Augusta Health Childcare Center

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements. The last health inspection was dated 16 months prior.”

Rule 8VAC20-780-260-B.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The license and most recent inspection was not posted in a conspicuous place on the licensed premises.”

Rule 22.1-289.011-F.

8VAC20-780-430-K

“Provision shall be made for an individual place for each child’s personal belongings. The three classrooms did not have provisions for children’s personal belongings.”

Rule 8VAC20-780-430-K.

Based on record review and interview, the center failed to obtain documentation of physical examinations and immunizations that were signed by a physician, his designee, or an official of a health department.

“Evidence: The record for child 9 did not contain an immunizations and physical examination that was signed by a physician, his designee, or an official of a health department.”

Rule 8VAC20-780-150-B.

Based on record review and interview, the center failed to implement a monthly practice evacuation drill.

“Evidence: The documentation for the monthly practice evacuation drills did not include documentation for the month of April 2024. The director stated they did not completed an evacuation drill in April 2024.”

Rule 8VAC20-780-550-D.

Based on record review and interview, the center failed to ensure new staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment.

“Evidence: 1. The records of eight staff were reviewed. There was no documentation of orientation training in first aid and CPR. 2. The director stated they do not provide orientation training in first aid and CPR”

Rule 8VAC20-780-240-E.

Based on record review and interview, the center failed to ensure the staff records fail to provide documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.

“Evidence: The director was unable to provide documentation for the lead teachers staff 8 and staff 9 to demonstrate that the they possess the education, certification and experience required by the job position.”

Rule 8VAC20-780-70.

Based on observation and interviews, the center failed to ensure the playground was designated to protect children from hazards.

Rule 8VAC20-780-330-A. From a complaint.

Based on the review of eight staff records, the program failed to ensure all employees undergo a background check prior to employment and every five years thereafter for one staff.

“Evidence The date of employment for Staff #3 is 05/08/2017. The initial results of a check of the child abuse and neglect registry was dated 05/26/2017. The subsequent results were dated 07/19/2022.”

Rule 22.1-289.035-A.

Based on observation, program failed to ensure that the Notice of the Superintendent’s intent to take any of the actions enumerated in subdivisions B 1 through 6 is posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“Evidence: 1. Upon arrival at the facility on 10/13/2022, the Notice of Intent (NOI) was not posted at the entrance. 2. The Director confirmed that it was not posted, and that she did not have a copy of the NOI to post. 3. The licensee confirmed electronic receipt of the NOI on 8/29/2022.”

Rule 22.1-289.023-A.

Based on record review, center did not ensure that a copy of the results of a criminal history record check was obtained from any state in which the individual has resided in the preceding five years prior to the first date of employment.

“Evidence: The date of employment for Staff # 3 is 5/31/2022. There were no results in the file.”

Rule 22.1-289.035-B-4.

Based on record review, center did not ensure that a copy of the results of a central registry check was obtained within 30 days of employment.

“Evidence: The date of employment for Staff # 9 is 6/1/2021. There were no results in the file.”

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

Based on a serious injury report and interview with staff, the center failed to ensure that for children younger than three years, a changing table or counter top designated for changing was used as the nonabsorbent surface for diapering or changing.

Rule 8VAC20-780-500-B.