Tidewater Community College Child Development Center- Norfolk

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent. The medication authorization form for child 1's prescription medication was not signed by the parent of child 1. The medication was administered to child 1 by staff 1.”

8VAC20-780-245-J-1

“To safely perform medication administration practices listed in 8VAC20-780-510, whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program for this purpose approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, nurse practitioner, physician assistant, doctor of medicine or osteopathic medicine, or pharmacist pursuant to ? 54.1-3408 of the Code of Virginia; or administration shall be performed by a staff member or independent contractor who is licensed by the Commonwealth of Virginia to administer medications. A prescription medication was administered to child 2 by a staff member ( staff 1) with expired MAT certification.”

8VAC20-780-60-A

“Children's records shall contain all required elements. The enrollment record for child 2, child 3 and child 4 lacked documentation of the home address and home phone number of one parent. The enrollment record for child 2 and child 3 lacked complete documentation of address and phone number for the two designated emergency contacts.”

8VAC20-780-140-A

“Each child shall have 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. Child 1, who has been in care for more than 9 months, lacks documentation of a physical exam.”

8VAC20-780-550-C

“Repeat Violation Shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Shelter-in-place procedures were not indicated on the posted evacuation map.”

8VAC20-780-40-M

“Repeat Violation The center shall 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. This list shall be kept confidential in each room or area where children are present. The allergy list in two classrooms was posted on the cabinet and was visible to anyone entering these areas.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. The screening for tuberculosis for staff 1 has not been updated every two years as required. The TB screening on file was completed 26 months ago.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR and first aid. Staff 2, who was alone with a group of children, lacks CPR and first aid certification.”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Staff 1, observed alone with a group of children, lacks written documentation to demonstrate that she meets program leader qualifications.”

8VAC20-780-60-A

“Children's records shall contain all required elements. The enrollment record for child 1 lacked documentation of a second emergency contact that is not a parent.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated. The allergy list was not dated and did not contain current information regarding children's allergies, sensitivities and dietary restrictions.”

22.1-289.035-B-4

“Repeat Violation The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff 1, who has been employed for more than 9 months, lacks the results of an out-of-state criminal history check, sex offender registry check and search of the child abuse and neglect registry for a state of residence, outside of Virginia, within the past five years.”

22.1-289.035-B-2

“Providers must obtain the results of out-of-state background checks before an employee is left alone with children. Staff 1, who has been employed for more than 9 months, and was working alone with children, did not have completed out-of-state background checks.”

8VAC20-780-550-C

“Shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Shelter-in-place procedures were not indicated on the posted evacuation map.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR and first aid. Staff 2, who was alone with a group of children, lacks CPR and first aid certification.”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Staff 1, observed alone with a group of children, lacks written documentation to demonstrate that she meets program leader qualifications.”

8VAC20-780-60-A

“Children's records shall contain all required elements. The enrollment record for child 1 lacked documentation of a second emergency contact that is not a parent.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated. The allergy list was not dated and did not contain current information regarding children's allergies, sensitivities and dietary restrictions.”

22.1-289.035-B-4

“Repeat Violation The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff 1, who has been employed for more than 9 months, lacks the results of an out-of-state criminal history check, sex offender registry check and search of the child abuse and neglect registry for a state of residence, outside of Virginia, within the past five years.”

22.1-289.035-B-2

“Providers must obtain the results of out-of-state background checks before an employee is left alone with children. Staff 1, who has been employed for more than 9 months, and was working alone with children, did not have completed out-of-state background checks.”

8VAC20-780-550-C

“Shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Shelter-in-place procedures were not indicated on the posted evacuation map.”

8VAC20-780-150-A

“The current form required by the Virginia Department of Health or a physician's form shall be used to report the results of the required physical examination. The physical form on file for child 1 is incomplete as page 1 of the physical exam was not in the child's file.”

22.1-289.035-B-4

“The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff 1and staff 2 lack an out-of-state criminal history check, sex offender registry check and search of the child abuse and neglect registry for a state of residence, outside of Virginia, within the past 5 years.”

8VAC20-780-70

“Staff records did not contain all of the required elements. The employment file for staff 1, 2, 3 and 4 lacked documentation of two written references.”

8VAC20-780-160-A

“Documentation of the required tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. The tuberculosis screening for staff 4 was obtained 90 days after employment.”

8VAC20-780-150-A

“The current form required by the Virginia Department of Health or a physician's form shall be used to report the results of the required physical examination. The physical form on file for child 1 is incomplete as page 1 of the physical exam was not in the child's file.”

22.1-289.035-B-4

“The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff 1and staff 2 lack an out-of-state criminal history check, sex offender registry check and search of the child abuse and neglect registry for a state of residence, outside of Virginia, within the past 5 years.”

8VAC20-780-70

“Staff records did not contain all of the required elements. The employment file for staff 1, 2, 3 and 4 lacked documentation of two written references.”

8VAC20-780-160-A

“Documentation of the required tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. The tuberculosis screening for staff 4 was obtained 90 days after employment.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have 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. Evidence: 1. There was no documentation of a physical exam on file for child 2 who was in care during the inspection. Child 2 has an enrollment date of 05/28/2024. 2. Administrative staff confirmed that a physical exam was not on file for child 2.”

8VAC20-780-60-A

“Based on record review and staff interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked the following required information: a. The home address for one parent; b. The work phone number and place of employment of each parent who has custody. 2. The enrollment record for child 3 lacked the following required information: a. The work phone number and place of employment of each parent who has custody. b. Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; c. Previous child day care and schools attended by the child. 3. The enrollment record for child 4 lacked the following required information: a. Phone number for the second emergency contact.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure there was a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. Evidence: 1. There was no written parent agreement on file for child 3 who was in care during the inspection. 2. Administrative staff confirmed that a parent agreement was not on file for child 3.”

8VAC20-780-40-M

“Based on observation and interview, the center failed 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. The facility did not have a list of all children's allergies, sensitivities, and dietary restrictions in each room where children are present. a. Staff 1 and administrative staff stated there were children present with dietary restrictions. 2. Classroom and administrative staff conformed that no allergy list was maintained in the classroom where children were present during the inspection.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have 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. Evidence: 1. There was no documentation of a physical exam on file for child 2 who was in care during the inspection. Child 2 has an enrollment date of 05/28/2024. 2. Administrative staff confirmed that a physical exam was not on file for child 2.”

8VAC20-780-60-A

“Based on record review and staff interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacked the following required information: a. The home address for one parent; b. The work phone number and place of employment of each parent who has custody. 2. The enrollment record for child 3 lacked the following required information: a. The work phone number and place of employment of each parent who has custody. b. Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; c. Previous child day care and schools attended by the child. 3. The enrollment record for child 4 lacked the following required information: a. Phone number for the second emergency contact.”

8VAC20-780-90-A

“Based on record review and interview, the center failed to ensure there was a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent. Evidence: 1. There was no written parent agreement on file for child 3 who was in care during the inspection. 2. Administrative staff confirmed that a parent agreement was not on file for child 3.”

8VAC20-780-40-M

“Based on observation and interview, the center failed 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. The facility did not have a list of all children's allergies, sensitivities, and dietary restrictions in each room where children are present. a. Staff 1 and administrative staff stated there were children present with dietary restrictions. 2. Classroom and administrative staff conformed that no allergy list was maintained in the classroom where children were present during the inspection.”

8VAC20-780-280-B

“Based on observation and interview it was determined the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.In the Shining Stars classroom there was an unlocked container of sanitizing wipes on the countertop. The manufacturer label indicated multiple warnings that the contents were hazardous if ingested. a.These sanitizing wipes were placed on a countertop that was within reach of the children in care. 2.The program director acknowledged that the sanitizing wipes should not have been left on the countertop.”

8VAC20-780-90-A

“Based on record review and interview it was determined the center did not ensure the required written agreement between the parent and the center be in each child's record by the first day of the child's attendance. Evidence: 1.Child #2 (date of enrollment 1/8/24) did not have an authorization for emergency medical care, a statement that the center will notify the parent when the child becomes ill and a statement that the parent will inform the center within 24 hours of communicable disease. 2.The program director confirmed that the listed parent agreements were absent from child #2?s record.”

8VAC20-780-60-A

“Based on record review and interview the center failed to ensure that children’s records contain all of the required elements. Evidence: 1.Child #2?s record did not have a name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached or names of persons authorized to pick up the child. a.Child #2 was in care at the time of the inspection. 2.The program director confirmed that the names of emergency contacts and persons authorized to pick up child were absent from the record.”

8VAC20-780-140-A

“Based on record review and interview it was determined the center did not ensure to have 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. Evidence: 1.Child #1 (date of enrollment 1/8/24) did not have a physical examination in their record. a.Child #1 was present during the inspection. 2.The program director confirmed that the physical examination for child #1 was not in the record.”

8VAC20-780-130-A

“Based on record review and interview it was determined the center did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1.Child #1 (date of enrollment 1/8/24) and child #2 (date of enrollment 1/8/24) did not have documentation of immunizations in their records. a.Child #1 and child #2 were present during the inspection 2.The program director confirmed that there were no immunizations in the two children’s records.”

8VAC20-770-60-B

“Based on record review and interview the center failed to ensure that staff are not employed until a completed sworn statement or affirmation is obtained. Evidence: 1. The sworn statement or affirmation was completed on 1/23/24, which is after their hire date of 1/22/24. 2. The program director confirmed that staff #1 began employment before a sworn statement of affirmation.”

22.1-289.035-B-2

“Based on record review and interview the center failed to obtain the results of a fingerprint background check for all staff prior to the first day of employment. Evidence: 1. The results of the criminal record check for staff 1 (hire date 1/22/24) were obtained on 1/31/24. 2. The results of the criminal record check for staff 2 (hire date 8/22/23) were obtained on 8/29/23. 3. The program director confirmed that the results of the fingerprint background check was obtained after employment for staff 1 and staff 2.”