Children Inc. - Bristol

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up TB screening.

“Staff # 2 had a repeat screening completed 10 days after it was due.”

Rule 8VAC20-780-160-C.

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 was a bottle of pleach on an upper shelf in the kitchen and the kitchen was not locked.”

Rule 8VAC20-780-280-B.

The center shall implement a monthly practice evacuation drill.

“The last documented drill was 5 months ago.”

Rule 8VAC20-780-550-D.

The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.

“The van did not have the required document.”

Rule 8VAC20-780-550-K.

When centers choose to provide meals or snacks, centers shall follow the most recent , age-appropriate nutritional requirements of the USDA program.

“The snack served had only one componet, it is required to have two components.”

Rule 8VAC20-780-560-F.

When food is brought from home, the food container shall be dated and labeled in a way that identifies the owner.

“Lunch boxes were not labeled with the date and name.”

Rule 8VAC20-780-560-G.

Staff shall request at least annually parent confirmation that the required information in the child’s file is up to date.

“There was no documentation that child record #1 and #4 had been updated annually and they had been enrolled for over 1 year.”

Rule 8VAC20-780-420-E-3.

Tables shall be sanitized before and after each use.

“Staff stated tables were not being sanitized.”

Rule 8VAC20-780-560-J.

Where playground equipment is provided, resilient surfacing is required under equipment with moving parts or climbing equipment.

“The slide and climbing equipment did not have the required depth of 6 inches of mulch.”

Rule 8VAC20-780-330-B.

Prescription medication is required to have the original label attached.

“There was a prescription medication and it was not in the original , labeled container.”

Rule 8VAC20-780-510-I.

Child records are require to have the parent work place phone #’s.

“Recrod for child #2 did not have one of the parent’s work #’s.”

Rule 8VAC20-780-60-A.

8VAC20-780-550-D

“Based on record review, the required monthly evacuation drills had not been completed. Evidence: The months of November, December, January, and March did not have documented evacuation drills which are required monthly.”

Rule 8VAC20-780-550-D.

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that the hazardous substances were in a locked area. Evidence: During the inspection, window cleaner and sanitizing spray were accessible to children in care.”

Rule 8VAC20-780-280-B. From a complaint.

Based on a tour of the van used to transport children, the facility failed to ensure that there is a document kept in vehicles containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc.

“Evidence: 1. There is no document in the van containing the required emergency information.”

Rule 8VAC20-780-550-K.

22.1-289.035-B-2

“Based on a review of staff files, the facility failed to ensure that all staff have a fingerprint criminal record check prior to the first day of work. Evidence: 1. Staff #1 was hired on 5/27/22. The fingerprint background check is dated 7/11/22. 2. Staff #2 was hired on 7/11/22. The fingerprint background check is date 8/1/22.”

Rule 22.1-289.035-B-2.

8VAC20-780-340-F

“Based on observation, the facility failed to ensure that children under 10 years of age are always within sight and sound supervision of staff. Evidence: 1. There are two classrooms which are across the hall from each other. There are children in both classrooms. For 10 minutes while staff #1 was at the entrance of the building with a new client, staff #2 was driving the van and staff #3 was moving between the two classrooms. There were children under 10 years of age in both classrooms.”

Rule 8VAC20-780-340-F.

Based on observation, the facility failed to ensure that children’s hands are washed with soap and water or using disposable wipes before and after each meal or snack; And that staff wash their hands before preparing food.

“Evidence: 1. Children did not wash their hands before or after eating the afternoon snack. 2. Staff did not wash their hands before distributing a snack.”

Rule 8VAC20-780-500-A.