Chester Child Development and Day Care Center, Inc.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #2 was not signed.”

Rule 8VAC20-780-150-B.

**Repeat Violation** Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #1 had one TB screening dated over four months prior to employment and one TB screening dated five days after employment.”

Rule 8VAC20-780-160-A.

Program directors are to meet one of four required qualifications.

“Staff #1 was identified as the program director since 6/3/2026 and did not have documentation of meeting the educational requirements of program director.”

Rule 8VAC20-780-190-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On June 18, 2026, Staff #1 left Child #2 (age 5) unsupervised in a community bathroom during a field trip for approximately 3-4 minutes. Staff #1 was unaware they left the child in the bathroom. On July 13, 2026, Staff #2 witnessed Staff #1 pull and grab Child #1 (age 5) by the arms roughly and aggressively. Child #1 reported to Staff #2 that their arm was hurting immediately after being grabbed by Staff #1.”

Rule 8VAC20-780-340-A.

Children under 10 years of age must always be within actual sight and sound supervision of staff.

“On June 18, 2026, Staff #1 left Child #2 (age 5) unsupervised in a community bathroom during a field trip for approximately 3-4 minutes.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by the standards.

Rule 8VAC20-780-40-E.

The following acts are forbidden: roughly handling a child.

“On July 13, 2026, Staff #2 witnessed Staff #1 pull and grab Child #1 (age 5) by the arms roughly and aggressively.”

Rule 8VAC20-780-410-1.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The record for child #4, enrolled for 9 months, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #4, who had been enrolled for over 9 months.”

Rule 8VAC20-780-140-A.

**Repeat Violation** 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 #2, enrolled for over 9 months, was missing the following required components: the name, address, and phone number of one designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

**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 #6 and #7, who have been enrolled for over one year, have diagnosed food allergies and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #4, employed for over 5 months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

**REPEAT VIOLATION** The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #2 is currently working and has a TB screening that was dated 4 days after their first day of employment.”

Rule 8VAC20-780-160-A.

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #2 and #4, who did not meet lead teacher qualifications, were alone with a group of preschool children for the duration of the inspection.”

Rule 8VAC20-780-340-D.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #2 and Staff #4 were alone with a group of 19 preschool age children and were not certified in CPR.”

Rule 8VAC20-780-530-A-1.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #2 and Staff #4 were alone with a group of 19 preschool age children and were not certified in first aid.”

Rule 8VAC20-780-530-A-2.

**REPEAT VIOLATION** 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 #5, enrolled for 2 years, was missing the following required components: the work phone number and place of employment for each parent.”

Rule 8VAC20-780-60-A.

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #2 is currently working and has a TB screening that was dated 3 days after their first day of employment.”

Rule 8VAC20-780-160-A.

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 #1, who has been enrolled for over three months, has a diagnosed food allergy and did not have a written care plan in their file. Child #3, who has been enrolled for over 18 months, has a diagnosed food allergy and did not have a written care plan in their file. Child #5, who has been enrolled for over 2 years, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for staff #1 was completed 11 months after hire. The screening for staff #4 was completed 15 days after hire.”

Rule 8VAC20-780-160-A.

Medication authorization shall be available to staff during the entire time it is effective.

“An emergency prescription medication was observed for child #5. The medication authorization was signed by the physician but was not signed by the child’s parent.”

Rule 8VAC20-780-510-F.

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 #5, enrolled for 13 months, was missing the following required components: addresses of 2 designated people to call in an emergency.”

Rule 8VAC20-780-60-A.

Each child’s record shall contain a written agreement signed by the parent and the center with all required components by the first day of the child’s attendance.

“The record for child #5, enrolled for 13 months, did not contain a written agreement signed by the parent.”

Rule 8VAC20-780-90-A.

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment. Evidence: The record for staff #3, date of employment 3/11/22, contained documentation of a tuberculosis screening dated 3/24/22.”

Rule 8VAC20-780-160-A.

8VAC20-780-190-A-4

“Based on review of staff records, and interview, the center failed to ensure that the program director qualifications are met. Evidence: The record for staff #1, date of employment 02/28/2022, identified as the program director, did not have documentation to meet the qualification regarding education. The program director stated there was not additional educational documentation to meet the qualifications.”

Rule 8VAC20-780-190-A-4.

8VAC20-780-260-A

“Based on documentation review, and interview, the center failed to provide an annual fire inspection report. Evidence: Documentation review revealed that the most recent fire inspection was dated 04/19/22. The Director could not locate a more recent fire inspection.”

Rule 8VAC20-780-260-A.

8VAC20-780-560-F

“Based on documentation review, the center failed to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA. Evidence: The snack menu posted listed ?Fritos and water? as a serving during the one-week period. The USDA Child Meal Pattern requires two of five components be served for snack.”

Rule 8VAC20-780-560-F.

Based on a review of five staff records and interview, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening within the required time frame.

“Evidence: 1) The TB test in the record for Staff #4, hired on 03/11/22, was dated 03/24/22. 4) During interview, a member of management confirmed the documentation was not received within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records and interviews, the center did not obtain the results of a follow-up tuberculosis (TB) screening for three staff members at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department.

“Evidence: 1) Staff #1, hired on 07/15/19, had a TB screening/testing that expired on 06/24/21. A repeat TB was completed on 09/29/21, more than two years from the date of the initial screening. 2) The most recent TB screening/testing in the record for Staff #3, hired on 09/11/06, expired on 05/13/22. 3) The most recent TB screening/testing in the record for Staff #5, hired on 01/29/88, expired on 03/13/22.”

Rule 8VAC20-780-160-C.

Based on a review of three staff records and interview, the center did not ensure one staff member resubmitted the results of a follow-up tuberculosis (TB) screening every two years from the date of the first initial screening or testing.

“Evidence: 1) The most recent tuberculosis (TB) screening results in the record for Staff #1, hired on 10/11/2017, were dated 12/19/2018. The TB expired on 12/19/2020. 2) During interview, a member of management confirmed this is the most recent TB screening on file for Staff #1. Staff should resubmit TB test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.”

Rule 22VAC40-185-160-C.