Perfect Harmonies Childcare and Development

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a sex offender registry search or a search of the child abuse and neglect registry from one state for Staff #1. The staff member has been employed for two weeks and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Repeat Violation The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 8 days after their first day of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and fall zones shall be free of hazards. 1.There was a piece of outdoor play equipment (teeter totter) that required a minimum of 6 inches of resilient surfacing. The resilient surfacing measured 2 inches in depth. 2.The teeter totter did not have a 6-foot fall zone free of hazards. The ground supports for the teeter totter were not covered and another piece of equipment was placed with 21 inches of the teeter totter.”

Rule 8VAC20-780-330-B.

8VAC20-780-60-A

“Repeat Violation 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 #1, was missing the following required components: the complete address for two emergency contacts.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Repeat Violation Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #1, began employment prior to receiving the criminal history results.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“Repeat Violation The center must obtain a copy of the results of a central registry check. Staff #3, who had been employed for 12 months, did not have a central registry results in the record.”

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for three weeks, did not have documentation of requesting a sex offender and child abuse and neglect registry check from another state.”

Rule 22.1-289.035-B-4.

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 three months.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #2 was not signed.”

Rule 8VAC20-780-150-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 #1, enrolled for four months, was missing the following required components: Two emergency contacts. The record for Child #2, enrolled for three months, was missing the following required components: Two emergency contacts and place of employment for each parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1 and Staff #2 did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not complete a search of the sex offender registry from one state for Staff #1, who has been employed for a month and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe condition. There was peeling paint on a wall in a two year old classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-540-C

“The required first aid kits shall contain all of the required components. The first aid kit was missing adhesive tape.”

Rule 8VAC20-780-540-C.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all of the required information. The records for three children did not include the time a parent was notified of an injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-400-B

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

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #4, who has been employed for 14 months does not have current CPR certification.”

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

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current certification in first aid appropriate to the ages of children in care. Staff #4, who has been employed for 14 months does not have current first aid certification.”

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

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #5 did not have central registry search results during the inspection and had been employed for 4 years prior to November 2024.”

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

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff #3 was due 8 days ago.”

Rule 8VAC20-780-160-C.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 3 changed a child’s diaper in the infant room and did not wash the child’s hands with soap and water.”

Rule 8VAC20-780-500-A.

8VAC20-780-70

“Repeat Violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who had been working at the center for 4 years, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On August 23, 2024, Staff #1 lifted Child #1 (age 5) by the ankle, flipped the child over and dragged the child across the floor and into the hallway, separating the child from the group. The staff member walked away from the child and the child was heard crying.”

Rule 8VAC20-780-410-1.

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.There was no documentation of CPR certification in the record for staff #1 who was hired on 11/16/23. 2.The Director confirmed the certification was not in the record.”

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

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Evidence: 1.There was no documentation of first aid certification in the record for staff #1 who was hired on 11/16/23. 2.The Director confirmed the certification was not in the record.”

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

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

22.1-289.035-B-2

“Based on record review and interview, it was determined the facility did not ensure that fingerprint background checks are obtained prior to the first day of employment Evidence: 1.Staff # 1 (hire date 3/5/24) was hired and began working before the criminal history record check (fingerprints) was received on 4/3/24. 2. The Director confirmed the criminal history record check was not received prior to the staff member beginning employment.”

Rule 22.1-289.035-B-2.

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. The door on the wooden playhouse on the playground was broken at the hinges presenting a pinch hazard. 2.The Director confirmed the door needed repair.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-510-N

“Based on record review and interview, it was determined the center did not keep a record of medication given to children that included all the required information. Evidence: 1.The documentation of medication given to child #6 did not include the following: a. amount of medication administered to the child. b.the day and time the medication was administered to the child. 2.The Director confirmed the required information was not documented.”

Rule 8VAC20-780-510-N.

8VAC20-780-540-E

“Based on observation and interview, it was determined the facility did not ensure that there was one working, battery-operated radio in each building used by children. Evidence: 1.The battery-operated radio did not have charged batteries, therefore it was not working. 2.The Director confirmed the radio was not working.”

Rule 8VAC20-780-540-E.

8VAC20-780-270-A

Rule 8VAC20-780-270-A. From a complaint.

8VAC20-780-550-P

“Based on observation and interviews, it was determined that the facility did not ensure that the center maintain a written record containing all the required information of children’s serious and minor injuries. Evidence: 1. The injury report for child #1 did not contain the time the injury occurred. 2. The Director confirmed the time was not documented.”

Rule 8VAC20-780-550-P. From a complaint.

8VAC20-780-80-B-2

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-790-600-F

“Based on review of records and interviews, it was determined the vendor did not ensure that staff who work directly with children annually attend 16 hours of training, to include the department’s health and safety update course. Evidence: The record for staff #3 (last completed 9/27/2021) and staff #4 (last completed 7/11/2019) did not contain documentation of completing the annual health and safety update coarse.”

Rule 8VAC20-790-600-F.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-550-D

“Repeat violation Based on record reviews and interviews, it was determined the center did not ensure that a monthly practice evacuation drill was implemented. Evidence: 1.The emergency drill log did not contain documentation that an evacuation drill was conducted in October 2023. 2.Staff #4 confirmed an October drill was not documented.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. Evidence: 1.In the infant room refrigerator there was an opened jar of sweet potatoes that was not labeled with the name or date of the owner. 2.Staff in the infant room confirmed the jar was not labeled.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Based on the review of children’s records and interviews, it was determined the center did not ensure that each child’s record contains all required information. Evidence: 1.The records for child #1, child #3 and child #4 did not include documentation that each child had a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. 2.Staff #4 reviewed the records and confirmed the record did not contain documentation of a physical examination.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on a review of 5 staff records, it was determined the center did not ensure that a record was kept for each staff member with all required information. Evidence: 1.The record for staff #1 did not include documentation that two or more references as to the character, reputation and competency were check before employment. 2.The records for staff # 2 and staff #3 did not include the signature of the person making the reference check over phone.”

Rule 8VAC20-780-70.

Based on a record review the center did not ensure all staff had the required background checks from any state in which the individual has resided in the preceding five years.

“Evidence: 1. Staff #3 (hired 06/13/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check, central registry check or a sex offender check. 2. Staff #4 (hired 09/08/2022) listed living outside the state of Virginia with in the last 5 years on their signed sworn statement of affirmation. This Staff did not have documentation of a criminal record check or a sex offender check from that state.”

Rule 22.1-289.035-B-4.

Based on a record review and interview the center did not ensure all all staff had a central registry finding within 30 days of employment.

“Evidence: Based on a record review, Staff #3 (hired 06/13/2022) did not have documentation of having a central registry check.”

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

8VAC20-780-540-A

“Based on observation the center did not have all required items in the first aid kit. Evidence: The first aid kit did not have a triangular bandages.”

Rule 8VAC20-780-540-A.

8VAC20-780-560-F

“Based on observation the center did not ensure when choosing to provide meals and snacks, all requirements were met. Evidence: The center had a menu for November posted in the kitchen and not in area that is accessible to parents.”

Rule 8VAC20-780-560-F.

8VAC20-780-570-I

“Based on observation and interview the center did not ensure there was a one-day’s emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care maintained at the center. Evidence: The infant staff stated they did not have emergency supplies because only 1 child was on breastmilk. The emergency bag did not have any bottles or nipples or water to mix with the commerical formula in the event of an emergency.”

Rule 8VAC20-780-570-I.

22VAC40-185-270-A

“Based on observation the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: The floor in the staff bathroom was soft and sinking.”

Rule 22VAC40-185-270-A.

22VAC40-185-40-H

“Based on a record review the center did not ensure public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate was maintained. Evidence: The center’s liability policy had an expiration date of 11/27/2021.”

Rule 22VAC40-185-40-H.

22VAC40-185-500-A

“Based on observation the center did not ensure all requirements were met when handwashing. Evidence: Staff was observed changing a child’s diaper in the infant room. Staff did not wash their hands before changing the child’s diaper.”

Rule 22VAC40-185-500-A.

22VAC40-185-550-D

“Based on a record review the center did not have documentation of having practiced monthly evacuation drills. Evidence: The log the center uses to record evacuation drills did not list a drill for the month of April.5”

Rule 22VAC40-185-550-D.