The Merit School of Braemar (#22)

Every center shall ensure that advertising is not misleading or deceptive as required by ? 22.1-289.027 of the Code of Virginia.

“Staff A was identified as the director via a public posting at the center. Staff A was not the director nor did they have director qualifications. The center had been told twice previously that staff A did not meet director qualifications.”

Rule 8VAC20-780-40-F.

Cribs shall be identified for use by a specific child.

“There was no name on the crib used by infant A.”

Rule 8VAC20-780-440-B.

The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against them prior to employment.

“There was no documentation to show that staff A had obtained the child abuse and neglect background check prior to employment, This background check was overdue by 3 months.”

Rule 22.1-289.035-B-3.

Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment.

“There was no physical on file for child A, this was overdue by 6 months.”

Rule 8VAC20-780-140-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“The immunization records for child A was not signed by a physician/designee, this was overdue by 7 months. The immunization records for child B was not signed by a physician/designee, this was overdue by 3 months. The physical for child C was not signed by a physician/designee, this was overdue by 1 year and 6 months.”

Rule 8VAC20-780-150-B.

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.

“The door to the kitchen was unlocked and open and next to the sink was a sanitizing agent and a concentrated detergent. These hazardous agents were sitting on the floor and a shelf a few feet off the floor.”

Rule 8VAC20-780-280-B.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the center has obtained written authorization from a parent.

“The medication authorization forms for child A and B did not have the center’s name identified as being granted the authority to administer said medications.”

Rule 8VAC20-780-510-I.

22.1-289.035-B-4

“Out- of- State Sex Offender Registry Search must be completed prior to employment on each state an individual has resided in the past 5 years. There was no out -of -state sex offender search completed on staff A . This background check was overdue by 9 months.”

Rule 22.1-289.035-B-4.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

Repeat Violation: Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“The door to the supply closet was open and there were 3 containers of paint stored on the shelves. The door to the laundry room was unlocked and there were over 15 containers of hazardous cleaning agents on the shelves.”

Rule 8VAC20-780-280-B.

22.1-289.035-A

“Background checks must be repeated every 5 years. Staff A’s Central Registry background check was dated 3/28/19 and a repeat background check had not been obtained.”

Rule 22.1-289.035-A.

8VAC20-780-270-A

“The center shall be maintained in a clean, safe and operable condition. The door to the sprinkler room was unlocked and there were wires in reach of children.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances shall be kept locked. There were 15 containers of unlocked disinfectants, sanitizers and cleaning agents in the Laundry room. There were 3 containers of paint in the unlocked closet near the infant classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-570-A

“The protective belt shall be fastened securely when children are placed in high chairs. Two infants were observed in high chairs, eating a snack however the protective belts were not fastened.”

Rule 8VAC20-780-570-A.

8VAC20-780-570-D

“Based on interviews conducted, the center did not ensure that infants were fed in accordance with parental instructions. Evidence: Interviews revealed that in approximately March 2023 an eight-month-old infant was fed ?sloppy joes? when the parents had not given permission for the infant to eat that food. The same infant was given whole milk in approximately June 2023 without parent permission.”

Rule 8VAC20-780-570-D. From a complaint.

8VAC20-780-80-A

“Based on observation and review of documentation, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 1/19/23 at approximately 11:32am, four infants were observed in the Infant classroom. The attendance contained documentation of five infants present. Staff reported that an infant was moved to the Older Infant classroom at approximately 9:00am, but the attendance was not updated.”

Rule 8VAC20-780-80-A.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-510-P

“Based on review of medication and medication authorization, the center did not ensure that medications were picked up within 14 days of authorization expiring, or that the parent renewed the authorization. Evidence: There were two emergency medications onsite for Child A. The medication authorization forms for both medications expired 11/4/21.”

Rule 8VAC20-780-510-P.