Brunswick Academy Association, Inc.

Immunization reports shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of the local health department.

“The immunization reports for child # 4 and child #5 were not signed or dated by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing.

“The follow up tuberculosis screening for staff #1 was completed 2 months after it was due. The follow up tuberculosis screening for staff #5 was completed 2 weeks after it was due.”

Rule 8VAC20-780-160-C.

Before use of newly constructed, renovated, remodeled, or altered buildings or sections of buildings, written documentation shall be provided by the center to the licensing representative approval by the authority having jurisdiction that each building meets building and fire codes.

“The center did not provide written documentation that the building meets approval by the authority having jurisdiction that the newly constructed building meets fire code prior to use of the building.”

Rule 8VAC20-780-250-A.

Repeat Violation The center shall 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 documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

“The center did not have a written list of all children’s allergies, sensitivities, and dietary restrictions. Child # 3 has a food sensitivity and child #4 has a documented food allergy.”

Rule 8VAC20-780-40-M.

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

“The CPR and first aid certifications for staff #1, staff #2, staff #3, staff #4, and staff #5 expired 2 weeks ago. Staff #6, who was alone in a classroom, did not have certification in CPR or first aid.”

Rule 8VAC20-780-530-A.

Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“The trailer building that is separate from the main building and houses 2 classrooms did not have emergency evacuation and shelter-in-place procedures or maps posted.”

Rule 8VAC20-780-550-C.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all required information including 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.

“Child #5 has a diagnosed food allergy. The record for child #5 did not contain a written care plan with 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.”

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

The center is required to obtain two or more references as to character and reputation as well as competency prior to employment.

“The center obtained one reference as to character and reputation for staff #6, employed for 1 week, and who was alone working in a classroom with children. One additional reference is required.”

Rule 8VAC20-780-70.

Repeat Violation 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 preschool room was posted on a cabinet in the back of the classroom and was not confidential.”

Rule 8VAC20-780-40-M.

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.

“1. There was no physical examination in the record of child #3, who had been enrolled for 6 weeks. 2. There was no physical examination in the record of child #4, who had been enrolled for 7 weeks.”

Rule 8VAC20-780-140-A.

Repeat Violation 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.

“There was no allergy list posted. Staff stated that there were no children with allergies, sensitivities, or dietary restrictions. The record for child #3, enrolled for 1 month, listed a dietary restriction.”

Rule 8VAC20-780-40-M.

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 #3, enrolled for 6 weeks, was missing the name address and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The center is required to obtain a completed national criminal background check prior to the employee’s first day of employment.

“The criminal background check for staff #4 was received 9 days after the first day of employment.”

Rule 22.1-289.035-B-2.

Each staff member and individual shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“The tuberculosis screening for staff #5 was completed 8 months prior to the date of employment.”

Rule 8VAC20-780-160-A.

The center shall 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. This list shall be dated and kept confidential in each room or area where children are present.

“The center did not have a current written list of all children’s allergies, sensitivities, and dietary restrictions in each room or area where children are present. Child #1, enrolled for 18 months has a documented food sensitivity. Child #3, enrolled for 2 weeks has a dietary restriction.”

Rule 8VAC20-780-40-M.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-C

“Based on record review and interview, the center failed to obtain the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: The record for staff #4, date of employment 08/03/2022, contained an initial tuberculosis screening dated 08/02/2022. The record did not contain a follow-up tuberculosis screening. Interview with administration confirmed that the record did not contain a follow-up tuberculosis screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-70

“Repeat Violation Based on record review, the center failed to ensure that staff records contain the required information. Evidence: 1. The record for staff #1 did not contain documentation of current CPR and First Aid. 2. The record for staff #2 did not contain documentation of current CPR and First Aid.”

Rule 8VAC20-780-70.

Based on a review of four staff records and interview, the center did not ensure to obtain a fingerprint background check for one staff prior to employment as required.

“Evidence: 1. The record of staff #4 (date of employment:8/21/2023) did not contain a fingerprint background check. 2. Administration acknowledged that the results of the check had not been received.”

Rule 22.1-289.035-B-2.

Based on a review of four staff records and interview, the center did not ensure to obtain a sworn statement background check for one staff prior to the first date of employment.

“Evidence: 1. The record of staff #4 (date of employment: 8/21/2023) did not contain a sworn statement. 2. Administration acknowledged that the sworn statement had not been completed.”

Rule 8VAC20-770-60-B.

Based on a review of five child records and interview, the center did not ensure that two children had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1. The records of child #2 (date of attendance: 8/21/2023) and child #5 (date of attendance: 8/21/2023) did not contain immunization records. 2. Administration acknowledged that the records had not been obtained.”

Rule 8VAC20-780-130-A.

Based on a review of four staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff the time of employment and prior to coming into contact with children. The documentation must be completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: 1. The record of staff #4 (date of employment: 8/21/2023) did not contain a TB screening. 2. Administration acknowledged that a TB screening had not been obtained.”

Rule 8VAC20-780-160-A.

Based on a review of five child records and interview, the center did not ensure that two children had a record that contained the required information.

“Evidence: 1. The records of child #1 (date of enrollment: 8/21/2023) and child #2 (date of enrollment: 8/21/2023) did not contain documentation of viewing proof of the child’s identity and age. 2. Administration acknowledged that the records did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on a review of four staff records and interview, the center did not ensure one record contained the required information.

“Evidence: 1. The record of staff #4 (date of employment: 8/21/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references had not been documented.”

Rule 8VAC20-780-70.

Based on observation and interview, the center did not ensure that the required emergency supplies were available on field trips.

“Evidence: 1. The center’s bus did not have an ice pack or cooling agent. 2. Administration acknowledged that the ice pack or cooling agent was not on the bus and the bus had been in use without having it.”

Rule 8VAC20-780-540-D.

Based on observation and interview the center did not ensure to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.

“Evidence: 1. The center did not have a document with the required shelter, hospital and route information on the center’s bus as required. 2. Administration acknowledged that the documents had not been created and kept on the vehicle.”

Rule 8VAC20-780-550-K.

Based on a review of four (4) staff records and interview, the center did not ensure to obtain the results of a fingerprint background check prior to the first date of employment for two (2) staff as required.

“Evidence: 1. The records of staff #1 (date of employment: 08/03/2022) and staff #2 (date of employment: 08/03/2022) did not contain a fingerprint background check. 2. Administration acknowledged that they had not received the fingerprint background checks prior to the first date of employment as required.”

Rule 22.1-289.035-B-2.

Based on a review of four (4) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for two (2) staff that fell within the required time frames. Documentation of the screening must be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: 1. The record of staff #1 (date of employment: 08/03/2022) contained a tuberculosis screening dated 06/30/2022. The record of staff #2 (date of employment: 08/03/2022) contained a tuberculosis screening dated 08/04/2022. 2. Administration acknowledged that the tuberculosis screenings were not completed within the required time frame.”

Rule 8VAC20-780-160-A.

Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. The center’s bus was inspected on 08/30/2022. The seats were observed to have multiple areas that were ripped and torn, exposing the foam cushioning. 2. Administration acknowledged that the seats required maintenance.”

Rule 8VAC20-780-270-A.