Tee Spot Reaching Higher Heights LLC

8VAC20-780-350-B-4

“The required ratio for children ages three to five years is one staff per ten children. Staff #1 was observed supervising 12 children (youngest child 4 years old). Staff #1 was alone supervising 12 children for at least one hour.”

Rule 8VAC20-780-350-B-4.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1, who had been employed for less than a week, did not have documentation of a central registry search requested. Staff #1 was working alone with children.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for less than a week, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to coming into contact with children and within the last 30 calendar days.

“Staff #1 was working and there was no documentation of a Tuberculosis (TB) screening or test in the file.”

Rule 8VAC20-780-160-A.

The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Staff #1 was working and had one reference on record.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that all areas inside the building shall be maintained in a safe condition.

“Evidence: In the Early Step Prep #1 Classroom there was peeling paint on the bottom half of the wall behind the infant feeding table.”

Rule 8VAC20-780-270-A.

Based on observation on , the center failed to ensure disposable diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member’s hand nor soiled diaper touches an exterior surface during disposal.

“Evidence: Staff #1 was observed, after diapering, disposing of a soiled diaper in the trash can. Staff #1 did not use the foot pedal, but manually opened the lid of the trash can with her hand.”

Rule 8VAC20-780-500-B.

Based on observation and interview, the center failed to keep all areas inside the building in a safe and operable condition.

“Evidence: 1. In Classroom #1 the half wall had areas of plaster that had been sanded and needed to be repainted. 2. In the restroom located near the transition classroom there was an area of paint peeling off the wall next to the sink. 2. Staff verified that it had been in that condition for a few months, waiting to be repainted.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all hazardous materials were located in a locked location.

Rule 8VAC20-780-280-A.

Based on a review of medication, the center failed to ensure that medication authorization shall be available to staff during the entire time it is effective.

“Evidence: 1. Child 2M and 3M had an emergency medication, Benadryl, on site. There was not an medication authorization form completed and signed by the parent or physician on site. The medication had not been administered. 2. Staff verified that there was not a medication authorization form on file for Child 2M or Child 3M.”

Rule 8VAC20-780-510-F.

Based on observation, the center failed to ensure that all equipment inside shall be maintained in a safe and operable condition.

“Evidence: 1. In Classroom #4 the blinds in both windows are broken and bent at the bottom that is accessible to children. 2. Staff verified that the blinds were broken and bent.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that staff were washing their hands with soap and running water before and after a diaper change.

“Evidence: 1. In Classroom #1 and Classroom #3 staff did not wash their hands with soap and running water before or after diapering children. 2. In Classroom #2 staff did not wash their hands with soap and running water before a diaper change. Staff #1 wore gloves during the diaper changing, but did not change gloves between diapering children.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that staff followed proper diapering procedures.

“Evidence: 1. In Classroom #2, Staff #1, did not change the barrier paper used between each child. 2. In Classroom #2, Staff #2, did not use the foot pedal on the trash can to dispose of the soiled diaper. Staff #2 used her hand to lift the lid to dispose of the soiled diaper.”

Rule 8VAC20-780-500-B.

Based on review of staff records, the center failed to obtain reference checks before an employee’s first day of employment.

“Evidence: 1. Staff #5’s date of employment was 06/26/2021. Reference checks were dated 07/06/2021 and 07/09/2021. 2. Staff verified the date of employment for Staff #5 and the date the reference checks were obtained.”

Rule 22VAC40-185-70-A.