The Improvement Association - Dinwiddie

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Medication for child #8 was not labeled with the child’s name, the name of the medication, the dosage amount, and the time of times to be given.”

Rule 8VAC20-780-510-G.

Hazardous substances must be in a locked place that prevents access by children.

“In classroom 2, a disinfectant spray solution labeled “keep out of reach of children” was on top of a cabinet in the bathroom unlocked.”

Rule 8VAC20-780-280-B.

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

“In the center’s personnel policies and procedures, it states that staff, consultants, contractors, and volunteers will implement positive strategies to support children’s well-being and prevent and address challenging behavior. On 09/17/2024, staff #3 pulled the arm of a child that was stuck in their chair and slapped and flicked the hands of children to correct their behavior.”

Rule 8VAC20-780-40-E.

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

“On 09/17/2024, child #1 and child #2 were playing with food during lunch time when staff #3 slapped and flicked the hands of the children to correct behavior. Another incident on 09/17/2024, child #3 was struggling to get out from the table due to their leg being stuck on the chair. Staff #3 yanked and pulled the arm of the child to remove child from the seat. Child #3 cried due to being pulled from the chair.”

Rule 8VAC20-780-410-1.

Based on record review, the center failed to ensure that all staff complete a sworn statement prior to the first day of employment.

“Evidence: The record for staff #2 did not contain a sworn statement. Staff #2?s date of hire was 1/3/2023.”

Rule 8VAC20-770-60-B.

(Repeat Violation) Based on review of records and interview, the center failed to provide an annual health approval from the health department.

“Evidence: 1. The most recent health inspection was dated 5/23/2022. 2. An administrator confirmed that an email had been sent to the health department on 9/28/2023 regarding the health inspection.”

Rule 8VAC20-780-260-B.

Based on review of medication, the center failed to ensure that 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.

“Evidence: 1. Child #1 had a prescription emergency medication, on site that expired 10/2024. The medication had not been administered. 2. Staff #2 was aware that the medication had expired.”

Rule 8VAC20-780-510-P.

Based on review of records and interview the center failed to provide an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection report reviewed at the center was dated 4/29/2022. During an interview, Staff 7 acknowledged that an annual fire inspection has not been conducted.”

Rule 8VAC20-780-260-A.

Based on review of records and interview, the center failed to provide an annual health approval from the health department.

“Evidence: The most recent health approval was dated 2/23/2022. During an interview, Staff 7 acknowledged that an annual health approval has not been conducted.”

Rule 8VAC20-780-260-B.

Based on record review, the center did not meet the proof of child identity and age requirements as stated in 22.1-289.049 of the Code of Virginia for one child.

“Evidence: The record for Child #1 (start date:10/25/2022) did not contain documentation of viewing proof of the child’s identity and age as required by 22.1-289.049. During an interview with Staff 7, it was acknowledged that the center did not have proof of the child’s identity and age as required.”

Rule 8VAC20-780-40-G.

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. On the playground, rust was observed on the side of a piece of playground equipment. The area of rust measured 29 inches by 10 inches and was in an area accessible to the children. 2. Administration acknowledged that the equipment required repair to be safe.”

Rule 8VAC20-780-270-A.

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

“Evidence: 1. In classroom #3, a can of smoke detector tester was observed unlocked in the children’s bathroom. The can contained the words danger, flammable, and keep out of the reach of children. 2. In classroom #3, a can of Febreeze was observed unlocked in the children’s bathroom. The can contained the words caution and keep out of the reach of children. 3. Classroom staff acknowledged that the hazardous substances were not in a locked place.”

Rule 8VAC20-780-280-B.

Based on a review of five (5) child records and interview, the center did not ensure that one (1) record contained the required information.

“Evidence: 1. The record of child #2 (date of enrollment: 8/24/2022) did not contain one of the two required emergency contacts. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached 2. Administration acknowledged that the record was incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of 2 staff records and interview, the center did not ensure to request an out of state child abuse and neglect search for 1 staff by the end of the 30th day of employment as required.

“Evidence: 1. The record of staff #1 (DOH: 9/23/2021) contained a sworn statement that indicated that the staff had resided outside of the state within the preceding 5 years. The record did not contain the request for an out of state child abuse and neglect search. 2.Administration acknowledged that the request was missing.”

Rule 22.1-289.035-B-4. From a complaint.

Based on record review and interview, the center did not ensure to keep a separate record for each child which contained all required information.

“Evidence: 1. The record of child #3 (DOE: 09/13/2021) did not contain documentation of viewing proof of the child’s identity and age. 2. Administration acknowledged that the documentation was missing.”

Rule 22VAC40-185-60-A.