Community Improvement Council, Inc.

Whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose.

“There was no one on-site that has satisfactorily completed a training program to administer Medication 1.”

Rule 8VAC20-780-245-J-1.

Applicants are required to undergo a background check every 5 years.

“The 5-year update to the central registry search for Applicant 3 was overdue by 11 months. The 5-year update of the criminal history record check for Applicant 3 was overdue by 7 months.”

Rule 22.1-289.036-A.

If hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contacts and shall not resemble food or beverage containers.

“There was a fruit juice bottle labeled ?cleaner with bleach?, that contained a clear liquid solution, stored with other cleaning products in a cabinet in Classroom 1.”

Rule 8VAC20-780-280-G.

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.

“The authorization for the administration of Medication 1, which was on-site during the inspection, has been expired for over 2 months.”

Rule 8VAC20-780-510-P.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence.

“Child 1 (age 3 years) received an injury on 09/17/2025. The center did not complete a written record of the injury to include all of the components required by the standards.”

Rule 8VAC20-780-550-P.

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

“The lock on the cream cabinet in Class 6 was not properly locked and could be opened by pulling the handle; there were various cleaning materials and an insecticide on the bottom shelf of the cabinet.”

Rule 8VAC20-780-280-B.

Cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other.

“There was a basket of cleaning materials that also contained an insecticide on the bottom shelf of the cream cabinet in Class 6.”

Rule 8VAC20-780-280-E.

The center record of medication administration shall include all of the components required by the standards.

“The medication administration log for Medication 4, administered daily, did not include the time the medication was administered as required by the standards.”

Rule 8VAC20-780-510-N.

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

“Staff 9, employed for more than 4 months, did not have documentation of requesting a child abuse and neglect registry check from one state.”

Rule 22.1-289.035-B-4.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“There was a power strip with 4 uncovered electrical outlets in Classroom 1. The children in Classroom 1 were preschool-aged.”

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

Documentation of at least two references to character, reputation and competency are required prior to employment and when the reference checks are conducted via telephone the date of contact and the signature of the person making the call shall be documented.

“The reference checks for Staff 4, Staff 9 and Staff 10 did not contain the dates of contact and the signature of the person making the calls.”

Rule 8VAC20-780-70.

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

“The updated tb screening for Staff 4 was due 2 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.

“Evidence: The most recent sworn statement for Applicant 2 was dated 09/18/2017. There was not an updated sworn statement obtained by 09/18/2022 available for review.”

Rule 22.1-289.036-A.

Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.

“Evidence: 1. The most recent tuberculosis screening in the record for Staff 4 was dated 09/08/2021; there was not a follow-up tuberculosis screening for 2023 available for review. 2. The most recent tuberculosis screening in the record for Staff 6 was dated 08/14/2021; there was not a follow-up tuberculosis screening for 2023 available for review.”

Rule 8VAC20-780-160-C.

Based on record review and staff interviews, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The written record of daily attendance in Class 3 did not document the departure of each child as it occurred on 09/26/2023. Staff 7 confirmed that the departure of each child had not been documented on that date.”

Rule 8VAC20-780-80-A.

Based on observations, the center failed to ensure that restrooms shall be equipped with soap, toilet paper and disposable towels or an air dryer within reach of children.

“Evidence: There were no disposable towels or an air dryer in the upstairs girls bathroom of the main building of the center.”

Rule 8VAC20-780-320-B.

Based on record review, the center failed to ensure that each staff record contains all of the elements as required by the standards.

“Evidence: The record for Staff 7 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment; there were no reference checks available for review. Staff 7 was observed working during the inspection.”

Rule 8VAC20-780-70.

Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: The record for Staff 10 contained a documented hire date of 02/02/2022. The date on the tuberculosis screening in the record was 09/10/2021. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on record review and discussion with staff, the center failed to obtain the sworn statements for all applicants and agents by the first day of service.

“Evidence: 1. The sworn statement for Applicant/Agent 1 was date 05/16/2022. Agent 3 verified that Agent 1 took office on 04/21/2022.”

Rule 8VAC20-770-40-D-1-a.

Based on observations and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. The paint on the window sill near the window unit air conditioner of Classroom 3 was chipping and peeling. The chipping/peeling paint was accessible to children. 2. There were two sharp broken staples protruding from the wood under the window unit air conditioner that could snag skin and that were accessible to children in Classroom 3.”

Rule 8VAC20-780-270-A.