Winwood Children's Center

8VAC20-780-440-I

“Based on observation of the infant room it was determined that cribs were not placed where they were are out of reach of outside objects such as curtains. Evidence: There were three cribs placed in front of a large window in the infant room which were within reach of curtains.”

8VAC20-780-440-I

“Based on observation of the infant room it was determined that cribs were not placed where they were are out of reach of outside objects such as curtains. Evidence: There were three cribs placed in front of a large window in the infant room which were within reach of curtains.”

8VAC20-780-440-I

“Based on observation of the infant room it was determined that cribs were not placed where they were are out of reach of outside objects such as curtains. Evidence: There were three cribs placed in front of a large window in the infant room which were within reach of curtains.”

8VAC20-780-340-A Complaint related: Yes

“Based on review of documentation it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Based on injury reports and incident reports for the Pre-K classroom it was determined that child A (Age 5 years) injured children and staff eight times between the dates of 02/23/24 - 03/06/2024. The behaviors that occurred in these reports include hitting, kicking, punching, and hitting with large blocks and puzzles in the classroom.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was returned to the parent or discarded after 14 days when the authorization for medication expires. Evidence: The medication authorization form for over the counter medication on site for child A expired 02/01/24. The medication authorization form for prescription medication on site for child B expired 12/10/23. The medication authorization form for prescription medication on site for child C expired 10/12/23. The medication authorization form for over the counter medication on site for child D expired 11/20/23.”

8VAC20-780-245-J-2

“Based on interviews and review of medication it was determined that when the center has agreed to administer medication there was not always staff on site who were trained to administer this specific medication. Evidence: There as an authorization form on file to administer rectal medication for child D. Based on interviews there were no staff on site who were trained to administer this specific medication.”

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews and review of documentation it was determined that staff did not always ensure the care protection and guidance of children under their supervision. Evidence: Based on staff interviews it was determined that administration did not provide support to staff in need of assistance in classrooms who have children enrolled with challenging behaviors. Staff report that there are two children enrolled in the Pre-K classroom with challenging behavior. It is reported that staff are unable to manage and supervise the entire classroom while alone due to focusing their attention on the children with challenging behaviors. Staff are reported to be alone during rest time and in the afternoons around 4:00 pm - 6:30 pm. Staff have reported these concerns to administration however, they are still caring for children alone once the ratio allows for one teacher without support. The Licensing Inspector observed 11 injury reports from 08/03/23 - 02/13/24 where injuries were sustained to children by other children in the Pre-K classroom.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was returned to the parent or discarded after 14 days when the authorization for medication expires. Evidence: The medication authorization form for over the counter medication on site for child A expired 02/01/24. The medication authorization form for prescription medication on site for child B expired 12/10/23. The medication authorization form for prescription medication on site for child C expired 10/12/23. The medication authorization form for over the counter medication on site for child D expired 11/20/23.”

8VAC20-780-245-J-2

“Based on interviews and review of medication it was determined that when the center has agreed to administer medication there was not always staff on site who were trained to administer this specific medication. Evidence: There as an authorization form on file to administer rectal medication for child D. Based on interviews there were no staff on site who were trained to administer this specific medication.”

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews and review of documentation it was determined that staff did not always ensure the care protection and guidance of children under their supervision. Evidence: Based on staff interviews it was determined that administration did not provide support to staff in need of assistance in classrooms who have children enrolled with challenging behaviors. Staff report that there are two children enrolled in the Pre-K classroom with challenging behavior. It is reported that staff are unable to manage and supervise the entire classroom while alone due to focusing their attention on the children with challenging behaviors. Staff are reported to be alone during rest time and in the afternoons around 4:00 pm - 6:30 pm. Staff have reported these concerns to administration however, they are still caring for children alone once the ratio allows for one teacher without support. The Licensing Inspector observed 11 injury reports from 08/03/23 - 02/13/24 where injuries were sustained to children by other children in the Pre-K classroom.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was returned to the parent or discarded after 14 days when the authorization for medication expires. Evidence: The medication authorization form for over the counter medication on site for child A expired 02/01/24. The medication authorization form for prescription medication on site for child B expired 12/10/23. The medication authorization form for prescription medication on site for child C expired 10/12/23. The medication authorization form for over the counter medication on site for child D expired 11/20/23.”

8VAC20-780-245-J-2

“Based on interviews and review of medication it was determined that when the center has agreed to administer medication there was not always staff on site who were trained to administer this specific medication. Evidence: There as an authorization form on file to administer rectal medication for child D. Based on interviews there were no staff on site who were trained to administer this specific medication.”

8VAC20-780-340-A Complaint related: Yes

“Based on staff interviews and review of documentation it was determined that staff did not always ensure the care protection and guidance of children under their supervision. Evidence: Based on staff interviews it was determined that administration did not provide support to staff in need of assistance in classrooms who have children enrolled with challenging behaviors. Staff report that there are two children enrolled in the Pre-K classroom with challenging behavior. It is reported that staff are unable to manage and supervise the entire classroom while alone due to focusing their attention on the children with challenging behaviors. Staff are reported to be alone during rest time and in the afternoons around 4:00 pm - 6:30 pm. Staff have reported these concerns to administration however, they are still caring for children alone once the ratio allows for one teacher without support. The Licensing Inspector observed 11 injury reports from 08/03/23 - 02/13/24 where injuries were sustained to children by other children in the Pre-K classroom.”

8VAC20-780-500-A

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: After changing a child on the changing table, Staff A does not wash the child's hand. Staff A does not wash their hands after the diaper change, leaves on their soiled gloves and begins changing another child.”

8VAC20-780-500-B

“Based on review of video footage it was determined that not all procedures regarding diapering were followed. Evidence: In the toddler classroom Staff B is observed changing a child under three years old in the bathroom instead of on the changing table as required.”

8VAC20-790-600-D-2

“Based on review of five children's records it was determined that not all staff had completed First Aid training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed First Aid training.”

8VAC20-790-600-D-1

“Based on review of five children's records it was determined that not all staff had completed CPR training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed CPR training.”

8VAC20-780-245-J-3

“Based on interviews and review of documentation it was determined that there was not always someone on site who had current Medication Administration Training. Evidence: Staff B is the only person on site who has current Medication Administration Training. The facility is open from 6:30 am - 6:00 pm and staff B's schedule does not cover the full hours that the center is in operation. Currently, there are children enrolled who require emergency medication such as epinephrine.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.”

8VAC20-780-550-D

“Based on interviews and review of documentation it was determined that practice evacuation drills were not conducted monthly. Evidence: The most recent documentation that a practice evacuation drill had taken place was conducted on 04/20/2023.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all staff completed the Virginia Pre-Service Training within 90 days of employment. Evidence: The record for staff A (start date: 05/30/2023) did not contain documentation that staff A had completed Virginia Pre-Service Training.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was sent home within 14 days after the expiration of the medication authorization form. Evidence: The emergency authorization forms for two medications for child A expired 05/19/2023.”

8VAC20-780-500-A

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: After changing a child on the changing table, Staff A does not wash the child's hand. Staff A does not wash their hands after the diaper change, leaves on their soiled gloves and begins changing another child.”

8VAC20-780-500-B

“Based on review of video footage it was determined that not all procedures regarding diapering were followed. Evidence: In the toddler classroom Staff B is observed changing a child under three years old in the bathroom instead of on the changing table as required.”

8VAC20-790-600-D-2

“Based on review of five children's records it was determined that not all staff had completed First Aid training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed First Aid training.”

8VAC20-790-600-D-1

“Based on review of five children's records it was determined that not all staff had completed CPR training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed CPR training.”

8VAC20-780-245-J-3

“Based on interviews and review of documentation it was determined that there was not always someone on site who had current Medication Administration Training. Evidence: Staff B is the only person on site who has current Medication Administration Training. The facility is open from 6:30 am - 6:00 pm and staff B's schedule does not cover the full hours that the center is in operation. Currently, there are children enrolled who require emergency medication such as epinephrine.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.”

8VAC20-780-550-D

“Based on interviews and review of documentation it was determined that practice evacuation drills were not conducted monthly. Evidence: The most recent documentation that a practice evacuation drill had taken place was conducted on 04/20/2023.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all staff completed the Virginia Pre-Service Training within 90 days of employment. Evidence: The record for staff A (start date: 05/30/2023) did not contain documentation that staff A had completed Virginia Pre-Service Training.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was sent home within 14 days after the expiration of the medication authorization form. Evidence: The emergency authorization forms for two medications for child A expired 05/19/2023.”

8VAC20-780-500-A

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: After changing a child on the changing table, Staff A does not wash the child's hand. Staff A does not wash their hands after the diaper change, leaves on their soiled gloves and begins changing another child.”

8VAC20-780-500-B

“Based on review of video footage it was determined that not all procedures regarding diapering were followed. Evidence: In the toddler classroom Staff B is observed changing a child under three years old in the bathroom instead of on the changing table as required.”

8VAC20-790-600-D-2

“Based on review of five children's records it was determined that not all staff had completed First Aid training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed First Aid training.”

8VAC20-790-600-D-1

“Based on review of five children's records it was determined that not all staff had completed CPR training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed CPR training.”

8VAC20-780-245-J-3

“Based on interviews and review of documentation it was determined that there was not always someone on site who had current Medication Administration Training. Evidence: Staff B is the only person on site who has current Medication Administration Training. The facility is open from 6:30 am - 6:00 pm and staff B's schedule does not cover the full hours that the center is in operation. Currently, there are children enrolled who require emergency medication such as epinephrine.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.”

8VAC20-780-550-D

“Based on interviews and review of documentation it was determined that practice evacuation drills were not conducted monthly. Evidence: The most recent documentation that a practice evacuation drill had taken place was conducted on 04/20/2023.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all staff completed the Virginia Pre-Service Training within 90 days of employment. Evidence: The record for staff A (start date: 05/30/2023) did not contain documentation that staff A had completed Virginia Pre-Service Training.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was sent home within 14 days after the expiration of the medication authorization form. Evidence: The emergency authorization forms for two medications for child A expired 05/19/2023.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination by a physician for all enrolled children within 30 days after first day of attendance. Evidence: Child #4 (Start Date: 5/9/2022) and Child #6 (Start Date 2/14/2022) did not have physical examinations on file at the time of inspection.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 (Start Date: 11/7/2022) did not have immunizations on file at the time of inspection.”

22.1-289.035-B-4

“Based on record review, the center did not request a search of the child abuse and neglect central registry from all states in which staff have lived in the preceding 5 years within 30 days of employment. Evidence: Staff #3 (Date of Hire: 5/23/2022) has resided in New York within the last 5 years. Staff #3 did not have documentation on file of a search request from the New York child abuse and neglect central registry.”

8VAC20-780-160-C

“Based on record review, the center did not ensure that all staff submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: Staff #5's most recent tuberculosis screening on file was dated 10/23/2019.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination by a physician for all enrolled children within 30 days after first day of attendance. Evidence: Child #4 (Start Date: 5/9/2022) and Child #6 (Start Date 2/14/2022) did not have physical examinations on file at the time of inspection.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 (Start Date: 11/7/2022) did not have immunizations on file at the time of inspection.”

22.1-289.035-B-4

“Based on record review, the center did not request a search of the child abuse and neglect central registry from all states in which staff have lived in the preceding 5 years within 30 days of employment. Evidence: Staff #3 (Date of Hire: 5/23/2022) has resided in New York within the last 5 years. Staff #3 did not have documentation on file of a search request from the New York child abuse and neglect central registry.”

8VAC20-780-160-C

“Based on record review, the center did not ensure that all staff submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: Staff #5's most recent tuberculosis screening on file was dated 10/23/2019.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination by a physician for all enrolled children within 30 days after first day of attendance. Evidence: Child #4 (Start Date: 5/9/2022) and Child #6 (Start Date 2/14/2022) did not have physical examinations on file at the time of inspection.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 (Start Date: 11/7/2022) did not have immunizations on file at the time of inspection.”

22.1-289.035-B-4

“Based on record review, the center did not request a search of the child abuse and neglect central registry from all states in which staff have lived in the preceding 5 years within 30 days of employment. Evidence: Staff #3 (Date of Hire: 5/23/2022) has resided in New York within the last 5 years. Staff #3 did not have documentation on file of a search request from the New York child abuse and neglect central registry.”

8VAC20-780-160-C

“Based on record review, the center did not ensure that all staff submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: Staff #5's most recent tuberculosis screening on file was dated 10/23/2019.”

8VAC20-780-410-1

“Based on interviews and review of the center's video recording, it was determined a staff member engaged in the forbidden action of rough handling. Evidence: On 8/5/2022 at approximately 11:20am, Staff #2 observed Child #1 (Age 7) throwing clay across the room. Staff #2 called to Child #1 across the room and asked what was in their hand. At approximately 11:21am on 8/5/2022 Child #1 was observed via video recording walking towards Staff #2. As Child #1 gets close Staff #2 roughly grabs Child #1's left hand pulling on their arm so the child has to step back. Staff #2 attempted to pry the item from Child #1's hand until the child let go of the item. Child #1 was then observed via video recording holding their left wrist while crying and then going to sit down at a table with their head down.”

8VAC20-780-270-A

“Based on observation of the physical plant, the center did not ensure that areas and equipment of the center, inside and outside, were maintained a clean, safe, and operable condition. Evidence: 1. In the Preschool 1 class, an empty wooden shelf approximately 3 feet tall by 2 feet wide used to define classroom center areas was not kept in a way that prevented tipping. A child was observed pulling on the top of the shelf which resulted in the shelf tipping over on top of the child and knocking the child to the ground. Staff had to lift the shelf off the child. 2. In the bathroom in the Kindergarten room, one of the toilets' seats was not attached to the base and was turned to the side with the bolt attachment laying on the floor below. 3. In the bathroom in the Kindergarten room, there was a section of cove base missing revealing a hole in the drywall by the floor. 4. In the Jr. Preschool room, the blue cushion on the couch in the center of the room had tears at two corners revealing the foam cushioning. 5. In the Toddlers room, there were two screws protruding from the walls. The first screw protruding was located above a cot positioned below the window where children were preparing to nap. The second screw protruding was close to the ground below the "Kind Child" board.”

8VAC20-780-240-A

“Based on record review, the center did not obtain documentation of all staff completing the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #3 (Date of Hire: 9/16/2021) did not have documentation of completing the Virginia Department of Education-sponsored orientation course.”

22.1-289.035-A

“Based on record review, the center did not obtain repeat central registry search results every 5 years as required for all staff. Evidence: Staff #6's most recent central registry search results on file were completed 4/14/2017.”

8VAC20-780-270-A

“Based on observation of the physical plant, the center did not ensure that areas and equipment of the center, inside and outside, were maintained a clean, safe, and operable condition. Evidence: 1. In the Preschool 1 class, an empty wooden shelf approximately 3 feet tall by 2 feet wide used to define classroom center areas was not kept in a way that prevented tipping. A child was observed pulling on the top of the shelf which resulted in the shelf tipping over on top of the child and knocking the child to the ground. Staff had to lift the shelf off the child. 2. In the bathroom in the Kindergarten room, one of the toilets' seats was not attached to the base and was turned to the side with the bolt attachment laying on the floor below. 3. In the bathroom in the Kindergarten room, there was a section of cove base missing revealing a hole in the drywall by the floor. 4. In the Jr. Preschool room, the blue cushion on the couch in the center of the room had tears at two corners revealing the foam cushioning. 5. In the Toddlers room, there were two screws protruding from the walls. The first screw protruding was located above a cot positioned below the window where children were preparing to nap. The second screw protruding was close to the ground below the "Kind Child" board.”

8VAC20-780-240-A

“Based on record review, the center did not obtain documentation of all staff completing the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #3 (Date of Hire: 9/16/2021) did not have documentation of completing the Virginia Department of Education-sponsored orientation course.”

22.1-289.035-A

“Based on record review, the center did not obtain repeat central registry search results every 5 years as required for all staff. Evidence: Staff #6's most recent central registry search results on file were completed 4/14/2017.”