Westhampton Day School - Willow Lawn

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 #1, employed for over 1 month, did not have their central registry check requested. Staff #5 central registry check was requested 3 days after their first day of employment.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4's updated screening was due 1 month ago and has not yet been completed.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4's updated screening was due 1 month ago and has not yet been completed.”

8VAC20-780-240-B

“Based of review of staff records, the center did not ensure staff completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #1 (DOH:5/6/2024) contained documentation of orientation completed on 5/30/2024.”

8VAC20-780-60-A-8

“8VAC20-780-60-A-8 **REPEAT** Based on review of children's records and documentation, 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: 1. Child #1 was listed on the allergy sheet as having a food allergy. The record for child #1 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. The record contained an allergy care plan signed by the child’s parents on 6/4/2024. 2. The Director confirmed the allergy care plan was signed by the parent and not yet signed by a physician.”

8VAC20-780-340-D

“Based on observation and interviews, the center did not ensure 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. Evidence: 1. During the inspection, staff #5 was not regularly present in the classroom with staff #4. Staff #4 does not meet the qualifications of program leader. Staff #5 reported they are present in the classroom from 7am-12pm each day and onsite for the remainder of the day. The center operates from 7:00 a.m. to 5:30 p.m. 2. Center administration confirmed staff #5 was not regularly present in the classroom throughout the day and they were unaware of that a program leader needed to be regularly present.”

8VAC20-780-270-A

“Based on observations, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. During the inspection, the play space in Room 130 (Class D) contained a rug in which a corner was curled upward causing a tripping hazard for children. 2. Staff acknowledged the rug posed a tripping hazard and stated they have had to secure the rug with tape in the past due to the same issue.”

8VAC20-780-240-B

“Based of review of staff records, the center did not ensure staff completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #1 (DOH:5/6/2024) contained documentation of orientation completed on 5/30/2024.”

8VAC20-780-60-A-8

“8VAC20-780-60-A-8 **REPEAT** Based on review of children's records and documentation, 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: 1. Child #1 was listed on the allergy sheet as having a food allergy. The record for child #1 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. The record contained an allergy care plan signed by the child’s parents on 6/4/2024. 2. The Director confirmed the allergy care plan was signed by the parent and not yet signed by a physician.”

8VAC20-780-340-D

“Based on observation and interviews, the center did not ensure 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. Evidence: 1. During the inspection, staff #5 was not regularly present in the classroom with staff #4. Staff #4 does not meet the qualifications of program leader. Staff #5 reported they are present in the classroom from 7am-12pm each day and onsite for the remainder of the day. The center operates from 7:00 a.m. to 5:30 p.m. 2. Center administration confirmed staff #5 was not regularly present in the classroom throughout the day and they were unaware of that a program leader needed to be regularly present.”

8VAC20-780-270-A

“Based on observations, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. During the inspection, the play space in Room 130 (Class D) contained a rug in which a corner was curled upward causing a tripping hazard for children. 2. Staff acknowledged the rug posed a tripping hazard and stated they have had to secure the rug with tape in the past due to the same issue.”

8VAC20-780-60-A-8

“Based on review of children's records and documentation, 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: 1. Child #2 was listed on the allergy sheet as having a food allergy. The record for child #2 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. 2. The Director confirmed there was no allergy care plan for child #2 .”

8VAC20-780-510-P

“Based on review of medications on site, the center did note ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Any medications not picked up by the parent within 14 days will be disposed of by the center. Evidence: 1. Medication was on site for child #6. The authorization form was discontinued by the parent on 1/4/24. 2. The Director acknowledged the medication had not been returned to the parent exceeding 14 days from the day the authorization expired.”

8VAC20-780-60-A-8

“Based on review of children's records and documentation, 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: 1. Child #2 was listed on the allergy sheet as having a food allergy. The record for child #2 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. 2. The Director confirmed there was no allergy care plan for child #2 .”

8VAC20-780-510-P

“Based on review of medications on site, the center did note ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Any medications not picked up by the parent within 14 days will be disposed of by the center. Evidence: 1. Medication was on site for child #6. The authorization form was discontinued by the parent on 1/4/24. 2. The Director acknowledged the medication had not been returned to the parent exceeding 14 days from the day the authorization expired.”