Tender Loving, Early Learning Childcare, Building One

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1, under two years old has been in care for 7 months did not have additional immunizations in their record.”

Rule 8VAC20-780-130-E.

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. The tuberculosis documentation in the record for staff #1 was expired for approximately two years.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The cabinet under the sink in the children’s bathroom was unlocked and had various cleaning materials stored in it with the warning labels, ?Keep out of reach of children.?”

Rule 8VAC20-780-280-B.

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Five children were observed napping and three of the five children’s mats were touching one another.”

Rule 8VAC20-780-440-E.

8VAC20-780-440-J

“There shall be at least twelve inches of space between the sides and ends of occupied cribs except where they touch the wall. Three occupied cribs had approximately three inches of space in between.”

Rule 8VAC20-780-440-J.

8VAC20-780-140-A

“Based upon review of children’s records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician within 30 days of attending. Evidence: 1. The record provided for child 5, who began attending on 2/27/2023, did not include the results of a physical examination. 2. Staff 1 verified that the record did not yet include the results of a physical examination,”

Rule 8VAC20-780-140-A.

8VAC20-780-510-I

“Based upon review of the medications stored for administration to children and staff interview, the facility has not ensured that that they have obtained written parent permission for administering medication. Evidence: 1. Child 3 had a documented allergy requiring the administration of diphenhydramine and epinephrine. There was no written parent authorization for these medicines to be administered. 2. Staff 1 acknowledged that the parent had not signed authorizations for the medicines to be administered.”

Rule 8VAC20-780-510-I.

8VAC20-780-60-A

“Based upon review of children’s records and staff interview, the facility has not ensured that the record for each child contains the written agreements between the parent and the center. Evidence: 1. In the record provided for child 1, the parent did not sign the agreements between the parent and center. 2. Staff 1 agreed that the parent did not sign the agreements.”

Rule 8VAC20-780-60-A.