Children’s Enrichment Program LLC

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

“The most recent central registry check for staff #5 was overdue by three months.”

Rule 22.1-289.035-A.

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

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

8VAC20-780-320-B

“REPEAT VIOALTION Each restroom area provided for children shall have sinks with running warm water that does not exceed 120F. The water in the girl’s restroom sink was 124.5F.”

Rule 8VAC20-780-320-B.

A notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review shall be posted.

“The asbestos notice was not posted.”

Rule 8VAC20-780-250-C.

When food is brought from home, the food container shall be clearly dated.

“None of the lunchboxes and water bottles that were brought from home were dated.”

Rule 8VAC20-780-560-G.

22.1-289.035-A

Rule 22.1-289.035-A.

8VAC20-780-320-B

“Based on measurement, the center failed to ensure that water temperature in the bathrooms does not exceed 120F. Evidence: 1. The water in the restroom in Staff #4?s classroom measured 121.3F.”

Rule 8VAC20-780-320-B.

8VAC20-780-350-B-4

“Based on observation, the center failed to ensure the staff: child ratios are maintained whenever children are in care. Evidence: 1. During the inspection, Staff #5 was observed in the hallway and then entering the classroom. The licensing inspector entered the classroom with Staff #5 and observed Staff #6 alone with 11 children. Staff #6 confirmed that the youngest child in the group was three years old. The 1:10 staff: child ratio for children three years up to school age was not meet.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-510-E

“Based on review of policy, the center’s procedures for administering medication did not include methods to prevent use of outdated medication. Evidence 1. The ?Medication acceptance and administration? procedure provided by the center did not include a method to prevent use of dated medication.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-G

“Based on review of medication and interview, the center failed to ensure that medication is labeled with the child’s name, the name of the medication, the dosage and the time or times to be given. Evidence: 1. An epinephrine pen was observed in a plastic bag with Child #6?s name on the bag. It was not labeled with the name of the medication, the dosage and the time or times to be given. 2. Staff #6 confirmed the label with the required information was missing.”

Rule 8VAC20-780-510-G.

8VAC20-780-530-A-1

“Based on observations and interview, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Staff #5 was observed to be the only staff member on the playground with seven children. 2. Staff #5?s CPR certification expired on 09/15/2023. Staff #6 confirmed that Staff #5 did not have current CPR certification.”

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

8VAC20-780-530-A-2

“Based on observations and interview, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in first aid. Evidence: 1. Staff #5 was observed to be the only staff member on the playground with seven children. 2. Staff #5?s first aid certification expired on 09/15/2023. Staff #6 confirmed that Staff #5 did not have current first aid certification.”

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

8VAC20-780-320-B

“Based on observation, the center failed to ensure that the water temperature did not exceed 120?F. Evidence: 1. The water in girls? restrooms was measured and it read 121.2?F.”

Rule 8VAC20-780-320-B.

8VAC20-780-60-A

“Based on review of records and observation, the center failed to ensure that each child’s record contained a written care plan from a physician for each child with a diagnosed food allergy. Evidence: 1. For Child #6, a diagnosed allergy was indicated on the medication form. Child #6?s file did not contain a written care plan. 2. Staff #1 confirmed that there was not written care plan for Child #6?s file.”

Rule 8VAC20-780-60-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-380-A

“Based on observation and interviews the center failed to ensure a daily schedule was posted. Evidence: 1. In Classroom #1 there was no daily schedule posted. Staff #7 confirmed that there was no daily schedule posted in the classroom. 2. In Classroom #3 there was no daily schedule posted. Staff #6 confirmed that there was no daily schedule posted in the classroom.”

Rule 8VAC20-780-380-A.

8VAC20-780-530-A-1

“Based on review of records and interviews, the center failed to ensure that there was at least one staff in each classroom where children are present with current certification cardiopulmonary resuscitation (CPR). Evidence: 1. In Classroom #1, Staff #4 and #7 were present. 2. Staff #4?s CPR certification expired on 9/24/22. 3. Staff #7 did not have CPR certification on file. 4. Staff #1 confirmed that neither staff had current CPR certification.”

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

8VAC20-780-530-A-2

“Based on review of records and interviews, the center failed to ensure that there was at least one staff member in each classroom where children are present with current certification first aid. Evidence: 1. In Classroom #1, Staff #4 and #7 were present. 2. Staff #4?s First Aid certification expired on 9/24/22. 3. Staff #7 did not have First Aid certification on file. 4. Staff #1 confirmed that neither staff had current First Aid certification.”

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

Based on the review of three children’s records and verification from the director, there was not an immunization record in the file for one child showing that the child was adequately immunized.

“Evidence 1. The record for Child #2 did not contain documentation that the child had received all of the immunizations required. Date of enrollment for Child #2 was 08/24/2021. 2. The director confirmed that the immunization record was not in the child’s file.”

Rule 8VAC20-780-130-A.

Based on review of staff records and discussion with the director, one staff member’s record did not contain a completed criminal history record check before the date of employment.

“Evidence: 1. The record for Staff #8 contained a criminal history record check dated 10/28/2021. Date of employment for Staff #8 was 09/25/2021. 2. The director confirmed that Staff #8 was employed before the finding of the criminal history record check was received.”

Rule 22.1-289.035-B-2.

Based on staff record review and verification from the director, the results of a criminal history record check for one staff member was dated more than 90 days prior to the date of employment.

“Evidence: 1. The record for Staff #5 contained a criminal history record check dated 09/27/2018. The date of employment for Staff #5 was 05/04/2021. 2. The director verified that the criminal history record for Staff #5 was dated more than 90 prior to the date of employment.”

Rule 8VAC20-770-40-D-6.

Based on staff record review and confirmation from the director, the center did not obtain a search of the central registry by the end of the 30th day of employment for one staff member.

“Evidence: 1. The record for Staff #4 contained the results of a search of the child abuse and neglect central registry dated 03/18/2020. Date of employment for Staff #4 was 08/21/2019. 2. The director confirmed the results of Staff #4 search of the central registry were not completed within 30 days of employment.”

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