Miss Alyson’s

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 required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“In Classroom A, the list containing children’s allergies, sensitivities and restrictions, was posted on the cabinet, in the open for public viewing.”

Rule 8VAC20-780-40-M.

Repeat violation

“The center shall implement a monthly practice evacuation drill. The evacuation drill log did not contain documentation of an evacuation drill for the month of September 2024. The director acknowledged a drill had not been documented for September 2024.”

Rule 8VAC20-780-550-D.

Based on review of five staff records, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: The record of staff #5, employed 11/10/2014, contained documentation of a tuberculosis screening dated 01/18/2022, exceeding two years. The administrator stated a follow-up tuberculosis had not been obtained.”

Rule 8VAC20-780-160-C.

Based on review of the evacuation drill log and interview, the center did not implement a monthly practice evacuation drill.

“Evidence: The evacuation drill log did not contain documentation of an evacuation drill for the month of March 2024. The administrator acknowledged a drill had not been documented for March 2024.”

Rule 8VAC20-780-550-D.

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

“Evidence: A canister of sanitizer deodorizer was observed on an open shelf in the bathroom. The door of the bathroom was closed but not locked. Staff stated children did not use that bathroom.”

Rule 8VAC20-780-280-B.

Based on review of four staff records, the center did not obtain all required documentation for one staff record.

“Evidence: 1. The record of staff #2, employed 10/03/2023, contained one written reference dated 10/19/2023, exceeding the date of employment. The record did not contain a second reference as required by the standards. 2. Two or more references as to character and reputation are required to be checked before employment or volunteering.”

Rule 8VAC20-780-70.

Based on review of four staff records, the center did not ensure one staff completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training.

“Evidence: The record of staff #2, contained documentation of completion of the department’s annual health & safety update training dated 10/18/2020. There was no documentation for the 2021 and 2022 year.”

Rule 8VAC20-790-600-F.

Based on observation and interview, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt was fastened securely.

“Evidence: Child #7 was observed being feed in a highchair without the protective belt being fastened. Staff acknowledged the belt was not fastened.”

Rule 8VAC20-780-570-A.

Based on interview and video footage reviewed, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F. From a complaint.

8VAC20-780-40-E

Rule 8VAC20-780-40-E. From a complaint.

Based on review of medication and interview, the facility did not ensure medication was labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given.

“Evidence: 1. Medication was observed in a Ziploc bag with the child’s name written on the bag, however the medication did not have the pharmacy label nor did it have the original container with information regarding the dosage, and times to be given. 2. The director stated they did not have the label or original container listing the required information.”

Rule 8VAC20-780-510-G.

Based upon review of the emergency preparedness plan (EPP), the facility has not ensured that the emergency preparedness plan includes all required procedural components.

“Evidence: 1. The EPP does not address the staff training requirement and the plan review and update. 2. The director stated the last review of the EPP was 08/02/2021.”

Rule 8VAC20-780-550-B.

Based on a review of five staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment and within the required time frame.

“Evidence: 1. The national fingerprint check for Staff #1, hired on 03/09/2022, was dated 09/02/2021 exceeding 90 days prior to employment. 2. The director reported Staff #1 was delayed in starting employment and a new fingerprints background check was not completed prior to hire.”

Rule 22.1-289.035-B-2.

Based on review of five staff records and interview, the center did not ensure a required sworn statement from an applicant, licensee, registrant, or other person required to obtain background checks was not dated more than 90 days prior to the date of employment, volunteering, residing in the home.

“Evidence: 1. The record for staff #1, hired 03/09/2022, had documentation of a sworn statement dated 08/31/2021,exceeding 90 days prior to hire. 2. The director stated, staff #1 was delayed in staring employment and an updated sworn statement was not completed at the time of employment.”

Rule 8VAC20-770-40-D-6.

Based on review of five staff records and interview, the center did not obtain a central registry finding for one staff within 30 days of employment.

“Evidence: 1. The record for staff #1, hired 03/09/2022, did not contain the results of a central registry finding. The record did not contain documentation that the central registry had been requested and the staff has been continuously employed. 2. The director stated that a central registry for Staff #1, had not been requested.”

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

Based on review of five staff records and interview, the center did not obtain all required documentation for one staff record.

“Evidence: 1. The record of staff #1, hired 03/09/2022, did not have documentation of two or more references as to the character and reputation as well as competency that were checked before employment. 2.The director stated two references for staff #1 had not been obtained.”

Rule 8VAC20-780-70.