Winwood Children’s Center VIII

At least every two years from the date of the initial screening, staff shall obtain and submit the results of a follow-up tuberculosis screening.

“Staff A and B had expired tuberculosis screenings in the record.”

Rule 8VAC20-780-160-C.

The center shall request at least annually parent confirmation that the child’s record is up to date.

“Child D and E had no annual review of the record.”

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

The center shall maintain a record for each child enrolled, to include two designated people to call in case of an emergency.

“Child A had only one person designated for an emergency contact in the record.”

Rule 8VAC20-780-60-A.

Staff records shall be kept for each staff person, to include current first aid and CPR.

“Staff D had an expired first aid and CPR in the record.”

Rule 8VAC20-780-70.

Staff who work directly with children shall attend 16 hours of training to include the department’s health and safety update course.

“Staff B, C, D and E were missing the annual Health and Safety update as required.”

Rule 8VAC20-790-600-F.

The staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“Child D was missing an annual review of the required information.”

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

Each child shall have a physical examination completed by a physician before the child’s attendance or within 30 days after the first day of attendance.

“The record for Child #2, enrolled for 7 months, did not contain a physical examination.”

Rule 8VAC20-780-140-A.

The center shall provide to the licensing representative an annual fire inspection report.

“A fire inspection had not been conducted since November 2023.”

Rule 8VAC20-780-260-A.

Annual approval from the health department shall be provided for meeting requirements for: water supply, sewage disposal system, and food service.

“The health inspection conducted in 2024 was incomplete. The inspection did not include the annual approval for water supply and sewage disposal.”

Rule 8VAC20-780-260-B.

REPEAT VIOLATION The following acts are forbidden: roughly handling a child.

“On 4/16/2025, Staff #1 was observed pulling Child #1 (age 4-5 years) by the forearm while walking down the hallway from the playground.”

Rule 8VAC20-780-410-1.

Each center shall maintain and keep at the center a separate record for each child enrolled containing all required information.

“The record for Child #3, enrolled for 16 days, was missing employment information for one parent and an address for the second emergency contact. The record for Child #4, enrolled for 10 months, was missing employment information for one parent.”

Rule 8VAC20-780-60-A.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On 2/19/2025, a video recording provided by the center observed that staff #1 did not provide age and stage appropriate redirection to a child that had thrown an object and pushed another child.”

Rule 8VAC20-780-400-B. From a complaint.

The following actions or threats thereof are forbidden: roughly handling a child.

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-560-G

“Based on observation, when food is brought from home, it was not clearly labeled to identify the owner and current date. Evidence When children brought food from home, it was no clearlyt labeled with the current date in the Creative Arts, Math & Science and Language Arts classroom.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Based on review of child records, the center did not maintain a complete record for each child enrolled. Evidence The record for child #1 did not contain an address for the second emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-C

“Based on review of staff records, one staff member does not have documentation of at least every two years from the date of the last tuberculosis screening, the results of a follow-up tuberculosis screening. Evidence Staff #1 has documentation in their record of an expired tuberculosis screening. Tuberculosis screening documentation expired 9/11/2021”

Rule 8VAC20-780-160-C.

8VAC20-780-245-J

“Based on review of medication administration procedures, the center does not always have a Medication Administration Training (MAT) staff member on site during operating hours. Evidence Only one staff member is current in MAT. They are not on site during all operating hours.”

Rule 8VAC20-780-245-J.

8VAC20-780-550-G

“Based on review of emergency procedures, not all required documentation is being recorded for monthly evacuation drills. Evidence The monthly evacuation drill log does not include the method of notification, number of staff participating, the current weather or any special conditions.”

Rule 8VAC20-780-550-G.

8VAC20-780-550-P

“Based on review of written record of children’s serious and minor injuries, not all required information is being recorded. Evidence Five reports did not include how, when and who was notified of the child’s injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review of five children’s records, one record did contain all required information. Evidence The record for child #1 did not contain the addresses for two emergency contacts.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“Based on review of medications, there isn’t 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 Child #2 and #3 have a diagnosed food allergy, without a written care plan available.”

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

8VAC20-770-60-B

“Based on review of staff records, the child day program employed a staff member before obtaining a sworn statement or affirmation. Evidence Staff #1 did not have for review documentation of a signed sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of staff records, the child day program did not obtain a central registry finding within 30 days of employment. Evidence Staff #2 (DOH 10/4/2022) does not have documentation for review of a central registry finding.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-130-E

“Based on review of children’s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two. Evidence Child #1 (first day of attendance 7/18/2022), is under the age of two (DOB 4/22), does not have documentation of additional immunizations once every six months. Immunization record in the file are dated 7/18/22.”

Rule 8VAC20-780-130-E.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-70

“Based on review of staff records, one did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #1 had documentation that only one reference was checked before the first day of employment. The record for staff #2 and #3 did not have documentation that any references were checked before the first day of employment.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“Based on observation, the provider did not obtain a copy of the results of a criminal history record information check, a sex offender registry 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 Staff #2 has lived out of state within the past five years and no background checks (sec offender, criminal history and central registry) were completed for that state.”

Rule 22.1-289.035-B-4.

8VAC20-770-60-C-2

“Based on review of four staff records, two did not have a central registry finding within 30 days of employment or before current form is expired. Evidence Staff #1 does not have a valid central registry finding. The central registry in staff #1’s record expired in 2020. Staff #2 does not have a central registry or any follow up after 30 days.”

Rule 8VAC20-770-60-C-2.