Beautiful Beginning Daycare and Learning Center

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Medication for Child #4 was onsite, but the medication authorization was not in the child’s file. Child #4 also had medication that had expired over 30 days. The medication was still on site and had not been picked up.”

Rule 8VAC20-780-510-P.

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

8VAC20-780-440-L

“Filled comforters are not to be used by children under two years of age. There were 3 infants observed in cribs with blankets on or around them.”

Rule 8VAC20-780-440-L.

The center shall ensure that crib sheets shall be clean and washed daily.

“Staff stated that crib sheets are washed weekly.”

Rule 8VAC20-780-450-C.

8VAC20-780-160-A

“Based on record review, the center did not ensure staff had a negative tuberculosis screening been completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #1?s record contained a tuberculosis (TB) dated for 8/23/2023. Staff #1?s hire date was 10/23/2023.”

Rule 8VAC20-780-160-A.

(Repeat violation) Based on review of documentation, observation and interview, the center did not ensure parents were notified to pick up medication within 14 days after the medication authorization has expired or the parent must renew the authorization.

“Evidence: 1. The parent portion of the medication authorization for child #1 expired on 09/30/2023. The medication was on site and had not been returned to the parent or disposed of. 2. The administrator acknowledged the medication authorization had expired.”

Rule 8VAC20-780-510-P.

Based on record review, lockdown procedures were not practiced at least annually.

“Evidence: 1. The center did not practice a lockdown drill in 2023. 2. The administrator confirmed that they did not conduct a lockdown drill in 2023.”

Rule 8VAC20-780-550-F.

8VAC20-780-270-A

“Based on observation, the center did not maintain areas and equipment of the center, inside and outside in a clean, safe, and operable condition. Evidence. 1. There were 3 tomato cages with sharp edges, stored on the playground accessible to children. 2. The administrator acknowledge that the tomato cages were improperly stored on the playground.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-P

Rule 8VAC20-780-510-P.

8VAC20-780-320-B

“Based on observation, the center failed to ensure sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: Hot water temperature in the bathroom sink used by the children in care registered 133?F. Hot water temperature exceeds 120?F requirement.”

Rule 8VAC20-780-320-B.

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: The licensing Inspector observed diapering procedures for one child. Diapering surface was not cleaned and sanitized after use.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on medication record review, the center failed to obtain written authorization to administer prescription medication from a parent or guardian. Evidence: Child #1’s medication authorization form is missing the written signature of the parent.”

Rule 8VAC20-780-510-E.