New Direction Childcare & Learning Center

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the center for the past 2 months, was missing 1 of 2 completed reference verifications on file.”

Rule 8VAC20-780-70.

Bottles shall not be propped up or used while the child is in his designated sleeping location.

“In the infant classroom, there were two infants napping with bottles of formula inside of the cribs.”

Rule 8VAC20-780-570-B.

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

“The most recent central registry check for staff #1 was overdue by a year and three months.”

Rule 22.1-289.035-A.

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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 that are required by the standards.

“The center’s medication procedures states “Non-prescription drugs and over-the counter skin products shall not be kept or used beyond the product’s expiration date. Child A had prescription medication at the center that expired eight months ago. Child B had prescription medication at the center that expired eight months ago. Child C had prescription medication at the center that expired two months ago.”

Rule 8VAC20-780-40-E.

The center shall have a written record of children’s serious and minor injuries with all required components.

“Injury record #1 was missing the future action to prevent a recurrence. Injury records #2, #3, and #5 were missing the documentation of staff present.”

Rule 8VAC20-780-550-P.

The center shall ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.

“Staff #1?s purse was stored on a table accessible to children.”

Rule 8VAC20-780-280-H. From a complaint.

The center shall ensure that children under 10 years of age should always be within actual sight and sound supervision of staff.

“1. In the toddler classroom, there were five toddlers napping alone in the classroom when the inspector entered the classroom. The inspector did not observe any staff supervising the children in the toddler classroom. 2. Staff stated that staff #1 was supposed to be supervising the infant classroom and the toddler classroom. Staff stated that staff #1 sits in a jointed hall between the two rooms and monitors both classrooms.”

Rule 8VAC20-780-340-A.

Based on interview, the center did not ensure that the forbidden action of enclosure in a small space where a child could not freely exit themselves was forbidden as required.

“Evidence: 1. In interview, staff stated that on 6/6/2024 child #1 (age 3) was confined to a highchair for approximately 10 minutes because he would not stay seated during a movie. In the interview, witness #1 stated that child #1 was the only child confined to a chair while the other children were observed sitting freely. 2. Staff acknowledged that the highchair was not being utilized for its intended purpose when child #1 was placed in the chair. They acknowledged that child #1 could not freely exit without assistance.”

Rule 8VAC20-780-410-2. From a complaint.

Based on record review, the center did not ensure that all staff have certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

“Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

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

8VAC20-790-600-D-2

“Based on record review, the center did not ensure that all staff have certification in first aid appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1. The record for staff 4 (date of hire 7/5/2023), does not have current certification in first aid training.”

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

Based on record review and interview, the center did not ensure to maintain a complete written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“Evidence: 1. 3 injury reports were reviewed. 2 of the injury reports were missing the future prevent recurrence, and 2 were missing the time parent was notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-130-A

“Based on a review of children’s records, the provider did not ensure that each child’s record contained documentation of immunizations prior to attending the child day center. Evidence: 1. Child #1 record contained documentation of immunizations 2/23/2023. Child #1?s date of enrollment was 2/20/2023. 2. Child #4?s record contained documentation of immunizations 3/1/2023. Child # 4?s date of enrollment was 3/1/2023.”

Rule 8VAC20-780-130-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-500-C

“Based on observations the center failed to ensure that staff empty, clean, and sanitize toilet chairs (potty chairs) after each use. Evidence: 1. In the 2?s classroom, two potty chairs contained a yellow substance. The potty chairs were not emptied promptly, cleaned and sanitized after each use.”

Rule 8VAC20-780-500-C.

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #2 (hired 2/8/22) contained documentation of a tuberculosis screening dated 3/26/22.”

Rule 8VAC20-780-160-A.

8VAC20-780-500-A

“Based on observation and interview on June 23, 2022, the center did not ensure that children wash their hands with soap and running water after toileting. Evidence: Staff was observed changing a diaper. After the child was changed the child was put back on the floor and preceded to play with toys. The child’s hands were not washed. Staff stated that wipes are used after a diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-I

“Based on observation and interview on June 23, 2022, the center did not ensure that prescription medication is maintained in the original, labeled container that was dispensed from a pharmacy. Evidence: A review of medications indicated a prescription for Albuterol for child #6 expired 5/25/22. Administration stated they accepted a refill of prescription Albuterol for child #6 and put it in the old prescription box. Administration acknowledged they did not receive the original box for the refill.”

Rule 8VAC20-780-510-I.

22VAC40-185-40-E

Rule 22VAC40-185-40-E.

22VAC40-185-400-B

Rule 22VAC40-185-400-B.