was dated 03/12/2024, exceeding the annual requirement.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. In the two-year-old classroom a cleaning material was stored in the bottom cabinet unlocked.”

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Medication for child #2 and child #5 were observed unlocked in a cabinet above the sink.”

8VAC20-780-210-A-4-a

“Program leaders shall have fulfilled a high school program completion or the equivalent and have met one of the following experience and education requirements. The record of staff #3, identified as a program leader, contained documentation of six hours of training when 24 hours is required within six months of beginning work or within 30 days after being promoted or beginning work.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #5 contained documentation of immunizations dated 18 days after the first day of attendance.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Prescription medication for child #2 did not have the original container or label. The medication was not labeled with the child’s name, the amount of dosage, and the time or times to be given.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually, attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #5, employed for nine years, did not have documentation of completing the annual health and safety update training for 2025. The most recent training was dated 11/06/2024.”

8VAC20-780-260-A

“Repeat The center shall provide the licensing representative with an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent documentation of a fire inspection was dated 03/12/2024, exceeding the annual requirement.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. In the two-year-old classroom a cleaning material was stored in the bottom cabinet unlocked.”

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Medication for child #2 and child #5 were observed unlocked in a cabinet above the sink.”

8VAC20-780-210-A-4-a

“Program leaders shall have fulfilled a high school program completion or the equivalent and have met one of the following experience and education requirements. The record of staff #3, identified as a program leader, contained documentation of six hours of training when 24 hours is required within six months of beginning work or within 30 days after being promoted or beginning work.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #5 contained documentation of immunizations dated 18 days after the first day of attendance.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Prescription medication for child #2 did not have the original container or label. The medication was not labeled with the child’s name, the amount of dosage, and the time or times to be given.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was conducted fifteen months ago, exceeding the annual requirement.”

8VAC20-780-510-P

“Repeat When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #1 expired over two months ago. The medication was still on site. 2. The medication authorization for child #6 expired over two months ago. The medication was still on site. 3. The medication authorization for child #7 expired over seven months ago. The medication was still on site.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was conducted fifteen months ago, exceeding the annual requirement.”

8VAC20-780-510-P

“Repeat When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #1 expired over two months ago. The medication was still on site. 2. The medication authorization for child #6 expired over two months ago. The medication was still on site. 3. The medication authorization for child #7 expired over seven months ago. The medication was still on site.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. After conducting a diaper change, staff #4 did not clean with soap and water and sanitized the diapering surface.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff #4 did not wash the hands of child #1 after being diapered.”

8VAC20-780-510-P

“Repeat When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #6, expired 12 weeks ago. The medication was still on site. 2. The medication on site for child #5, did not have an authorization form.”

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. 1. Medication for child #5 and child #6 were kept in an unlocked box in the classroom cabinet. 2. An over-the-counter medication for staff was kept unlocked in the classroom cabinet.”

8VAC20-780-150-B

“Each child’s report of immunizations and physical shall be signed by a physician, his designee, or an official of a local health department. The record of child #2, contained documentation of immunizations and a physical that were not signed by a physician, his designee, or an official of a local health department.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. After conducting a diaper change, staff #4 did not clean with soap and water and sanitized the diapering surface.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff #4 did not wash the hands of child #1 after being diapered.”

8VAC20-780-510-P

“Repeat When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #6, expired 12 weeks ago. The medication was still on site. 2. The medication on site for child #5, did not have an authorization form.”

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. 1. Medication for child #5 and child #6 were kept in an unlocked box in the classroom cabinet. 2. An over-the-counter medication for staff was kept unlocked in the classroom cabinet.”

8VAC20-780-150-B

“Each child’s report of immunizations and physical shall be signed by a physician, his designee, or an official of a local health department. The record of child #2, contained documentation of immunizations and a physical that were not signed by a physician, his designee, or an official of a local health department.”

8VAC20-780-70

“Staff records shall include documentation of the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. The record of staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7, staff #8, and staff #9 did not contain the address of the emergency contact.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record of staff #6, employed for two months, did not contain documentation of orientation training.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. An evacuation drill was not conducted for the month of October 2024.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #4, expired 27 days ago. The medication was on site. 2. The medication authorization for child #7, expired 55 days ago. The medication was on site.”

8VAC20-780-540-E

“The center shall maintain one working, battery-operated flashlight on each floor of each building that is used by children. The director could not locate a flashlight on site at the center.”

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Child #4, under 12 months in age, was observed sleeping on a mat on the floor.”

8VAC20-780-70

“Staff records shall include documentation of the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. The record of staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7, staff #8, and staff #9 did not contain the address of the emergency contact.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record of staff #6, employed for two months, did not contain documentation of orientation training.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. An evacuation drill was not conducted for the month of October 2024.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. The medication authorization for child #4, expired 27 days ago. The medication was on site. 2. The medication authorization for child #7, expired 55 days ago. The medication was on site.”

8VAC20-780-540-E

“The center shall maintain one working, battery-operated flashlight on each floor of each building that is used by children. The director could not locate a flashlight on site at the center.”

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Child #4, under 12 months in age, was observed sleeping on a mat on the floor.”

22.1-289.035-A

“Based on review of nine staff records and interview, the center did not ensure one staff obtained a repeat background check every five years. Evidence: 1. The record for staff #3, employed 10/20/2016, contained the results of a central registry check dated 03/06/2019, exceeding the requirement to renew every five years. 2. The director stated a request to update the central registry had been submitted on 02/07/2024, however the results were not received and a follow-up to the status was not conducted until 05/17/2024.”

8VAC20-780-540-E

“Based on observation and interview, the center did not maintain one working, battery operated radio in each building used by children. Evidence: The center had a radio, however, the batteries in the radio did not work. The director stated she did not have additional batteries on site.”

22.1-289.058

“Based on observation and interview, the center was not equipped with a carbon monoxide detector. Evidence: The director stated they did not have a carbon monoxide detector installed in the center.”