Tuckaway Child Development Center - West

8VAC20-780-550-E

“Based on review of documentation, the center did not ensure that shelter in place procedures shall be practiced a minimum of twice per year. Evidence: 1. There was no documentation of a shelter in place drill practiced a minimum of twice per year for January 2023- December 2023. The last shelter-in-place drill was documented on 10/30/2022.”

8VAC20-780-550-F

“Based on the record review, the center failed to ensure that lockdown procedures shall be practiced at least annually. Evidence: 1. There was no documentation that a lockdown drill was practiced at least annually between January 2023- December 2023. The last lockdown drill was documented 7/20/2022. 2. The director stated that drills were conducted but were not documented.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that three (3) contained the required information. Evidence: The record for #2 (enrollment date 8/23/2022), and child #4 (enrollment date, 12/15/2020), did not contain documentation of child updates and confirmation of up-to-date information in the child’s required.”

8VAC20-780-160-C

“Based on a review of five staff records and interview, the center did not ensure one staff submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The most recent TB screening in the record of Staff #4, was dated on 3/4/2022. 2. During the interview, management confirmed Staff #4 does not have an updated TB screening on file.”

8VAC20-780-160-A

“Based on a review of five staff records, the center did not ensure one staff member had a completed tuberculosis (TB) test within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The record of Staff #5 (employment date1/3/2024), contained a tuberculosis (TB) document that was not signed by a physician, physician designee, or an official of the local health department.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance. Evidence: The record for Child #3 (date of enrollment is 09/05/2023) did not have a physical examination.”

8VAC20-780-550-D

“Based on interview and review of documentation, the center did not ensure that monthly evacuation drills were practiced as required. Evidence: 1. The last evacuation drill was documented on 05/09/2023.There were no evacuation drills documented for June 2023 ? February 2024. 2. An administrator stated that drills were conducted but the drills had not documented.”

22.1-289.035-B-4

“Based on a review of records and interview, the center did not ensure that 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 are obtained from any state in which the individual staff has resided in the preceding five years. Evidence: 1. The record for staff #3 (hire date 9/11/2023), contained a sworn disclosure that indicated that staff #3 has lived outside of Virginia within the last 5 years. Staff #3?s record did not have documentation of an out of state sex offender registry check, and an out of state search of the child abuse and neglect registry. 2. An administrator stated that the state does not provide background checks.”

8VAC20-780-500-A Complaint related: No

“Based on observation, the center did not ensure children’s hands are washed after diapering and toileting. Evidence: Staff #1 was observed completing two diaper changes in the Twos and Threes classroom. Staff #1 placed the children on the floor without washing their hands.”

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. Staff #2's CPR certification expired on 3/12/2023. 2. Administration verified that the CPR certification was expired.”

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid. Evidence: 1. Staff #2's first aid certification expired on 3/12/2023. 2. Administration verified that the first aid certification had expired.”

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The staff record for Staff #3 contained a national criminal background check dated 5/17/2018. Staff #2 should have undergone a criminal background check on or before 5/17/2023. 2. The director verified that a criminal background check had not been completed for staff #2.”

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. Staff #2's CPR certification expired on 3/12/2023. 2. Administration verified that the CPR certification was expired.”

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid. Evidence: 1. Staff #2's first aid certification expired on 3/12/2023. 2. Administration verified that the first aid certification had expired.”

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The staff record for Staff #3 contained a national criminal background check dated 5/17/2018. Staff #2 should have undergone a criminal background check on or before 5/17/2023. 2. The director verified that a criminal background check had not been completed for staff #2.”

8VAC20-770-60-B

“Based on a review of eight staff records, the center did not ensure that two staff had a completed sworn statement or affirmation prior to employment. Evidence: 1. Staff #2, employed on 1/3/2023, completed a sworn statement 1/18/2023. 2. Staff #4, employed 9/15/2022, completed a sworn statement 9/20/2022.”

8VAC20-770-60-C-2

“Based on a review eight staff records, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for Staff #4, hired on 9/15/2022, did not contain the results of a search of the central registry. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff has been continuously employed.”

8VAC20-780-160-A

“Based on the file review for staff, the center did not obtain documentation of having received a negative tuberculosis (TB) screening or test within the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff Member #4 contained documentation of a TB screening/test dated 9/18/2022. Date of hire for Staff Member #4 was 9/15/2022.”

8VAC20-780-60-A

“Based on review of five children's records, the center failed to ensure that all records were complete. Evidence: 1. Child #1 and child #4?s file was missing the doctor's phone number.”

8VAC20-770-60-B

“Based on a review of eight staff records, the center did not ensure that two staff had a completed sworn statement or affirmation prior to employment. Evidence: 1. Staff #2, employed on 1/3/2023, completed a sworn statement 1/18/2023. 2. Staff #4, employed 9/15/2022, completed a sworn statement 9/20/2022.”

8VAC20-770-60-C-2

“Based on a review eight staff records, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for Staff #4, hired on 9/15/2022, did not contain the results of a search of the central registry. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff has been continuously employed.”

8VAC20-780-160-A

“Based on the file review for staff, the center did not obtain documentation of having received a negative tuberculosis (TB) screening or test within the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff Member #4 contained documentation of a TB screening/test dated 9/18/2022. Date of hire for Staff Member #4 was 9/15/2022.”

8VAC20-780-60-A

“Based on review of five children's records, the center failed to ensure that all records were complete. Evidence: 1. Child #1 and child #4?s file was missing the doctor's phone number.”

8VAC20-780-245-J-3

“Based on review of records and interview, the center did not ensure that any child with prescribed emergency medications (such as but not limited to albuterol, glucagon, and epinephrine auto injector) were always in the care of a staff member or independent contractor who met the requirements for medication administration. (MAT) Evidence: 1. Administration stated that no staff had current MAT training. They acknowledged that there was a child with an as needed inhaler who was regularly in the care of teacher #2. Teacher #2's medication administration certification expired on 3/14/2022.”

8VAC20-770-60-C-2

“Based on review of five records and interview, one staff did not have the results of a central registry background check within 30 days of employment as required. Evidence: 1. The record of staff 5 (DOH: 11/10/2021) contained the results of a central registry dated 1/21/2022. 2. Administration acknowledged that it was not received during the required time frame.”

8VAC20-770-60-B

“Based on review of five staff records and interview, one staff did not have a completed sworn statement prior to the first date of employment as required. Evidence: 1. The record of staff #5 (DOH:11/10/2021) contained a sworn statement dated 11/11/2021. 2. Administration acknowledged that the sworn statement was not received within the required time frame.”

8VAC20-780-245-J-3

“Based on review of records and interview, the center did not ensure that any child with prescribed emergency medications (such as but not limited to albuterol, glucagon, and epinephrine auto injector) were always in the care of a staff member or independent contractor who met the requirements for medication administration. (MAT) Evidence: 1. Administration stated that no staff had current MAT training. They acknowledged that there was a child with an as needed inhaler who was regularly in the care of teacher #2. Teacher #2's medication administration certification expired on 3/14/2022.”

8VAC20-770-60-C-2

“Based on review of five records and interview, one staff did not have the results of a central registry background check within 30 days of employment as required. Evidence: 1. The record of staff 5 (DOH: 11/10/2021) contained the results of a central registry dated 1/21/2022. 2. Administration acknowledged that it was not received during the required time frame.”

8VAC20-770-60-B

“Based on review of five staff records and interview, one staff did not have a completed sworn statement prior to the first date of employment as required. Evidence: 1. The record of staff #5 (DOH:11/10/2021) contained a sworn statement dated 11/11/2021. 2. Administration acknowledged that the sworn statement was not received within the required time frame.”