Dulin United Methodist Cooperative Preschool

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A hand sanitizer was on top of a lower shelf that children had access to and was not kept in a locked place.”

Rule 8VAC20-780-280-B.

Staff and children’s records shall be treated confidentially.

“The supplemental information page from the last inspection on 3/26/2026 was posted on the bulletin board. Information found on the Supplemental Information page is considered confidential and the document is not to be posted in the facility.”

Rule 8VAC20-780-50-A.

When food is brought from home the food container must be clearly dated.

“Three of the children’s food containers in the four-year-old room were not dated. One of the children’s food containers in the three year old room was not dated.”

Rule 8VAC20-780-560-G.

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 approximately three weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #2, employed for more than two years, did not have documentation of completing a sex offender registry search from one state.”

Rule 22.1-289.035-B-4.

The center is required to have board members undergo a background check every five years.

“The most recent central registry check for board member #2 is overdue by a two months and 18 days.”

Rule 22.1-289.035-A.

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 #3 TB was dated 3 months prior to date of employment and has been employed for over 4 months.”

Rule 8VAC20-780-160-A.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4, employed for over 2 years, did not have documentation of a central registry from one state.”

Rule 22.1-289.035-B-4.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #3, who is working with children, has not yet completed this course which is overdue by 2 years.”

Rule 8VAC20-780-240-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 and Child #2 have a documented food allergy noted on their physical examination form by a physician, however, there is no written care plan to include 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.

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 were no physical exam records available for Child #2 and Child #3, who had been in care for over 1 month.”

Rule 8VAC20-780-140-A.

The center shall obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system.

“The environmental sanitation inspection was expired by 1 day.”

Rule 8VAC20-780-260-B.

Based on record review and staff interview, the center did not obtain the results of a central registry check by the end of the 30th day of employment.

“Evidence: 1. There was no documentation of central registry results for Staff #4. 2. The date of employment for Staff #4 is 1/24/2024.”

Rule 8VAC20-770-60-C-2.

Repeat violation

“Based on record review and staff interview, the center failed to ensure all staff records had all the required documentation. Evidence: 1. There was no documentation of orientation for Staff #4. 2. There was no documentation of education for Staff #4”

Rule 8VAC20-780-70.

Based on record review and interview, 1 of 5 staff files indicated that it has been more than 2 years from the date of the last tuberculosis (TB) documentation kept on file.

“Evidence: 1. The TB documentation on file for Staff #1 is dated - 07/28/2021. 2. A more current TB documentation was not available at the time of inspection.”

Rule 8VAC20-780-160-C.

Based on record review and interview, the center did not obtain all the required information for each child’s record.

“Evidence: Child #4 is missing proof of identity.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center did not obtain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training.

“Evidence: There was no documentation of education for Staff #2, Staff #3, Staff #4, Staff #5.”

Rule 8VAC20-780-70.

Based on record review and interview, it was determined that 2 of 5 employee and volunteer records did not include required documentation of required out-of-state background checks prior to the first day of employment or volunteering.

“Evidence: 1. Staff #1 (DOH: 11/2022) record did not contain an out-of-state central registry check from a state they have listed as residing in within the previous five years. 2. Volunteer #4 (DOH: 9/2022) record did not contain an out-of-state central registry check and criminal record check from a state they have listed as residing in within the previous five years.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center did not develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Evidence: There was no documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff.”

Rule 8VAC20-780-350-F.

Based on record review and interview, the center did not develop written procedures for prevention of abusive head trauma.

“Evidence: There was no documentation of a written policy and procedure for prevention of abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on record review and interview, lockdown procedures were not practiced at least annually.

“Evidence: There was no documentation of a lockdown drill procedure being practiced in 2022.”

Rule 8VAC20-780-550-F.

Based on record review and interview, 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 #4 did not have documentation of immunizations prior to the child’s first day of attendance. The child’s start date was 9/12/22.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center did not obtain a physical examination by or under the direction of a physician prior to a child’s attendance; or within 30 days after the first day of attendance.

“Evidence: Child #4 did not have documentation of a physical examination prior or within 30 days after the child’s first day of attendance. The child’s start date was 9/12/22.”

Rule 8VAC20-780-140-A.

Based on record review and interview, staff did not complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. There was no documentation of Staff #5’s orientation. 2. Staff administration stated that Staff #5 received orientation prior to working with children, but they were unable to locate documentation.”

Rule 8VAC20-780-240-B.

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

“Evidence: There was no documentation of a November 2021 or September 2022 evacuation drill.”

Rule 8VAC20-780-550-D.

8VAC20-780-160-C

“Based on record review, one staff record did not contain the results of a negative Tuberculosis screening 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. Evidence: The Tuberculosis screening for Staff 1 was conducted on 9/8/2019.”

Rule 8VAC20-780-160-C.