Wee Care Christian Learning Center

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards.

“The center had a medication with a current authorization for Child #5 that expired last month. The center’s procedures for ensuring that expired medications are not administered includes a monthly review of forms and expiration dates. Administration acknowledged that the check was not completed.”

Rule 8VAC20-780-40-E.

Applicants for licensure must undergo a background check every five years.

“The most recent sworn statement for Officer #2 was overdue by 11 months.”

Rule 22.1-289.036-A.

Repeat violation

“A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #1 was due 4 months ago and the updated screening for Staff #5 was due 3 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Repeat violation

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The orientation course for Staff #2 was 6 days overdue.”

Rule 8VAC20-780-240-A.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #1 had a central registry that was requested over one month after the start of employment.”

Rule 22.1-289.035-B-3.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #2 submitted a TB screening prior to employment that was completed outside of the 30 day window by approximately three days.”

Rule 8VAC20-780-160-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #1 completed the course one month late.”

Rule 8VAC20-780-240-A.

The center shall ensure that their activities and services are maintained in compliance with their own policies and procedures that are required by the standards.

“Child #6 and Child #7 had current medication authorizations for as needed emergency medications. The medications were expired. The center’s procedure for methods to prevent use of outdated medication states that medication with expired dates must be picked up or the center will properly dispose of the medication.”

Rule 8VAC20-780-40-E.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The list in the two year old room was not current to include the food allergy of Child #1, enrolled approximately one month ago.”

Rule 8VAC20-780-40-M.

Staff records are to contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.

“Staff #1, employed for over six months, did not have emergency contact information in their record.”

Rule 8VAC20-780-70.

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #4, who does not meet lead teacher qualifications, has been serving as the lead teacher in the infant room in the afternoon. Staff #5, who does not meet lead teacher qualifications, has been serving as the lead teacher in the two year old room two days a week. Administration stated that the preschool classroom does not have a lead teacher in the afternoon when the qualified lead transitions to supervise a separate grouping of children.”

Rule 8VAC20-780-340-D.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #1’s record contained an immunization record that was received 2 months and 16 days after the start of enrollment.”

Rule 8VAC20-780-130-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.

“Child #1’s physical was received 1 month and 16 days late.”

Rule 8VAC20-780-140-A.

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

“Staff #4’s updated screening was due over 8 months ago. The updated screening had not been completed.”

Rule 8VAC20-780-160-C.

Based on a review of five children’s records and interviews, the center did not obtain documentation of additional immunizations once every six months for two children under the age of two years.

“Evidence: 1. The record of Child #2, 9-month-old, did not contain additional immunizations since the child’s first date of attendance (DOA: 11/06/23). 2. The record of Child #4, 11-month-old, did not contain additional immunizations since the child’s first date of attendance (DOA: 10/02/23). 3. During interview, a member of management confirmed there were no additional immunizations on file for Child #2 or for Child #4.”

Rule 8VAC20-780-130-E.

Based on a review of five staff records and interviews, the center did not ensure one staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: Staff #5, employed on 05/24/21, completed seven hours of annual training from 05/25/2023-05/24/2024. During interview, a member of management confirmed Staff #5 had not completed a minimum of 16 hours of training annually.”

Rule 8VAC20-780-245-A.

Based on observations, a review of documentation, and interviews, the center did not ensure that if diaper ointment or cream is used, it was with written parent authorization.

“Evidence: A diaper ointment was observed on site for Child #6, but the authorization to administer the diaper ointment expired on 05/22/24. During interview, it was reported the diaper ointment has been used on Child #6 and an updated authorization has not been received to date.”

Rule 8VAC20-780-520-C.

(Repeat Violation) Based on a review of five children’s records and interview, the provider did not ensure two children’s records contained the required information.

“Evidence: 1. The record of Child #1, date of attendance 06/03/24, was missing the address of one of the two emergency contacts listed. 2. The record of Child #3, date of attendance 06/03/24, was missing the address of one of the two emergency contacts listed. 3. During interview, a member of management acknowledged the center did not have the required information on file for Child #1 and Child #3.”

Rule 8VAC20-780-60-A.

Based on a review of two applicants’ background checks, the center did not ensure one applicant shall undergo background checks every five years.

“Evidence: The most recent national fingerprint-based criminal background check in the record of Applicant #1 was obtained on 09/08/23. The previous national fingerprint-based criminal background check was obtained on 08/14/18 and should have been repeated no later than 08/14/23.”

Rule 22.1-289.036-A.

Based on a review of five children’s records and interviews, the center did not ensure one child’s physical examination report was signed by a physician, his designee, or an official of a local health department.

“Evidence: The physical examination in the record of Child #4 (DOA: 08/14/23) was not signed by a physician, his designee, or an official of a local health department. During interview, a member of management reported the center did not have any other documentation on file for Child #4.”

Rule 8VAC20-780-150-B.

(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record of Staff #1, employed on 01/23/24, was completed on 10/24/23. During interview, a member of management confirmed the TB screening was not completed within the required timeframe. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course.

“Evidence: The record of Staff #5, employed on 09/01/23, did not contain the Virginia Department of Education-sponsored orientation course. During interview, a member of management reported the staff member has not completed the orientation to date. The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

Based on a review of five staff records and interviews, the center did not ensure two staff shall completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The record of Staff #2, employed on 01/23/24, and the record of Staff #4, employed on 02/12/24, did not contain documentation that the staff had completed orientation training. During interview, a member of management acknowledged the orientation training for Staff #2 and Staff #4 was not completed within the required timeframe. The training would be completed for both staff members on 02/22/24.”

Rule 8VAC20-780-240-B.

Based on a review of five children’s records and interviews, the center did not ensure three children’s records contained the required information.

“Evidence: The following children’s records did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420 E 3: Child #2 (DOA: 01/06/20), Child #3 (DOA: 01/02/23), and Child #5 (DOA: 07/03/17). During interview, a member of management acknowledged the records did not contain confirmation of up-to-date information.”

Rule 8VAC20-780-60-A.

(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure one staff record contained the required information.

“Evidence: A reference check in the record of Staff #4, employed on 02/12/24, was obtained on 02/13/24. During interview, a member of management acknowledged the reference check was obtained after Staff #4 started employment. Each staff record shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.”

Rule 8VAC20-780-70.

Based on a review of five children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years.

“Evidence: 1) The most recent immunizations in the record of Child #2 (DOA: 11/08/21), 20-month-old, were dated 01/13/22. 2) During interview, a member of management confirmed there were no additional immunizations on file for Child #2.”

Rule 8VAC20-780-130-E.

Based on a review of five staff records and interview, the center did not ensure two staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years.

Rule 8VAC20-780-160-C.

Based on a review of five staff records and interview, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course.

“Evidence: 1) The record of Staff #3 (DOE: 01/18/23) did not contain the Virginia Department of Education-sponsored orientation course. 2) During interview, a member of management reported the staff member has not completed the orientation to date. The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

Based on a review of documentation, medication review, observation, and interviews, the center did not ensure when an authorization for medication expired, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Rule 8VAC20-780-510-P.

Based on interviews and documentation reviewed, the center did not ensure lockdown procedures were practiced at least annually.

“Evidence: 1) The center’s documentation of emergency drills for 2022 was reviewed. A drill of the lockdown procedures was not documented. 2) During interview, a member of management reported the lockdown procedures were not practiced in 2022.”

Rule 8VAC20-780-550-F.

Based on a review of five staff records and interview, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: 1) The TB screening in the record of Staff #3, employed on 06/20/22, was dated 03/11/22. The documentation shall have been completed within the last 30 calendar days of the date of employment. 2) During interview, management confirmed the documentation was not received within the required time frame.”

Rule 8VAC20-780-160-A.

Based on a review of four medications and interview, the center did not ensure that three medication authorizations were available to staff during the entire time they were effective for three out of four children whose medications were reviewed.

“Evidence: 1) A prescription medication was observed for Child #6 and no written parental authorization was present for this medication. 2) A prescription medication was observed for Child #7 and no written parental authorization was present for this medication. 3) A prescription medication was observed for Child #9 and no written parental authorization was present for this medication. 4) During interview, management the parental authorizations for these medications were not present.”

Rule 8VAC20-780-510-F.

Based on a review of five staff records and interview, the center did not ensure one staff record contained the required information.

“Evidence: 1) The record of Staff #2, employed on 09/28/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) During interview, management acknowledged the record of Staff #2 did not have any references on file.”

Rule 8VAC20-780-70.

Based on a review of three children’s records and interview, the center did not obtain documentation that two children had received the immunizations required by the State Board of Health before the child attended the center.

“Evidence: 1) The immunizations in the record for Child #1, enrolled on 01/25/22, were dated 01/28/22. 2) The immunizations in the record for Child #3, enrolled on 11/08/21, were dated 01/13/22. 3) During interview, a member of management confirmed the immunizations for Child #1 and Child #3 were obtained after enrollment.”

Rule 8VAC20-780-130-A.

Based on observation and interview, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children.

“Evidence: 1) During the inspection of the classrooms, the inspector observed unlocked cleaning supplies on top of a shelf in the Toddler classroom. 2) During interview, it was reported the cleaning supplies are kept up high, but unlocked.”

Rule 8VAC20-780-280-B.

Based on documentation reviewed and interview, the center did not ensure to have a written care plan for one 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: 1) Documentation reviewed for Child #5 indicated the child has a diagnosed food allergy, but a written care plan was not observed . 2) During interview, a member of management reported the center does not have a written care plan for Child #5.”

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