Easter Seals Serving DC/MD/VA, Inc.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Child #5, enrolled for 2 weeks, did not have an address listed for 2 of 2 people to call in an emergency.”

Rule 8VAC20-780-60-A.

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.

“There is one documented food allergy and dietary restrictions in the center that is not posted on a written list in every classroom.”

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

Repeat violations

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There was a bleach and water cleaning bottle unlocked in an upper cabinet in classroom #6.”

Rule 8VAC20-780-280-B.

Cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“One child in classroom #7 was on a cot during rest time without a top and bottom cover.”

Rule 8VAC20-780-450-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.

“There was no physical examination in the record of Child #1, who had been enrolled for three months.”

Rule 8VAC20-780-140-A.

REPEAT VIOLATION Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff #3, who has been working with children for 16 months, did not complete orientation training.”

Rule 8VAC20-780-240-B.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“1. On 10/15/2024, Staff #1 fed Child #1, 1.5 oz of breast milk, from a bottle belonging to Child #2. Child #1 has a medical condition and special feeding instructions on record. 2. On 10/16/2024, Staff #2 dropped Child #1, age 15 months, from shoulder height while standing. Child #1 landed on the side of their head and shoulder area. Child #1 required outside medical attention and had bruising between the neck and shoulder area.”

Rule 8VAC20-780-340-A.

The center shall notify the parent immediately if a child requires emergency medical treatment or sustains a serious injury.

“On 10/16/2024, Child #1, age 15 months, was dropped and fell headfirst from shoulder height of Staff #1 to the floor. The parents were not notified immediately. Staff assessed Child #1 in the classroom and then waited for another staff to return from break and wrote a report before informing the parents, reportedly 50 minutes after the injury. The child was hospitalized when taken for additional examinations by the parents.”

Rule 8VAC20-780-550-N.

REPEAT VIOLATION Prepared infant formula shall be dated.

“During the inspection on 10/23/2024, 3 out of 7 bottles containing prepared infant formula were not labeled with the date.”

Rule 8VAC20-780-570-E.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #3 TB was dated 17 days after the employee’s first day of employment.”

Rule 8VAC20-780-160-A.

Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff #3 & Staff #5, who are working with children, did not have a signed orientation form on record.”

Rule 8VAC20-780-240-B.

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

“In classroom #210, the cleaning solution was in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

Prepared infant bottles shall be, dated and labeled with the child’s name.

“2 out of 5 sets of bottles were not labeled and/or dated.”

Rule 8VAC20-780-570-E.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #1, who has been actively working at the center for the past 11 weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-500-A

“Based on observation of classroom #115, the CDC did not ensure staff were following hand washing procedures. Evidence: Staff #1 was observed changing a child’s diaper. Staff #1 did not wash the child’s hands when the diaper change was complete.”

Rule 8VAC20-780-500-A.

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure each staff member submitted documentation of a negative tuberculosis screening prior to coming into contact with children. Evidence: Staff #2 (date of hire 5/1/2023) did not have a TB test on file. Staff #6 (date of hire 12/20/2022) had a TB test dated 12/30/2022. Staff #7 (date of hire 11/7/2022) had a TB test dated 11/9/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #208 2 bottles of bleach water and 1 bottle of handwashing detergent were in an upper unlocked cabinet above the children’s sink.”

Rule 8VAC20-780-280-B.

22.1-289.035-B-2

“Based on a review of staff records, they did not have fingerprints on file prior to the employee starting. Evidence: Staff #1 (Date of hire 8/4/2022) had fingerprint results dated 8/11/2022.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“Based on a review of records, they did not have a sex offender check for any state the individual has resided in the preceding five years. Evidence: Staff #1 did not have a sex offender check on file for states previously resided in.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Based on a review of staff records, each staff member did not submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment. Evidence: Staff #2 (date of hire 7/18/2022) had a tuberculosis test dated 5/28/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on a review of staff records, staff did not have documented orientation training within seven days of assuming job responsibilities. Evidence: Staff #3 did not have documentation of orientation in their file during the inspection.”

Rule 8VAC20-780-240-B.

8VAC20-780-70

“Based on a review of staff records, documentation that two or more references as to character and reputation as well as competency were not checked before employment. Evidence: 3 of 3 staff files did not have references on file during the inspection.”

Rule 8VAC20-780-70.

Based on a review of board member records, there were no out of state central registry results for board members.

“Evidence: Board member #1 did not have a central registry result for MD on file during the inspection. Board member #2 did not have a central registry result for MD on file during the inspection.”

Rule 22.1-289.035-B-4.

Based on a review of board member records, there were no central registry results for board members.

“Evidence: Board member #1 did not have a central registry result for VA on file during the inspection. Board member #2 did not have a central registry result for VA on file during the inspection.”

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

Based on staff record review, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: None of the staff members had daily health observation on file during the inspection.”

Rule 8VAC20-780-245-L.

8VAC20-780-510-P

“Based on an inspection of the medication, when an authorization for medication expires, the parent was not notified that expired medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: Albuterol, and the authorization were on site with an expiration date of 02/2021.”

Rule 8VAC20-780-510-P.

8VAC20-780-570-E

“Based on observation, prepared infant formula was not dated. Evidence: 2 out of 4 sets of bottles checked in classroom #108 did not contain a current date. 3 out of 4 sets of bottles checked in classroom #110 did not contain a current date.”

Rule 8VAC20-780-570-E.