Frederick County Center

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The center practiced shelter in place procedures once in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. Neither classroom had a list of allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-E

“REPEAT VIOLATION The medication authorization shall be available to staff during the entire time it is effective. In Classroom 2, one child had emergency medication, but the medication authorization was not available to staff.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries which includes the required components. Two injury reports were viewed during the inspection, and they were both missing the following required component: any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-330-B

“Playground equipment with climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. The fall zones around the climber on the front playground measured to be four to five feet when each piece of equipment requires at least six feet of a fall zone. The fall zones around the small climber on the back playground measured to be 10 inches to five feet when each piece of equipment requires at least six feet of a fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-510-B

“Prescription medication shall be given to a child only with written authorization from the parents. Prescription medication had been administered to Child #1 on April 4, 2025. There was no parent authorization on file.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Child #6 had two medications on site and there was no authorization form.”

Rule 8VAC20-780-510-F.

8VAC20-780-60-A-8

“A written care plan is required 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. Child #6 has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-160-A

“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 #1?s TB screening that was dated four days after their first day of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1, who had been on staff for 10 months, had not completed the course. Staff #5, who had been on staff for nine months, had not completed the course.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Staff are to complete orientation training the in required topics, no later than seven days of assuming job responsibilities. Staff #1, who had been working for 10 months, had not completed the orientation training in all required topics. Staff #2 completed the orientation training more than two months late. Staff #3, who had been working for three months, had not completed the orientation training in all required topics.”

Rule 8VAC20-780-240-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

8VAC20-780-60-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to maintain a separate record for each child which contained the required information. Evidence: 1. Child #1?s record was missing the annual update, first day of attendance and proof of birth. 2. Child #2?s record was missing an address for one of the emergency contacts. 3. Child #3?s record was missing the annual update, first day of attendance, proof of birth and the phone number for one parent’s place of employment.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-B

“Based on review of records and interview, the center failed to complete orientation training with each staff member no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #1?s start date was 10/10/2023. There was no documentation regarding orientation on file for Staff #1. Staff #3 confirmed there was no documentation regarding orientation on file for Staff #1.”

Rule 8VAC20-780-240-B.

8VAC20-780-320-B

“Based on measurement, the center failed to ensure that restroom sinks have warm running water that do not exceed 120F degrees. 1. In the girls? restroom, the water in the sink measured 122.4F degrees. 2. In the boys? restroom, the water in the sink measured 121.3F degrees.”

Rule 8VAC20-780-320-B.

8VAC20-780-330-B

“Based on measurement and observation, the center failed to provide a six-foot fall zone on all sides of playground equipment. Evidence: 1. On the front playground, the fall zone was two feet for the green climber and three feet for the red slide.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“Based on observation and interview, 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. Evidence: 1. In Room 1, 2 and 3, staff could not locate an allergy list for all children’s allergies, sensitivities, and dietary restrictions.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-240-A

Rule 8VAC20-780-240-A.

8VAC20-780-330-B

“Based on observation and interview, the center failed to ensure that were playground equipment is provided, resilient surfacing complies with minimum safety standards. Evidence: 1. In the front play area, one climber was observed to be on grass with no resilient surfacing. 2. Staff #1 confirmed that the climber did not have resilient surfacing.”

Rule 8VAC20-780-330-B.

8VAC20-780-160-A

“Based on review of records and interview, the center failed to ensure that each staff member had a tuberculosis (TB) screening within the last 30 calendar days of employment. Evidence: 1. Staff #1?s start date on file is 9/6/2022. The TB screening on file was 4/7/2022. 2. Staff #2 confirmed that the TB screening was not completed within the last 30 calendar days of Staff #1?s date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-410-1

Rule 8VAC20-780-410-1.

Based on interviews, the center failed to obtain written authorization for over the counter diaper cream noting any known adverse reactions. Evidence: 1. Staff #1 confirmed that the center did not obtain the appropriate written authorization for use of over the counter diaper cream for Medications #1 and #2. 2. Staff #1, Staff #2 and Staff #3 confirmed that the diaper creams (Medication #1 and #2) were used.

“Based on interviews, the center failed to keep a record of use of over the counter diaper cream. Evidence: 1. Staff #1 confirmed that the center did not maintain records of use for over the counter diaper cream for Medications #1 and #2. 2. Staff #1, Staff #2 and Staff #3 confirmed that the diaper creams (Medications #1 and #2) were was used and a record was not kept.”

Rule 8VAC20-780-520-C. From a complaint.

8VAC20-780-160-C

“Based on review of records and interview, the center failed to ensure that staff obtained a tuberculosis (TB) screening at least every 2 years. Evidence: 1. Staff #5?s TB screening on file was dated 9/3/2020. Staff #6 confirmed that Staff #5 did not have an updated TB screening on file. 2. Staff #3?s TB screening on file was dated 10/6/2020. Staff #6 confirmed that Staff #3 did not have an updated TB screening on file.”

Rule 8VAC20-780-160-C.

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain a written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: 1. In each classroom there was a list of allergies and dietary restrictions for the children in that classroom only. 2. Staff #6 confirmed that the classrooms only had a list for the children in that classroom and that the lists did not include all children.”

Rule 8VAC20-780-40-M.

Based on review of staff records and discussion with the Associate Director, the center accepted a criminal history record report that was dated more than 90 days prior to the date of employment.

“Evidence: 1. The record for Staff #3 contained a completed criminal history record dated 10/15/2021. Date of employment for 01/18/2022. 2. The Associate Director reported she was not aware a background check could not be more than 90 days old at the time of employment.”

Rule 8VAC20-770-40-D-6.

Based on staff record review and verification from the Associate Director, one staff member had not obtained a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record for Staff #2 did not contain documentation of a negative TB screening or test. Date of hire and date coming into contact with children was 01/18/2022. 2. The Associate Director stated that Staff #2 had not obtained a TB screening.”

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

Based on staff record review and confirmation from the Associate Director, one staff member submitted a negative tuberculosis (TB) screening that had been completed more than 30 days before the date of employment.

“Evidence: 1. The record for Staff #3 contained documentation of a negative TB screening dated 11/15/2021. Date of employment was 01/18/2022. 2. The Associate Director confirmed that the negative TB screening had been completed more than 30 before the staff member’s date of hire.”

Rule 8VAC20-780-160-A-2.

Based on record review and discussion with the Associate Director, the center failed to obtain an annual updated health inspection.

“Evidence: 1. The date of the most current health inspection was dated 11/12/2020. 2. The Associate Director stated that she had not requested that an updated health inspection be completed.”

Rule 8VAC20-780-260-B.