The Merit School of Broadlands (#71)

8VAC20-780-520-C

“Child #1 did not have a signed parent authorization for diaper ointment that is used.”

Rule 8VAC20-780-520-C.

8VAC20-780-260-B

“REPEAT VIOLATION After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water and sewage. DOL Environmental and Sanitation Inspection on file is over a year old, dated 10/12/2023. 11/2024, center was told inspection due 2/2025. 3/17/2025 health inspection was for food services only. Environmental sanitation inspection not scheduled/completed as of 5/5/2025.”

Rule 8VAC20-780-260-B.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for Staff #1 was completed 24 days after hire and the screening for Staff #2 was completed 7 days after hire. Both staff were in contact with children during that time.”

Rule 8VAC20-780-160-A.

Annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply and sewage disposal system.

“An Environmental and Sanitation report was not completed within the past year and is expired by 34 days.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Based on observation, equipment of the center, was not maintained in a safe and operable condition. Evidence: Red tube of playground equipment had two screws that were exposed and allowed enough space for fingers to be pinched or snag skin.”

Rule 8VAC20-780-270-A.

8VAC20-780-70

“Based on record review, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering, was not noted. Evidence: Reference forms for Staff #1 were not dated.”

Rule 8VAC20-780-70.

Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current CPR certification within 90 days of employment.

“Evidence: 1. Staff #5’s record does not include a CPR certification. The staff member’s first day of employment was documented as 6/28/2023. 2. Staff #1’s CPR certification expired on 3/11/2023. 3. Staff #2’s CPR certification expired on 10/6/2023.”

Rule 8VAC20-790-600-D-1.

Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have current First Aid training certification.

“Evidence: 1. Staff #5’s record does not include a First Aid training certification. The staff member’s first day of employment was documented as 6/28/2023. 2. Staff #1’s First Aid training certification expired on 3/11/2023. 3. Staff #2’s First Aid trianing certification expired on 10/6/2023.”

Rule 8VAC20-790-600-D-2.

Based on record review, the center did not obtain documentation of additional immunizations once every six months for all children under the age of two years.

“Evidence: Child #3’s record contains an immunization record that was last updated on 2/3/2023.”

Rule 8VAC20-780-130-E.

Based on record review, the center did not obtain for each staff member documentation of a negative tuberculosis screening completed within the last 30 calendar days from their first day of employment.

“Evidence: Staff #5’s file contained a copy of a Tuberculosis Screening form that was not dated.”

Rule 8VAC20-780-160-A.

Based on record review, the center did not obtain documentation of additional Immunizations once every six months for children under the age of two years.

“Evidence: Child #4’s record contains an immunization record that was last updated on 8/19/2022.”

Rule 8VAC20-780-130-E.

Based on observation and staff interviews, ratios were not maintained in the school age classroom.

“Evidence: 1. On the day of the inspection, 19 children were observed with Staff #1 when the inspector entered the school-age classroom at approximately 3:25 pm. 2. At approximately 3:30pm Staff #2 entered the classroom to assist Staff #1 in the School-age classroom. 3. The required ratio for the school-age classroom is 18 children to 1 staff person.”

Rule 8VAC20-780-350-B-5.

Based on observations and interview, a current written list of all children’s allergies, sensitivities, and dietary restrictions was not kept in each room or area where children are present.

“Evidence: The written list of all children’s allergies, sensitivities, and dietary restrictions was not available for review in the art room while children were using the classroom.”

Rule 8VAC20-780-40-M.

Based on observation the center did not ensure that the current posted menu was dated for the current one-week period.

“Evidence: The menu posted was not dated with the most current dates, the posted menu was dated 2/27/2023-3/3/2023.”

Rule 8VAC20-780-560-F.

Based on record review, required records were not kept for each staff person.

“Evidence: Staff #3’s record is missing two references as to their character and reputation, as well as competency required prior to the first day of employment.”

Rule 8VAC20-780-70.

Based on record review, the center did not post the findings of the most recent inspection of the facility.

“Evidence: The inspection results posted are dated 4/25/2022. The most current inspection prior to today’s inspection was dated 10/19/2022.”

Rule 8VAC20-820-120-E-2.

Based on record review, the center did not obtain documentation of additional immunizations once every six months for all children under the age of two years.

“Evidence: Child #3’s record contains an immunization record that was last updated on 3/2/2022.”

Rule 8VAC20-780-130-E.

Based on record review, the tuberculosis (TB) screening/test form on file for a staff member did not include all required information.

“Evidence: Staff #3’s record contains TB screening/test documentation that do not include the date in which the results of the screening/test were obtained.”

Rule 8VAC20-780-160-B.

Based on observation, the center did not ensure all requirements were met when diaper ointment was used.

“Evidence: 1. In the Infant room, two tubes of diaper ointment were not labeled with the child’s name. 2. In the Toddler’s room, one tube of diaper ointment was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on review of an injury report and interview, the center did not inform the department’s representative as soon as practical, but not to exceed two business days, of any injury to a child that occurred while the child was under the supervision of the center and that required outside medical attention.

“Evidence: 1. The center Director reported a serious injury to the department’s representative on 6/20/2022. 2. The date of the injury was documented on the injury report as 6/14/2022. 3. Programs are required to contact the department of any injury that requires outside medical attention no more that two business days after the injury occurs.”

Rule 8VAC20-780-80-B-2.

Based on record review, a staff member did not complete a sworn statement or affirmation form prior to their first day of employment.

“Evidence: Staff #1’s record did not contain a Sworn Statement or Affirmation form. The staff member’s first day of employment was documented as 4/19/2022.”

Rule 8VAC20-770-60-B.

Based on record review, a staff member’s tuberculosis (TB) screening/test was not completed within the last 30 calendar days of the date of employment.

“Evidence: Staff #1’s TB screening/test was completed on 12/3/2021, the staff member was hired on 4/19/2022.”

Rule 8VAC20-780-160-A-2.

Based on observation, areas of the center, were not maintained in a safe and operable condition.

“Evidence: In the school-age classroom an area of approximately 6 inches in diameter of peeling paint was observed on the wall across from the bathrooms.”

Rule 8VAC20-780-270-A.

Based on record review, it was determined that the center did not maintain complete staff records.

“Evidence: Staff #2’s record is missing one of two required references as to their character and reputation, as well as competency required prior to the first day of employment.”

Rule 8VAC20-780-70.

Based on record review, the tuberculosis (TB) screening/test form on file for a staff member did not include all required information.

“Evidence: Staff #1’s record contains a TB screening/test form that does not include the date in which the test/screening was performed.”

Rule 8VAC20-780-160-B.