L’il Folks Learning Center, Inc.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 7 months ago the updated screening has not been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the two year old bathroom, toilet bowl cleaner was stored on a open shelf, out of reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate resilient surfacing depth in the fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. There was approximately 2” depth of mulch at the foot of the two slides and green circular climber, where there should be at least 6” depth.”

Rule 8VAC20-780-330-B.

8VAC20-780-60-A-8

“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 #5, who has been enrolled for more than a year, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-790-600-F

“Staff who work directly with children shall annually attend the department’s health and safety update course. Staff #1 annual training was overdue by more than a month and Staff #5 annual training was overdue by a month.”

Rule 8VAC20-790-600-F.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #3 completed 10.5 hours of the required 16 hours of training.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The most recent health inspection expired 20 months ago.”

Rule 8VAC20-780-260-B.

Based on observation, facility did not ensure areas and equipment of the center are maintained in a clean, safe and operable manner.

“Evidence: Laptops were observed in the 2’s classroom and 3’s classroom located approximately 3’ high with cords hanging down within reach of children. The laptops were not secured and could be pulled off the half-wall (2’s classroom) and cart (3’s classroom).”

Rule 8VAC20-780-270-A.

Based on observation, facility did not ensure the outside playground has required resilient surfacing in the fall zones under and around climbing equipment.

“Evidence: On the 2’s playground, the following was observed: a 16” high platform plastic slide was stored directly against the building and a 22” high platform plastic pirate ship was against the fencing. These items require a 6’ fall zone around the equipment as children were observed climbing on them. Both pieces of equipment were located on a hard surface with minimal gravel across the top of the surface.”

Rule 8VAC20-780-330-B.

Based on observation and review, facility did not ensure 2 of 3 classrooms have a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The 2’s classroom and 3’s classroom did not have an accurate attendance noted for their group of children present.”

Rule 8VAC20-780-80-A.

Based on observation, facility did not ensure children under 10 years are always within sight and sound supervision of staff.

“Evidence: At approximately 11:50 am, staff in the 2’s classroom were observed assisting children inside the bathroom and 7 children were observed running freely on the other side of a 1/2 wall in the classroom. The 7 children were not in sight supervision of staff.”

Rule 8VAC20-780-340-F. From a complaint.

Based on interviews, facility did not ensure tables are sanitized before and after eating.

“Evidence: Staff in 2 of 3 classrooms stated they wipe the tables with disinfectant wipes before children eat meals and snacks. Disinfectant wipes do not meet the definition of sanitized as the surface was not sprayed or dipped with a disinfectant solution and allowed to air dry.”

Rule 8VAC20-780-560-J. From a complaint.

Based on a review of children’s records, the licensee did not always ensure that physical examination results and immunizations documentation are signed by a physician, his designee, or an official of a local health department.

“Evidence: Five children’s records were reviewed. The records for child #1 who enrolled 7/3/2023 and child #2 who enrolled 1/3/2023 both contained Physical Exam results and Immunization records which were not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A-8

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

***REPEAT VIOLATION*** Based on record review and interview with staff, the licensee did not obtain a fingerprint based national criminal record check prior to the first day of employment.

“Evidence: The director confirmed that staff #5’s criminal record check results were dated 10/28/2022 and staff #5’s employment began 10/24/2022.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a sworn statement prior to their first day of employment. Evidence: The director confirmed that staff #5 Signed a Sworn Statement which was dated 10/26/2022 and whose date of employment was 10/24/2022.”

Rule 8VAC20-770-60-B.

8VAC20-780-160-A

“***REPEAT VIOLATION*** Based on record review and interview the licensee did not ensure documentation of the Tuberculosis screening is submitted at the time of employment and prior to coming into contact with children. Evidence: The Program Director confirmed that Staff #4?s TB screening was dated 10/31/2022 and staff #5’s date of employment was 10/24/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

Based on a review of records and interview, the licensee did not ensure that each enrolled child with a diagnosed food allergy has, on file, a written care plan 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: Five children’s records were reviewed. The record for child #5 contained documentation from the parent that child #5 has an allergy to Soy. The child’s physician documented the food allergy to Soy on child #5’s physical examination. However, the program director confirmed that a written allergy care plan had not been obtained for child #5 who attends the program.”

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

8VAC20-780-90-A

“Based on a review of records and interview, the licensee did not ensure that for every child enrolled, a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance to include a written authorization for emergency medical care. Evidence: Five children’s records were reviewed, The program director confirmed that the record for child #2 did not contain the signed parent authorization for emergency medical care.”

Rule 8VAC20-780-90-A.

Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course.

“Evidence: The director confirmed that Staff #3 (date of hire 11-11-2020) did not have documentation for their 2022 health and safety update course. Their last health and safety update course certificate was dated 7-9-2021.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

8VAC20-770-40-D-1-b

Rule 8VAC20-770-40-D-1-b.

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff confirmed that Staff #4?s TB screening was dated 7-21-2021 and the first date of employment was 5-21-2021.”

Rule 8VAC20-780-160-A.

8VAC20-780-510-E

“Based on record review and staff interview the licensee did not ensure to include methods to prevent use of outdated medication Evidence: Staff confirmed that child #6 Epinephrine Auto-inject medication expiration date was 3-30-2023 and was expired.”

Rule 8VAC20-780-510-E.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-560-G

“Based on observation and interview, the licensee did not ensure that when food is brought from home, the container is sealed, dated, and labeled with the child’s name. Evidence: The inspector viewed 5 lunch box / containers in the two year old classroom. None of the five food containers were labeled with the child’s name and the current date. All food containers and cups must be labeled with the child’s name and the date that the food (or drink) was brought in to the center.”

Rule 8VAC20-780-560-G.

8VAC20-780-560-J

“Based on observation and interview, the licensee did not ensure that tables are sanitized before and after each use for feeding. Evidence: The inspector observed 15 school aged children sitting at tables beginning to open lunch boxes and food containers. When the inspector asked whether the tables had been sanitized prior to the children being seated for lunch, staff confirmed that the tables had not been sanitized prior to the children sitting down for lunch.”

Rule 8VAC20-780-560-J.

8VAC20-770-40-D-1-a

“Based on a review of records and interview, the licensee was unable to demonstrate that the results of a Search of central registry is obtained for any agent who is or will be involved in the day-to-day operations of the facility. Evidence: The licensee was unable to locate documentation that a search of the central registry ahd been obtained for Agent #1.”

Rule 8VAC20-770-40-D-1-a.