The Merit School of Gunston (#11)

To safely perform medication administration for prescribed medications, the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose approved by the Board of Nursing.

“Child #1 and Child #2 had emergency medication intended to be administered in case of an allergic reaction. Staff had completed a medication administration program but it did not cover the medication required for Child #1 and Child #2.”

Rule 8VAC20-780-245-J-1.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“The centers written list of all childrens allergies, sensitivities, and dietary restrictions was not current. Child #1 had an allergy care plan for a confirmed food allergen for 8 days and had not been added to the centers written list.”

Rule 8VAC20-780-40-M.

The centers procedures for administering medication shall include duration of the parents authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription and over-the-counter medication may be allowed with written authorization from the childs physician.

“The record for Child #1 and Child #3 did not contain written authorization from a physician for long-term medication that is intended to be administered in case of a medical emergency. The record for Child #3 contained a parent authorization that had been expired, and not renewed, for more than 30 work days. The medication for Child #1 and Child #3 was on-site.”

Rule 8VAC20-780-510-E.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain 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.

“The record for Child #1 contained an allergy care plan that specificied the use of two separate medications but only one medication was on-site. The center is unable to follow the care plan in the event of a suspected or confirmed allergic reaction.”

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

Annual approval from the health department shall be provided for meeting requirements for water supply; sewage disposal system.

“The documentation provided for an environmental sanitation inspection was dated December 2023.”

Rule 8VAC20-780-260-B.

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

“The record for Child #1, enrolled for more than two weeks, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A. From a complaint.

With parents written permission and a written assessment by the program director and program leader, a center may choose to assign a child to a different age group if such age group is more appropriate for the childs development level.

“Child #1 was moved to a higher age group two months prior to the child turning the appropriate age for the group. The center had an Ages and Stages Questionnaire that was completed by the parent, but did not obtain written permission. The center did not have a written assessment completed by the program director or program leader.”

Rule 8VAC20-780-350-Q. From a complaint.

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 #1, enrolled for 7 months, contained an immunizations dated 10 days after the first date of attendance.”

Rule 8VAC20-780-130-A.

Staff shall wash their hands with soap and running water: before and after a diaper change.

“Staff #1 was observed changing 2 children’s diapers and did not wash their hands before and after each change.”

Rule 8VAC20-780-500-A.

Staff shall always ensure the care, protection, and guidance of children.

“On 4/1/2025, the Baby Steps I classroom failed to securely buckle Child #1 (age 9 months) into the buggy when preparing for an outdoor walk. Approximately 10 minutes after leaving for the walk, Child #1 fell from the buggy onto the sidewalk resulting in an injury to the forehead.”

Rule 8VAC20-780-340-A.

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

Rule 8VAC20-780-40-E.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior.

“On 08/19/2024, Staff #2 was observed taking the pacifier away from a toddler child for making noises during nap time.”

Rule 8VAC20-780-400-B. From a complaint.

The following actions are forbidden: striking a child or roughly handling.

Rule 8VAC20-780-410-1. From a complaint.

Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #1 had documentation of immunizations dated 5/25/2023.”

Rule 8VAC20-780-130-E.

Based on observation and interview, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions in each room where children are present.

“Evidence: Classroom #6 did not have an allergy chart posted.”

Rule 8VAC20-780-40-M.

Based on record review and interview, the center did not implement a monthly practice evacuation drill.

“Evidence: There was no documentation of an evacuation drill for the month of July.”

Rule 8VAC20-780-550-D.

Based on record review, children’s serious and minor injury records did not contain all of the required information.

“Evidence: 3 out of 5 injury reports were missing the name of the parent notified, the time and method of how they were notified, by whom, and/or the future action to prevent reoccurrence.”

Rule 8VAC20-780-550-P.