Caring Hearts Academy LLC

22.1-289.035-A

“Background checks must be repeated every five years in accordance with the Code of Virginia. The most recent sworn statement for Staff 1 was dated 07/2018; there was not a repeat sworn statement obtained as required 7/2023.”

Rule 22.1-289.035-A.

8VAC20-780-245-J

“Staff members caring for any child for whom emergency medications have been prescribed must have the appropriate Medication Administration Training. Child 1 has an emergency seizure nasal spray medication on site, but there are no staff certified in Medication Administration Training - Seizure Rescue Nasal Spray.”

Rule 8VAC20-780-245-J.

8VAC20-780-550-F

“Documentation shall be maintained of at least one lockdown drill annually. There was no documentation of a lockdown drill in the past 12 months.”

Rule 8VAC20-780-550-F.

8VAC20-780-290-A-2

“Fans, when used, shall be out of reach of children and cords shall be secured so as not to create a hazard. The twos room had a fan on a counter; the cord that was plugged in and not secured on the side of the wall, within reach of children.”

Rule 8VAC20-780-290-A-2.

8VAC20-780-510-E

“Over-the- counter medication may be allowed with written authorization from the child’s physician and parent. The parent did not renew the written authorization for the medication for Child C every ten working days and physician authorization was not obtained.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. The medication authorization for Child A expired two months ago. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-570-B

“Bottles shall not be used while the child is in his designated sleeping location. There was an infant drinking a bottle in the crib.”

Rule 8VAC20-780-570-B.

22.1-289.036-A

“Background checks must be repeated every five years in accordance with the Code of Virginia. The search of the central registry for Staff 6 was due to be repeated in 2023, but was not repeated until March 2025.”

Rule 22.1-289.036-A.

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. Staff 4, employed for 6 months, had documentation of a TB test that was over a year prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-510-E

“Repeat violation: The center shall ensure that procedures for administering medication shall include methods to prevent use of outdated medication. The emergency medication for one child expired 11/2024 and the parent had not been notified that a replacement was needed.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A

“The facility shall have 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 A has diagnosed food allergies but did not have a written allergy action plan on file.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-4

“The center is required to do the appropriate background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one previously resided state for Staff 1, who has been employed for more than a month and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

8VAC20-780-510-G

“Repeat violation. Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. An unlocked medication in the toddler room was not labeled with the child’s name, dosage amount, or times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. One medication was unlocked in an upper cabinet in the toddler room.”

Rule 8VAC20-780-510-L.

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. A 22 month old child was served raisins at lunch.”

Rule 8VAC20-780-560-F-4.

8VAC20-780-240-B

“Based on review of three staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 2 (date of employment 10/05/2023) did not have documentation of orientation on file.”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the 3/4s classroom, there was OFF bug spray in an unlocked drawer by the sink. In the middle room, sanitizer spray was in an unlocked drawer near the sink.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Based on observation, the facility did not have children wash hands after eating meals or snacks. Evidence: The children in the twos classroom got up from the lunch table and went to their cots. The children did not wash hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-B

“Based on review of 37 medications, the facility failed to have written authorization from the parent to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer 22 medications. Medication was administered to one child on 2/1/2024.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-E

“Based on review of 37 medications on site, the facility failed to have parent renew a medication authorization every 10 work days or have a physician authorization to administer medications and failed to prevent the use of outdated medications. Evidence: 1. The parents did not renew the written authorization every 10 work days or submit a physician authorization for the center to administer 13 of 37 medications. 2. Of 37 medications reviewed, 25 medications had expired.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-G

“Based on review of 37 medications, the facility failed to label each medication with the child’s name, name of the medication, the dosage amount, and the times to be given. Evidence: two non prescription medications were not labeled with the child’s name, the dosage amount, or the times to be given. One medication was labeled with just the child’s initials, but staff could not identify who it belonged to.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“Based on review of 37 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: Seventeen medication authorizations had expired and the medication had not been picked up by the parents. The medications were on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to document an evacuation drill monthly. Evidence: the facility did not have documentation of an evacuation drill in January 2024.”

Rule 8VAC20-780-550-G.

8VAC20-770-60-B

“Based on review of five staff files, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 5(date of hire 5/09/2023) did not complete a sworn disclosure statement form until 6/28/2023.”

Rule 8VAC20-770-60-B.

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 1 (date of enrollment 6/12/2023) did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-500-B

“Based on observation, not all diapering areas were equipped with nonabsorbent surfaces for diapering. Evidence: In the twos classroom, the diaper pad had several tears exposing the soft material inside, making the diaper pad absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-140-A

“Based on review of three children’s files, the facility failed to have documentation of a physical within 30 days of enrollment. Evidence: Child B (date of enrollment 10/3/2019) did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“Based on review of two staff files, the facility failed to have documentation of a current tuberculosis test or screening which has to be repeated every two years. Evidence: Staff A’s tuberculosis test expired 9/6/2021 and Staff B’s tuberculosis test expired 6/19/2021.”

Rule 8VAC20-780-160-C.

8VAC20-780-500-B

“Based on observation and staff interview, the facility failed to clean and sanitize the diapering surface as required. The diapering surface shall be clean with soap and water, sanitized, and allowed to air dry according to manufacturer instructions. Evidence: Staff stated they are only using sanitizer to clean the diapering surface.”

Rule 8VAC20-780-500-B.