Craig County Child Care Center

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

“The most recent central registry check for staff #3 was obtained six months after the required renewal date. The most recent national criminal background check for staff #3 was obtained six months after the required renewal date.”

Rule 22.1-289.035-A.

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.

“There was no physical examination in the record of child #3, who had been enrolled for two years.”

Rule 8VAC20-780-140-A.

Repeat violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“On the playground there was a two-foot-long tree root sticking out of the ground. This is a tripping hazard for children.”

Rule 8VAC20-780-270-A.

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 child #6.”

Rule 8VAC20-780-510-I.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In the two’s A and preschool class the cabinet doors lock was broken. This is where cleaning supplies were housed and one for teachers personal items. In the preschool classroom there was a teacher chair in the class where the seat was ripped open and the foam was exposed. Children were observed in this area.”

Rule 8VAC20-780-270-A.

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

“Staff #5, who has been actively working at the center for the past 3 days, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

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

Rule 8VAC20-780-340-A.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“On 3/14/2025, Child 1 (22 months) was unsupervised, left the playground area, and walked into the surrounding neighborhood and streets. Staff did not have sight and sound supervision of Child 1 for approximately 9 minutes.”

Rule 8VAC20-780-340-F.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

Rule 8VAC20-780-40-E.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“There was no documentation of requesting a child abuse and neglect check from a state for Staff 5 who has been employed for more than 2 months.”

Rule 22.1-289.035-B-4.

The center is required to obtain a completed sworn statement, a criminal record check, and a central registry search by the end of the 30th day for all board officer/agents.

“Agent 2, who has been in office for multiple years, did not have a completed sworn statement Agent 4, who has been in office for multiple years, did not have a completed central registry search.”

Rule 8VAC20-770-40-D-1-a.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“On 11/14/2024: there were 4 children present in the Toddler A class and there were 6 children marked present on the attendance record; there was not an attendance record for the Infant A or Infant B classes that documented the arrival and departure of each child; and there were 13 children marked present for before school care, however, the children had departed for school and where no longer in care.”

Rule 8VAC20-780-80-A.

Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child 3 with an enrollment date of 8/1/2023 had immunizations on record with a date of 4/29/2023.”

Rule 8VAC20-780-130-E.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: 1.Child 3, which was enrolled on 8/01/2023 had no documentation of a physical on file during the inspection on 5/13/2024.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure each staff member has a documented TB test or screening every two years.

“Evidence: Staff #3 had a TB screening dated 04/28/2022.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: Children were observed eating lunch. After the children finished there was no handwashing or wipes given to wipe hands.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Evidence: In the two’s classroom a diaper change was observed. There was no cleaning or sanitizing of the diapering surface.”

Rule 8VAC20-780-500-B.

Based on record review, the center failed to obtain repeat background checks after 5 years.

“Evidence: Staff # 1, with a hire date of 8/2/2005, had a Central registry dated for 6/19/2028 on record during the inspection on 12/13/2023.”

Rule 22.1-289.035-A.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on review of medication the center failed to obtain written authorization from a parent or guardian for prescription medication.

“Evidence: Child #4 had medication on site during the inspection on 12/13/2023. There was no authorization from parent, to administer.”

Rule 8VAC20-780-510-I.

Based on observation and staff interview, the center failed to ensure that medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1.In the Toddler classroom, there was over the counter medication in a child’s diaper bag. Children were observed in that area. 2. In the Toddler B classroom, there was over the counter medication in a child’s backpack. Children were observed in the area. 3. In one of the staff’s personal cubbies the locking method was broken and prescription medicine was observed in that cubby.”

Rule 8VAC20-780-510-L.

Based on record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff #2, hire date of 02/14/2023 had fingerprint eligibility letter was dated 02/16/2023.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #4, which was enrolled on 7/12/2022 had no documentation of a physical on file during the inspection on 05/31/2023.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff #2, which was hired on 2/14/2023 had record of a TB test/ screening dated for 2/16/2023.”

Rule 8VAC20-780-160-A.

Based on observation, the center failed to keep hazardous substances such as cleaning materials in a locked place.

“Evidence: In classroom #5 there were unlocked cleaning products in the cabinet. The lock to this cabinet was broken.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on observation and interview, the center failed to ensure the diapering area shall have a leakproof covered receptacle for soiled linen.

“Evidence: In classroom #1, there was an inoperable foot operated diapering pale with the lid open. Staff was asked why the lid was open and answered with ?that’s how they use it since the foot petal does not work.? The diapering pale was inside of the gated diapering area.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone on the infant/ toddler playground. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to make sure the disposal of diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff members hand not the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: During inspection, Inspector noticed the diaper disposal did not have a foot operable petal. When staff members were asked how they open the pail for disposal, the response was they use their hand and open the side.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that all medication, including staff personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: During inspection, Inspector checked teacher cubby’s and noticed medication in the teacher’s cubby. The safety latch on the teacher’s cubby was broken giving children access to open the cubby. Children were present in the classroom at that time.”

Rule 8VAC20-780-510-L.

Based on review of staff files the facility failed to maintain compliance with this standard as required.

“Evidence: Staff record #3, hire date 5/9/22, did not have proof of TB/ PPD as required. Staff must have a PPD /TB test or screening prior to hire.”

Rule 8VAC20-780-160-A-1.

Based on review of staff files the facility faield to maintain complaince with this standard as required.

“Evidence: Staff file #3, hire date 5-9-22, did not have proof of orientation on file.”

Rule 8VAC20-780-240-C.

Based on review of the inside and outside of the facility, the facility failed ot maintain complaince wioth this standard as required relating to peeling stucco, protruding bolt, broken toy storage container, and a broken swing.

“Evidence: 1. Outside on the toddler playground there was a section of stucco that was chipped and peeling. This area was at the bottom of the wall, accessible to the children. 2. On the big playground there was a broken toy storage chest that when the lid was open it was not secure and a bolt was protruding. This creates an areas of hazard to the children. 3. On the big playground there was a broken swing that was wrapped around the upper support beam.”

Rule 8VAC20-780-270-A.

Based on review of the playgrounds the facility failed to maintain complaince with this standard as required related to resilient surfacing.

“Evidence: Under and around the climbing equipment there was less than 6 inches of resilient surfacing. The resilient surfacing measured approximatley 2 inches, and less in a spot directly below the schoolaged climber.”

Rule 8VAC20-780-330-B.

Based on review of medications the facility failed to maintain compliance with this standard as required.

“Evidence: The medication for child A, epi-pen, did not have a pharmacey label as required.”

Rule 8VAC20-780-510-G.

Based on review of medications the facility failed to maintain compliance with this standard as required.

“Evidence: The parental authorization to admininster the medication for child C had expired. The parental authorization is only allowed to be active for 10 days. The authorization expired on 4/13/22 and the medication was still present in the active, as needed, medication box.”

Rule 8VAC20-780-510-P.

Based on review of children records the facility faled to maintain complaince with this standard as required related to parental work phone numbers.

“Evidence: Child records #1, and #3-#5 were missing one parental work phone number.”

Rule 8VAC20-780-60-A.

Based on review of staff records the facility failed to maintain compliance with this standard as required related to references and proof of qualifications.

“Evidence: Staff record #3 had only one of the 2 required references. Staff records #3-#5 did not have proof of qualifications/education for the positions held.”

Rule 8VAC20-780-70.