Building Blocks II Day School

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due over 2 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia which requires the center to view an original proof of identity within 7 days of the first date of attendance. The record for Child #2 did not contain documentation of viewing proof of the child’s identity. Child #2 has been in care for more than two months.”

Rule 8VAC20-780-40-G.

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department’s health and safety update course. The health and safety update course was overdue by 6 months for Staff #2 and overdue by 5 months for Staff #3.”

Rule 8VAC20-790-600-F.

8VAC20-780-160-A

“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 TB screenings for Staff #1 and Staff #2 were dated two months prior to date of employment. Staff #1 and 2 have been employed for two months.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was completed two weeks past due.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-B

“Centers ae required to obtain annual approval from the health department for meeting requirements for water supply; sewage disposal system; and food service, if applicable. An annual health inspection from the health department is overdue by more than 7 months.”

Rule 8VAC20-780-260-B.

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels. One restroom in the center was not equipped with disposable towels.”

Rule 8VAC20-780-320-B.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. The fall zones for three climbing apparatus that contain slides were less than the required six feet on each side and four feet plus the height of the slide in front of the chute. Children were present on the playground and using the equipment.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in the preschool room was posted on a bulletin board in plain sight.”

Rule 8VAC20-780-40-M.

8VAC20-790-540-B-3

Rule 8VAC20-790-540-B-3.

8VAC20-790-600-F

“Staff who work directly with children are required to complete the department’s health and safety update course annually. The annual training for Staff #5 is more than one month overdue.”

Rule 8VAC20-790-600-F.

8VAC20-780-60-A-8

“Centers are required to obtain a written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2, who has been in care for 4 months, has a diagnosed food allergy. The record for Child #2 did not contain a written care plan.”

Rule 8VAC20-780-60-A-8.

Based on record review, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR).

“Evidence: The CPR certification for staff #5 expired 04/13/2024.”

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

Based on record review, all staff who work directly with children did not have current certification in First Aid.

“Evidence: The First Aid certification for staff #5 expired 04/13/2024.”

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

Based on child record review, the center did not meet the proof of child identity and age requirement.

“Evidence: The record for child #5 (Start date: 07/29/2024) did not have documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-40-G.

Based on observation, the center did not ensure each child’s bottles were properly labeled with the child’s name.

“Evidence: A frozen supply of breast milk was in the freezer without a label indicating the child’s name.”

Rule 8VAC20-780-570-E.

Based on child record review, the center did not maintain a complete record for each child enrolled.

“Evidence: The emergency contacts for child #5 did not have an address listed.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on staff record review, staff have not completed the annual department’s health and safety update training. Evidence: Staff #4 has not completed the annual 3 hour health and safety update training.”

Rule 8VAC20-790-600-F.

Repeat violation

“Based on observation, areas and equipment of the center, inside were not maintained in a safe and operable condition. Evidence: 1. In the Geese classroom, there is a white cabinet next to the bulletin board with a broken left door. The left side of the cabinet door is not attached to the hinges, which causes it to completey fall off the cabinet. 2. The diaper changing pad in the children’s bathroom across from the director’s office is torn in two places.”

Rule 8VAC20-780-270-A.

Based on observation and interview, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In the Penguins classroom, a container of disinfectant wipes, a spray bottle of disinfectant cleaner and hand sanitizer were stored in a unlocked cabinent. 2. In the Ducklings classroom, a container of disinfectant wipes, a spray bottle of disinfectant cleaner and hand sanitizer were stored in a unlocked cabinent. 3. In the Geese classroom, a container of disinfectant wipes, a spray bottle of disinfectant cleaner and hand sanitizer were stored in a unlocked cabinent.”

Rule 8VAC20-780-280-B.

Based on observation of the Geese classroom, hand washing procedures were not followed.

“Evidence: 1. Staff #5 was observed not washing their hands after changing Child #1, Child #3, and Child #5’s diaper. 2. Staff #5 returned Child #1, Child #3, and Child #5 to the group without washing their hands after diapering. 3. Child #1, Child #2, and Child #4 were observed not washing their hands after snack.”

Rule 8VAC20-780-500-A.

Based on observation of the Geese classroom, diapering procedures were not followed.

“Evidence: Staff #5 in the Geese classroom did not clean and sanitize the diaper changing table after diaper changes for Children #1, #3, and 5.”

Rule 8VAC20-780-500-B.

Repeat violation

“Based on medication review and interview, medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Child #6 has emergency medication that is missing an prescription medication lablel that includes the child’s name, the name of the medication, the dosage amount, and the time or times to be given.”

Rule 8VAC20-780-510-G.

Based on staff record review, staff who work directly with children did not complete the department’s health and safety update course.

“Evidence: Staff #2 did not complete the health and safety update course for 2023.”

Rule 8VAC20-790-600-F.

Based on observation and staff interviews, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.

“Evidence: There were several areas of ground covering underneath the resilient surfacing that is exposed and lifted, causing a tripping hazard on the 3’s and 4’s playground and the 2’s playground.”

Rule 8VAC20-780-270-A.

Based on observation and staff interview, the center failed to have adequate resilient surfacing as required in the fall zones underneath and surrounding equipment.

“Evidence: There was no resilient surfacing at the bottom of the 2’s playground slide.”

Rule 8VAC20-780-330-B.

Based on observation and staff interviews, the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions, dated and confidential in each room.

“Evidence: 1. In the infant room, the allergy list was not kept confidential. 2. The allergy list was posted on a bulletin door next to the classroom door.”

Rule 8VAC20-780-40-M.

Based on observation and staff interview, not all sunscreen products had written parent authorizations.

“Evidence: Written parent authorization noting any known adverse reactions was not obtained for child #6.”

Rule 8VAC20-780-520-B.

Based on observation and staff interview, not all diaper ointment or cream products had written parent authorizations.

“Evidence: Written parent authorization noting any known adverse reactions was not obtained for child #7.”

Rule 8VAC20-780-520-C.

Based on staff record review, staff who work directly with children did not complete the department’s health and safety update course.

“Evidence: Staff #2 did not complete the health and safety update course for 2022.”

Rule 8VAC20-790-600-F.

Based on record review and interview, the center did not develop a written policy that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Evidence: There was no documentation of a written policy that describes how the center will ensure that each group of children receives care by consistent staff.”

Rule 8VAC20-780-350-F.

Based on record review and interview, the center did not develop written procedures for prevention of abusive head trauma.

“Evidence: There was no documentation of a written policy and procedure for prevention of abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on observation and interview, the facility did not ensure that all medication was kept in a locked place, using a safe locking method that prevents access by children.

“Evidence: 1. It was observed that there was over the counter medication (children’s motrin) inside a white cabinet in the owls classroom, that was not locked. 2. It was observed that there was emergency medication inside a white cabinet above a counter in the penguins classroom, that was not locked.”

Rule 8VAC20-780-510-L.

Based on record review and staff interview, center staff did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence:

“Evidence: Staff #3 did not have current certification in cardiopulmonary resuscitation (CPR). CPR certification expired on 6/30/20”

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

Based on record review and staff interview, center staff did not have current first aid appropriate to the ages of children in care. Evidence:

“Evidence: Staff #3 did not have current certification in first aid. First aid certification expired on 6/30/20”

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

Based on record review and staff interview, a staff file did not contain documentation of the safety update training.

“Evidence: 4 out of 5 records reviewed did not contain documentation of the health and safety update training that was required to be completed annually.”

Rule 8VAC20-790-600-F.

Based on a record review and staff interview, the center failed to ensure that a tuberculosis screening was updated at least every two years from the date of the initial screening or testing. Evidence:

“1. Staff #1 last tuberculosis screening on file was dated 08/03/2020. 2. Staff #3 last tuberculosis screening on file was dated 06/11/2020. 3. Staff #4 last tuberculosis screening on file was dated 06/03/2020.”

Rule 8VAC20-780-160-C.

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

“Evidence: The under covering underneath the resilient surfacing on the owls playground was exposed in two places; causing a tripping hazard for the children in care.”

Rule 8VAC20-780-270-A.

Based on observation and staff interview, disposable diapers are not being disposed in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: In the Geese classroom, disposable diapers were not disposed in a trash can that is foot-operated.”

Rule 8VAC20-780-500-B.

Based medication review, the center did not follow procedures for preventing the use of outdated medication.

“Evidence: Child #6 emergency medication expired 6/2022 and medication had not been returned to the parent.”

Rule 8VAC20-780-510-E.

Based on observation and review of medication, the center failed to ensure that the medication was labeled with all required information.

“Evidence: Child #6 had an emergency medication that was not labeled with the child’s name or the dosage amount to be given.”

Rule 8VAC20-780-510-G.

Based on observation and staff interview, infant bottles were not dated and labeled with the child’s name.

“Evidence: In the Ducklings classroom, there were 5 infant bottles in the refrigerator that were not dated and labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Based on review, 1 of 11 staff files indicated that tuberculosis (TB) documentation had not been completed within the last 30 calendar days of the date of employment.

“Evidence - 1. On the date of inspection (02/25/2022), Staff #11 had TB documentation on file that was dated - 09/30/2021. 2. The start date for Staff #11 was listed as - 11/29/2021.”

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

Based on review, 2 of 11 staff files indicated that it has been more than two years from the date of the most recent TB screening or testing on file at the center.

“Evidence - 1. On the date of inspection (02/25/2022), the TB documentation on file for Staff #6 was dated - 08/22/2019. 2. The TB documentation on file for Staff #7 was dated - 09/18/2019.”

Rule 8VAC20-780-160-C.