American Day School #1

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.

“One staff member, staff 2, is missing subsequent TB screening reults.”

Rule 8VAC20-780-160-C.

The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Tables used for children’s activities or meals shall not be used for changing diapers.

“A basket full of balls were observed on the diaper changing table, during the inspection.”

Rule 8VAC20-780-500-B.

The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use.

“The diapering surface was not sanitized after the diapering of a child.”

Rule 8VAC20-780-500-B.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center.

“An authorization for a medication expired over 18 months ago. The medication was found onsite.”

Rule 8VAC20-780-510-P.

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.

“The written record of attendance in one classroom documented the arrival of one child who was not present. A total of 11 children were present. The attendance record documented a total of 12 children present today.”

Rule 8VAC20-780-80-A.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening within 30 calendar days of employment.

“Staff #1’s TB screening was over one year prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Exception: Twelve inches of space are not required where cots, beds, or rest mats are located adjacent to a wall or a divider as long as one side is open at all times to allow for passage. Occupied cots were positioned in space that did not allow for one open side at all times to allow for passage in three classrooms.”

Rule 8VAC20-780-440-E.

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.

“The list of children’s allergies, sensitivities and dietary restrictions in one classroom listed a child that is no longer enrolled.”

Rule 8VAC20-780-40-M.

Repeat: Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“The receptacle used to dispose diapers in one classroom requires staff to lift the lid with their hands.”

Rule 8VAC20-780-500-B.

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“A foot operated storage system used for disposing diapers was inoperable. Staff was observed lifting the lid of the receptacle with their hand to dispose of diapers.”

Rule 8VAC20-780-500-B.

If a reference check is taken over the phone, documentation shall include dates of contact.

“References for Staff 1 did not include the dates of contact.”

Rule 8VAC20-780-70.

Based on record review, the tuberculosis screening was not complete at least every two years.

“Evidence: The tuberculosis screening for Staff A was last complete 12/2021.”

Rule 8VAC20-780-160-C.

Based on record review, the liability insurance on file was not current.

“Evidence: The liability insurance on file expired 09/23/2023.”

Rule 8VAC20-780-40-H.

Based on record review, a child’s record was missing required information.

“Evidence: The records of Children A and B were missing the parents employer phone number.”

Rule 8VAC20-780-60-A.

Based on record review, at least every two years from the date of the first initial screening or testing, staff members did not obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: Staff A did not have a current tuberculosis screening on file. Their screening expired 10/2022.”

Rule 8VAC20-780-160-C.

Based on observation, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection was conducted 09/2021.”

Rule 8VAC20-780-260-A.

Based on observation, the center did not provide to the licensing representative an annual fire inspection report.

“Evidence: The latest fire inspection report on file was complete 10/2020”

Rule 8VAC20-780-260-A.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: Disinfectant spray was located on the bathroom in an unlocked drawer and on top of the paper towel dispenser.”

Rule 8VAC20-780-280-B.

Based on record review, children’s files were not reviewed at least annually.

“Evidence: The record of Child A was last reviewed 07/2021.”

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

8VAC20-780-280-B

“Based on observation of the Preschool 1 classroom, a cleaning material was found unlocked. Evidence: A spray bottle of soap and water was found unlocked on top of the diaper changing area.”

Rule 8VAC20-780-280-B.

8VAC20-780-520-C

“Based on observation of the Preschool 1 classroom, diaper ointment was found accessible to children. Evidence: Diaper ointment was found on the shelving located below the diaper surface and also near the sink. These areas were accessible to children in care.”

Rule 8VAC20-780-520-C.

8VAC20-780-560-F-4

“Based on observation of the children at lunch, food was offered that was considered a potential choking hazard. Evidence: The Preschool 1 and 2 lunch tables have children ages 3 years and younger. Apples that were sliced in quarters were served to the children.”

Rule 8VAC20-780-560-F-4.