Lake Anne Nursery Kindergarten

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #1 is currently working and has a TB screening that was dated 6 days after their first day of employment.”

Rule 8VAC20-780-160-A.

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

“Clorox wipes were in the unlocked lower cabinet under the sink in the children’s bathroom. Staff stated the cabinet was normally kept locked.”

Rule 8VAC20-780-280-B.

The center shall develop written procedures for injury prevention.

“Staff stated they did not have written procedures for injury prevention and had not been updated yearly.”

Rule 8VAC20-780-40-I.

When centers choose to provide meals or snacks, the following is required: Centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). A menu listing foods to be served for meals and snacks during the current one-week period shall be dated, be posted in a location conspicuous to parents or given to parents, list any substituted food; and be kept on file for one week at the center.

Rule 8VAC20-780-560-F.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“One child’s food container in the Pre-K classroom did not have the owner’s name or date and two more food containers in the Pre-K classroom were missing the dates.”

Rule 8VAC20-780-560-G.

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 A and Child B have a diagnosed food allergy and did not have a written care plan in their file.”

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

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #20 obtained 13 of the 16 required hours, and Staff #23 obtained 9 of the 16 required hours for the last annual training period..”

Rule 8VAC20-780-245-A.

Prescription medication may be administered if the parent has completed a written authorization from signed by a parent and physician.

“The name of the medication to be administered to Child #1, did not reflect the name of the medication listed on the signed authorization form.”

Rule 8VAC20-780-510-E.

Based on review, 1 of 25 board officers/staff files indicated that the authorize the child day center (CDC) did not obtain a copy of a search of the child abuse and neglect registry or equivalent registry ( CPS check) from any state in which the individual has resided in the preceding five years before reporting to the CDC.

“Evidence - 1. On the date of inspection (09/06/2024), Board Officer #3 indicated on the completed Sworn Disclosure Statement (dated - 03/06/2024), stated that they resided in another state within the past 5 years. 2. A CPS check from this state was not available for review on the date of inspection.”

Rule 22.1-289.035-B-4.

Based on review, a written medical authorization was not available for review for medication prescribed for a child in care.

“Evidence - 1. On the date of inspection (09/05/2024), a written medication authorization signed by both the child’s parent and child’s doctor was not available for review for Child #1. 2. This medication was to be administered on an as needed basis for a diagnosed allergy. 3. An allergy plan was in place for this child.”

Rule 8VAC20-780-510-B.

Based on review, 1 of 5 staff files indicated that the child day center did not obtain a copy of the results of a criminal history record information ( CRC ) check, and a search of the child abuse and neglect registry ( CPS ) or equivalent registry from any state in which the individual has resided in the preceding five years before reporting to the child day center.

“Evidence - 1. On the date of inspection (09/23/2022), the sworn statement (dated - 06/29/2022) completed by Staff #2 indicated that they lived in another state or US Territory within the past 5 years. Neither a CPS check or a CRC from this location was available for review. 2. A Virginia fingerprint check was on file. Therefore, an additional Sex Offender Registry check was not required. 3. Staff #2 was observed on-site on the date of inspection providing care. The start date for Staff #2 was listed as 09/06/2022.”

Rule 22.1-289.035-B-4.

Based on review, 2 of 5 staff files indicated that not all were able to obtain tuberculosis (TB) documentation that was 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 - 1. On the date of inspection (09/23/2022), the following staff had on file TB documentation that was outside the 30 day window from their individual start dates: Staff #1 (start date - 09/06/2022) TB documentation dated - 07/14/2022, and Staff #2 (start date - 09/06/2022) TB documentation dated - 06/29/2022. 2. This observation was confirmed on the date of inspection by the Center Director.”

Rule 8VAC20-780-160-A.