Rosslyn Children’s Center

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

“The center did not request a search of the child abuse and neglect registry from one state for Staff #3, #8 or #9.”

Rule 22.1-289-036-B-4.

REPEAT VIOLATION At least every two years from the date of the first initial screening or testing staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“TB screening for staff #1 was two years overdue, DOL 7/2022.”

Rule 8VAC20-780-160-C.

Any agent at the time of application shall be of good character and reputation.

“The center did not have references of character and reputation for agents (staff #5, #6, #7 #8) listed on renewal application.”

Rule 8VAC20-780-40-B.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medications were kept unlocked, in unlocked backpacks in areas accessible to children.”

Rule 8VAC20-780-510-L.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Authorization for medications for children #5, #6, #7 and #8 expired over 6 months ago. Authorizations were not renewed, medications were not picked up or disposed of by the center.”

Rule 8VAC20-780-510-P.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff 3 updated screening was due over 1 year ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

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

“Staff 1, employed for 8 days, did not have documentation of a Sexual Offender being requested from one state. Staff 3, employed for more than 2 months, had documentation of requesting a central registry check or criminal history check more than 85 days after date of hire, from one state.”

Rule 22.1-289.035-B-4.

Areas and equipment of the center shall be maintained in safe condition.

“~8 cribs observed in the Cardinal classroom with loose-fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-780-270-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“~Staff 4, was observed by another staff sleeping in the classroom with the lights off, while supervising children. Staff had to be woken up. Documentation in staff file and director interview confirmed the information. ~Toddler observed in the Blue Jays classroom eating a muffin with the paper still attached. Child had eaten some of the paper. ~Dry erase marker and eraser observed hanging on wall over the crib, accessible to children, in the Cardinals classroom.”

Rule 8VAC20-780-340-A.

Cribs shall be placed where objects outside the crib are not within reach of infants or toddlers.

“Dry erase marker and eraser observed hanging on the wall over the crib, accessible to children, in the Cardinals classroom.”

Rule 8VAC20-780-440-I.

Sunscreen should be labeled with child’s name.

“Child B had sunscreen in their cubby without a name on it.”

Rule 8VAC20-780-520-B.

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 C, enrolled for eight days, was missing the name, address, and phone number of a second designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff 1 had no documentation of VDOE-sponsored orientation available for review.”

Rule 8VAC20-780-240-A.

REPEAT VIOLATION Staff shall complete orientation training appropriate to the age of the children in care and include all of the facility specific topics, no later than seven days of the date of assuming job responsibilities and prior to the staff member working alone with children.

“~Four of five staff files reviewed did not have documentation of orientation within seven days of hire date. ~Staff 1, who has been employed for over one month, has no documentation of orientation available for review. ~Director confirmed that orientation was not completed within the seven day period for any of the 5 staff members.”

Rule 8VAC20-780-240-B.

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center’s policies and procedures.

“~Three of five staff files reviewed did not have documentation of orientation within seven days of hire date, available for review. ~Staff 1, who has been employed for over one month, has no documentation of orientation available for review. ~Director confirmed that orientation was not completed within the seven day period.”

Rule 8VAC20-780-240-D.

Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Staff 3, who has been employed for 10 months, has no documentation of CPR and First Aid on file for review.”

Rule 8VAC20-780-240-E.

Equipment in the center shall be maintained in safe and operable condition.

“The refrigerator in the classroom was at a temperature of 55 degrees. Two gallons of milk and lunchboxes were observed inside. Teacher confirmed that he had turned up the temperature when cleaning it the day prior.”

Rule 8VAC20-780-270-A.

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

“Children’s names with allergy/dietary preferences were listed on the classroom menus throughout the center.”

Rule 8VAC20-780-40-M.

Each center shall maintain a separate record for each child enrolled which shall contain the complete information: A. Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. B. Work phone number and place of employment of each parent.

“Child A, who has been enrolled for over one month, only has one emergency contact phone number listed. Children D and E do not have complete parent work information documented.”

Rule 8VAC20-780-60-A.

The center will obtain documentation of two or more references were checked before employment.

“The second reference for staff 4 was obtained more than 30 days after date of hire.”

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 #3, had an initial criminal background check request from previous state of residence, dated 48 days after date of hire.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening that has been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff 3 had orientation training documentation completed 48 days after date of hire.”

Rule 8VAC20-780-240-B.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“Cords from the telephone were hanging within reach of the children in the Cardinals classroom.”

Rule 8VAC20-780-270-A.

Fans, when used, shall be out of reach of children.

“Fans were in three classrooms, within reach of children.”

Rule 8VAC20-780-290-A-2.

The center shall implement a monthly practice evacuation drill.

“There was no documentation of a fire drill being done in November 2024.”

Rule 8VAC20-780-550-D.

Based on observation of the playground area, the center did not maintain the outside area in a clean, safe, and operable condition.

“Evidence: Two sections of fencing material on the lower level “C playground” were missing, allowing access to outside of the playground.”

Rule 8VAC20-780-270-A.

REPEAT VIOLATION Based on observation, the center failed to ensure that hazardous materials were kept in a locked location.

“Evidence: 1. The bleach cleaner in the Swan class was in an unlocked cabinet. 2. Diaper creams, sunblock and bug sprays were on the counter in the restroom, within reach of the children.”

Rule 8VAC20-780-280-B.

REPEAT VIOLATION: Based on medication review, medication authorizations expired for longer than 14 days were not returned to the parent.

“Evidence: 1. Child #6 had two medication authorizations that expired on 05/2/2024. The medications were present in the center on the date of inspection. 2. Child #7 had a medication authorization that expired on 9/22/23. The medication was present on the date of inspection.”

Rule 8VAC20-780-510-P.

Based on a review of documentation and interview, the vendor did not practice shelter-in-place drills a minimum of twice within a year.

“Evidence: The drill log for the center showed that the last Shelter-in-Place drill was completed in June 2023.”

Rule 8VAC20-780-550-E.

22.1-289.035-B-2

“Based on record review, the licensee failed to obtain a national criminal record check for staff members prior to their start date. Evidence: Staff 4 started with the center on 7/10/2023. Staff 4’s criminal record check is dated 7/17/2023.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative Tuberculosis screening for staff at the time of employment. Evidence: Staff 4’s hire date is documented as 7/10/2023. Staff 4’s Tuberculosis screening was obtained 7/13/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-245-J-3

“Based on interviews and record review, children who have been prescribed emergency medications were not always in the care of a staff member or independent contractor who meets the requirements to administer the medication. Evidence: 1. Child 1 has prescribed emergency medication at the center for a severe allergy. 2. On the date of inspection Child 1 was in the care of Staff 5 and Staff 6. 3. Staff 5 and Staff 6’s records do not contain documentation to support that they have met the qualifications to administer medication.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in an operable condition. Evidence: A loose toilet seat was observed in the Swan classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: A spray bottle of bleach and water was observed in an unlocked cabinet in the Swan’s bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-B

“Based on a review of medication, the center did not meet all requirements for the administration of medication. Evidence: 1. Child 1’s medication authorization form did not include: the name of the medication, the dose, the route of medication, or an end of authorization date. 2. Child 3 had prescription medication present at the center, but did not have an authorization form allowing the center to administer the medication.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-P

“Based on medication review, medication authorizations expired for longer than 14 days were not returned to the parent or disposed of by the center. Evidence: 1. Child 2’s medication authorization expired on 9/22/2023. The medication was present in the center on the date of inspection. 2. Child 4, who disenrolled on 8/4/2023, had medication present at the center on the date of inspection.”

Rule 8VAC20-780-510-P.

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: Staff 5’s record did not contain the name and contact information for an emergency contact.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Based on record review, the center continued to employ staff who do not have valid findings of a Virginia central registry check within the past five years. Evidence: 1. Staff 6’s most recent central registry check was conducted on 4/29/2018. 2. Staff 7’s most recent central registry check was conducted on 4/30/2018.”

Rule 22.1-289.035-A.

8VAC20-780-130-E

“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. 1. Child 4’s most recent documented immunizations were received on 7/5/2022, six months prior to the child turning 2. 2. Child 7’s most recent documented immunizations were received on 11/12/2022, nine months prior to the child turning 2.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“Based on record review, each child di not have documentation of a physical examination by or under the direction of a physician within thirty days of enrollment. Evidence: Child 4’s record did not contain documentation of a a physical examination by or under the direction of a physician.”

Rule 8VAC20-780-140-A.

8VAC20-780-240-A

“Based on record review, required staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff 4 and Staff 5’s records do not contain documentation that they have completed the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Based on record review, staff did not complete a licensing and programmatic 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: Staff 4 and Staff 5’s record does not contain documentation of having received an orientation on all required topics.”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Based on observation, cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Spray bottles of bleach and water were observed in an unlocked cabinet in a bathroom used by children.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“Based on a review of the allergy list, the center did not maintain a current written list of all children’s allergies. Evidence: Child 2’s record stated he has a severe food allergy and emergency medication. The posted allergy list did not contain information about Child 2’s allergy.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-C

“Based on observation, emergency evacuation and shelter-in-place maps did not contain all required information. Evidence: Posted emergency evacuation and shelter-in-place maps did not include marked location s for where classes are to shelter-in-place according to the center’s procedures.”

Rule 8VAC20-780-550-C.

8VAC20-780-60-A

“Based on record review, children’s files did not contain all required information. Evidence: 1. Child 1’s record did not contain documentation of a physical. 2. Child 6’s record did not contain the addresses of the two listed emergency contacts.”

Rule 8VAC20-780-60-A.

8VAC20-780-550-F

“Based on record review and staff statement, lockdown procedures were not practiced annually. Evidence: There was no documentation that a lockdown drill had been conducted in 2022. Staff 1 stated that no drill was conducted during that year.”

Rule 8VAC20-780-550-F.

Based on record review, 1 of 5 staff records did not contain the results of a criminal history check prior to hire.

“Evidence: The record for staff did not contain the results of a criminal record check.”

Rule 22.1-289.035-B-2.

Based on record review, 2 of 5 staff records reviewed did not contain documentation of a negative tuberculosis screening.

“Evidence: Staff 1 and 5?s record did not contain the results of a negative Tuberculosis screening.”

Rule 8VAC20-780-160-A.

Based on record review, there was not always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: On the date of inspection there was no documentation that supported that any staff member has obtained within the last three years instruction in performing the daily health observation of children.”

Rule 8VAC20-780-245-L.

Based on observation, hazardous substances such as cleaning materials was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In the Bears classroom, a container of sanitizing wipes was located in a cabinet above the classroom sink, but not locked. 2. In the Bluejays classroom bathroom, a container of sanitizing wipes was located on top of a soap dispenser near the sink, but not locked. 3. In the Chipmunks, classroom, a container of sanitizing wipes was located on a shelf above the diaper changing table, but not locked.”

Rule 8VAC20-780-280-B.

Based on observation, not all materials and equipment available were age and stage appropriate for the children.

“Evidence: Sensory bottles observed in the Cardinal’s classroom contained small objects that pose a choking hazard. Some of the bottles were not sealed in a way to ensure the objects inside were inaccessible to children under the age of 3 years.”

Rule 8VAC20-780-430-B.

Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Wolves classroom, there was an epi-pen located inside of a zipped first aid bag hanging on a door, the bag was not stored in a locked place using a safe locking method that prevents access by children.”

Rule 8VAC20-780-510-L.

Based on record review and interview, the center did not obtain documentation for viewing proof of the child’s identity and age

“Evidence: Child #1 and Child #2 did not have documentation of proof of identity and age.”

Rule 8VAC20-780-60-A.