North Cross School

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #1, who had been employed for seven months, did not have a sworn statement in record. Staff #3, who had been employed for 3 years, did not have a sworn statement in the record.”

Rule 22.1-289.035-B-1.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #1, who had been employed over a year, had a central registry in the record that was 6 months after the required timeframe. Staff #3, who had been employed 3 years, had a central registry in the record that was two years after the required timeframe.”

Rule 22.1-289.035-B-3.

Electrical outlets shall have protective covers that are of a size that cannot e swallowed by children.

“Multiple electrical outlets located in the cafeteria were not covered with protective covers.”

Rule 8VAC20-780-290-A-3.

Each restroom area provided for children shall have sinks located new the toilets that are supplied with running warm water that does not exceed 120 degrees F.

“Hot water in the sinks used by the children for handwashing exceeded 120 degrees F. Temperature registered 126.5 degrees F.”

Rule 8VAC20-780-320-B.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative TB screening at the time of employment. Staff 1 was employed approximately one month ago and there is no documentation of TB screening in their file. Staff 2 was employed for approximately six months before TB screening documentation was obtained.”

Rule 8VAC20-780-160-A.

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, name of the medication, dosage amount, and time to be given. An unlabeled bottle of diphenhydramine gummies was in the medication box.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“When authorization for medication expires, it needs to be picked up within 14 days or be disposed of if the parent does not renew the authorization. Authorization to administer medication to Child 2 expired approximately three months previously and the medication was in the medication storage box.”

Rule 8VAC20-780-510-P.

Based on record review and interview, the center failed to obtain a copy of the search of the child abuse and neglect registry for any state in which the individual has resided in the preceding five years.

Rule 22.1-289.035-B-4.

Based on record review, the center failed to obtain the results of an out-of-state child abuse and neglect registry check for a new staff person by the end of the 30th day of employment for staff who resided out of Virginia within the past five years.

“EVIDENCE: Staff 3 has a documented start date of 8/18/2023 and there are no results of the out-of-state Central Registry results in the record. The Sword Disclosure signed by Staff 3 on 8/16/2023 shows this person lived outside of Virginia within the past five years.”

Rule 22.1-289.035-B-4.

Based on staff record review, the center failed to obtain the Central Registry search results for a new staff person by the end of the 30th day of employment.

“EVIDENCE: Staff 3 has a documented start date of 8/18/2023 and there are no results of the Central Registry search in the record.”

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

Based on interviews, the center failed to have names, addresses, and telephone numbers of a person to notify in an emergency for staff members.

“EVIDENCE: The center did not have staff emergency contact information available during the 1/23/2023 inspection. Staff 1 and 2 stated it was kept in another building on the campus and was not available.”

Rule 8VAC20-780-70.

Based on record review and discussion with staff, the center failed to ensure that every employee at a child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

“Evidence: 1. The most recent search of the central registry in the record of Staff 1 was dated 07/28/2017; there was not a repeat background search of the central registry obtained in 2022. 2. The most recent sworn statement in the record of Staff 1 was dated 07/10/2017; there was not a repeat sworn statement obtained in 2022.”

Rule 22.1-289.035-A.

Based on record review, the center failed to ensure that at least every two years from the date of the initial screening staff members shall submit the results of a follow-up tuberculosis screening.

“Evidence: 1. The most recent tuberculosis screening available for review in the record for Staff 4 was dated 09/06/2020; there was not a follow-up tuberculosis screening from 2022 available for review during the inspection. 2. The most recent tuberculosis screening available for review in the record for Staff 5 was dated 10/09/2020; there was not a follow-up tuberculosis screening from 2022 available for review during the inspection.”

Rule 8VAC20-780-160-C.

Based on observation and record review, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers.

“Evidence: There were 8 uncovered electrical outlets in the area used by the children. Record review determined the youngest child in the area was 3 years old.”

Rule 8VAC20-780-290-A-3.

Based on observation, the center failed to ensure that tables are sanitized before and after each use for feeding.

“Evidence: The tables were not properly sanitized following the afternoon snack. The sanitizing solution was sprayed and immediately wiped off. The sanitizing solution was not allowed to air dry for the required 2 minutes before being wiped off.”

Rule 8VAC20-780-560-J.

Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff 12 stated that the hire date for Staff 8 was 08/25/2021. The employment eligibility letter was dated 12/01/2021.”

Rule 22.1-289.035-B-2.

Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 11 contained documentation that Staff 11 had resided outside of the state of Virginia within the preceding five years. Staff 12 stated that the hire date for Staff 8 was 01/05/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/18/2022 inspection.”

Rule 22.1-289.035-B-4.

Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation.

“Evidence: 1. Staff 13 stated that the hire date for Staff 10 was 01/05/2022. The sworn statement was dated 02/18/2022. 2. Staff 13 stated that the hire date for Staff 11 was 08/25/2021. The sworn statement was dated 02/18/2022.”

Rule 8VAC20-770-60-B.

Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment.

“Evidence: Staff 13 stated that the hire date for Staff 8 was 08/25/2021. The findings from a search of the central registry were dated 01/24/2022.”

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

Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

“Evidence: Staff 12 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on discussion, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks.

“Evidence: Staff 5 stated that children’s hands are not washed with soap and running water or disposable wipes after snack. Staff 5 stated that the children use hand sanitizer after snack instead.”

Rule 8VAC20-780-500-A.

Based on observation and discussion with staff, the center failed to ensure that no child shall be allowed to drink and eat while walking around.

“Evidence: Two children were observed eating their snack food, a ziplock bag of Goldfish and a bag of Cheez-Its, while lining up and walking into the cafeteria for homework time.”

Rule 8VAC20-780-560-M.

Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

Rule 8VAC20-780-60-A.