Bermuda Hundred Child Development Center

***Repeat Violation*** Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #5, enrolled for 9 days, was not signed or dated.”

Rule 8VAC20-780-150-B.

***Repeat Violation*** Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Rule 8VAC20-780-245-A.

***Repeat Violation*** Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In bathroom #1, swifter wet jet solution was in the dispenser of the mop hanging on the back of the door.”

Rule 8VAC20-780-280-B.

The facility is required to ensure that the resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standards.

“On the playground, the fall zones around the climbing equipment were below 6 inches.”

Rule 8VAC20-780-330-B.

A nonabsorbent surface for diapering or changing shall be used.

“The diaper pad in bathroom #2 was ripped making it absorbent.”

Rule 8VAC20-780-500-B.

Centers shall keep a record of medication given to children, which shall Include the amount administered to the child and any adverse reactions or medication errors.

“The medication record indicated medication was given to child A on 2/17/26. The record did not have the amount administered, adverse reactions, and/or medication error(s) documented.”

Rule 8VAC20-780-510-N.

Staff shall complete the department’s health and safety update course annually.

“Staff #5, employed for over four years and staff #6, employed for over 9 years did not have documentation of completing the annual health and safety update course for 2025.”

Rule 8VAC20-790-600-F.

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.

“1. The record for child #1, had documentation of immunizations 37 days after the child was enrolled. 2. The record for child #2, had documentation of immunizations 14 days after the child was enrolled.”

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.

“The record for child #1 had documentation of a physical examination which was 6 days overdue.”

Rule 8VAC20-780-140-A.

Immunization records are required to be signed by a physician, his designee, or an official of the local health department.

“The record for child #3 and child #5 did not have an immunization signed by a physician.”

Rule 8VAC20-780-150-B.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“1. In bathroom #1, one container of disinfecting wipes unlocked in cabinet within reach of children. In bathroom #2, one container of disinfectant spray unlocked and within reach of children.”

Rule 8VAC20-780-280-B.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for child #1, child #2, and child #3 did not contain allergies and intolerance to medication or any other substances or chronic physical problems and pertinent developmental information and any special accommodations.”

Rule 8VAC20-780-60-A.

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

“Staff #6 updated TB screening was 26 days late.”

Rule 8VAC20-780-160-C.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“In room #5, nine outlets were uncovered on a power strip surge protector that was hanging from the wall within reach of children.”

Rule 8VAC20-780-290-A-3.

The required ratio for children school age eligible up to 9 years is one staff per 18 children.

“Staff #1 was observed supervising a total of 26 children from 9:01 AM to 9:04 AM.”

Rule 8VAC20-780-350-B-5.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“The record for child #2, child #3, child #4, child #5, child #7, and child #9 did not confirmation that information was up to date.”

Rule 8VAC20-780-420-E-3.

Repeat Violation Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years.

“Evidence: 1. The record of staff #2 (employed: 10/22/18) had documentation of an updated fingerprint-based national criminal background check dated 01/02/24. Staff #2 had a previous fingerprint based national criminal check dated 10/19/18. 2. Staff #2 had documentation of a central registry check dated 12/20/23. Staff #2 had a previous central registry check dated 10/22/18.”

Rule 22.1-289.035-A. From a complaint.

Repeat Violation Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: The record for staff #2 (date of last TB screening 10/14/20) had documentation of an updated TB screening / test on 10/29/22.”

Rule 8VAC20-780-160-C. From a complaint.

Based on record review, the center did not ensure that all staff members had the required hours of annual training.

“Evidence: The record for staff #2 (employed: 10/22/18) had documentation of four of the 16 hours annually required and staff #3 (employed: 03/02/22) had documentation of seven of the 16 hours annually required.”

Rule 8VAC20-780-245-A. From a complaint.

Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every five years.

“Evidence: 1. The record for staff #3 contained a criminal history record check dated 5/24/18 and 7/24/23. 2. The record for staff #5 contained a criminal history record check dated 7/17/18 and 8/09/23. 3. The record for staff #6 contained a criminal history record check dated 7/13/18 and 7/21/23. 4. The record for staff #7 contained a criminal history record check dated 7/12/18 and 7/27/23. 5. A member of management acknowledged that the criminal history record checks were not completed in the required time frame.”

Rule 22.1-289.035-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #2 (enrolled: 7/10/23) and child # 6 (enrolled: 5/02/23) did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: 1. The record for staff #1 contained a TB screening dated 9/30/21 and 12/01/23. 2. The record for staff #3 contained a TB screening dated 10/04/19 and 12/03/23. 3. The record for staff #5 contained a TB screening dated 9/02/20 and 10/26/22. 4. The record for staff #6 contained a TB screening dated 9/05/20 and 9/09/22. 5. The record for staff #7 contained a TB screening dated 10/05/21 and 12/02/23. TB screenings/test are required at least every two years.”

Rule 8VAC20-780-160-C.

Based on record review, the center did not ensure that staff complete all required training.

“Evidence: 1. The record for staff #2 (employed: 2/26/24) did not have documentation of orientation training.”

Rule 8VAC20-780-240-C.

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

“Evidence: 1. Emergency medication for child C did not have a child’s name, dosage amount and times to be given. Child C’s medication did not have a prescription label identifying the owner. 2. A member of management acknowledged that the medication for child C was not labeled with required information.”

Rule 8VAC20-780-510-G.

Based on review of medications and documentation, the center did not ensure 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: The emergency medication for child D expired January 2024. The medication was still on site at the center. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

Rule 8VAC20-780-510-P.

Repeat Violation Based on record review, the center did not ensure that each staff record contains all required information.

“Evidence: The record for staff # 2 (employed: 2/26/24) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

22.1-289.035-B-2

“Based on review of staff records, the center failed to obtain a criminal background check on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a criminal background check prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on review of staff records, the center failed to obtain a sworn statement on or prior to the first day of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a sworn statement that was signed on or 30 days prior to the first day of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of staff records, the center failed to obtain a central registry finding within 30 days of employment. Evidence: The record for staff #6, date of employment October 2022, did not contain a central registry finding within 30 days of employment. Staff #6 was a prior employee who left in October of 2021, was not employed for approximately 1 year and returned to work at the center.”

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

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening on or 30 days prior to employment. Evidence: The record for staff #6, date of employment October 2022, contained a tuberculosis screening dated 10/27/2021. Staff #6 was a previous employee who left employment in October 2021 and was gone for approximately 1 year. Staff #6 returned to employment in October of 2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required staff records for each staff person. Evidence: The record for staff #6 did not contain the date of separation from employment or the date of re-hire.”

Rule 8VAC20-780-70.

8VAC20-780-240-A

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The bathroom nearest classroom #3 has a sink that is separating from the wall and there is a hole in the wall approximately 1 inch by 3 inches below the sink.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Based on interview, the center failed to ensure that the diaper surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: When interviewed, staff #5 stated that they do not clean and sanitize the diaper surface after each diaper change. They spray the surface with Lysol spray. Administrator’s confirmed that this is the diaper changing process.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

“Based on records review, and interview, the center failed to maintain the required documentation in the staff record for each staff person. Evidence: 1) The records for staff #3, date of employment 8/22/22, and staff #6, date of employment 10/25/21, did not contain documentation that two or more references had been checked. 2) 5 out of 6 records reviewed did not contain documentation of education, certification or experience required by the job.”

Rule 8VAC20-780-70.

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 2 out of 7 staff files did not contain references.”

Rule 8VAC20-780-70.

Based on interview, the provider did not have a carbon monoxide detector and serves preschool-age children.

“Evidence: The administrator stated the center did not have a carbon monoxide detector.”

Rule 22.1-289.058.

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

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“Evidence: On the playground, the climbing equipment had approximately 2 to 3 inches of depth in sand at the fall zone areas.”

Rule 8VAC20-780-330-B.

Based on observation and staff interviews, the licensee did not ensure medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In classroom #1, an asthma inhaler was located in a container on top of the children’s cubbies. The container was not locked and was accessible to children.”

Rule 8VAC20-780-510-L.

Based on observation, children’s food items were not clearly dated and labeled in a way that identifies the owner.

“Evidence: Seven out of seven lunch containers did not have a date or label that identifies the owner.”

Rule 8VAC20-780-560-G.