Precious Angels Developmental Center

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.

“The screening for Staff #6 was completed 54 days prior to employment.”

Rule 8VAC20-780-160-A.

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. 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.

“The medication for child #3 was onsite and the medication authorization expired four months ago.”

Rule 8VAC20-780-550-P. From a complaint.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #3 was overdue by 1 year and 8 months. The most recent completed national criminal background check for staff #3 was overdue by 1 year and 9 months.”

Rule 22.1-289.035-A. From a complaint.

The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children.

“Staff #1, who did not meet lead teacher qualifications, was supervising 8 preschool age children for the duration of the inspection.”

Rule 8VAC20-780-340-D.

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 #2, enrolled for two weeks, was missing the following required components: the name, address, and phone number of one designated person to call in an emergency. The record for child #3, enrolled for two weeks, was missing the following required components: the name, address, and phone number of one designated person to call in an emergency”

Rule 8VAC20-780-60-A.

Based on review on children’s records, the center did not ensure they obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. The record for child #4 (enrolled 3/13/2023) contained an immunization record received and signed on 3/20/2023.”

Rule 8VAC20-780-130-A.

Based on review of staff records, the center did not ensure each staff member had documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record for staff #6 (DOH: 7/1/2024) contained documentation of a TB test completed on 7/7/2024.”

Rule 8VAC20-780-160-A.

8VAC20-780-150-B

“Based on child record review, the provider failed to ensure that one of four immunizations records for children were signed by a physician, designee, or official of a local health department. Evidence: The immunization record for C1, enrolled 08/01/2023 was not signed by a physician, designee, or official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of four records documented the first and last dates of attendance and information required by 8VAC20-780-420-E.3.b. Evidence: The record for C2 did not document the first date of attendance and records for C3 and C4 did not document the last date of attendance. Record for C3, enrolled 02/11/2020, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for classroom teacher, S1, did not have results of a national criminal background check prior to the first day of employment. The record did not document the first day of employment and did not contain any results of a criminal record check.”

Rule 22.1-289.035-B-2. From a complaint.

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for classroom teacher, S1, did not document the first day of employment and did not document a sworn statement.”

Rule 8VAC20-770-60-B. From a complaint.

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to obtain a central registry findings within 30 days of employment. Evidence: The record for classroom teacher, S1, did not document the first day of employment and did not contain findings of a central registry search.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on staff record review, the provider failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment.

“Evidence: The record for classroom teacher, S1, did not document the first day of employment and did not document a tuberculosis (TB) screening.”

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

8VAC20-780-340-F

Rule 8VAC20-780-340-F. From a complaint.

8VAC20-780-70

“Based on record review, the provider did not keep the required documentation for a staff member. Evidence: The record for classroom teacher, S1, did not document: date of employment; references; background checks; documentation of education and experience required by the job position; orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D.”

Rule 8VAC20-780-70. From a complaint.

Based on record review, the provider did not ensure that one of six staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment.

“Evidence: The record for S2, employed 02/04/2022 documented completion of the 10-hour VDOE orientation course 08/01/2022.”

Rule 8VAC20-780-240-A.

8VAC20-780-60-A

“Repeat Violation: Based on child record review, the provider failed to ensure that one of eight records contained required documentation. Evidence: Records for C1, enrolled 04/04/2022 did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure for three of six staff that staff members shall submit documentation of a negative tuberculosis screening. Evidence: Three staff did not submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children: The record for S1, employed 10/11/2022, contained a screening completed 10/27/2022. The record for S2, employed, 2/6/2023, contained a screening completed 2/24/2023. The record for S4, employed 11/3/2022, contained a screening completed 11/28/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S5, employed 09/20/21 documented 7 hours of training.”

Rule 8VAC20-780-245-A.

8VAC20-780-350-B-3

“Based on observation and interview, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.3. Evidence: Licensing inspector observed upon arriving at the center a group of 11 children with one staff outside on playground. S1 reported that the children were between the ages of 2 and 3 years old. The required staff-to-child ratio for this age group is 1 staff to 8 children. S1 acknowledged being out of ratio.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-570-A

“Based on observation, the provider failed to ensure children placed in an infant feeding table were placed in protective belts and fastened securely. Evidence: Four children were observed seated in the feeding table and the table did not have protective belts for use.”

Rule 8VAC20-780-570-A.

8VAC20-780-570-E

“Based on observation, the provider failed to ensure all prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children’s names and date.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that one of six records contained required information. Evidence: Record for C6, enrolled 08/24/2020 did not contain documentation of the semi-annual sharing of written information on the child’s development, behavior, adjustment, and needs with the child’s parent as required by 8VAC20-780-420-E.3.b.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, the facility failed to keep all areas inside the center clean and operable. Evidence: the lower level of the building had several ceiling tiles that were broken and had damage, including one directly above the infant room changing table.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility failed to keep all hazardous substances such as cleaning materials in a locked place. Evidence: bleach water solution was in an unlocked cabinet under the sink in the downstairs preschool bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-320-B

“Based on observation, the facility failed to provide sinks for children with water temperature at 120 degrees or less. Evidence: the sink in preschool room measured at 123 degrees.”

Rule 8VAC20-780-320-B.