Walnut Grove Child Care Center #3

8VAC20-780-270-A

“Based on observation, not all of the areas and equipment inside and outside of the center were maintained in a safe and operable condition. Evidence: In the 2/3's classroom, the doors to the under counter cabinet did not close all the way.”

8VAC20-780-160-A

“Repeat Violation - Based on a review of four staff records, not all of the staff had documentation of a negative tuberculosis at the time of employment and prior to coming into contact with children. Evidence: Staff 1, start date 8/28/2023, had documentation of a tb screening dated 8/29/2023.”

8VAC20-780-500-A

“Based on observation, not all staff washed their hands with soap and running water before and after a diaper change. After changing a child's diaper, the staff member did not wash their hands.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Evidence: The diapering surface was not sanitized after the observed diapering.”

8VAC20-780-350-B-4

“Based on observation, the center did not ensure that the required staff to child ratios were followed. Evidence: On 3/1/23 at approximately 9:56am one staff was observed supervising 13 children aged three- to five-years-old. The required ratio was one staff to 10 children for that age group.”

8VAC20-780-160-A

“Based on review of documentation, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #1, with an employment date of 6/6/22, contained documentation of a TB screening dated 6/13/22.”

8VAC20-780-350-C

“Based on observation, interview, and review of documentation, the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group applied to the entire group. Evidence: On 3/1/23 13 children were observed in the ?Twos/Threes? class with two staff. Interview revealed that there are two children in the class who are 17-months-old and 21-months-old. With children 17-months-old and 21-months-old in the class, the required ratio was 1:5.”

8VAC20-780-350-B-4

“Based on observation, the center did not ensure that the required staff to child ratios were followed. Evidence: On 3/1/23 at approximately 9:56am one staff was observed supervising 13 children aged three- to five-years-old. The required ratio was one staff to 10 children for that age group.”

8VAC20-780-160-A

“Based on review of documentation, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #1, with an employment date of 6/6/22, contained documentation of a TB screening dated 6/13/22.”

8VAC20-780-350-C

“Based on observation, interview, and review of documentation, the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group applied to the entire group. Evidence: On 3/1/23 13 children were observed in the ?Twos/Threes? class with two staff. Interview revealed that there are two children in the class who are 17-months-old and 21-months-old. With children 17-months-old and 21-months-old in the class, the required ratio was 1:5.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: The exterior gate for the four- and five-year-old playground did not fully latch and was able to be pushed open without operating the latch.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: The exterior gate for the four- and five-year-old playground did not fully latch and was able to be pushed open without operating the latch.”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required ratio for children 16-months to 24-months-old. Evidence: 1. On 4/14/22 at approximately 2:40pm, one staff was observed in the "Two's/Three's" classroom supervising 15 napping/resting children. The youngest child in attendance was 21-months-old. During the designated rest period with a 21-month-old present, the required staff to child ratio was 1:10. 2. On 4/14/22 at approximately 3:00pm, 2 staff were observed supervising 15 children in the "Two's/Three's" classroom. The youngest child in attendance was 21-months-old and required a ratio of 1:5.”

8VAC20-770-60-B

“Based on review of two staff records, the center did not obtain a sworn statement from an employee prior to employment. Evidence: The sworn statement on record for Staff A, with a recorded start date of 3/5/21 and orientation date of 3/4/21, was dated 3/17/21.”

8VAC20-780-80-A

“Based on observation, record review, and interview, the center did not maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. On 4/14/22 at approximately 2:45pm there were 15 children observed in the Two's/Three's classroom. The attendance contained documentation of 16 children present. Interview revealed that one child had left at approximately 12:18pm.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the ratio of 1:4 (staff:children) for children birth up to 16 months was maintained at all times. Evidence: At approximately 2:35pm on 4/14/22 five children were observed with one staff in the Infant room. The youngest child in attendance was seven-months-old.”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required ratio for children 16-months to 24-months-old. Evidence: 1. On 4/14/22 at approximately 2:40pm, one staff was observed in the "Two's/Three's" classroom supervising 15 napping/resting children. The youngest child in attendance was 21-months-old. During the designated rest period with a 21-month-old present, the required staff to child ratio was 1:10. 2. On 4/14/22 at approximately 3:00pm, 2 staff were observed supervising 15 children in the "Two's/Three's" classroom. The youngest child in attendance was 21-months-old and required a ratio of 1:5.”

8VAC20-770-60-B

“Based on review of two staff records, the center did not obtain a sworn statement from an employee prior to employment. Evidence: The sworn statement on record for Staff A, with a recorded start date of 3/5/21 and orientation date of 3/4/21, was dated 3/17/21.”

8VAC20-780-80-A

“Based on observation, record review, and interview, the center did not maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. On 4/14/22 at approximately 2:45pm there were 15 children observed in the Two's/Three's classroom. The attendance contained documentation of 16 children present. Interview revealed that one child had left at approximately 12:18pm.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the ratio of 1:4 (staff:children) for children birth up to 16 months was maintained at all times. Evidence: At approximately 2:35pm on 4/14/22 five children were observed with one staff in the Infant room. The youngest child in attendance was seven-months-old.”

8VAC20-780-560-P

“Based on interview and review of documentation, a staff member served a child with diagnosed food allergies a food that contained ingredients identified in the written allergy care plan as allergies for the child. Evidence: At approximately 3:00pm on 2/14/22 Child A was served a "Nutri-Grain- like" bar by Staff #1 during the class party that contained wheat, soy, and milk ingredients. The allergy care plan for Child A contains documentation of diagnosed allergies to wheat, eggs, peanut, dairy, and soy.”

8VAC20-780-340-A

“Based on interview and documentation review, a staff member did not ensure the care and protection of a child they were supervising. Evidence: At approximately 3:00pm on 2/14/22, during afternoon snack/class Valentine's day party, Child A was served a "Nutri-Grain- like" bar by Staff #1. The allergy care plan on record at the center for Child A contains documentation of food allergies to wheat, eggs, peanut, dairy, and soy. Approximately 45 minutes later Child A developed a rash and threw up. Staff #1 called the director who followed Child A's allergy care plan and administered epinephrine and called 911. Child A was transported by ambulance with their parent to the hospital.”

22VAC40-185-510-N

“Based on review of medication and medication authorization, the center did not ensure that medications are picked up within 14 days of authorization expiring, or that the parent renews the authorization. Evidence: A medication was observed on site during the inspection with authorization that expired on 9/2/21.”

22VAC40-185-510-N

“Based on review of medication and medication authorization, the center did not ensure that medications are picked up within 14 days of authorization expiring, or that the parent renews the authorization. Evidence: A medication was observed on site during the inspection with authorization that expired on 9/2/21.”