Williamsburg-James City County Community Action Agency, Inc-Jame

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed that serves preschool-age children shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector in the building.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in the room 2 did not include the physician’s documented allergy for child #4.”

8VAC20-780-40-J

“The center is required to updated at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. There was not an updated injury plan.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: Staff #4 began working on 8-16-2023 and TB screening was dated 9-2-2023. Staff #4 did not have a negative TB screening prior to employment.”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records did not include physicals 1.Child #2, first date of attendance 9-5-2023 2.Child #3 first at of attendance 9-20-2023 3.Child #4 first date of attendance 9-20-2023”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: The record for Staff #1 did not include updated TB screening as the most recent screening was dated 12-3-2021.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: Staff #4 began working on 8-16-2023 and TB screening was dated 9-2-2023. Staff #4 did not have a negative TB screening prior to employment.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child #2, (first date of attendance 9-20-2023) did not include documentation of required immunization.”

8VAC20-780-60-A

“Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The records for Child #2 and Child #5 did not include the required 2nd emergency contact name, phone number and address.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In room #1, 13 children were observed eating breakfast and immediately after eating breakfast children went to a reading station to pick out a book to look through. Staff #3 confirmed the children did not wash their hands after eating.”

8VAC20-780-40-J

“Based on review of center documentation and staff interviews, the licensee did not ensure injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Program Director confirmed there was not an annually updated injury prevention plan.”

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection results dated January 18, 2022 were not posted in a conspicuous place.”