Kids In Discovery Preschool

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified.

“Child #6 had an injury report that was missing the date and time when parents were notified and documentation on how parent was notified. Child #7 and Child #8 each had 1 injury report that was missing the time of parent notification. Child #9 had an injury report that was missing 1 of the 2 required signatures.”

Rule 8VAC20-780-550-P.

Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member’s record, and shall include date of training.

“The record for staff #4, contained documentation of orientation training that was not dated.”

Rule 8VAC20-780-240-I.

The name, address, verification of age requirement, job title, and date of employment or volunteering; and name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“The record for staff #4, did not contain the date of employment.”

Rule 8VAC20-780-70.

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 1 year, did not have documentation of requesting a central registry check or sex offender registry check from one state. Documentation indicates the center was unaware of needing out of state background checks from staff #2 until approximately 1 month ago.”

Rule 22.1-289.035-B-4.

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 six months, was missing the following required components: work phone numbers for both parents.”

Rule 8VAC20-780-60-A.

Based on review of staff records, the center did not ensure each staff member had a TB test or screening at least every two years.

“Evidence: 1. The record for staff #6 contained a TB screening completed on 7/8/2022. 2. Staff acknowledged not having an updated TB screening completed.”

Rule 8VAC20-780-160-C.

Based on review of medication records, the center did not ensure medication authorization was made available to staff during the entire time it was effective.

“Evidence: 1. A prescription inhaler medication was observed for Child #8 and the medication authorization was incomplete due to the parent section being blank. 2. Staff acknowledged the incomplete form, and the issue was corrected during the inspection when the parent picked the child up.”

Rule 8VAC20-780-510-F.

Repeat violation

“Based on a review of five staff records and interview, the center did not ensure to obtain a fingerprint background check for one staff prior to the first date of employment as required. Evidence: 1. The record of staff #1 (date of employment: 8/28/2023) contained a fingerprint background check dated 9/7/2023. 2. Administration acknowledged that the fingerprints results were received after the start of employment.”

Rule 22.1-289.035-B-2.

Repeat violation

“Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 8/28/2023) contained a TB screening dated 10/23/2023. 2. Administration acknowledged that the screening was late.”

Rule 8VAC20-780-160-A.

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

“Evidence: 1. The record of staff #4 (date of employment: 8/28/2023) did not contain a fingerprint background check. 2. Administration acknowledged that the background check had not been obtained.”

Rule 22.1-289.035-B-2.

Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for three staff at the time of employment and prior to coming into contact with children.

“Evidence: 1. The records of staff #2 (date of employment 8/28/2023), staff #3 (date of employment 8/28/2023) and staff #5 (date of employment 8/28/2023) did not contain a TB screening. 2. Administration acknowledged that the TB screenings had not been obtained.”

Rule 8VAC20-780-160-A.

Based on a review of records and interview the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: 1. In room #3, (twos and threes room), there were two staff supervising 3 children. Both teachers stated they were not CPR certified. 2. Administration acknowledged that there was not a CPR certified individual in room #3.”

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

Based on a review of records and interview the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid.

“Evidence: 1. In room #3, (twos and threes room), there were two staff supervising 3 children. Both teachers stated they were not first aid certified. 2. Administration acknowledged that there was not a first aid certified individual in room #3.”

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

Based on a review of 5 children’s records and interview, the center did not ensure that one (1) child with a diagnosed food allergy had a written care plan 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 as required.

“Evidence: 1. The record of child #2 (date of attendance: 1/4/2023) contained medical documentation that confirmed that the child had a diagnosed food allergy. The record did not contain the required care plan. 2. Administration acknowledged that they did not have an allergy care plan for the child.”

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

Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for one (1) staff at the time of employment and prior to coming into contact with children as required.

“Evidence: 1. The record of staff #4 (date of employment: 8/29/2022) contained tuberculosis screening dated 9/15/2022. 2. Administration acknowledged that the screening was completed late.”

Rule 8VAC20-780-160-A.

Based on observation and interview, the center did not ensure that children washed their hands with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: 1. On 9/27/2022, staff were observed administering hand sanitizer to the children prior to eating snack. 2. Administration acknowledged that the children had access to a handwashing sink.”

Rule 8VAC20-780-500-A.

Based on observation and interview, the center did not ensure that tables were sanitized before and after each use for feeding as required.

Rule 8VAC20-780-560-J.

Based on review of five staff records and interview, the center did not ensure to obtain a completed sworn statement or affirmation prior to the first date of employment for two staff as required.

“Evidence: 1. The record of staff #1 (DOH:9/8/2020) contained a sworn statement dated 10/8/2020.The record of staff #2 (DOH: 9/8/2020) contained a sworn statement dated 9/24/2020. 2. Administration acknowledged that the sworn statements were completed after the first date of employment.”

Rule 8VAC20-770-60-B.

Based on review of five staff records and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for two staff as required.

“Evidence: 1. The record of staff # 1 (DOH: 09/08/2020) and staff #2 (DOH: 09/08/2020) did not contain the results of a central registry background check completed by the center. 2. Administration stated that at the time they believed the central registry checks were portable and had the checks from the previous facility in the file dated from 2018.”

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

Based on review of five staff records and interview, the center did not ensure that two staff had complete records.

“Evidence: 1. The records of staff #1 (DOH:9/8/2020) and staff #2 (DOH: 9/8/2020) did not contain documentation to demonstrate that the individuals possessed the education and certification required by the job position. 2. Administration acknowledged that staff #1 and #2 were program leaders who possessed the training and education required by the position but it had not been obtained for the record.”

Rule 8VAC20-780-70.