Woodlake Child Development Center

8VAC20-780-245-A

“Based on a review of 10 staff records and interview, the center did not ensure that one staff annually completed a minimum of 16 hours of training appropriate to the age of children in care as required. Evidence: 1. The record of staff #4 (date of employment: 5/17/2022) contained 10 hours of annual training from 5/17/2022 to 5/17/2023. 2. Administration acknowledged that staff #4 did not complete 16 hours of annual training.”

8VAC20-780-245-A

“Based on a review of 10 staff records and interview, the center did not ensure that one staff annually completed a minimum of 16 hours of training appropriate to the age of children in care as required. Evidence: 1. The record of staff #4 (date of employment: 5/17/2022) contained 10 hours of annual training from 5/17/2022 to 5/17/2023. 2. Administration acknowledged that staff #4 did not complete 16 hours of annual training.”

8VAC20-780-530-A-1 Complaint related: No

“Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care as required. Evidence: 1. Staff #1 stated that she did not have current certification in CPR but did occasionally supervise the two-year old classroom independently. 2. Administration acknowledged that a CPR certified individual was not present in the two-year old classroom during the times when staff #1 worked alone.”

8VAC20-780-500-B Complaint related: Yes

“COMPLAINT RELATED Based on interview, the center did not ensure that children younger than three years were changed on a changing table or countertop designated for changing as required. Evidence: 1. During interview, staff in a two-year old classroom stated that children were sometimes diapered while standing in the bathroom as part of their potty-training procedure. 2. Administration acknowledged that the children in the two-year old classroom were not always being changed on the designated table.”

8VAC20-780-530-A-2 Complaint related: No

“Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid as required. Evidence: 1. Staff #1 stated that she did not have current certification in first aid but did occasionally supervise the two-year old classroom independently. 2. Administration acknowledged that a first aid certified individual was not present in the two year-old classroom during the times when staff #1 worked alone.”

8VAC20-780-60-A

“Based on a review of eight (8) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The records of child #1 (date of enrollment: 6/7/23), child #6 (date of enrollment: 6/19/2023) and child #7 (date of enrollment: 5/15/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged the records were incomplete.”

8VAC20-780-60-A

“Based on a review of eight (8) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The records of child #1 (date of enrollment: 6/7/23), child #6 (date of enrollment: 6/19/2023) and child #7 (date of enrollment: 5/15/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged the records were incomplete.”

8VAC20-780-60-A

“Based on a review of eight (8) child records and interview, the center did not ensure that three (3) records contained the required information. Evidence: 1. The records of child #1 (date of enrollment: 6/7/23), child #6 (date of enrollment: 6/19/2023) and child #7 (date of enrollment: 5/15/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged the records were incomplete.”

8VAC20-780-510-D Complaint related: Yes

“Based on a review of documentation and interview, the center did not ensure that non prescription medication was administered by a staff member or independent contractor who meets the requirements in 8VAC20-780-245 J 1 or J 2. Evidence: 1. During interview, staff stated that Bacitracin, an antibiotic ointment medication, was administered to child #1 by a staff member who did not have the required Medication Administration Training. 2. Administration acknowledged that the medication was administered by a staff who was not MAT certified.”

8VAC20-780-130-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #6 (date of attendance: 1/16/23) contained an immunization record dated 1/27/23. 2. Administration acknowledged that the immunization record was received late.”

8VAC20-780-70

“Based on a review of 10 staff records and interview, the center did not ensure that complete records were kept for two staff. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) was missing one of the two required reference checks. The center is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 3/3/23) did not contain reference check documentation. 2. Administration acknowledged that the missing reference checks had not been completed and the records were incomplete.”

8VAC20-780-550-G

“Based on review of documentation and interview, the center did not ensure that documentation of emergency evacuation drills were maintained. Evidence: 1. Monthly evacuation drills were not documented from November of 2022 to March of 2023. 2. Administration stated that the drills had been conducted but not documented.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.”

8VAC20-780-160-A

“Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) contained a TB screening dated 3/7/23. 2. Administration acknowledged that the TB screening was completed after the first date of employment.”

8VAC20-780-130-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #6 (date of attendance: 1/16/23) contained an immunization record dated 1/27/23. 2. Administration acknowledged that the immunization record was received late.”

8VAC20-780-70

“Based on a review of 10 staff records and interview, the center did not ensure that complete records were kept for two staff. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) was missing one of the two required reference checks. The center is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 3/3/23) did not contain reference check documentation. 2. Administration acknowledged that the missing reference checks had not been completed and the records were incomplete.”

8VAC20-780-550-G

“Based on review of documentation and interview, the center did not ensure that documentation of emergency evacuation drills were maintained. Evidence: 1. Monthly evacuation drills were not documented from November of 2022 to March of 2023. 2. Administration stated that the drills had been conducted but not documented.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.”

8VAC20-780-160-A

“Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) contained a TB screening dated 3/7/23. 2. Administration acknowledged that the TB screening was completed after the first date of employment.”

8VAC20-780-130-A

“Based on a review of 10 children's records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #6 (date of attendance: 1/16/23) contained an immunization record dated 1/27/23. 2. Administration acknowledged that the immunization record was received late.”

8VAC20-780-70

“Based on a review of 10 staff records and interview, the center did not ensure that complete records were kept for two staff. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) was missing one of the two required reference checks. The center is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 3/3/23) did not contain reference check documentation. 2. Administration acknowledged that the missing reference checks had not been completed and the records were incomplete.”

8VAC20-780-550-G

“Based on review of documentation and interview, the center did not ensure that documentation of emergency evacuation drills were maintained. Evidence: 1. Monthly evacuation drills were not documented from November of 2022 to March of 2023. 2. Administration stated that the drills had been conducted but not documented.”

8VAC20-770-60-C-2

“Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.”

8VAC20-780-160-A

“Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required. Evidence: 1. The record of staff #2 (date of employment: 3/3/23) contained a TB screening dated 3/7/23. 2. Administration acknowledged that the TB screening was completed after the first date of employment.”

8VAC20-770-60-C-2

“Based on a review of ten (10) staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment for seven (7) staff as required. Evidence: 1. The record of staff #2 (date of employment: 8/18/2022) contained a central registry finding dated 10/19/2022. The record of staff #3: (date of employment: 8/29/2022) contained a central registry finding dated 10/7/2022. The record of staff #4 (date of employment: 8/16/2022) contained a central registry finding dated 10/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a central registry finding dated 8/4/2022. The record of staff #6 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. The record of staff #7 (date of employment: 8/15/2022) contained a central registry finding dated 10/19/2022. The record of staff # 8 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. 2. Administration acknowledged that the findings were not obtained within 30 days of employment.”

8VAC20-780-60-A-8

“Based on review of documentation and interview, the center did not ensure to 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. Two (2) children's medication and forms were reviewed in the center's second building. The records did not contain written care plans with instructions from the physician. 2. Administration acknowledged that they had not obtained the forms.”

8VAC20-780-60-A

“Based on a review of 10 child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The records of child #7 (date of enrollment: 11/1/2022) and child #8 (date of enrollment: 9/19/2022) were missing an address for one (1) of the two (2) required emergency contacts. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the information was missing.”

8VAC20-780-160-A

“Based on a review of 10 staff records and interview, the center did not ensure that three (3) staff submitted documentation of a negative tuberculosis (TB)screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 8/18/2022) contained a TB screening dated 8/19/2022. The record of staff #4 (date of employment: 8/16/2022) contained a TB screening dated 8/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a TB screening dated 5/26/2022. 2. Administration acknowledged that the TB screenings were not submitted at the time of employment.”

8VAC20-780-330-B

“Based on observation, measurements and interview, the center did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: 1. On the three year old playground, climbing structures were observed that measured two (2) to three (3) feet in height. A sampling of pea gravel measurements were taken that measured one (1) to two (2) inches. The equipment was required to have a minimum of 6 inches based on the height of the equipment. On the four year old playground, a slide structure was measured to be approximately three (3) foot nine (9) inches. The pea gravel measured from one (1) to two (2) inches. The equipment is required to have a minimum of six (6) inches. On a three/four year old playground, climbing equipment was measured between three (3) and four (4) feet. The pea gravel measured between one (1) and four (4) inches. The equipment was required to have a minimum of six (6) inches. On a two year old playground, four (4) climbing structures were observed that required the six (6) inches of resilient surfacing. The measurements gathered measured between one (1) to two (2) inches. 2. Administration acknowledged that the playground areas required additional resilient surfacing.”

8VAC20-770-60-C-2

“Based on a review of ten (10) staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment for seven (7) staff as required. Evidence: 1. The record of staff #2 (date of employment: 8/18/2022) contained a central registry finding dated 10/19/2022. The record of staff #3: (date of employment: 8/29/2022) contained a central registry finding dated 10/7/2022. The record of staff #4 (date of employment: 8/16/2022) contained a central registry finding dated 10/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a central registry finding dated 8/4/2022. The record of staff #6 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. The record of staff #7 (date of employment: 8/15/2022) contained a central registry finding dated 10/19/2022. The record of staff # 8 (date of employment: 7/18/2022) contained a central registry finding dated 9/5/2022. 2. Administration acknowledged that the findings were not obtained within 30 days of employment.”

8VAC20-780-60-A-8

“Based on review of documentation and interview, the center did not ensure to 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. Two (2) children's medication and forms were reviewed in the center's second building. The records did not contain written care plans with instructions from the physician. 2. Administration acknowledged that they had not obtained the forms.”

8VAC20-780-60-A

“Based on a review of 10 child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The records of child #7 (date of enrollment: 11/1/2022) and child #8 (date of enrollment: 9/19/2022) were missing an address for one (1) of the two (2) required emergency contacts. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the information was missing.”

8VAC20-780-160-A

“Based on a review of 10 staff records and interview, the center did not ensure that three (3) staff submitted documentation of a negative tuberculosis (TB)screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 8/18/2022) contained a TB screening dated 8/19/2022. The record of staff #4 (date of employment: 8/16/2022) contained a TB screening dated 8/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a TB screening dated 5/26/2022. 2. Administration acknowledged that the TB screenings were not submitted at the time of employment.”

8VAC20-780-330-B

“Based on observation, measurements and interview, the center did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: 1. On the three year old playground, climbing structures were observed that measured two (2) to three (3) feet in height. A sampling of pea gravel measurements were taken that measured one (1) to two (2) inches. The equipment was required to have a minimum of 6 inches based on the height of the equipment. On the four year old playground, a slide structure was measured to be approximately three (3) foot nine (9) inches. The pea gravel measured from one (1) to two (2) inches. The equipment is required to have a minimum of six (6) inches. On a three/four year old playground, climbing equipment was measured between three (3) and four (4) feet. The pea gravel measured between one (1) and four (4) inches. The equipment was required to have a minimum of six (6) inches. On a two year old playground, four (4) climbing structures were observed that required the six (6) inches of resilient surfacing. The measurements gathered measured between one (1) to two (2) inches. 2. Administration acknowledged that the playground areas required additional resilient surfacing.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure 1 staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current CPR certification. 2. Administration acknowledged that the certification had not been obtained.”

8VAC20-790-600-D-2

“Based on record review and interview, the vendor did not ensure 1 staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current first aid certification. 2. Administration acknowledged that the certification had not been obtained.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for 3 staff as required. Evidence: 1. The records of staff #1 (DOH:2/28/2022), staff #2 (10/8/2021), and staff #4 (DOH: 12/13/2021) were missing references. 2. Administration acknowledged that the references had not been completed.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for 3 staff at the time of employment and prior to coming into contact with children. Evidence: 1. The records of staff # 1 (DOH: 2/28/2022), staff #3 (DOH:2/21/2022) and staff #4 (DOH: 12/13/2021) did not contain documentation of a negative tuberculosis screening. 2. Administration acknowledged that the tuberculosis screenings had not been completed and signed off by a physician, physician's designee, or an official of the local health department.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for 2 staff within 30 days of employment as required. Evidence: 1. The record of staff #2 (DOH: 10/8/2021) contained central registry results dated 12/18/2021. 2. The record of staff #4 (DOH: 12/13/2021) contained central registry results dated 1/24/2022. 3. Administration acknowledged that the results were not received within the required time frame.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #3 (DOE: 10/20/2021) contained an immunization record dated 12/9/2021. 2. Administration acknowledged that the record was received after the first date of attendance.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for one child before attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #3: (DOE: 10/20/2021) contained a physical record dated 12/15/2021. 2. Administration acknowledged that the physcial record was not received during the required time frames.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure 1 staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current CPR certification. 2. Administration acknowledged that the certification had not been obtained.”

8VAC20-790-600-D-2

“Based on record review and interview, the vendor did not ensure 1 staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current first aid certification. 2. Administration acknowledged that the certification had not been obtained.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for 3 staff as required. Evidence: 1. The records of staff #1 (DOH:2/28/2022), staff #2 (10/8/2021), and staff #4 (DOH: 12/13/2021) were missing references. 2. Administration acknowledged that the references had not been completed.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for 3 staff at the time of employment and prior to coming into contact with children. Evidence: 1. The records of staff # 1 (DOH: 2/28/2022), staff #3 (DOH:2/21/2022) and staff #4 (DOH: 12/13/2021) did not contain documentation of a negative tuberculosis screening. 2. Administration acknowledged that the tuberculosis screenings had not been completed and signed off by a physician, physician's designee, or an official of the local health department.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for 2 staff within 30 days of employment as required. Evidence: 1. The record of staff #2 (DOH: 10/8/2021) contained central registry results dated 12/18/2021. 2. The record of staff #4 (DOH: 12/13/2021) contained central registry results dated 1/24/2022. 3. Administration acknowledged that the results were not received within the required time frame.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance. Evidence: 1. The record of child #3 (DOE: 10/20/2021) contained an immunization record dated 12/9/2021. 2. Administration acknowledged that the record was received after the first date of attendance.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for one child before attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #3: (DOE: 10/20/2021) contained a physical record dated 12/15/2021. 2. Administration acknowledged that the physcial record was not received during the required time frames.”

8VAC20-780-410-1

“Based on review of documentation, video footage and interview, the center did not ensure that striking a child was forbidden. Evidence: 1. The center reported on 12/28/2021 that child #1 (DOE: 11/1/2021) claimed that staff #1 (DOH: 8/11/2021) hit him on the hand with a spoon. 2. Video footage from 12/27/2021 showed child #1 sitting at a table eating. It appeared that Staff #1 struck the child's left hand with a plastic serving spoon. The video did not have audio, but the child stood up quickly holding his hand, mouthed "ow" and left the table. 3. Administration confirmed that they terminated staff #1's employment after reviewing the video and confirming that the teacher struck the child's hand.”