Twila Childcare Center

8VAC20-780-520-C

“If diaper ointment or cream is used, it shall be inaccessible to children. In a classroom, diaper ointment was stored in a drawer that was accessible to children.”

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 were no physical examinations in the record of Child #1 and Child #2, both of whom had been enrolled for two months.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff 1 was observed supervising five children (youngest child 12 months) during nap time.”

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

“Program leaders shall have within six months before being promoted or one month after being promoted a minimum of 24 hours of training related to the care of children. Staff #1, employed for seven weeks, had documentation of only 17 of the 24 hours of required training.”

8VAC20-780-340-D

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications was alone with a group of preschool children during morning activities.”

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. The record for Staff #1, employed for more than seven weeks, did not contain documentation that orientation was completed. The staff member was working alone with children.”

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

“Program leaders shall have within six months before being promoted or one month after being promoted a minimum of 24 hours of training related to the care of children. Staff #1, employed for seven weeks, had documentation of only 17 of the 24 hours of required training.”

8VAC20-780-340-D

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications was alone with a group of preschool children during morning activities.”

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. The record for Staff #1, employed for more than seven weeks, did not contain documentation that orientation was completed. The staff member was working alone with children.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for child #1, child #2, child #3, child #4 and child #5 was missing the required information.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all the required information. The records for staff #1 and staff #2 did not contain all the required information.”

8VAC20-780-90-A

“There shall be a written agreement between the parent and the center in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. The records for child #2 and child #3 did not include a signed emergency medical authorization.”

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. Staff #2, who had been employed for 7 weeks, did not have documentation of orientation training. Staff #2 was alone with children.”

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 and staff #2 were each supervising group of children alone prior to nap time. The records for staff #1 and staff #2 did not contain the required documentation to demonstrate program leader qualifications.”

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 record for child #3, who had been enrolled for 6 weeks..”

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. Child #3, who began attending 6 weeks ago, did not have documentation of an immunization record on file.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection two children, ages six and seven year's old were unsupervised, when staff #1 left the classroom.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. In the infant room, staff # 2 changed a child’s diaper and did not wash the child's hands with soap and water.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, who had been employed for seven weeks, did not have documentation that a central registry search had been requested. Staff #2 was working alone with children.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #2, who is currently working, does not have a sworn statement in the record.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #4 was not signed.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB results for staff #2 was dated five months prior to the date of employment.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The ceiling vent cover in classroom #2 was not secure. The screw was pulling out and the corner of the vent cover was pulling away from the ceiling. The rain gutter on the playground was broken and had jagged edges.”