Westgate Child Center

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #2, who has been employed for more than three weeks and was working with children at the time of the inspection.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. One child's food container was not dated.”

8VAC20-780-70

“Staff records shall contain documentation that staff possess the education or certification required by the job position. The record for Staff #4 (employed for six years and four months) did not contain documentation of the education required by the job position.”

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 record for Child #4 is missing the following required components: documentation of viewing proof of the child's identity and age.”

8VAC20-780-90-A

“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 records for Child #4 and Child #5, is missing the following required components: 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 or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for over one month, did not have documentation of a sex offender check from one state. Board Officer #1, elected for over five months, did not have documentation of requesting a central registry check from one state.”

8VAC20-780-60-A-8

“REPEAT VIOLATION 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 #7 has a documented food allergy noted on their physical examination form by a physician, however, there is no written care plan to include the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-270-A

“Areas inside of the center were not maintained in a safe condition. Plastic bags were kept in the sunshine classroom bathroom in a blue caddy accessible to children posing a suffocation hazard. Plastic bags were kept in the rainbow classroom in a drawer next to the sink accessible to children posing a suffocation hazard.”

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff members and is considered part of the staff member's record. Staff #1, who has been actively working at the center for the past 5 years, did not have documentation of orientation training.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #1 was overdue by 15 days.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside were not maintained in a clean, safe and operable condition. Evidence: There were several areas of peeling paint on the blue wall across from the entrance door and between the four classroom windows.”

8VAC20-780-245-A

“Based on record review and interview, the center failed to ensure that each staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1.Staff #2 completed 10 hours of training between 8/2022 and 8/2023. Staff #2 employment date is 8/18/2021. 2.Staff #3 completed 13 hours of training between 8/2022 and 8/2023. Staff #3 employment date is 8/1986.”

8VAC20-780-70

“Based on record review, the center did not obtain all the required information for 5 of 5 staff records. Evidence: 1. Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 are missing the name, address, and telephone number of a person to be notified in an emergency. 2. There was no documentation of orientation for Staff #4.”

22.1-289.035-B-4

“Based on record review and staff interview, 1 of 5 staff files indicated that the center failed to obtain an out-of-state child abuse and neglect search request by the end of the 30th day of employment. Evidence: There was no documentation of an out-of-state central registry check for Staff #3 hired on 04/19/2023.”

8VAC20-780-330-E

“Based on observation, the sandbox was not covered when not in use. Evidence: 1. The playground's sandbox was not covered. 2. The playground's sandbox was not in use when the Inspector inspected the playground. 3. The director confirmed that the sandbox needs a cover.”

8VAC20-780-510-L

“Based on observation and interview, the facility did not ensure that all medication was kept in a locked place, using a safe locking method that prevents access by children. Evidence: 1. In the Lightning classroom, a red medication bag that stored an epi-pen and other medication for Child #1 was hanging on a hook in the classroom. 2. The red medication bag was not kept in a locked place, using a safe locking method that prevents access by children.”

8VAC20-780-60-A-8

“REPEAT VIOLATION Based on record review and interview, the center did not obtain a written care plan 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. Evidence: The center did not obtain a written care plan for Child #1 with a diagnosed food allergy, that included 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.”

8VAC20-780-550-E

“Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There was no documentation of a shelter-in-place being practiced in 2022.”

8VAC20-780-550-D

“Based on record review and interview, evacuation drills were not practiced monthly. Evidence: There was no documentation of a December 2022 evacuation drill being practiced.”

8VAC20-780-240-B

“Based on record review and interview, one of five staff records did not have an orientation completed within 7 days of the date of assuming job responsibilities. Evidence: Staff #1 (DOH 11/2/2022) record did not have documentation of receiving an orientation of their current job responsibilities.”

8VAC20-780-510-E

“Based on record review and interview, one of six long-term prescription medications did not have written authorization signed by the physician. Evidence: 1. Child #5's long-term medication authorization form was not signed by a physician. 2. The written authorization was dated 4/14/2023 to 4/14/2024.”

8VAC20-780-40-K

“Based on record review and interview, the center did not develop written procedures for the prevention of abusive head trauma. Evidence: There was no documentation of a written policy and procedure for the prevention of abusive head trauma.”

8VAC20-780-60-A

“Based on record review and interview, one of six children's records was not updated at least annually. Evidence: 1. Child #2's record did not have an annual update confirming the child's information in the child's record was up-to-date. 2. Start date for child #2 is 8/25/2020.”

8VAC20-780-60-A-8

“Based on record review and interview, the center did not obtain a written care plan 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. Evidence: There was no documentation of a written care plan for child #1 and child #6, who both have a diagnosed food allergy.”

8VAC20-780-350-F

“Based on record review and interview, the center did not develop a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff or a team of staff members. Evidence: There was no documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff.”

8VAC20-780-40-J

“Based on record review and inteview, the injury prevention procedures were not updated at least annually. Evidence: The injury prevention procedures were last updated on 11/28/2012.”

8VAC20-780-410-2

“Based on staff interviews and observation, the center failed to ensure that children were not placed in a small confined space or any space where the child could not freely exit. Evidence: 1. Staff #4 reported that they saw Staff #1 cornering the child against the bathroom wall and shelf where the child could not exit. 2. Multiple staff reported and confirmed the location where the incident took place and where Child #1 and Staff #1 were standing in the bathroom, which was between the wall and shelf on September 2, 2022. 3. Staff #1 stated that Child #1 was standing next to the shelf during the incident.”

8VAC20-780-40-E

“Based on staff interviews and a review of the center’s written policies, it was determined the center failed to comply with its own policies and procedures as it relates to behavior guidance. Evidence: 1. On September 2, 2022, Staff #4 reported that they saw Staff #1 cornering Child #1 against a bathroom wall and shelf in their classroom bathroom. Staff #1 used one hand to hold the child’s arm and the other hand was ?smacking? the child’s lips. Staff #1 stated that they "touched" child # 1's mouth approximately two times and held the child’s arm to prevent the child from spitting and hitting them. 2. Staff #1 failed to adhere to the center’s written policy for child discipline, which states: "If a child’s behavior is inappropriate, causing harm to others or him/herself, or destructive to property, staff may intervene by: acknowledging the child’s emotions; evaluating the reason for the behavior; discussing the situation with the child; if the child cannot find an appropriate solution, suggest alternatives; redirecting the behavior, and providing logical consequences to the action." 3. Staff #1 failed to adhere to the center’s Philosophy, which states: At Westgate, we use positive discipline?telling children what they can do (rather than what they cannot), validating their emotions while re-directing their behavior to more acceptable means of expression. 4. Staff #1's method of behavior guidance with child #1 does not align with the center’s philosophy and written policy for child discipline.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. 1. In the Rainbow classroom, a bleach spray bottle and a container of Lysol were located in a cabinet that was not locked. 2. In the Little Leaguers classroom, a bleach spray bottle was located on a counter next to a sink.”

8VAC20-780-400-B

“Based on staff interviews, the center did not ensure that behavioral guidance was constructive in nature, age, and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Multiple staff reported that while cleaning up after lunch on September 2, 2022, they saw Staff #1 enter the classroom bathroom with Child #1 and shortly heard the child screaming and crying in the bathroom. 2. Staff #4 reported that they went into the bathroom and saw Staff #1 cornering the child against the bathroom wall and shelf. Staff #1 used one hand to hold the child’s arm and the other hand was smacking the child’s lips. 3. Staff #1 stated they took Child #1 to the bathroom to talk about listening in the classroom. Staff #1 said the child started to throw a tantrum and that’s why they held the child’s arm and touched the child’s lips approximately twice while trying to teach the child that spitting and hitting were inappropriate. 4. Multiple staff stated that Staff #1 regularly took children to the classroom bathroom to speak to them about their behavior. Staff #1 confirmed and stated, "If the kids were misbehaving, I would take them to the bathroom to talk about their behavior and the door always remained opened."”