HANDS Daycare

All employees are required to undergo a background check in accordance with subsection B prior to employment and every five years thereafter.

“Staff #2 had Fingerprints results and Central Registry results on file that expired approximately 1 month ago.”

Rule 22.1-289.035-A.

At least every two years from the date of the first initial screening or testing staff are required to obtain and submit the results of a follow-up tuberculosis screening.

“Staff #1’s most recent TB screening on file expired approximately 2 months ago. Staff #3’s most recent TB screening on file expired approximately 2 months ago. Staff #4’s most recent TB screening on file expired approximately one month ago.”

Rule 8VAC20-780-160-C.

Staff are required to have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Staff #1, Staff #3 and Staff #4 did not have a current certification in CPR on file at the time of the inspection.”

Rule 8VAC20-780-530-A-1.

Staff are required to have current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Staff #1, Staff #3 and Staff #4 did not have a current certification in First Aid on file at the time of the inspection.”

Rule 8VAC20-780-530-A-2.

22.1-289.035-B-4

“Center employees shall authorize the child day center to obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. The out-of-state central registry background, and sex offender search for Staff #1 were not requested by the center. Staff #1 has been employed for approximately 3 months.”

Rule 22.1-289.035-B-4.

Each staff member is required to submit documentation of a negative tuberculosis screening.

“Staff #1 did not have documentation of a TB screening conducted within the required timeframe (within 30 days prior to employment) on file at the time of the inspection.”

Rule 8VAC20-780-160-A.

Children under 10 years of age are required to always be within actual sight and sound supervision of staff.

“Two children under 10 years of age were observed playing unsupervised on the upper deck play area unsupervised for approximately one minute, from 12:22pm-12:23pm. Their teacher then took them back to join their class on the lower playground.”

Rule 8VAC20-780-340-F.

Staff who work directly with children shall annually complete the department’s health and safety update course.

“Staff #2, Staff #3 and Staff #4’semployee record did not include documentation showing the completion of the department’s health and safety update course.”

Rule 8VAC20-790-600-F.

Staff are required to submit to fingerprinting prior to employment.

“Staff #3 did not submit to fingerprinting prior to employment as required.”

Rule 22.1-289.035-B-2.

The Child day center is required to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which an individual (employee) has resided in the preceding five years.

“Staff #1 did not have results of an out-of-state Central registry check and sex offender registry check for a state in which the employee has lived in the preceding 5 years. Staff #3 did not have results of an out-of-state Central registry check for a state in which the employee has lived in the preceding 5 years.”

Rule 22.1-289.035-B-4.

Each staff member and individual from an independent contractor is required to submit documentation of a negative tuberculosis screening by day one of employment or no more than 30 days prior.

“Staff #3 did not have a current tuberculosis screening on file by day one of employment or no more than 30 days prior.”

Rule 8VAC20-780-160-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which should contain the required information.

“Child #9 was missing documentation that the proof of birth has been verified.”

Rule 8VAC20-780-60-A.

63.2-1509-A

“Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report the matter immediately to the local department’s toll-free child abuse and neglect hotline. Staff became aware of a reportable offense, and did not report it to the local department’s toll-free child abuse and neglect hotline.”

Rule 63.2-1509-A. From a complaint.

Filled comforters are not to be used by children under two years of age.

“There were 3 infants observed in cribs with blankets on or around them.”

Rule 8VAC20-780-440-L.

The facility is required to obtain a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which an individual has resided in the preceding five years.

“Staff #3 did not have documentation of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from a state in which the individual has resided in the preceding five years.”

Rule 22.1-289.035-B-4.

Each restroom area provided for children is required to be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

“In the Joy classroom, there were no disposable towels or air dryer in the restroom area at the time of the inspection.”

Rule 8VAC20-780-320-B.

One working, battery-operated radio in each building used by children is required.

“There was no battery-operated radio available in the building that the children were in during the time of the inspection.”

Rule 8VAC20-780-540-E.

Based on record review, staff did not obtain a follow up tuberculosis screening every two years from the date of the most recent screening or testing.

“Evidence: Staff 3 has a tuberculosis screening last conducted on 8/27/2021. Staff 4 has a tuberculosis screening last conducted on 4/7/2022. Staff 5 has a tuberculosis screening last conducted on 5/12/2021.”

Rule 8VAC20-780-160-C.

Based on observation, medication was not labeled with a child’s name.

“Evidence: A bottle of children’s zrtec allergy medication was not labeled with the child’s name.”

Rule 8VAC20-780-510-G.

Based on observation, medications were not kept in a locked place.

“Evidence: Adult medication and one unlabeled child’s medication were stored on an upper open shelf.”

Rule 8VAC20-780-510-L.

Based on record review, the center did not meet all the requirements of practice drills.

“Evidence: The center conducted all emergency drills at 11:00am on a monthly basis. The drills did not occur over multiple shifts and it was not divided evenly among various shifts.”

Rule 8VAC20-780-550-H.

Based on observation, the center is operating outside the terms of the current license.

“Evidence: The program is licensed for 70 children. On the day of inspection, there were 73 children in care.”

Rule 8VAC20-780-40-E.