Floris United Methodist Church Preschool

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2 updated screening was due 1 year ago and Staff #4 updated screening was also due over 1 year ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Annual approval from the health department shall be provided showing the center meets requirements dictated by the local health department.

“An annual health inspection including approval from the local health department had not been conducted and was overdue by 11 months.”

Rule 8VAC20-780-260-B.

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

“There was a can of air freshener placed on a shelf in the bathroom of the 2 year old classroom. The bathroom had a locking mechanism on it, however it was not locked at the time of the inspection.”

Rule 8VAC20-780-280-B.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #3 updated screening was completed 7 months after the due date and Staff #6 updated screening was due over 4 months ago, and documentation of the renewed screening was not in the record.”

Rule 8VAC20-780-160-C.

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

“There was a patch of chipped paint on a wall in a preschool room.”

Rule 8VAC20-780-270-A.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #1 had been employed for 17 days before obtaining results of their criminal background check. Staff #3 had been employed for 20 days before obtaining results of their criminal background check. Staff #4 had been employed for 2 days before obtaining results of their criminal background check.”

Rule 22.1-289.035-B-2.

The center shall obtain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Staff #1 and #6 had each been employed for 28 days, and only had 1 reference check in their staff record.”

Rule 8VAC20-780-70.

Based on observation, topical products were accessible to children under the age of five.

“Evidence: Two sunscreen bottles were on an accessible shelf, within reach of children.”

Rule 8VAC20-780-520-B.

Based on observation and interviewer with the provider, the center did not ensure that food brought from home was clearly dated.

“Evidence: All children are bringing their lunch from home, and none of the lunch boxes were dated. The administrative assistant stated they document that each child has a lunch when they’re dropped off.”

Rule 8VAC20-780-560-G.

8VAC20-780-240-D

“Based on record review and staff statement, no documentation is available to verify that a staff member completed orientation within 7 days of hire. Evidence: Staff #1 was hired 8/2023 and the Director stated that the orientation was completed but not documented to verify the staff reviewed all center policies and procedures.”

Rule 8VAC20-780-240-D.

8VAC20-780-70

“Based on record review and staff statement, a second reference was not obtained for a new staff prior to hire. Evidence: Staff #1 was hired August 2023 and only one reference was documented in the staff record.”

Rule 8VAC20-780-70.

Based on medication and record review, the center’s procedures for medication did not prevent use of outdated medication. Evidence: Child #1’s emergency medications expired 11/2022.

“Based on medication and record review, the center’s medication authorizations were expired. Evidence: Child #1’s medication authorization expired 3/16/2022 for 2 medications and 6/17/2022 for one medication. Child #2’s authorization expired 8/31/2022.”

Rule 8VAC20-780-510-E.

8VAC20-780-550-E

“Based on record review and administration statement, the center did not have two shelter-in place drills per year. Evidence: Only one drill was conducted the previous school year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-I

“Based on observation, posted emergency numbers were not in a visible place at each telephone. Evidence: No emergency numbers were listed on the Monkey’s classroom phone area.”

Rule 8VAC20-780-550-I.

8VAC20-780-560-G

“Based on observation, food containers from home were not clearly dated and labeled in a way that identified the owner. Evidence: A random sample of lunch boxes were observed. 4 were not labeled with the child’s name and none were dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A-8

“Based on record review, a child’s allergy care plan has not been updated annually. Evidence: Child #1’s allergy care plan expired 3/30/2023.”

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

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-60-A-8

“Based on a review of children’s medications, it was determined there was not 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. Evidence: The record for Child E contains documentation indicating that the child has a diagnosed food allergy. There is no food allergy action plan in the child’s record.”

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