Tuckaway-Barony Child Development Center

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5, employed for more than 10 months, did not have documentation of requesting a child abuse and neglect registry check from a different state.”

Rule 22.1-289.035-B-4.

22.1-289.018-A

“Licensees shall at all times afford the Superintendent reasonable opportunity to inspect all of their facilities, books and records, and to interview their agents and employees and any person under their custody, control, direction, or supervision. On 5/21/2025, this licensing inspector was denied entry to the building that houses the school aged children’s program by Regional Staff. The inspection was later completed on 5/27/2025.”

Rule 22.1-289.018-A.

8VAC20-780-245-J-3

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member that is trained in medication administration. The staff member trained in medication administration left the center from approximately 2:25 p.m. until 3:00 p.m. on 5/21/2025 to pick up children attending the afterschool program. This left Child #11, who has allergies that require an epi pen, in the care of staff that were not trained in medication administration for approximately 35 minutes.”

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

8VAC20-780-270-A

“Equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include rusting or breakage of any equipment. A play structure on the playground was observed to have multiple areas with rust where the thick, outer paint coating was worn away. The Program Director acknowledged that the children climb on the play structure.”

Rule 8VAC20-780-270-A.

8VAC20-780-350-B-4

“The required ratio for children ages 3- 5 years is one staff per ten children. Staff #8 was observed supervising 11 children while they were eating snacks after their nap time.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-40-E

“The operational responsibilities of the licensee include ensuring that the center’s activities, services, and facilities are maintained in compliance with their own policies and procedures that are required by these standards. The center did not follow its own medication policies by not obtaining written authorization from a parent to administer the medication that was on site for Child #12.”

Rule 8VAC20-780-40-E.

Based on the review of one staff record (S3), and an interview with a center representative (CR1), the center failed to keep staff records as required.

“Evidence: There was no documentation in the record that S3 completed 16 hours of training appropriate to the age of children in care annually. There was documentation of 11 hours of training in 2023 for S3. In an exit interview on 5/31/24, CR1 acknowledged that 16 hours of annual training was not provided.”

Rule 8VAC20-780-245-A.

Based on observation and an interview with a center representative (CR1), the center failed to maintain play equipment in a safe and operable condition.

“Evidence: Two play structures on the playground were each observed to have multiple areas with rust where the thick, outer paint coating was worn away. Children were observed playing on one of the play structures. CR1 acknowledged that the children also play on the second play structure.”

Rule 8VAC20-780-270-A.

Based on observation, record review, and an interview with a center representative (CR1), the center failed to ensure that a program leader was regularly present in a grouping of children.

“Evidence: An assistant, (S5) was observed supervising a classroom of children ages 7 years to 8 years alone. The record of S5 documents that she has the qualifications to be an aide/assistant. In an interview, CR1 acknowledged that a program leader was not regularly present in that classroom.”

Rule 8VAC20-780-340-D.

Based on observation and an interview with a center representative (CR1), the center failed to maintain sight and sound supervision for two children under the age of 10 years.

Rule 8VAC20-780-340-F.

Based on observation and an interview with a center representative (CR1), the center failed to dispose of a soiled diaper in foot-operated storage system with a lid.

“Evidence: In one classroom, this inspector observed an open, soiled diaper laying on top of other trash in a trash can without a lid. CR1 acknowledged that they needed to obtain a foot-operated, lidded storage system for that classroom.”

Rule 8VAC20-780-500-B.

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. Staff #3’s CPR certification expired on 11/25/2020. 2. Administration verified that the CPR certification was expired.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid. Evidence: 1. Staff #3’s first aid certification expired on 11/25/2020. 2. Administration verified that the first aid certification had expired.”

Rule 8VAC20-790-600-D-2.

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The staff record for Staff #3 contained a national criminal background check dated 7/9/2018. Staff #3should have undergone a criminal background check on or before 7/9/2018. 2. The director verified that a criminal background check had not been completed for staff #3 since 2018.”

Rule 22.1-289.035-A.

8VAC20-780-270-A

“Based on observation, the center failed to keep areas and equipment of the center, inside and outside, maintained in a clean, safe and operable condition. Evidence: 1.The vinyl covering on a red and orange climber located in the Baby Birds II classroom, contained approximately 1?1 1/2-inch tears in the front, and at the top of the climber.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-B

“Based on record review and interview, the center did not ensure that the emergency preparedness plan was reviewed and updated annually. Evidence: 1. The emergency preparedness plan was not reviewed and updated as required. The emergency preparedness plan was update 3/2022. 2. The director confirmed that the plan had not been reviewed and updated.”

Rule 8VAC20-780-550-B.

8VAC20-780-280-B

“Based on observation, the center failed to ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: A bottle of bleach water and floor cleaner was stored in a basket on a shelf over the sink accessible to children in the 2 year old classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-D

“Based on record review and staff interview, the center failed to ensure that emergency evacuation procedures were practiced monthly. Evidence: 1. A review of the fire drill record indicated that a fire drill was not conducted in September 2022. 2. The director verified that a fire drill was not conducted in September 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared infant formula was labeled with the date. Evidence: Two (2) infant bottles of formula were not labeled with the date.”

Rule 8VAC20-780-570-E.

Based on a review of five staff records, the center did not ensure that three staff’ records contained a complete sworn statement prior to employment.

Rule 8VAC20-770-60-B.

Based on observations and interview, one vehicle used for transporting children did not meet safety standards set by the Department of Motor Vehicles.

“Evidence: 1) The license plates for one vehicle are expired. The license plate tags on the vehicle expired in April 2022. 2) During interview, a member of management confirmed the tags were expired and the vehicle was used for transporting children.”

Rule 8VAC20-780-580-B.

Based on a review of five children’s records and interview, the center did not maintain a complete record for one child enrolled.

“Evidence: 1) The record for Child #5, enrolled 03/23/17. did not contain documentation of two emergency contacts. 2) During interview, a member of management confirmed the record was missing two emergency contacts for Child #5.”

Rule 8VAC20-780-60-A.

Based on review of two staff records, the center did not ensure all required background checks were repeated at least every 5 years.

“Evidence: 1. The record for Staff #1 (hire date 08/19/1990) contained a central registry finding dated 10/31/2016. 2. A member of management confirmed a repeat central registry finding was not on file for Staff #1.”

Rule 22.1-289.035-A. From a complaint.

Based on a review of three staff records and interview, the vendor did not ensure one staff member was evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required time frame.

“Evidence: 1) The TB screening in the record for Staff #1, hired on 07/01/2021, was dated 09/08/2021. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 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. 2) During interview, a member of management reported the TB screening for Staff #1 was not obtained prior to hire.”

Rule 22VAC40-665-540-A.

Based on a review of three staff records and interview, the vendor did not ensure that one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within the required time frame.

“Evidence: 1) The record for Staff #2, hired on 06/16/2021, does not contain documentation that the staff has current certification in CPR. 2) During interview, a member of management reported Staff #2 does not have current certification in CPR. All staff who work directly with children shall have certification in CPR within 90 days of the date of employment.”

Rule 22VAC40-665-580-E-1.

Based on a review of three staff records and interview, the vendor did not ensure that one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within the required time frame.

“Evidence: 1) The record for Staff #2, hired on 06/16/2021, does not contain documentation that the staff has current certification in first aid. 2) During interview, a member of management reported Staff #2 does not have current certification in first aid. All staff who work directly with children shall have certification in first aid within 90 days of the date of employment.”

Rule 22VAC40-665-580-E-2.

Based on a review of three staff records and interview, the center did not ensure one staff member resubmitted the results of a follow-up tuberculosis (TB) screening every two years from the date of the first initial screening or testing.

“Evidence: 1) The most recent tuberculosis (TB) screening results in the record for Staff #3, hired on 07/10/2007, were dated 04/04/2018. The TB expired on 04/04/2020. 2) During interview, a member of management confirmed this is the most recent TB screening on file for Staff #3. Staff should resubmit TB test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.”

Rule 22VAC40-185-160-C.

Based on a review of three staff records and interviews, the center did not ensure that one staff record contained all the required information.

“Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #1, hired on 07/01/2021, were dated 09/08/2021. 2) During interview, a member of management acknowledged the TB results for Staff #1 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

Rule 22VAC40-185-70-A.

Based on a review of three staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

“Evidence: 1) The central registry finding in the record for Staff #1, hired on 07/01/2021, was dated 08/18/2021. 2) During interview, a member of management reported the central registry finding for Staff #1 had not been received within 30 days of employment.”

Rule 22VAC40-191-60-C-2.