Little Lambs

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff B was employed for 2 days, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

The center must complete repeat background searches for board members every five years.

“Board Member A’s most recent central registry search was completed more than five years ago. The required out-of-state central registry search was overdue by nine 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 into contact with children.

“Staff B, onsite during inspection and employed for two days, did not have documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

All staff who work directly with children shall have within 90 days of the date of employment Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff C has been employed for over 5 months, did not have a certification in CPR.”

Rule 8VAC20-790-600-D-1.

All staff who work directly with children shall have within 90 days of the date of employment should have a current certification in first aid appropriate to the ages of children in care.

“Staff C has been employed for over 5 months, did not have a current certification in first aid.”

Rule 8VAC20-790-600-D-2.

Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

“1. On the toddler playground there was a large boat with a crack along one side. 2. A small piece of equipment on the toddler playground with a height of 1ft. 10 in. did not have adequate surfacing on the fall zones.”

Rule 8VAC20-780-270-A.

When a child is placed in an infant seat or highchair, the protective belt shall be fastened securely.

“Two children in the Toddler Classroom were observed at a feeding table, and the protective belts were not fastened.”

Rule 8VAC20-780-570-A.

The center shall 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. This list shall be dated and kept confidential in each room or area where children are present.

“The allergy lists in the infants, toddlers and toddler 2 classrooms were displayed with no covering, therefore not kept confidential.”

Rule 8VAC20-780-40-M.

The center is required to keep staff records with the following information: Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“Staff A, identified as a lead teacher, did not have documentation of the education required for the position.”

Rule 8VAC20-780-70.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“The written attendance in the nursery classroom had 4 children signed in, but there were 5 children present.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-4

“Based on review of four staff records, it was determined that Out of State background checks were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #3, (Date of hire: 2/4/2024), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of child abuse and neglect search request or out of state criminal history name check.”

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were two cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there was a bottle of sanitizing solution in an unlocked cabinet below the changing table in the infant classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-440-L

“Based on observation, and staff interview, the facility failed to ensure that pillows are not used by children under two years of age. Evidence: in the infant and toddler class, children under age two were observed laying on cots with blankets that had pillows attached.”

Rule 8VAC20-780-440-L.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children’s hands were washed as required. Evidence: In the infant classroom two infants were observed eating lunch and their hands were not washed after as required and two children did not have their hands washed after having a diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, not all disposable diapers were disposed of in a storage system that was used in such a way that neither the staff member’s hand nor the soiled diaper touches the disposal system during disposal. Evidence: staff in the infant classroom were observed using their hand to open the trashcan lid to dispose of diapers.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-770-60-C-2

“Based on review of documentation, the center failed to obtain central registry background checks within 30 days of employment. Evidence: Staff #2, start date 9/22/2022, did not have central registry background checks in the file. Staff #3, start date 8/16/2022, did not have central registry results in the file. Staff #4, start date 8/10/2022, central registry check was dated 9/30/2022, Staff #1, start date 6/29/2021, central registry check was dated 8/8/2021, Staff #5, start date 3/21/2022, central registry background check was dated 5/4/2022.”

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

8VAC20-780-160-A

“Based on review of documentation, Tuberculosis (TB) screenings did not meet requirements of being conducted within 30 days of hire. Evidence: Staff #2, start date was 9/22/2022 and TB was dated 3/2/2022 and Staff #3, start date 8/16/2022 was dated 9/2/2022.”

Rule 8VAC20-780-160-A.