Henrico Education Foundation - Shady Grove

The medication authorization shall be available to staff during the entire time it is effective.

“Two medications for child #1 were on site, however, there were no completed medication authorizations in the child’s record.”

Rule 8VAC20-780-510-F.

Immunizations for children are required to be signed by a physician, his designee, or an official of a local health department.

“The immunization record for Child #1, who has been in care for 3 weeks, was not signed by a physician, his designee or an official of a local health department.”

Rule 8VAC20-780-150-B.

The required ratio for children school age up to 9 years is one staff per 18 children.

“Staff #5 was observed supervising 22 children (youngest child 8 years old) during the inspection.”

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

Based on review of seven staff records, the center did not ensure all staff who work directly with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval.

“Evidence: 1. The record of staff #4, employed 08/16/2022, did not have documentation of current CPR exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023. 2. The record of staff #5, employed 08/22/2023, did not have documentation of current CPR exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023.”

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

Based on review of seven staff records, the center did not ensure all staff who work directly with children shall obtain current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval.

“Evidence: 1. The record of staff #4, employed 08/16/2022, did not have documentation of current first aid certification exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023. 2. The record of staff #5, employed 08/22/2023, did not have documentation of current first aid certification exceeding 90 days from employment and vender approval. The center received vender approval on 08/29/2023.”

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

8VAC20-780-240-A

“Based on review of seven staff records, the center did not ensure two staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record of staff #2, employed 10/19/2021, did not contain documentation of the Virginia Department of Education-sponsored orientation course exceeding 90 calendar days from employment. 2. The record of staff #5, employed 08/22/2023, contained documentation of the Virginia Department of Education-sponsored orientation course dated 01/01/09/2024, exceeding 90 calendar days from employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-60-A

“Based on review of six children’s records, the center did not obtain all required information for two children’s records. Evidence: 1. The record of child # 3 did not have the name and phone number of the child’s physician. 2. The record of child # 5 did not have the name and phone number of the child’s physician or the name and phone number of each parent’s employment.”

Rule 8VAC20-780-60-A.

Based on a review of six staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment.

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

Based on review of documentation and interview, the center did not ensure that the injury prevention procedures were updated at least annually.

“Evidence: Documentation indicted the injury prevention plan was last updated in 2020. The director stated she did not know of any other reviews and updated to the procedures.”

Rule 8VAC20-780-40-J.

Based on interview and review of children’s records, the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: 1. The licensing inspection requested to review the written allergy, sensitivities, and dietary restriction list. The director stated there wasn’t a written list. 2. The record of child #1, child #2 and child #3 included dietary restrictions.”

Rule 8VAC20-780-40-M.

Based on review of five children’s records, the center did not obtain all required information for two children’s records.

“Evidence: 1. The record of child #2, enrolled 08/29/2022, did not have the phone numbers of two emergency contacts as required. 2. The record of child #4, enrolled 08/29/2022, did not have the name, address, and phone number of two emergency contacts.”

Rule 8VAC20-780-60-A.

Based on review of five staff records and interview, the center did not obtain a central registry finding within 30 days of employment for four staff records.

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