HRCAP Denbigh

8VAC20-780-240-B

“Staff shall complete orientation training no later than seven days from the date of assuming job responsibilities. Staff #1 and #4 have been employed for more than 4 ? years and Staff #5 has been employed for over 4 months and they do not have documentation of a completed orientation.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #4 was missing 4 hours of documented annual training.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The inspection is overdue by 2 months.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The inspection was overdue by 2 weeks.”

Rule 8VAC20-780-260-B.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. Substances (cleaner, deodorizer and sanitizers) were observed stored in a unlocked manner on the floor of the bus and in a closet in room #16 .”

Rule 8VAC20-780-280-B.

8VAC20-780-580-C

Rule 8VAC20-780-580-C.

8VAC20-780-70

“The provider shall keep for each staff person all the required information. 1. Staff #1 was missing information related to any health issues that may interfere with the job and an emergency contact name and information. Staff #1 has been working for approximately 4 ? years. 2. Staff #1does not have documentation to demonstrate they possess the experience required by the job position. Staff #1 is designated as the program director.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #3 does not have the required training and it is over due by than 6 weeks.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #3 does not have the required training and it is over due by than 6 weeks.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The injury plan available for review was overdue by more than1 year.”

Rule 8VAC20-780-40-J.

8VAC20-780-40-M

“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 documented in the allergy plan. Child #5, in Classroom A has a documented dietary restriction and it was not on the written allergy/sensitivity list for staff to view.”

Rule 8VAC20-780-40-M.

8VAC20-780-540-E

“One working, battery-operated radio in each building used by children . There was not a working battery operated radio available.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was not documentation of a lockdown drill in 2025 available for review.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-I

“A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. Classroom A and Classroom C did not have emergency numbers posted.”

Rule 8VAC20-780-550-I.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.Child #2?s record did not include one parents hone address and employment location and phone number. 2.Child #3?s record did not include the record did not include one parents hone address”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Repeat Violation 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 attendance sheet listed 13 children and there were 14 children in care present in Classroom A.”

Rule 8VAC20-780-80-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent inspection was dated 7-11-2024.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“Repeat Violation An annual approval from the health department is required. The most recent health inspection was dated 3-6-2024.”

Rule 8VAC20-780-260-B.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #2 had only 10 hours and Staff #3 had only 15 hours of documented training.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-B

“An annual approval from the health department is required. The most recent health inspection was dated 3-6-2024.”

Rule 8VAC20-780-260-B.

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian. A medication (medication A) was administered to Child #1 and the parent authorization had been expired for approximately 6 months.”

Rule 8VAC20-780-510-I.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #2 was onsite, but the medication authorization was expired for 6 months. The authorization had not been renewed, and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

8VAC20-780-80-A

“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. There was not an attendance sheet listing all 13 children in attendance for Room #2. .”

Rule 8VAC20-780-80-A.

Based on interview, the center did not ensure to have all nonmedical emergency supplies as required.

“Evidence: Interview with staff confirmed one working, battery operated radio was not available for review during the inspection.”

Rule 8VAC20-780-540-E.

Based on observations, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.

“Evidence: During the inspection on September 22, 2022, there were two bathroom areas located inside classrooms #1 and #3 observed with areas of cracked paint and rusting throughout nearby the toilet. The metal parts were observed to be loose and rusted protruding with nails.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In Classroom#3, there were two bottles of dishwashing liquid located on a shelf unlocked with the labels “keep out of reach of children” and “warnings”.”

Rule 8VAC20-780-280-B.