Woodlake Child Development Center

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 #2, who had been employed for more than one year, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #3, who had been enrolled for three months.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. A container of cleaning products with Keep out of the Reach of Children was placed in an unlocked cabinet underneath the hand sink located in Classroom #1. Children were present in the classroom during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2, who had been enrolled for seven months.”

Rule 8VAC20-780-140-A.

8VAC20-780-560-F

“When centers choose to provide meals or snacks, they shall follow the most recent, age appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Classroom #1 served animal crackers and water for morning snack.”

Rule 8VAC20-780-560-F.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In a two-year-old classroom, containers of cleaning chemicals were in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #3, enrolled for four months, was missing the following required components: Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on interview, the center did not ensure to follow the required ratio in their two year old classroom.

“Evidence: 1. The ratio for two year old children is 1:8. (staff:children) In interview, four staff stated that the two’s room had been out of ratio recently in the mornings. Staff stated that the room could be up to 5 children over ratio for anywhere from a few minutes to 15 minutes while waiting for the next staff member to come in. 2. Administration acknowledged that the two year old classroom was out of ratio several times.”

Rule 8VAC20-780-350-B-3. From a complaint.

Based on a review of documentation and interview, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts.

“Evidence: 1. In interview, staff reported that staff #1 (date of employment: 12/11/2023) had an inappropriate tone and was not kind and nurturing towards the children. It was reported that she screamed at a child. Documentation from a parent also noted an incident where staff #1 displayed inappropriate behavior guidance. 2. Administration acknowledged that the staff’s strategies and behavior were not appropriate and stated that her employment was terminated.”

Rule 8VAC20-780-400-B. From a complaint.

Based on observation and interview, the center did not ensure to follow the required handwashing procedures.

Rule 8VAC20-780-500-A. From a complaint.

Based on a review of documentation and interview, the center did not ensure to follow the required diapering procedures.

Rule 8VAC20-780-500-B. From a complaint.

Based on a review of 10 staff records and interview, the center did not ensure that one staff annually completed a minimum of 16 hours of training appropriate to the age of children in care as required.

“Evidence: 1. The record of staff #4 (date of employment: 5/17/2022) contained 10 hours of annual training from 5/17/2022 to 5/17/2023. 2. Administration acknowledged that staff #4 did not complete 16 hours of annual training.”

Rule 8VAC20-780-245-A.

Complaint related

“Based on interview, the center did not ensure that children younger than three years were changed on a changing table or countertop designated for changing as required. Evidence: 1. During interview, staff in a two-year old classroom stated that children were sometimes diapered while standing in the bathroom as part of their potty-training procedure. 2. Administration acknowledged that the children in the two-year old classroom were not always being changed on the designated table.”

Rule 8VAC20-780-500-B. From a complaint.

Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care as required.

“Evidence: 1. Staff #1 stated that she did not have current certification in CPR but did occasionally supervise the two-year old classroom independently. 2. Administration acknowledged that a CPR certified individual was not present in the two-year old classroom during the times when staff #1 worked alone.”

Rule 8VAC20-780-530-A-1. From a complaint.

Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid as required.

“Evidence: 1. Staff #1 stated that she did not have current certification in first aid but did occasionally supervise the two-year old classroom independently. 2. Administration acknowledged that a first aid certified individual was not present in the two year-old classroom during the times when staff #1 worked alone.”

Rule 8VAC20-780-530-A-2. From a complaint.

Based on a review of eight (8) child records and interview, the center did not ensure that three (3) records contained the required information.

“Evidence: 1. The records of child #1 (date of enrollment: 6/7/23), child #6 (date of enrollment: 6/19/2023) and child #7 (date of enrollment: 5/15/2023) did not contain documentation of viewing proof of the child’s identity and age. 2. Administration acknowledged the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of documentation and interview, the center did not ensure that non prescription medication was administered by a staff member or independent contractor who meets the requirements in 8VAC20-780-245 J 1 or J 2.

“Evidence: 1. During interview, staff stated that Bacitracin, an antibiotic ointment medication, was administered to child #1 by a staff member who did not have the required Medication Administration Training. 2. Administration acknowledged that the medication was administered by a staff who was not MAT certified.”

Rule 8VAC20-780-510-D. From a complaint.

Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for two staff by the end of the 30th day of employment as required.

“Evidence: 1. The record of staff #2 (date of employment: 3/3/23) did not contain a central registry finding. The record of staff #5 (date of employment: 3/3/23) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been obtained within the 30 days of employment as required.”

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

Based on a review of 10 children’s records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance.

“Evidence: 1. The record of child #6 (date of attendance: 1/16/23) contained an immunization record dated 1/27/23. 2. Administration acknowledged that the immunization record was received late.”

Rule 8VAC20-780-130-A.

Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children as required.

“Evidence: 1. The record of staff #2 (date of employment: 3/3/23) contained a TB screening dated 3/7/23. 2. Administration acknowledged that the TB screening was completed after the first date of employment.”

Rule 8VAC20-780-160-A.

Based on review of documentation and interview, the center did not ensure that documentation of emergency evacuation drills were maintained.

“Evidence: 1. Monthly evacuation drills were not documented from November of 2022 to March of 2023. 2. Administration stated that the drills had been conducted but not documented.”

Rule 8VAC20-780-550-G.

Based on a review of 10 staff records and interview, the center did not ensure that complete records were kept for two staff.

“Evidence: 1. The record of staff #2 (date of employment: 3/3/23) was missing one of the two required reference checks. The center is required to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 3/3/23) did not contain reference check documentation. 2. Administration acknowledged that the missing reference checks had not been completed and the records were incomplete.”

Rule 8VAC20-780-70.

Based on a review of ten (10) staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment for seven (7) staff as required.

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

Based on a review of 10 staff records and interview, the center did not ensure that three (3) staff submitted documentation of a negative tuberculosis (TB)screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record of staff #1 (date of employment: 8/18/2022) contained a TB screening dated 8/19/2022. The record of staff #4 (date of employment: 8/16/2022) contained a TB screening dated 8/19/2022. The record of staff #5 (date of employment: 5/17/2022) contained a TB screening dated 5/26/2022. 2. Administration acknowledged that the TB screenings were not submitted at the time of employment.”

Rule 8VAC20-780-160-A.

Based on observation, measurements and interview, the center did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards.

Rule 8VAC20-780-330-B.

Based on a review of 10 child records and interview, the center did not ensure that two (2) records contained the required information.

“Evidence: 1. The records of child #7 (date of enrollment: 11/1/2022) and child #8 (date of enrollment: 9/19/2022) were missing an address for one (1) of the two (2) required emergency contacts. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the information was missing.”

Rule 8VAC20-780-60-A.

Based on review of documentation and interview, the center did not ensure 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.

“Evidence: 1. Two (2) children’s medication and forms were reviewed in the center’s second building. The records did not contain written care plans with instructions from the physician. 2. Administration acknowledged that they had not obtained the forms.”

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

Based on record review and interview, the vendor did not ensure 1 staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current CPR certification. 2. Administration acknowledged that the certification had not been obtained.”

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

8VAC20-790-600-D-2

“Based on record review and interview, the vendor did not ensure 1 staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1. The record of staff #2 (DOH:10/8/2021) did not contain current first aid certification. 2. Administration acknowledged that the certification had not been obtained.”

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

Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for 2 staff within 30 days of employment as required.

“Evidence: 1. The record of staff #2 (DOH: 10/8/2021) contained central registry results dated 12/18/2021. 2. The record of staff #4 (DOH: 12/13/2021) contained central registry results dated 1/24/2022. 3. Administration acknowledged that the results were not received within the required time frame.”

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

Based on record review and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance.

“Evidence: 1. The record of child #3 (DOE: 10/20/2021) contained an immunization record dated 12/9/2021. 2. Administration acknowledged that the record was received after the first date of attendance.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for one child before attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record of child #3: (DOE: 10/20/2021) contained a physical record dated 12/15/2021. 2. Administration acknowledged that the physcial record was not received during the required time frames.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for 3 staff at the time of employment and prior to coming into contact with children.

“Evidence: 1. The records of staff # 1 (DOH: 2/28/2022), staff #3 (DOH:2/21/2022) and staff #4 (DOH: 12/13/2021) did not contain documentation of a negative tuberculosis screening. 2. Administration acknowledged that the tuberculosis screenings had not been completed and signed off by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A-1.

Based on record review and interview, the center did not ensure to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment for 3 staff as required.

“Evidence: 1. The records of staff #1 (DOH:2/28/2022), staff #2 (10/8/2021), and staff #4 (DOH: 12/13/2021) were missing references. 2. Administration acknowledged that the references had not been completed.”

Rule 8VAC20-780-70.

Based on review of documentation, video footage and interview, the center did not ensure that striking a child was forbidden.

Rule 8VAC20-780-410-1.