The Vine Preschool

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. Child #1 (start date 7/22/22) did not have a physical examination by or under the direction of a physician.”

8VAC20-780-60-A

“Based on record review, two of four children's records did not have documentation of child's updates and confirmation of up-to-date. information. Evidence: 1. Child #2's record did not contain an annual update confirming the child's information. The last update was received on 8/1/22. 2. Child # 3's record did not contain annual update confirming the child's information. The last update was received on 9/7/21.”

8VAC20-780-280-H

“Based on observation and interview, cosmetics, medication, or other harmful agents were stored in areas, purses, or pockets accessible to children. Evidence: 1. In the Busy Bees classroom, a blue storage cabinet was unlocked and had staff purses/bags sitting on the bottom shelf accessible to children. 2. A purse/bag on the bottom shelf was opened with a large bottle of Vitamin B-12 inside. 3. The inspector and director observed the unlocked cabinet with a large bottom of vitamin B-12 sitting in an open purse/bag on the bottom shelf. 4. The purse/bag was confirmed by the director to belong to staff #6.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not sanitized after each use. Evidence: 1. Staff #6 did not sanitized the diapering surface after changing a child's diaper.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The large cabinet in the Little Ducks classroom (ages 2-3 years) was unlocked with a bottle of bleach water solution sitting on the bottom shelf.”

8VAC20-780-60-A

“Based on record review, the center failed to maintain and keep a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age. Evidence: Child #2 did not have documentation of viewing proof of ID and age in their file.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: Child #1 (date of enrollment 8/1/22) did not have documentation of a physical examination by or under the direction of a physician at the time of inspection (3/27/23).”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4 (DOB 10/25/21) record did not have additional immunizations. Last update was 4/26/22.”

8VAC20-780-500-A

“Based on observation, children's hands were not washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: 1. The inspector observed four children's hands were not washed after diapering in the Caterpillar's classroom. 2. Staff #5 did not wash Child #6 and Child #3 hands after diapering. 3. Staff #6 did not wash Child #8 hands after diapering. 4. Staff #7 did not wash Child #7 hands after diapering.”

8VAC20-780-500-B

“Based on observation, the staff did not clean the diapering surface with soap and water after each use. Evidence: 1. Staff #5 did not clean the diapering surface with soap and water after diapering Child #3 and Child #6. Staff #5 only used a bleach solution to clean the diapering surface. 2. Staff #6 did not clean the diapering surface with soap and water after diapering Child #8. Staff #6 only used a bleach solution to clean the diapering surface. 3. Staff #7 did not clean the diapering surface with soap and water after diapering Child #7. Staff #7 only used a bleach solution to clean the diapering surface.”

8VAC20-780-370-5

“Based on observation and interview, the center did not provide awake infants a change in play space at least every 30 minutes or more often as determined by the individual infant's needs. Evidence: 1) The licensing inspector observed all the children in the Caterpillar / Infant classroom (ages 11-15 months) were confined for 35 minutes. Seven children were in high chairs and 3 children were in bouncers from 8:45am - 9:20am. 2) Seven children were confined in high chairs as they were waiting for breakfast. Breakfast arrived at 9:20am. 3. Staff #7 stated the children were sitting in the high chairs because they were waiting on breakfast and it was late.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The large cabinet in the Little Ducks classroom (ages 2-3 years) was unlocked with a bottle of bleach water solution sitting on the bottom shelf.”

8VAC20-780-60-A

“Based on record review, the center failed to maintain and keep a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age. Evidence: Child #2 did not have documentation of viewing proof of ID and age in their file.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: Child #1 (date of enrollment 8/1/22) did not have documentation of a physical examination by or under the direction of a physician at the time of inspection (3/27/23).”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4 (DOB 10/25/21) record did not have additional immunizations. Last update was 4/26/22.”

8VAC20-780-500-A

“Based on observation, children's hands were not washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: 1. The inspector observed four children's hands were not washed after diapering in the Caterpillar's classroom. 2. Staff #5 did not wash Child #6 and Child #3 hands after diapering. 3. Staff #6 did not wash Child #8 hands after diapering. 4. Staff #7 did not wash Child #7 hands after diapering.”

8VAC20-780-500-B

“Based on observation, the staff did not clean the diapering surface with soap and water after each use. Evidence: 1. Staff #5 did not clean the diapering surface with soap and water after diapering Child #3 and Child #6. Staff #5 only used a bleach solution to clean the diapering surface. 2. Staff #6 did not clean the diapering surface with soap and water after diapering Child #8. Staff #6 only used a bleach solution to clean the diapering surface. 3. Staff #7 did not clean the diapering surface with soap and water after diapering Child #7. Staff #7 only used a bleach solution to clean the diapering surface.”

8VAC20-780-370-5

“Based on observation and interview, the center did not provide awake infants a change in play space at least every 30 minutes or more often as determined by the individual infant's needs. Evidence: 1) The licensing inspector observed all the children in the Caterpillar / Infant classroom (ages 11-15 months) were confined for 35 minutes. Seven children were in high chairs and 3 children were in bouncers from 8:45am - 9:20am. 2) Seven children were confined in high chairs as they were waiting for breakfast. Breakfast arrived at 9:20am. 3. Staff #7 stated the children were sitting in the high chairs because they were waiting on breakfast and it was late.”

8VAC20-780-510-B

“Based on observation and record review, the facility did not obtain written parent authorization as required for prescription and nonprescription medication. Evidence: There was no written authorization for topical cream ointment for child #7. .”

8VAC20-780-500-B

“Based on observation, the staff did not clean the diapering surface with soap and water after each use. Evidence: 1. Staff #4 did not use soap and water to clean the diapering area (located in hallway) after each use. 2. Staff #4 only wiped the diaper area with a bleach solution. 3. Infant class (age birth-16 months) did not use soap and water to clean the diapering area.”

8VAC20-820-120-E-1

“Based on observation and interview it was determined the center did not ensure that the findings of the most recent inspection of the facility was posted Evidence: 1. The results for the most recent inspection (7/7/2022) were not posted in the center. 2. The director confirmed that the most recent inspection results were not posted but were in a binder.”

8VAC20-780-160-C

“Based on record review, staff did not submit the results of a follow-up tuberculosis (TB) screening every 2 years from the date of the initial screening or testing. Evidence: Staff #2 (DOH 9/20/20) most recent TB screening is dated 10/6/20 (expired 10/6/22).”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening of each staff at the time of employment and prior to coming into contact with children. Evidence: TB documentation of test or screening is dated 10/1/22 for Staff #4 (DOH 9/27/22)”

8VAC20-780-140-A

“Based on record review, the center failed to obtain a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: At the time of inspection (10/18/22) Child #4 (date of enrollment 8/1/22) does not have a physical examination on file.”

8VAC20-780-500-A

“Based on observation, the staff did not wash their hands with soap and running water after any contact with body fluids. Evidence: Staff #5 did not wash their hands after cleaning a child’s nose.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence: The cots in the Panda’s class (3 year olds) were not labeled for a specific child.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The Infant class (age birth ? 16 months) had bottles of bleach water solution on changing table and counter when not being used for diapering or cleaning.”

8VAC20-780-60-A

“Based on record review, the center failed to obtain a written care plan 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. Evidence: Child #4 has a documented allergy and did not have a written allergy/medication plan.”

8VAC20-780-40-M

“Based on observation and interview, the center did not maintain a written list of all children’s allergies and the list was not kept in each room or area where children are present. Evidence: 1. All classrooms (3/3) did not have a posted allergy list. 2. Child #2 has documented allergy. 3. Child #4 has a documented allergy. 4. The director confirmed they did not have an allergy list for their classrooms.”

8VAC20-780-520-D

“Based on observation, insect repellent was accessible to children. Evidence: Insect repellent was in an open hallway cubby accessible to children.”

8VAC20-780-570-E

“Based on observation, prepared infant formula was not dated. Evidence: Ten (10) prepared infant bottles in the refrigerator were not dated.”

8VAC20-780-520-C

“Based on record review and observation, the facility did not follow requirements for using diaper ointment or cream. Evidence: 1. Facility did not obtain written authorization for diaper cream ointment for child #2, #3, #5, #6, and #7 2. Five diaper ointments were not in the original container and were not labeled with a child’s name.”

8VAC20-780-510-B

“Based on observation and record review, the facility did not obtain written parent authorization as required for prescription and nonprescription medication. Evidence: There was no written authorization for topical cream ointment for child #7. .”

8VAC20-780-500-B

“Based on observation, the staff did not clean the diapering surface with soap and water after each use. Evidence: 1. Staff #4 did not use soap and water to clean the diapering area (located in hallway) after each use. 2. Staff #4 only wiped the diaper area with a bleach solution. 3. Infant class (age birth-16 months) did not use soap and water to clean the diapering area.”

8VAC20-820-120-E-1

“Based on observation and interview it was determined the center did not ensure that the findings of the most recent inspection of the facility was posted Evidence: 1. The results for the most recent inspection (7/7/2022) were not posted in the center. 2. The director confirmed that the most recent inspection results were not posted but were in a binder.”

8VAC20-780-160-C

“Based on record review, staff did not submit the results of a follow-up tuberculosis (TB) screening every 2 years from the date of the initial screening or testing. Evidence: Staff #2 (DOH 9/20/20) most recent TB screening is dated 10/6/20 (expired 10/6/22).”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of tuberculosis screening of each staff at the time of employment and prior to coming into contact with children. Evidence: TB documentation of test or screening is dated 10/1/22 for Staff #4 (DOH 9/27/22)”

8VAC20-780-140-A

“Based on record review, the center failed to obtain a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: At the time of inspection (10/18/22) Child #4 (date of enrollment 8/1/22) does not have a physical examination on file.”

8VAC20-780-500-A

“Based on observation, the staff did not wash their hands with soap and running water after any contact with body fluids. Evidence: Staff #5 did not wash their hands after cleaning a child’s nose.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence: The cots in the Panda’s class (3 year olds) were not labeled for a specific child.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The Infant class (age birth ? 16 months) had bottles of bleach water solution on changing table and counter when not being used for diapering or cleaning.”

8VAC20-780-60-A

“Based on record review, the center failed to obtain a written care plan 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. Evidence: Child #4 has a documented allergy and did not have a written allergy/medication plan.”

8VAC20-780-40-M

“Based on observation and interview, the center did not maintain a written list of all children’s allergies and the list was not kept in each room or area where children are present. Evidence: 1. All classrooms (3/3) did not have a posted allergy list. 2. Child #2 has documented allergy. 3. Child #4 has a documented allergy. 4. The director confirmed they did not have an allergy list for their classrooms.”

8VAC20-780-520-D

“Based on observation, insect repellent was accessible to children. Evidence: Insect repellent was in an open hallway cubby accessible to children.”

8VAC20-780-570-E

“Based on observation, prepared infant formula was not dated. Evidence: Ten (10) prepared infant bottles in the refrigerator were not dated.”

8VAC20-780-520-C

“Based on record review and observation, the facility did not follow requirements for using diaper ointment or cream. Evidence: 1. Facility did not obtain written authorization for diaper cream ointment for child #2, #3, #5, #6, and #7 2. Five diaper ointments were not in the original container and were not labeled with a child’s name.”