James City County Parks & Recreation-Laurel Lane

8VAC20-780-60-A-8

“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 #5, who has been enrolled for eleven months, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. No one on site had obtained instruction on performing the daily health observation.”

Rule 8VAC20-780-245-L.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. There was no list and there were children present with allergies.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There were no drills conducted in August or September 2025.”

Rule 8VAC20-780-550-D.

8VAC20-780-160-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 four months prior to date of employment and has been employed for six months.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 1 month ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

“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 was missing 1 required component and the record for Child #5 was missing 2 required components.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-4

“The center is required to obtain out of state background checks from any state in which a staff member has resided in the preceding five years. There were no out of state background checks completed on staff #3 for the states of Connecticut and Washington.”

Rule 22.1-289.035-B-4.

22.1-289.011-F

“Based on observation and staff interview, the center did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: Staff confirmed that the most recent inspection results dated April 3, 2023, were not posted.”

Rule 22.1-289.011-F.

Based on review of 5 staff records and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: The record for staff #4 date of hire June 24, 2022 did not documentation of TB screening/ test”

Rule 8VAC20-780-160-A.

Based on medication review, documentation review and staff interviews, the licensee did not ensure that prescription medication shall be given to a child only with written authorization from the parent.

“Evidence; The medication log for Child #4 was reviewed and medication (methylphenidate 5mg) had been administered a total of 12 times between June 15, 2022 and July 27, 2022. The medication authorization for Child #4 was reviewed and the parent had not authorized administration of the medication.”

Rule 8VAC20-780-510-B.