Westhampton Day School - Willow Lawn

**Repeat Violation** The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #2 central registry check was requested 2 days after their first day of employment.”

Rule 22.1-289.035-B-3.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #4 did not have a current CPR certification.”

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

All staff who work directly with children shall have a current certification in First Aid appropriate to the ages of children in care.

“Staff #4 did not have a current First Aid certification.”

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

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #1, employed for over 1 month, did not have their central registry check requested. Staff #5 central registry check was requested 3 days after their first day of employment.”

Rule 22.1-289.035-B-3.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #4’s updated screening was due 1 month ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

Based of review of staff records, the center did not ensure staff completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. The record for staff #1 (DOH:5/6/2024) contained documentation of orientation completed on 5/30/2024.”

Rule 8VAC20-780-240-B.

Based on observations, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. During the inspection, the play space in Room 130 (Class D) contained a rug in which a corner was curled upward causing a tripping hazard for children. 2. Staff acknowledged the rug posed a tripping hazard and stated they have had to secure the rug with tape in the past due to the same issue.”

Rule 8VAC20-780-270-A.

Based on observation and interviews, the center did not ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“Evidence: 1. During the inspection, staff #5 was not regularly present in the classroom with staff #4. Staff #4 does not meet the qualifications of program leader. Staff #5 reported they are present in the classroom from 7am-12pm each day and onsite for the remainder of the day. The center operates from 7:00 a.m. to 5:30 p.m. 2. Center administration confirmed staff #5 was not regularly present in the classroom throughout the day and they were unaware of that a program leader needed to be regularly present.”

Rule 8VAC20-780-340-D.

8VAC20-780-60-A-8 **REPEAT** Based on review of children’s records and documentation, the center did not 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.

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

Based on review of medications on site, the center did note ensure that 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. Any medications not picked up by the parent within 14 days will be disposed of by the center.

“Evidence: 1. Medication was on site for child #6. The authorization form was discontinued by the parent on 1/4/24. 2. The Director acknowledged the medication had not been returned to the parent exceeding 14 days from the day the authorization expired.”

Rule 8VAC20-780-510-P.

Based on review of children’s records and documentation, the center did not 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.

“Evidence: 1. Child #2 was listed on the allergy sheet as having a food allergy. The record for child #2 confirmed the diagnosed food allergy from a physician and did not contain a written care plan with 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. 2. The Director confirmed there was no allergy care plan for child #2 .”

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

22.1-289.036-A

“Based on a review of agent records, the center failed to ensure that one agent undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The record of Agent #1 contained documentation of a national fingerprint background check dated 02/14/2018, exceeding five years.”

Rule 22.1-289.036-A.

Based on review of four staff records, the center did not obtain the results of a central registry background report within 30 days of employment.

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

Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening for three staff at the time of employment and that had been completed within 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #1, employed 02/13/2023, had documentation of a tuberculosis screening dated 02/15/2023 exceeding the first day of employment. 2. The record of staff #3, employed 08/24/2022, had documentation of a tuberculosis screening dated 09/03/2022 exceeding the first day of employment. 3. The record of staff #4, employed 07/18/2022, had documentation of a tuberculosis screening dated 01/21/2022 exceeding 30 days prior to employment.”

Rule 8VAC20-780-160-A.

Based on review of the emergency drill log and interview, the center did not practice lockdown procedures at least annually.

“Evidence: There was no documentation of a lockdown drill for the 2022 year. The director stated the lockdown drill had not been conducted for 2022.”

Rule 8VAC20-780-550-F.

Based on review of four staff records, the center did not obtain a central registry finding within 30 days of employment or volunteer service for one staff member.

“Evidence: The record of staff #4, hired 11/05/2021, had documentation of a central registry dated 01/10/2022, exceeding 30 days from employment.”

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

Based on observation and interview, the center did not ensure all food brought from home was clearly dated and labeled in a way that identified the owner.

“Evidence: During the virtual inspection, the lunches the children brought from home were observed to be not dated or labeled with the child’s name. A member of management confirmed lunches were not labeled with names and dates.”

Rule 8VAC20-780-560-G.