Tri-County Community Action Agency, Inc - Mary Bethune

8VAC20-780-60-A-8

“SYSTEMIC VIOALTION Each center shall maintain and keep at the center a separate record for each child enrolled that contains a written care plan is required 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. Child 2 (4 years old and enrolled for eight months) has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-40-M

“SYSTEMIC VIOALTION The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child 2 (4 years old and enrolled for eight months) has documented allergies.”

8VAC20-780-140-A

“REPEAT VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical examination for Child 4 was obtained two months after first day of attendance (one month late).”

8VAC20-780-130-A

“REPEAT VIOLATION 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 immunization record for Child 3 was obtained one week after the first day of attendance and the immunization record for Child 4 was obtained two months after the first day of attendance.”

8VAC20-780-40-L

“SYSTEMIC VIOALTION The center shall inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Staff were unaware of all Child 2 (4 years old and enrolled for eight months) allergies.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the records of Child 1, Child 2, and Child 5, all who had been enrolled for approximately four months.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff 2 was completed two days after hire.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 3 completed the course approximately two weeks late.”

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. There was no immunization in the record of Child 2, who had been enrolled for approximately four months.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 9:10 a.m. on 12/18/2024, there were 5 children present, and no children were marked present on the attendance record.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The air vent cover, located on the floor close to circle rug, was bent in the middle creating a gap between the floor and vent cover. This gap was big enough for children to get fingers in. The same vent was also rusted, and sharp on the edge creating a cutting hazard.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: 1. Child 4 had a documented first date of attendance as 09/05/2023. The immunization record was obtained 10/02/2023. 2. Child 5 had a documented first date of attendance as 08/22/2023. The immunization record was obtained 10/12/2023.”

8VAC20-780-40-L

“Based on observation, interviews with staff and record review the center failed to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions. Evidence: 1. The record for Child 3 listed ?Dairy? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction. Children were observed having milk and cheese stick for am snack. 2. The record for Child 4 listed ?Lactose Intolerance? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction. Children were observed having milk and cheese stick for am snack. 3. The record for Child 5 listed ?Apple juice, oranges, citrus fruit? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 3 indicated the first date of attendance as 11/21/2022. The immunization in record was dated 1/23/2023.”

8VAC20-780-140-A

“Repeat Violation Based on record review, the center failed to obtain documentation 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: The record for Child 5 contained a documented start date of 09/13/2022. The physical examination in record was dated 10/31/2022.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children were observed eating lunch, lining up and going outside without washing their hands after the meal.”

8VAC20-780-60-A

“Repeat Violation Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the record contained only 1 non-parental contact) 2. The record for Child 5 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were 2 uncovered outlets in the classroom accessible to children. One was next to the teacher’s chair on the ?circle? rug and the other was next to the art easel.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following: documentation of viewing proof of the child’s identity and age. 2. The record for Child 3 did not contain the following: allergies and intolerance to medication or any other substances, and action to take in an emergency situation, and chronic physical problems and pertinent developmental information and any special accommodation needed. 3. The record for Child 4 did not contain the following: documentation of viewing proof of the child’s identity and age. 4. The record for Child 5 did not contain the following: documentation of viewing proof of the child’s identity and age.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure 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. 1. Evidence: The record for Child 4 did not contain a physical examination. The record indicated the child’s first day of attendance was 8/29/2022. 2. The record for Child 5 did not contain a physical examination. The record indicated the child’s first day of attendance was 8/29/2022.”

8VAC20-780-450-A

“Based on observation and discussion with staff, the center failed to ensure during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: There were three children observed laying on their mats during the designated rest period without a bottom cover.”