Robert L. Taylor Childcare Center

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.

“The record for child #3, enrolled for over a year did not have documentation of a physical examination.”

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 #3 was not signed and dated by a physician, his designee, or an official of the local health department.”

Rule 8VAC20-780-150-B.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or time to be given.

“There was one epinephrine pen being kept in the office for a child. The epinephrine pen was not labeled with the child’s name, or dosage amount.”

Rule 8VAC20-780-510-G.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Child #8 had one medication which expired on 3/26. The medication was not sent home or disposed.”

Rule 8VAC20-780-510-P.

The center is required to obtain annual approval from the health department or approvals of a plan of correction, for meeting requirements for their water supply and sewage disposal system.

“The center had not obtained a Report of Environmental Sanitation in the last year.”

Rule 8VAC20-780-260-B.

Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian or physician authorization to administer prescription medications to children #7.”

Rule 8VAC20-780-510-I.

Shelter in place procedures shall be practiced a minimum of twice per year.

“There was no record of shelter-in-place drills practiced in 2024.”

Rule 8VAC20-780-550-E.

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

Rule 8VAC20-780-340-A. From a complaint.

The required ratio for children ages birth ? 16 months is one staff per four children.

“On November 21, 2024, in the Infant II classroom there was 1 staff with 6 children from approximately 8:30am ? 10:03am. The youngest child was 13 months.”

Rule 8VAC20-780-350-B-1. From a complaint.

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 #5 is currently working and has a TB screening that was dated 3 days after their first day of employment.”

Rule 8VAC20-780-160-A.

Based on observations, areas, and equipment inside and outside the center were not maintained in a clean, safe, and operable condition.

“Evidence: 1. In the infant II classroom, there were soft blocks that were torn on the edges exposing the inside materials. 2. In the 4?s classroom, there was a blue plastic child size chair with a crack in the seat measuring 4-6 inches that can pinch, or scratch skin and snag clothing. There was a rug that had fraying edges, posing a trip hazard to the children.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure to 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 required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The allergy lists posted in the infant classroom posted on a wall uncovered. The list was not kept confidential.”

Rule 8VAC20-780-40-M.

8VAC20-780-540-C

“Based on observation, the centers did not ensure that all first kits contain all the required items. Evidence: 1. The first aid kit located in the head start classroom contained 1 of 2 triangle bandages.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-P

“Based on record review, the center did not maintain a complete written record of children’s serious and minor injuries. Evidence: 1. The injury report for child # 6 dated 5/5/2023, did not contain the date and time that the parent was notified. 2. The injury report for child # 7 dated 4/11/2023, did not contain future action to prevent recurrence. 3. The injury report for child # 8 dated 3/14/2023, did not contain the date and time parent was notified, and the future action to prevent recurrence.”

Rule 8VAC20-780-550-P.

8VAC20-790-600-D-1

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

8VAC20-780-500-A

“Based on observation and interview, the center failed to implement a procedure for staff and children to wash hands after diapering. Evidence: 1. The infant teacher was observed during diapering. The infant teacher did not wash her hands or the child’s after diapering.”

Rule 8VAC20-780-500-A.

8VAC20-790-600-B

“Based on a review of five staff records, it was determined that the vendor did not ensure that within the first 90 days of employment all staff shall complete the Virginia Preservice Training for Child Care Staff. Evidence: 1. One of five staff whose records were reviewed did not complete the Virginia Preservice Training for Child Care staff within the first 90d days of employment. Staff #4 completed the Virginia Preservice Training for Child Care Staff on 10/2/2021. Staff #4 was employed on 6/1/2021.”

Rule 8VAC20-790-600-B.

Based on a review of four staff records and interview, the center did not ensure that one out of four staff had a completed sworn statement prior to hire.

“Evidence: 1) The record for Staff #2, hired on 09/27/21, contained a sworn statement that was dated 12/07/21. 2) During interview, a member of management reported the record for Staff #2 did not contain a sworn statement that was signed prior to hire. An employee or volunteer of a licensed or registered child welfare agency or of a family day home approved by a family day system must not be employed or provide volunteer service until the agency or home has the person’s completed sworn statement or affirmation.”

Rule 8VAC20-770-60-B.