Eastern Shore Early Childhood Development Center

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“Staff #3 did not have an updated TB screening.”

Rule 8VAC20-780-160-C.

Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover.

“3 of 5 classrooms had some children napping without the required linens on their cots.”

Rule 8VAC20-780-450-A.

Prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

“Medication was administered to child #6 without written parental permission.”

Rule 8VAC20-780-510-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

“The record for child #2 did not contain the two required contacts. The record for child #3 did not contain one of the two required contacts.”

Rule 8VAC20-780-60-A.

A written care plan 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 #1 and child #3 were both diagnosed with food allergies and there were no written care plans for either child.”

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

8VAC20-780-270-D

“Based on observation and interview it was determined the center did not ensure that all areas occupied by children did not exceed 80 degrees Fahrenheit without fans or other cooling systems. Evidence: 1. The temperature inside classroom #3 and classroom #4 read 81 degrees Fahrenheit on the thermostat on the wall. There were no fans or other cooling system in these classrooms circulating the air or lower the temperature. 2. Staff confirmed that the air conditioning was not functioning properly in these classrooms during this inspection.”

Rule 8VAC20-780-270-D.

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center did not ensure all staff does not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff #4(hired 9/9/16) did not contain documentation of a search of the central registry. 2. The record for staff #5(hired 12/1/22) did not contain documentation of a search of the central registry. 3. Staff confirmed these documents were not available during this inspection.”

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

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure all staff had repeat tuberculosis screenings at least every two years from the date of the first initial screening or testing. Evidence: 1. The records for staff #1, #2, and #3 did not contain documentation of repeat TB screenings. 2. Staff confirmed the records available were dated 3/12/19, 9/15/21, and 4/23/21 respectively.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Based on observation and interview it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The play kitchen equipment in three of the rooms rocked when pulled on and were not anchored presenting potential tip hazards. 2. Staff confirmed that this equipment was not anchored.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“Based on observation and interview it was determined the center did not ensure that all unused electrical outlets had protective covers. Evidence: 1. There were two uncapped outlets on the surge protector in the 3 year old room. 2. Staff confirmed that these outlets were uncapped during this inspection.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-60-A

“Based on record review it was determined that the center did not maintain and keep at the center a separate record containing all of the required information for each child enrolled. Evidence: The records for child #1, child #2, and child #3 did not contain proof of identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that the record for each child enrolled contained all of the required documentation. Evidence: 1. The record for child #1, #3, #4, and #5 did not contain documentation of proof of age and identity. 2. The record for child #4 did not contain one of the two required emergency contacts. 3. The children noted above were in care during this inspection.”

Rule 8VAC20-780-60-A.