Patricia’s Child Care Center

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

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

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #4 did not have a current CPR certification that included an in-person competency demonstration.”

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

At least one staff in each classroom or area where children are present shall have current certification in CPR. The training shall include an in-person competency demonstration.

“Staff #3 was supervising 5 children in the toddler classroom at the time of inspection and did not have a completed CPR certification that included an in-person competency demonstration.”

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

Children’s records are required to contain parental employment phone numbers, documentation of child updates and confirmation of up-to-date information.

“The record for child #5 was missing the employment phone number for both parents. The child was present during the inspection and had been in care for 3 months. The record for child #2 and child #3 did not contain documentation of an annual update to the child’s record or information. Child #2 and child #3 have both been in care for over 2 years.”

Rule 8VAC20-780-60-A.

Based on review of child records, the center did not ensure each child record contained the name address and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: 1. The record for child #2 (enrolled 3/29/2022) contained documentation of only 1 emergency contact. 2. The director acknowledged only having documentation of 1 emergency contact in the record.”

Rule 8VAC20-780-60-A. From a complaint.

Based on record review and interview, the center did not ensure that one child’s record contained the required information.

“Evidence: 1. The record of child #1 (date of attendance: 6/3/2024) did not contain documentation of viewing proof of the child’s identity and age as required. 2. The provider acknowledged that the information had not been received.”

Rule 8VAC20-780-60-A. From a complaint.

Repeat violation

Rule 8VAC20-780-160-A.

Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department’s health and safety update course as required.

“Evidence 1. The record of staff #2 (date of employment: 9/24/07) contained an annual health and safety update training dated 5/17/2022. The record did not contain the 2023 update that was due by 5/17/2023. 2. The vendor acknowledged that the training was not completed annually as required.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure that three staff records contained the required information.

“Evidence: 1. The records of staff #1 (date of employment: 5/25/2023), staff #3 (date of employment: 10/21/2022) and staff #5 (date of employment: 5/15/2023) did not contain documentation to demonstrate that the individuals possessed the education, certification, and experience required by the job position. 2. Administration acknowledged that the three lead teacher records did not contain the full requirements to demonstrate they were qualified for the positions.”

Rule 8VAC20-780-70.

Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff who worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1. The record of staff #2 (date of employment: 10/21/2022) did not contain a current CPR certification. 2. The vendor acknowledged that the staff member did not have a current certification.”

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

Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff who worked directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1. The record of staff #2 (date of employment: 10/21/2022) did not contain a current first aid certification. 2. The vendor acknowledged that the staff member did not have a current certification.”

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

Based on a review of five (5) employee records and interview, the center did not ensure to obtain a fingerprint background check for one (1) staff every five (5) years as required.

“Evidence: 1. The record of employee #5 contained a fingerprint background check dated 3/12/2018. 2. Administration stated that the repeat fingerprint background check had not been obtained.”

Rule 22.1-289.035-A.

Based on a review of five (5) staff records and interview, the center did not ensure to obtain a tuberculosis (TB) screening for two (2) staff at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record of staff #1 (date of employment: 10/24/2022) contained a TB screening dated 2/1/2023. The record of staff #2 (date of employment: 10/21/2022) contained a TB screening dated 2/10/2023. 2. Administration acknowledged that the TB screenings were not obtained at the time of employment as required.”

Rule 8VAC20-780-160-A.

Based on a review of five (5) children’s records and interview, the center did not ensure that one (1) child had a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“Evidence: 1. The record of child #1 (DOE: 06/13/2022) did not contain a physical record. 2. Administration acknowledged that the physical record had not been received.”

Rule 8VAC20-780-140-A.

Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. Chipped and peeling paint was observed in the toddler classroom. A loose wooden board was observed on the playground which contained several protruding rusted nails. A chair with rusted legs was observed on the playground. 2. Administration acknowledged that the areas listed required maintenance.”

Rule 8VAC20-780-270-A.

Based on observation and interview, the center did not ensure that prepared infant formula was dated as required.

“Evidence: 1. The prepared bottles of two children were observed in the infant room refrigerator. The bottles did not contain a date. 2. Administration acknowledged that the bottles were not dated.”

Rule 8VAC20-780-570-E.

Based on review of documentation and interview, the center did not ensure that when staff are supervising children, they always ensure their care and protection, and guidance.

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

Based on review of documentation and interview, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff.

“Evidence: 1. In interview, teacher #1 (date of employment: 01/28/2022) stated that she had four (4) children in care and one (1) child needed a diaper change. She took the one (1) child to the classroom next door and changed his diaper. Staff #1 stated that she ?understood that the children were not in her direct sight? when she left the room to do a diaper change. 2. Administration acknowledged that when staff #1 left the classroom, the children were not in both sight and sound as required.”

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