Right Start Early Childhood Center

22.1-289.035-B-1

“Repeat Violation Prior to employment all employees shall provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The sworn statement or affirmation for staff 1 did not include written information to document whether they had resided outside of Virginia within the past five years.”

Rule 22.1-289.035-B-1.

8VAC20-780-160-C

“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 as stated in subsection B of this section. The TB screening for staff 2 and staff 3 were completed more than two years from the date of the initial screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Five bottles of cleaning and sanitizing products were observed stored on a high shelf in an unlocked closet located in the preschool classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“Repeat Violation The center shall 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. The center allergy list did not include a dietary restriction and diagnosed food allergy for child 1 and child 2. The enrollment records for both children indicate food allergies and dietary restrictions.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-560-G

“When food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. One prepackaged container of food, stored in the infant classroom refrigerator, was not dated or labeled with the child’s name.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-I

“A one-day’s emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. The facility lacked a one-day’s emergency supply of disposable bottles and nipples.”

Rule 8VAC20-780-570-I.

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. The record for staff 2 and staff 4 lacked documentation to demonstrate how they meet program leader qualifications. Both staff have a job title of program leader and were observed functioning in the program leader position during the inspection.”

Rule 8VAC20-780-70.

22.1-289.035-B-1

Rule 22.1-289.035-B-1.

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within the 30 days after the first day of attendance. Child 3 lacked documentation of a physical exam. Child 3 has been enrolled for over two years.”

Rule 8VAC20-780-140-A.

8VAC20-780-40-M

“The center shall 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. The center allergy list did not include a food sensitivity/dietary restriction for child 1 and child 2. The enrollment records for both children indicate a food sensitivity and/or dietary restriction.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all required elements. *4 injury reports lacked documentation of the time the parent was notified of the injury; *1 injury report lacked a parent or second staff signature; *3 injury reports lacked documentation of any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. The staff record for staff 1, staff 2 and staff 3 lacked written documentation to demonstrate completion of orientation training.”

Rule 8VAC20-780-70.

22.1-289.035-A

“All employees shall undergo a background check every five years. The central registry check for staff 1 was completed more than five years from the date of the inspection. Staff 1 was working in the facility during the inspection.”

Rule 22.1-289.035-A.

8VAC20-780-160-A

“Documentation of the required tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 days of the date of employment. The TB screening for staff 3 was completed after the first date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-420-E-3

“Repeat Violation Parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs. Such sharing of information shall be documented. There was not written documentation of an annual update of the information in the enrollment record of child 1.”

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

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: One working, battery-operated radio in each building used by children. The battery operated radio was not working during the inspection.”

Rule 8VAC20-780-540-E.

8VAC20-780-70

“Staff records shall contain all required elements. The employee file for staff 1 and staff 2 lack written documentation to demonstrate that they possess the education and training required by their job description. Both staff have a job title of program leader and were observed functioning as a program leader during the inspection.”

Rule 8VAC20-780-70.

Repeat Violation The center shall obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years.

“There was no criminal record child on file for staff 2 who has resided in a state outside of Virginia within the past 5 years.”

Rule 22.1-289.035-B-4.

. The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff 1 has not completed the Virginia Department of Education-sponsored orientation course. Staff 1 has been employed for more than 90 days.”

Rule 8VAC20-780-240-A.

Parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs. Such sharing of information shall be documented.

“There was not written documentation of an annual update of the information in the enrollment record of child 1. Child 1 has been enrolled for more than 4 years.”

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

A first aid kit shall be wherever children are in care.

“There was no first aid kit on the van used to pick up children from 4 local public schools. The van returned to the facility at approximately 3:05 pm with children on board.”

Rule 8VAC20-780-540-A.

Repeat Violation

“Shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Shelter-in-place procedures were not included on the posted evacuation map for the facility.”

Rule 8VAC20-780-550-C.

The center shall ensure that during transportation of children the following information is in transportation vehicles: *A list of the names of the children being transported.

“A list of the names of the children being transported was not on the facility van when the vehicle arrived from local public schools at approximately 3:05 pm.”

Rule 8VAC20-780-580-C.

Staff records shall contain all of the required elements.

“The employment file for staff 1 and staff 2 lack written documentation of completion of orientation training.”

Rule 8VAC20-780-70.

Based on record review and interview the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: 1. The results of an out-of-state criminal record check and child abuse registry check were not on file for staff 1. a. Staff 1 has a hire date of 04/29/2021 and has resided in another state within the past five years according to written information in her employment file. 2. The program director confirmed that an out-of-state criminal record check and child abuse registry check had not been obtained for staff 1.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center failed to ensure that the current written list of all children’s allergies, sensitivities, and dietary restrictions shall be current and include all required information.

“Evidence: 1. The written list of children’s allergies, sensitivities, and dietary restrictions did not include written information for child 1 with a food sensitivity listed on her enrollment form. 2. The program director confirmed that child 1’s food sensitivity was not included on the allergy list for the facility.”

Rule 8VAC20-780-40-M.

Based on observation and interview, the center failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: 1. The posted evacuation map did not indicate any shelter-in-place procedures. 2. The program director confirmed that procedures for shelter-in-place were not included on the posted evacuation map for the facility.”

Rule 8VAC20-780-550-C.

Based on observation and interview, the center failed to ensure that a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

“Evidence: 1. The phone number for 911, poison control or local dial for local fire, police and emergency medical services were not posted by the center telephone. 2. The program director confirmed that these emergency phone numbers were not posted.”

Rule 8VAC20-780-550-I.

(Repeat Violation) Based on record review and interview, the center failed to ensure that documentation of the required TB screening was completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The TB screening for staff 1 was completed on 01/22/2023 after her hire date of 12/29/2022. a. Administrative staff confirmed that the TB screening for staff 1 had been obtained after the first day of employment.”

Rule 8VAC20-780-160-A.

Based on medication review, the center failed to ensure that prescription medication shall be maintained in the original, labeled container.

“Evidence: 1. Two emergency medications for child 1 were not maintained in the original, labeled container. a. These medications were stored in a plastic bag without the original prescription label and container.”

Rule 8VAC20-780-510-I.

Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

“Evidence: 1. Written documentation of orientation training was not on file for staff 1 and staff 2. a. Administrative staff confirmed that the orientation training check list had not been added to these staff files.”

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to ensure that every (i) applicant for licensure as a child day center; (ii) agent of an applicant for licensure as a child day center, at the time of application who is or will be involved in the day-to-day operations of the child day center, or who is or will be alone with, in control of, or supervising one or more of the children; and shall undergo a background check in accordance with subsection B prior to issuance of a license as a child day home, and every five years thereafter.

“Evidence: 1. The central registry check for board member 1 was conducted on 07/28/2017. 2. The central registry check for board member 2 was conducted on 07/28/2017. 3. The central registry check for board member 3 was conducted on 09/07/2016. 4. Administrative staff conformed that an updated central registry check had not been obtained for these three board members.”

Rule 22.1-289.036-A.

Based on record review, the center failed to ensure that documentation of the tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The TB screening for staff 1, hire date 06/21/22, was conducted on 05/04/2022.”

Rule 8VAC20-780-160-A.

Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition.

“Evidence: 1. A hole, measuring approximately 11 inches x 12 inches, was observed on the outdoor play area. a. This hole is a trip hazard.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. The cabinet under the sink in the two-year old bathroom lacked a child proof latch. Two bottles of disinfectant solution was stored in this cabinet.”

Rule 8VAC20-780-280-B.

Based on record review, the center failed to ensure that staff records contain all required elements:

“Evidence: 1. Documentation of orientation training was not on file for staff 1 and staff 2. a. Administrative staff confirmed that this training had not been added to the training documentation for these staff.”

Rule 8VAC20-780-70.