River’s Bend Children’s Center

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

“The updated screening for staff #5 was due 1 month ago.”

Rule 8VAC20-780-160-C.

A nonabsorbent surface for diapering or changing children shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“The center is not using a changing table or countertop designated for changing children in classroom #5, with children ages two years old. The center is changing the children in classroom #5 standing up in the restroom.”

Rule 8VAC20-780-500-B.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #1 was alone with a group of 11 school age children and did not have current certification in CPR or first aid.”

Rule 8VAC20-780-530-A.

The center is required to have employees undergo a background check every five years.

“1. The most recent central registry check for staff #3 was overdue by 4 months. 2. The most recent central registry check for staff #4 was overdue by 6 weeks. 3. The most recent criminal background check for staff #3 was overdue by 5 months.”

Rule 22.1-289.035-A.

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.

“Child #1, enrolled for 4 months, has a documented dietary restriction. Child #1 was not listed on the posted allergy list in the classroom dated 03/03/2025.”

Rule 8VAC20-780-40-M.

Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening within the required time frame for one (1) staff. 1. Documentation of the screening must be submitted at the time of employment and prior to coming into contact with children. 2. The documentation must 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: 1. The record of staff #3 (date of employment: 4/17/2023) contained a negative TB screening dated 5/30/2022. 2. Administration acknowledged that the TB screening was submitted prior to employment but was not completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on a review of five (5) staff records and interview, the center did not ensure that a complete record was kept for one (1) staff.

Rule 8VAC20-780-70.

Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. The center’s bus was inspected on 12/9/2022. Rips and tears were observed on several of the passenger seats which exposed the foam cushioning. 2. Administration acknowledged that there were tears in the bus seats.”

Rule 8VAC20-780-270-A.

Based on observation and interview, the center did not ensure to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: 1. The allergy lists were observed to be posted in the infant, toddler and two year old classrooms. The lists were not posted in a way to maintain confidentiality as required. In the art room and one of the school age rooms, a list was not available. 2. Administration acknowledged that the postings were not kept in a confidential manner and available in all rooms where children were present.”

Rule 8VAC20-780-40-M.

Based on observation and interview, the center did not ensure that their vehicle’s first aid kit contained the required supplies.

“Evidence: 1. The first aid kit on the center’s bus was inspected on 12/9/2022. The first aid kit contained a bottle of antiseptic that expired in July of 2022. 2. Administration acknowledged that the kit did not contain non expired antiseptic.”

Rule 8VAC20-780-540-C.

Based on a review of records and interview, the center did not ensure to obtain a written care plan 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.

“Evidence: 1. The record of child #1 (date of enrollment: 8/22/2022) indicated that the child had a diagnosed food allergy. The center did not have documentation of a written care plan for the child as required. 2. Administration acknowledged that they did not have a written care plan for child #1.”

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

Based on a review of 5 children’s records and interview, the center did not ensure to obtain a written care plan 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.

“Evidence: 1. The records of child #4 (DOE: 1/5/2022) and child #5 (DOE: 9/8/2020) contained written documentation of confirmed food allergies. The records did not contain the required written care plans. 2. Administration acknowledged that the written care plans had not been obtained.”

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