Grace Children’s Learning Center

Repeat Violation

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff #3 did not have a completed TB screening. Staff #3 has been employed and actively working with children for more than two months.”

Rule 8VAC20-780-160-A.

The child day center must obtain a copy of central registry results for each employee.

“Staff #3 did not have completed central registry results, and has been employed for more than 90 days.”

Rule 22.1-289.035-B-3.

Repeat Violation

“Each staff member must submit documentation of a negative TB screening. Staff #2 has been employed for over one year and did not have documentation of a completed TB screening.”

Rule 8VAC20-780-160-A.

The center is required to maintain a record for each child enrolled with all required information.

“Child #6’s record did not contain documentation of either parent’s work place and phone number.”

Rule 8VAC20-780-60-A.

Repeat Violation

“The center must obtain a completed national criminal background check prior to the employee’s first day of employment. Evidence: Staff #3 had been employed for seven days when the results of the national criminal background check was received.”

Rule 22.1-289.035-B-2.

The center shall obtain a completed sworn disclosure statement prior to employment.

“Evidence: The record for Staff #1 had a signed sworn disclosure statement 13 days after their first day of employment.”

Rule 22.1-289.036-B-1.

Repeat Violation

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children. Evidence: The screening for Staff #1 was completed 22 days after their first date of employment and the screening for Staff #3 was completed 14 days after their first date of employment.”

Rule 8VAC20-780-160-A.

Repeat Violation

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #1 had been employed for four days when the results of the national criminal background check was received.”

Rule 22.1-289.035-B-2.

The center is required to obtain the results of a national fingerprint-based criminal history record check and central registry check every five years from the date of the last check for each Board Officer.

“The most recent fingerprint results and central registry background check results for Board Officer #1 were overdue by three months.”

Rule 22.1-289.036-A.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children.

“The screening for Staff #1 was completed nineteen days after their first date of employment.”

Rule 8VAC20-780-160-A.

Where playground equipment is provided, at least six inches of resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone.

“The resilient surfacing measured one inch in the fall zones of the composite play structure.”

Rule 8VAC20-780-330-B.

Repeat Violation

“Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #3, with a start date of 6/20/22, the results of a national fingerprint background check was dated 9/2/22.”

Rule 22.1-289.035-B-2.

Repeat Violations

“Based on review of five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for Staff # 3 with a start date of 6/20/22, the results of the central registry search background check was dated 12/1/22.”

Rule 8VAC20-770-60-C-2.

Based on review of five child records, the center did not obtain documentation of immunizations for a child prior to the first day of attendance.

“Evidence: 1. The record for Child #1, with a start date of 7/5/23, contained documentation of immunizations dated 9/18/23. 2. The record for Child #2, with a start date of 5/18/23, contained documentation of immunizations dated 11/2/23. 3. The record for Child #4, with a start date of 7/11/23, contained documentation of immunizations date 8/21/23. 4. The record for Child #5, with a start date of 8/24/22, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on review of five child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance.

“Evidence: 1. The record for Child #2, with a start date of 5/18/23, did not contain documentation of a physical. 2. The record for Child #4, with a start date of 7/11/23, had a physical dated 9/8/23. 3. The record for Child #5, with a start date of 8/24/22, had a physical dated 5/25/23.”

Rule 8VAC20-780-140-A.

Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file.

“Evidence: The record for Staff #3 and Staff #4, with a title of teacher, did not contain documentation of education.”

Rule 8VAC20-780-210-A.

Repeat Violation Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“Evidence: There was less than one inch of mulch observed at the base of the composite play structure and fall zones. Six inches of resilient surfacing is required based on the height of the play equipment and the type of resilient surfacing.”

Rule 8VAC20-780-330-B.

Repeat Violation Based on observation the center did not ensure that children under 10 years of age, were within actual sight and sound supervision of staff at all times.

“Evidence: The Licensing Inspector (LI) observed the teacher working in the Pre-K class, ages four to five-years-old, step into the hallway to speak to someone in another classroom. The teacher’s back was turned away from the group and there was no other staff member in the classroom at the time she walked out of the class.”

Rule 8VAC20-780-340-F.

Based on review of documentation and interview, the center did not ensure that current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council was maintained, and the training included an in-person competency demonstration.

“Evidence: Staff #1, Staff #2, Staff #3, and Staff #4 have CPR certifications from an online-only course that does not include an in-person competency demonstration.”

Rule 8VAC20-780-530-A-1.

Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

“Evidence: 1. In the Toddler class, ages 16 months to 24 months, there were six children present in the classroom, the written record reflected there were four. 2. In the Pre-K class, ages four-years-old, there were eight children present in the classroom, the written record reflected there were seven.”

Rule 8VAC20-780-80-A.

Based on interviews, staff did not ensure the care, protection, and guidance of children in care.

“Evidence: On 09/19/23 at approximately 10:15 a.m. Child #1, 9 months old, fell out of a stroller hitting their head on the pavement. Child #1 was seen in the ER and had a bump and a bruise on the forehead . An interview with staff revealed that they were in a hurry to get outside for a walk and was not sure that the protective belt had been securely engaged around Child #1.”

Rule 8VAC20-780-340-A.

Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“Evidence: There was less than one inch of mulch observed at the base of the composite play structure and fall zones. Six inches of resilient surfacing is required based on the height of the play equipment and the type of resilient surfacing.”

Rule 8VAC20-780-330-B.

8VAC20-780-510-I

“Based on review of medication it was determined that not all procedures in regards to medication were followed. Evidence: The medication on site for child A did not have a prescription label to identify the child, frequency, and dosage of the medication.”

Rule 8VAC20-780-510-I.

22.1-289.035-A

“Based on review of four staff records it was determined that not all background checks were repeated every five years. Evidence: The most recent central registry check on file for Staff B is dated 9/29/2017.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on review of four staff records it was determined that not all records contained documentation of a determination letter based on fingerprinting on file before the first day of employment. Evidence: Staff A (start date: 6/27/22) did not have documentation of a fingerprint determination letter on file.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on review of four staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: Staff A (start date: 6/27/22) did not have documentation of a central registry check on file.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: Staff A (start date: 6/27/22) did not have documentation of a TB screening on file.”

Rule 8VAC20-780-160-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-570-E

“Based on observation of the infant room it was determined that not all prepared formula was labeled with the child’s name and date. Evidence: Three bottles were observed without a child’s name or date in the infant room refrigerator.”

Rule 8VAC20-780-570-E.