Centralia Child Development Center, Inc.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The record for Staff #1, employed for over 4 months, had no documentation of a completed TB screening.”

Rule 8VAC20-780-160-A.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“One prepared bottle of infant formula was observed on the counter in the infant classroom without a label with the child’s name and date.”

Rule 8VAC20-780-570-E.

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.

“At approximately 10:10 a.m. on 5/6/2026, there were 6 children present in the infant room, but only 4 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #1 did not have a current CPR certification that included an in-person competency demonstration.”

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

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #5 had a completed national criminal background check one day after their date of employment.”

Rule 22.1-289.035-B-2.

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #2 is currently working and had a TB screening that was dated eight days after their first day of employment.”

Rule 8VAC20-780-160-A.

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

“On the school age playground, a fixed playground structure was leaning to one side and not properly secured to the ground making it unsafe.”

Rule 8VAC20-780-270-A.

Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“In the infant classroom, one expired diaper ointment was observed at the time of inspection.”

Rule 8VAC20-780-520-A.

When staff are supervising children, they shall always ensure their care, protection and guidance.

“Staff #2 grabbed Child #1 (age 3) forcefully by the arm on at least one occasion to move the child from one area of the classroom to another. Child #1 reported that staff #2 hurt them on the arm.”

Rule 8VAC20-780-340-A.

The center shall be in compliance with the center’s own policies and procedures that are required by the standards.

“The center’s required discipline policy states that roughly handling a child is forbidden. Staff #2 grabbed Child #1 (age 3) forcefully by the arm on at least one occasion to move the child from one area of the classroom to another.”

Rule 8VAC20-780-40-E.

The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment.

“Staff #2 grabbed Child #1 (age 3) forcefully by the arm on at least one occasion to move the child from one area of the classroom to another.”

Rule 8VAC20-780-410-1.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #8 updated screening was due three weeks ago. Staff #8 has been employed for two years.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #7, enrolled for four months did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

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 #2, who has been enrolled for five months, has a documented food allergy diagnosis and did not have a written care plan in their file.”

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

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures. The center’s policy for behavior guidance states ?The following actions and threats are forbidden: physical punishment, striking a child, roughly handlings, or shaking a child, restricting movement through binding, or tying forcing a child to assume an uncomfortable position or exercise as punishment. Documentation indicated Staff #1 was terminated due to not following the behavior guidance policy on September 26, 2024.”

Rule 8VAC20-780-40-E.

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On September 26, 2024 at approximately 4:40pm, Staff #1 was seen striking Child A (13 months of age) on the side of the head two to three times.”

Rule 8VAC20-780-410-1.

8VAC20-780-160-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #5 (date of employment 03/21/2024) contained documentation of a negative TB screening dated 01/12/2024. 2. Staff #5 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information during the inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. A cabinet in the Toddlers room contained four bottles of cleaning materials. The safety lock on the cabinet was not locked.”

Rule 8VAC20-780-280-B.

Based on video recording and interviews, a custodial parent or guardian was denied admission to a child day program.

“Evidence: The following information was determined from interviews, videos, and documentation review: 1. A custodial parent arrived at the center to visit with Child #1 on December 7, 2023 at approximately 10:40am. 2. Video recording showed Staff #1 denied entry to the custodial parent. 3. The record for Child #1 contained paperwork indicating the parents of Child #1 shared joint legal custody.”

Rule 8VAC20-780-420-C. From a complaint.

8VAC20-790-600-D-1

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in CPR. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in CPR. Interview with administration confirmed that staff #4 did not have current certification in CPR.”

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

8VAC20-790-600-D-2

“Based on record review, and interview, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: The record for staff #4, date of employment 4/19/23, did not contain documentation of current certification in First Aid. Interview with administration confirmed that staff #4 did not have current certification in First Aid.”

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

8VAC20-780-510-G

“Based on review of medications, it was determined that prescription medication was not maintained in the original, labeled container. Evidence: The long term prescription medication for child#5 was not in the original container with a prescription label attached.”

Rule 8VAC20-780-510-G.

8VAC20-780-530-A-1

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in CPR. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in CPR. Interview with administrators confirmed that staff #1 did not have current certification in CPR. Staff #1 was alone in classroom #6 with 5 preschool age children.”

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

8VAC20-780-530-A-2

“Based on record review, and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in First Aid. Evidence: The record for staff #1, date of employment 06/13/2023, did not contain documentation of current certification in First Aid. Interview with administrators confirmed that staff #1 did not have current certification in First Aid. Staff #1 was alone in classroom #6 with 5 preschool age children.”

Rule 8VAC20-780-530-A-2.

8VAC20-780-560-G

“Based on observation, and interview, the center failed to ensure that when food is brought from home it shall be clearly dated and labeled. Evidence: The refrigerator in classroom #2 contained several bottles with infant formula that did were not dated. Staff confirmed that the bottles were not dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-340-A

“Based on review of documentation and interview, the center did not always provide care and protection to a child they were supervising. Evidence: 1. On October 7, 2022, it was determined Staff #1 (van driver) left Child A (six years old) alone on a van in the center’s parking lot for approximately five minutes. 2. The average temperature on October 7, 2022, between 4:00pm and 5:00pm was 78 degrees Fahrenheit according to wunderground.com.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. On October 7, 2022, it was determined Staff #1 (van driver) left Child A (six years of age) alone on the center’s van for approximately five minutes. 2. At approximately 4:35pm the parent of Child A and Staff #1 found Child A alone, asleep in a car seat on the van.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

Based on review of documentation and interview, the center did not verify all children have been removed from the vehicle at the conclusion of any trip.

Rule 8VAC20-780-580-K.

Based on documentation review and interview, the center did not insure long-term prescription drug use and over-the- counter medication were allowed with written authorization from the child’s physician and parent.

“Evidence: 1. Child #2 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 2. Child #3 had a prescription medication at the center. The medication authorization did not contain written authorization from the child’s parent. 3. A member of management confirmed this information during the inspection.”

Rule 8VAC20-780-510-E.

Based on review of seven children’s records, the center did not contain the required information.

“Evidence: 1. The record for Child #4 (first day of attendance 07/06/2021) did not contain the name, address and phone number for two emergency contacts when parents cannot be reached. 2. A member of management confirmed the information during the inspection.”

Rule 8VAC20-780-60-A.

Based on interview, documentation review and observation, one staff member did not interact with children to provide needed help, comfort, and support.

Rule 8VAC20-780-400-B. From a complaint.