Leave It To Beaver Child Care Center

A tuberculosis (TB) screening is required every two years from the last screening.

“The updated TB screening for Staff #4 was due 4 days ago and had not yet been completed.”

Rule 8VAC20-780-160-C.

The required ratio for children ages 3 years through school age eligible is one staff per 10 children.

“On 5/07/2026, Staff #4 independently supervised a group of 11 children, ages 3-5 years for approximately 1 hour and 30 minutes.”

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

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

“The most recent central registry check for staff #2 was overdue by 3 weeks.”

Rule 22.1-289.035-A.

The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children.

“Staff #3, who did not meet lead teacher qualifications, was supervising 15 school age children for the duration of the inspection.”

Rule 8VAC20-780-340-D.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of child #1 had not been updated in 2 years. The information in the record of child #3 had not been updated in over 4 years. The information in the record of child #5 had not been updated in 15 months.”

Rule 8VAC20-780-420-E-3.

The operational responsibilities of the licensee shall include ensuring compliance with the terms of the current license issued by the department.

“The center’s license is for ages 1 year 4 months through 12 years 11 months. Child #3 was enrolled at and attending the center for one month before turning 1 year 4 months old.”

Rule 8VAC20-780-40-E.

Inside areas occupied by children shall be maintained no lower than 68 degrees F.

“Staff reported the temperature in the building occupied by children was 54 degrees F on Friday, December 6, 2024. Staff reported the temperature in the building remained under 68 degrees F for approximately 2-3 hours.”

Rule 8VAC20-780-270-C. From a complaint.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #2, who had been enrolled for over 1 month.”

Rule 8VAC20-780-140-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #2 was not signed.”

Rule 8VAC20-780-150-B.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for Staff #3 was completed five months after hire.”

Rule 8VAC20-780-160-A.

**Repeat Violation** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

Rule 8VAC20-780-60-A.

Based on a review of five child records and interview, the center did not ensure that one child had a complete record that contained the required information.

“Evidence: 1. The record of child #4 (date of attendance: 1/8/24) was missing two emergency contact addresses. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the record was incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of 5 staff records and interview, the center did not ensure that 2 staff had documentation of a negative tuberculosis (TB) screening within the required time frame.

“Evidence: 1. The record of staff #1 (DOH: 7/11/2022) contained a TB screening dated 6/8/2022. The documentation is required to have been completed within the last 30 calendar days of the date of employment. 2. The record of staff #2 (DOH:7/27/2022) contained a TB screening dated 7/29/2022. Documentation of the screening is required to be submitted at the time of employment and prior to coming into contact with children. 3. Administration acknowledged that the TB screenings were not completed within the required time frame.”

Rule 8VAC20-780-160-A.

Based on a review of records and interview, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: 1. During record review, current daily health observation certificates were not observed. 2. Administration acknowledged that the staff were overdue to obtain up to date daily health observation instruction.”

Rule 8VAC20-780-245-L.

Based on observation and interview, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevented access by children.

“Evidence: 1. A bottle of unlocked Drano was observed under the kitchen sink. In the hallway, an unlocked janitorial closet was observed. In the closet were bottles of cleaners and insecticide to include Raid, Pine Sol, Comet, 409 and Windex. The bottles all contained multiple warnings on the labels. 2. Administration acknowledged that the hazardous substances were not locked.”

Rule 8VAC20-780-280-B.

Based on record review and interview, the vendor did not ensure 1 staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: 1. The record of staff #2 (DOH:11/14/2017) did not contain current CPR certification. 2. Administration acknowledged that the renewed certification had not been obtained.”

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

Based on record review and interview, the vendor did not ensure 1 staff had current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. The record of staff #2 (DOH: 11/14/2017) did not contain current first aid certification. 2. Administration acknowledged that the renewed certification had not been obtained.”

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

Based on record review and interview, the center did not ensure to obtain the results of a follow-up tuberculosis (TB) screening every two years from the date of the first initial screening for one staff as required.

“Evidence: 1. The record of staff #2 (DOH: 11/14/2017) contained a TB screening dated 1/14/2020. 2. Administration acknowledged that the follow up tuberculosis screening results had not been obtained.”

Rule 8VAC20-780-160-C.