Karter School Of South Riding

There shall be at least 12 inches of space between occupied cots, beds, and rest mats.

“Occupied sleeping mats within the Primary Room were observed to be less than 12 inches of space apart. Two sets of occupied cribs within the Infant Room were also observed to be less than 12 inches of space apart.”

Rule 8VAC20-780-440-E.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“An update of an immunization page for Child #2 (under two years of age) was one month past due.”

Rule 8VAC20-780-130-E.

Hazardous substances must be in a locked place that prevents access by children.

“In the Pre-Primary classroom, an air freshener was not in use and left on a shelf, out of reach of children.”

Rule 8VAC20-780-280-B.

Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent.

“The written authorization form for Medication #1 prescribed to Child #2, listed the discontinued date as December19, 2025.”

Rule 8VAC20-780-510-E.

Based on review, the center does not have in place a staff member who has satisfactorily completed a training program to safely perform a specific medication administration practice.

“Evidence - 1. On the date of inspection (07/08/2024), a certificate of completion for MAT Auvi-Q was not available for review. 2. Currently, Child #6 has an Auvi-Q on site to be administered on an as needed basis.”

Rule 8VAC20-780-245-J-1.

Based on review, a staff person did not submit to a fingerprint background check (FPC) (as described in subdivision B 2 of ? 19.2-392.02) and have this documentation on file with the center prior their start date.

“Evidence - 1. On the date of inspection (05/13/2024), it was determined that Staff #1 started as a volunteer on 07/28/2022, and then became a part-time staff (floater) as of 10/01/2022. 2. From 10/01/2022 until the FPC was discovered (through self audit) to not to have been done, such documentation was not on site. Staff #1 worked and was paid during this time. 3. A FPC was sent for and was then completed for Staff #1 on 05/07/2024.”

Rule 22.1-289.035-B-2. From a complaint.

Based on review, 6 of 13 staff files indicated that not all employees had completed the department’s annual health and safety update course for 2023.

Rule 8VAC20-790-600-F.

Based on review, a piece of equipment, outside on the center playground was not maintained in a safe condition.

“Evidence - 1. On the date of inspection (09/20/2023), peeling paint was observed on the brown climbing structure located on the center playground. 2. The brown peeling paint was primarily observed on the high traffic areas of the painted wood.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that 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.

“Evidence: In the unlocked kitchen, there were cleaning supplies under the sink.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: In the Pre-Primary room, there allergy list was present; however, was not kept in a confidential manner.”

Rule 8VAC20-780-40-M.

Based on observation, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Cleaning chemicals were located an unlocked closet in the kitchen. Clorox wipes were located on the kitchen floor in an unlocked kitchen. Dish detergent was on an accessible counted in the Toddler classroomm”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that bottle fed infants who cannot hold their own bottles shall be held when fed.

“Evidence: In the Infant classroom, an infant was not held during bottle feeding.”

Rule 8VAC20-780-570-B.

Based on observation, the center failed to post a notice, prominently displayed next to the license, that states a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections and the notice is available fore inspection at the facility or on the facilities website.

“Evidence: Inspection Summary and Violations from the last inspection dated 06/22/2022 was not posted.”

Rule 8VAC20-820-120-E-1.

Based on observation, the center failed to ensure areas and equipment of the center, inside and outside shall be maintained in a clean, safe and operable condition to include breakage of any equipment.

“Evidence: The faucets in the Toddler Room are broken and in need of repair.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Evidence: Observed during a diaper change, staff sanitized changing surface with a bleach/water solution; however the surface was not cleaned prior to sanitizing.”

Rule 8VAC20-780-500-B.

Based on review of documents, the center failed to maintain and keep at the center a separate record fore each child enrolled with all required documents.

“Evidence: Child #6’s record does not contain documentation of a written care plan for a 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.