Earthsong Community School, LLC

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.

“The immunizations in the record for Child #1 and Child #2 were obtained one day after both children started attending the center and this must be obtained before attending the center.”

Rule 8VAC20-780-130-A.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The tuberculosis (TB) screening for Staff #2 was completed 21 months prior to hire and must be completed no earlier than 30 days prior hire.”

Rule 8VAC20-780-160-A.

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

“Staff #1 updated screening was due one month ago and Staff #3 updated screening was due one year ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

If insect repellent is used it shall be inaccessible to children.

“A can of insect repellent was present on a shelf in a classroom serving children between three and five years of age. The shelf was within the children’s reach.”

Rule 8VAC20-780-520-D.

The center shall implement a monthly practice evacuation drill.

“There was no documentation of a monthly practice evacuation drills for April, May, and August of 2026.”

Rule 8VAC20-780-550-D.

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.

“There was no physical examination in the record of child #2, who had been enrolled for two months.”

Rule 8VAC20-780-140-A.

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

“Staff #1, who is working with children, has not yet completed this course which is overdue by 4 years.”

Rule 8VAC20-780-240-A.

Based on review of staff records, the center failed to ensure that all staff within 90 days of hire completed the Virginia Department of Education-sponsored orientation course.

“Evidence Staff # 1 and # 2 did not have documentation of the completed orientation training.”

Rule 8VAC20-780-240-A.

Based on review of staff’s records, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: Staff # 1 and # 2 did not have documentation of the Virginia Department of Education-sponsored orientation course (Preservice 10-hour training). Staff # 1 first day of employment was 08/23/2023 and staff # 2 first day of employment was 08/01/2022.”

Rule 8VAC20-780-240-A.

Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children.

“Evidence: 1.A spray can of Lysol was sitting on the shelf above the sink outside the restrooms. The chemical was unlocked. 2.The cabinet in the kitchen above the sink was not locked and contained 7 containers of chemicals.”

Rule 8VAC20-780-280-B.

Based on review of children’s records, the center failed to ensure that records and reports on children shall be maintained and made accessible for two years after termination of services or separation from employment.

“Evidence: Record for child # 1 was missing the original immunization and physical form. Staff # 4 stated that the lead teacher obtained updated immunization and physical form and shredded the original immunization and physical.”

Rule 8VAC20-780-50-B.

Based on observation, the center failed to ensure that all medications were locked.

“Evidence: There was a bottle of Zyrtec for child # 6 that was unlocked in the cabinet above the kitchen sink.”

Rule 8VAC20-780-510-L.

Repeat violation

“Based on observation, review of two staff records, and interview, the center failed to ensure that all classrooms had a staff person with First Aid and CPR certification. Evidence: Staff # 1 was working alone in the in the main classroom area and the staff’s record did not have documentation of First Aid and CPR Certification. Staff # 1 was cited on 10/26/2023.”

Rule 8VAC20-780-530-A.

Based on observation, the center failed to ensure that all food brought from home was dated and labeled with the owner’s name.

“Evidence: The LI observed the date of 2/6 documented on the lunches on the day of the inspection.”

Rule 8VAC20-780-560-G.

Based on review of children’s records, the center failed to ensure that 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 steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1.Child # 6 has a diagnosed food allergy and the plan in the record was not completed by the child’s physician.”

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

Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition.

“Evidence: Observed in main classroom mounted on a shelf was a pencil sharpener that did not have the cover and the sharpening blades were exposed and accessible to the children.”

Rule 8VAC20-780-270-A.

Based on review of medications, the center failed to ensure that all medications shall contain all the required elements.

“Evidence: Medication for child # 1 did not have the required prescription label.”

Rule 8VAC20-780-510-I.

Based on review of nonprescription medication and topicals, the center failed to ensure that all nonprescription medication and topicals were not kept or used beyond the expiration date.

“Evidence: 1.Child # 1 had a nonprescription Zyrtec that had expired on 8/23. 2.There was a center- kept sunscreen that had expired on 6/23.”

Rule 8VAC20-780-520-A.

Based on review of sunscreens, the center failed to ensure that all sunscreens were not accessible to children under the age of 5 years.

“Evidence: There was a can of sunscreen sitting on the counter next to the sink that is used by the children. The counter was approximately 2 feet high, and the sunscreen was accessible to the children.”

Rule 8VAC20-780-520-B.

Based on review of insect repellent, the center failed to ensure that all sunscreens were not accessible to children under the age of 5 years.

“Evidence: There was a can of insect repellent sitting on the counter next to the sink that is used by the children. The counter was approximately 2 feet high, and the insect repellent was accessible to the children.”

Rule 8VAC20-780-520-D.

Based on observation, review of two staff records, and interview, the center failed to ensure that all classrooms had a staff person with First Aid and CPR certification.

“Evidence: Staff # 1 was working alone in the in the main classroom area and the staff’s record did not have documentation of First Aid and CPR Certification.”

Rule 8VAC20-780-530-A.

Based on review of the lock down drills, the center failed to ensure that a lock down drill was completed annually.

“Evidence: There was no documented lock down drill for the 2022.”

Rule 8VAC20-780-550-F.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.

“Evidence: 1. The record for Child # 1 has a diagnosed food allergy and did not have a physician completed food allergy action plan.”

Rule 8VAC20-780-60-A.

Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire.

“Evidence: Staff # 1 was hired on 8/23/2023. This staff records reviewed lacked documentation that orientation had been completed. The model form was placed in each staff person’s record and but lacked signatures and dates to show if or when it was completed.”

Rule 8VAC20-780-240-B.

Based on review of four staff records, the center failed to ensure that no person shall be hired for compensated employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1.Staff # 1 had a documented employment date of 08/07/2022. The fingerprint letter of eligibility was dated 09/10/2022. 2.Staff # 4 had a documented employment date of 08/01/2022. The fingerprint letter of eligibility was dated 01/25/2023.”

Rule 22.1-289.035-B-2.

Based on review of four staff’s records, the center failed to ensure that all required out of state background checks were obtained.

“Evidence: Staff # 2 had a documented employment date of 08/05/2022. Staff # 2 indicated on the sworn statement that they have lived outside of the state of Virginia in the past five years. An out of state child abuse and neglect search request was not in the record.”

Rule 22.1-289.035-B-4.

Based on review of four staff records, the center failed to ensure that all staff had a completed sworn statement prior to the first day of employment.

“Evidence: Staff #4 had a documented employment of 08/01/2022. A completed sworn statement was dated 09/23/2022.”

Rule 8VAC20-770-60-B.

Based on review of four staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire.

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

Based on review of four staff records, the center failed to ensure that all records were complete per the standard.

“Evidence: 1.Staff # 1 had a documented employment date of 8/7/2022 and the references were dated 8/25/2022. The two required references are to be obtained prior to hire. 2.Staff # 4 had a documented employment date of 08/01/2022 and the two references were dated 11/04/2022 and 11/15/2022. The two required references were to be obtained prior to hire.”

Rule 8VAC20-770-70-A.

Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children.

“Evidence: 1.Staff # 1 had a documented employment date of 8/7/2022 and the date of the TB screening/ test was on 08/10/2022. 2.Staff # 4 had a documented employment date of 8/1/2022 and the date of the TB screening/test was on 01/21/2023.”

Rule 8VAC20-780-160-A.

Based on review of prescription medications, the center failed to ensure that all prescriptions that would normally be administered by a parent to a child are maintained in the original, labeled container.

“Evidence: Child # 5 inhaler medication did not have the prescription label as required by the standard.”

Rule 8VAC20-780-510-I.

Based on inspection, the Licensee failed to develop and implement a written policy and procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff members.

“EVIDENCE: Continuity of care policy and procedure was unavailable.”

Rule 8VAC20-780-350-F.

Based on record review & discussion with the Center Director, the Licensee failed to ensure MAT certified staff are retrained at three year intervals.

“EVIDENCE: Medication administration training for Staff #4 expired December 2021. Licensing Inspector observed multiple prescribed medications during today’s inspection.”

Rule 8VAC20-780-245-J-2-c.