Triple R Ranch

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information.

“The record for child #4 did not have the emergency contact information required.”

Rule 8VAC20-780-60-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“There were two coffee pots filled with hot water on warmers and a large tall metal coffee carafe with a pour spout in the cafeteria accessible to children in care.”

Rule 8VAC20-780-270-A.

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.

“There were three sanitizing sprays in the cafeteria unlocked and accessible to children in care.”

Rule 8VAC20-780-280-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name and phone number of the parent(s) employer(s), and the name, address, and phone number of two emergency contacts.

“The record for child #4 did not contain the required information.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to coming into contact with the children. Staff 1 and 2, both on duty with the children during the inspection, did not have documentation of negative tuberculosis screenings.”

Rule 8VAC20-780-160-A.

8VAC20-780-70

“Staff records shall be kept for each staff person that includes the job title, date of employment, documentation to demonstrate that the individual possesses the education, certification and experience required by the job position and the required orientation training. The records provided for staff 1 and 2 did not include the job titles, dates of employment and the required orientation training. the records provided for staff 3 and 4 did not contain documentation of the education, certification and experience required by program leaders.”

Rule 8VAC20-780-70.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The facility did not conduct a practice emergency evacuation drill in June 2025.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-P

“Repeat violation: 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 required documentation. An injury record for child 4, di not include the child’s name, date and time of the injury, staff present, the date, time and how the parent was notified of the child’s injury, any future action to prevent recurrence of the injury and the signatures of two staff or a parent and a staff person.”

Rule 8VAC20-780-550-P.

8VAC20-780-80-B-2

“The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child 4 sustained an injury requiring outside medical attention on June 23rd and the department’s representative was not notified until July 3rd.”

Rule 8VAC20-780-80-B-2.

8VAC20-780-550-P

“Based upon review of records of children’s injuries, the facility has not ensured that each record includes a staff and parent signature or two staff signatures. Evidence: The record of children’s injuries reviewed was entered into the computer program and did not include any signatures.”

Rule 8VAC20-780-550-P.

22.1-289.035-B-4

“Based upon review of staff records, the facility has not ensured that a search of the child abuse and neglect registry is obtained from any state in which the staff person has resided in the past five years. Evidence: The record provided for staff 4 indicated that staff 4 resided in South Carolina within the past five years. Results of a central registry search from South Carolina have not been received.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“Based upon review of staff records, the facility has not ensured that staff complete orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The records provided for staff 4 and staff 7 indicated a hire dates of 6/13/2024. There was no documentation that either staff 4 or staff 7 received the required orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-240-I

“Based upon review of staff records, the facility has not ensured that documentation of orientation training includes all required information. Evidence: The documentation of orientation training in staff files did not include a listing of all required topics, the entity or individual providing the training and the training delivery method.”

Rule 8VAC20-780-240-I.

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances, insecticides and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 3 cans of red spray paint and a can of hornet and wasp spray on an open shelf at the archery/rifle range. All containers had warning labels. 2. The doors to the back storage rooms at the Nature Hut were standing open. There were cleaning fluids with warning labels in the storage rooms.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-E

“Based upon observation, the facility has not ensured that materials such as paints and insecticides/pesticides are stored in areas physically separate from each other. Evidence: There were three containers of red spray paint beside a spray can of hornet and wasp spray on an open shelf at the archery/rifle range.”

Rule 8VAC20-780-280-E.

8VAC20-780-550-P

“Based upon review of injury records, the facility has not ensured that they maintain a written record of children’s injuries that includes all required information. Evidence: An injury record dated 6/29/2023 did not include the date, time and how the parent was notified of the child’s injury. The same record did not have the signatures of two staff or the signature of one staff and the parent.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that staff records contain all required information. Evidence: 1. The records provided staff 1, 2, 4, 5, 6 did not include the dates of employment. 2. The records provided for staff 1, 2, 3, 4, 5, and 6 did not include the job title.”

Rule 8VAC20-780-70.

Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: 1. The record for staff #1, contained documentation of TB screening that was dated 7/3/20. 2. The record for staff #3, contained documentation of TB screening that was dated 7/17/20. 3. Staff #5 (Program Director), reviewed the records for staff #1 and staff #3, and confirmed that an updated TB screening had not been received.”

Rule 8VAC20-780-160-C.

Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition.

“Evidence: 1. There were exposed metal spikes that are used to secure the landscape timbers in the ground along the walking trail from the climbing wall to the cabin area. 2. Staff #5 (Program Director) confirmed the items listed above were not in a safe and operable condition.”

Rule 8VAC20-780-270-A.

Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“Evidence: 1. The resilient surface (rubber mulch), around the climbing structure did not extend six feet out from the climbing structure on all sides. 2. Staff #5 (Program Director) viewed the resilient surfacing (rubber mulch) in the fall zone for the play structure, and confirmed that it was not compliant with the requirements in the standards of six feet of resilient surfacing on all sides.”

Rule 8VAC20-780-330-B.