Bailey’s Childcare and Learning Center

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1, who had been employed for 7 days, has not had a central registry search requested prior to employment. The staff was present and supervised by 2 other staff members.”

Rule 22.1-289.035-B-3.

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually. The information in the record of child #3 had not been updated and is overdue by two months.”

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

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 2 months ago.”

Rule 8VAC20-780-160-C.

8VAC20-780-530-A-1

“Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff # 1, #2, #4 and #5 have taken recertification but the training did not include an in-person competency demonstration.”

Rule 8VAC20-780-530-A-1.

Staff who work directly with children shall, annually take the department’s health and safety 3 hour update course.

“Staff #1 has not completed the annual health and safety update course, the training was due 4 months ago.”

Rule 8VAC20-790-600-F.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was mouse droppings found on a child’s car seat which was stored in the outside utility closet.”

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

8VAC20-780-60-A-7

“Based on a review of children records, 1 child’s record indicates allergies to food but does not address actions to take in an emergency situation. Evidence: Child # 4 record indicates food allergies, there are no instruction to the actions to take in an emergency situation.”

Rule 8VAC20-780-60-A-7.

Based on observation, areas and equipment of the center were not kept in an operable condition.

“Evidence: The toilet seat located in the bathroom on the first floor was broken.”

Rule 8VAC20-780-270-A.

Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Cleaning supplies were in an unlocked cabinet located in the “2-3 years old” room and the “2 years old” room.”

Rule 8VAC20-780-280-B.

Based on observation, the restroom was missing required contents.

“Evidence: The restroom located on the first floor was missing paper towels.”

Rule 8VAC20-780-320-B.

Based on interview, staff did not properly change and dispose of the diapers of children in care.

“Evidence: 1) Staff A stated that she changed the pull up of a child inside the classroom and without a non-absorbent surface. 2) The pull up was located in the trashcan located in the classroom.”

Rule 8VAC20-780-500-B.

Based on record review, the center did not maintain a complete record for each child enrolled.

“Evidence: 1) The record of Child A was missing an area for “nick name” and the mother’s work phone number. 2) The record of Child B was missing an area for “nick name” and 1 of 2 required emergency contact addresses. 3) The record of Child C was missing an area for “nick name”, 1 of 2 required emergency contacts, employer number of both parents and the name and phone number of the physician.”

Rule 8VAC20-780-60-A.

Based on record review, staff records were missing required information.

“Evidence: 1) The record of Staff B was missing the address of an emergency contact. 2) The record of Staff C was missing their position.”

Rule 8VAC20-780-70.

Based on record review, staff did not complete the safety update course.

“Evidence: Staff A and B did not complete the safety update course for 2023.”

Rule 8VAC20-790-600-F.

Based on record review, staff did not complete 16 hours of annual training.

“Evidence: 1. Staff A did not complete any hours of annual training in 2022. 2. Staff B completed 4 hours of annual training in 2022.”

Rule 8VAC20-780-245-A.

Based on observation, cleaning supplies were not kept in a locked place.

“Evidence: Cleaning supplies were found unlocked in both bathrooms that are occupied by children.”

Rule 8VAC20-780-280-B.

Based on observation, Children under 10 years of age were not always with actual sight and sound supervision.

“Evidence: 7 Children were out of actual sight and sound supervision for approximately 1 minute when Staff A took 1 child to the restroom.”

Rule 8VAC20-780-340-F.

Based on observation, 911 and poison control numbers were not posted near each phone.

“Evidence: The 911 and poison control numbers were not posted at the telephone located at the door of the “Toddlers” room.”

Rule 8VAC20-780-550-I.

Based on record review, children’s records were missing required information.

“Evidence: The records of children A-C were missing a signature on the first page of the health documents.”

Rule 8VAC20-780-60-A.

Based on record reviews, the sworn statement of Staff D was not completed prior to the first day of employment.

“Evidence: Staff D did not have a sworn statement on file. Staff D was hired 01/09/2023.”

Rule 8VAC20-770-60-B. From a complaint.

Based on record review, central registry search results were not complete within 30 days of employment.

“Evidence: 1. The central registry search results for Staff A were completed on 12/07/2021. Staff A was hired 05/10/2021. 2. The central registry search results for Staff D were completed on 11/22/2021. Staff D was hired 08/11/2021.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on record review, each child did not have a physical examination on file.

“Evidence: Child A (age 2) did not have a physical exam on file.”

Rule 8VAC20-780-140-A. From a complaint.

Based on record review, documentation of tuberculosis screening was not submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff D did not have documentation of a tuberculosis screening. Staff D was hired 01/09/2023.”

Rule 8VAC20-780-160-A. From a complaint.

Based on record review, the documentation of tuberculosis screening was not completed within the last 30 calendar days of the date of employment.

“Evidence: The tuberculosis screening of Staff C was completed 03/26/2021.”

Rule 8VAC20-780-160-A. From a complaint.

Based on interview, staff were not capable of communicating effectively orally.

Rule 8VAC20-780-180-A. From a complaint.

Based on record review, orientation was not completed prior to working alone with children and within seven days of the first day of employment.

“Evidence: Staff D did not have documentation of orientation on file. Staff D was hired 01/9/2023.”

Rule 8VAC20-780-240-C. From a complaint.

Based on interview, in each grouping of children at least one staff member who meets the qualifications of a program leader was not regularly present.

“Evidence: Staff B stated that from October 2022 until January 2023, a program leader was not regularly present with the Toddlers 1 group (ages 2 and 3 years).”

Rule 8VAC20-780-340-D. From a complaint.

Based on observation, interview and documentation reviewed, the center’s own policies and procedures regarding discipline were not adhered to.

“Evidence: 1. The facility’s discipline policy states ?we do not?use any strategy that?forces a child?. 2. On 12/14/2022, in the Toddlers 1 classroom, when Child A (age 2 years) tried to get up to leave circle time, Staff A forced the child back to the circle by grabbing him by the arm and dragging him along the floor. 3. Staff B confirmed the incident occurred and that it resulted in Staff A receiving a written reprimand which stated in part, Staff A ?grabbed a child in the wrong way?.”

Rule 8VAC20-780-40-E. From a complaint.

Based on observation, interview and documentation reviewed, behavioral guidance was not constructive in nature, or age and stage appropriate.

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

Based on record review, a minor injury report was missing required information.

“Evidence: A minor injury report reviewed in the file of Child A was missing the following required information: 1. future action to prevent the injury 2. name child involved in injury 3. treatment of injury 4. parent notification date.”

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

Based on record review, a child’s record was missing required information.

“Evidence: The record of Child A (age 2) was missing the following required information: 1. Father’s residential information 2. Father’s employment information 3. Employer phone number of the mother 4. Start date.”

Rule 8VAC20-780-60-A. From a complaint.

Based on record reviews, staff records were missing required information.

“Evidence: 1. The record of Staff A (hired 05/10/2021) and C (hired 08/11/2021) were missing proof of reference checks. 2. The record of Staff D (hired 01/09/2023) was missing the following: a. An emergency contact b. Proof of age c. Proof of reference checks d. A complete application.”

Rule 8VAC20-780-70. From a complaint.

Based on in interview, proof of liability insurance was not available.

“Evidence: Staff A stated she did not have the liability information.”

Rule 8VAC20-780-40-H.

Based on observation, the facility was operating outside of the terms of the license.

“Evidence: Staff A and a child were located in a space not approved within the terms of the license.”

Rule 8VAC20-820-120-A-7.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the most recent inspection were located in a file cabinet and not posted.”

Rule 8VAC20-820-120-E-2.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: Cleaning materials were located in a bin in the Caterpillar 2 room.”

Rule 8VAC20-780-280-B.

Based on record review, the Virginia Pre-Service training was not complete by all staff.

“Evidence: Staff A, B and C were missing the Virginia Pre-Service Training.”

Rule 8VAC20-790-600-B.

Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: When asked which staff obtained daily health observation training, Staff D stated no one.”

Rule 8VAC20-780-245-L.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: Hazardous cleaning liquid was unlocked in a bucket in the Caterpillar 1 and Caterpillar 2 rooms.”

Rule 8VAC20-780-280-B.

Based on observation, children and staff records were not treated confidentially.

“Evidence. Children and Staff records were located on a shelf in the corner of the Butterflies classroom.”

Rule 8VAC20-780-50-A.

Based on observation, the first aid kit did not have all of the required components.

“Evidence: The first Aid kit was missing scissors and activated charcoal.”

Rule 8VAC20-780-540-C.

Based on record review, the record of each child was not complete.

“Evidence: Child A was missing the employer, the employer number and employer address of both parents. Child B did not have documentation of proof of identification.”

Rule 8VAC20-780-60-A.

Based on record review, the record of each staff was not complete.

“Evidence: 1. Staff A,B and C were missing an emergency contact. 2. Staff A and B were missing proof of identification and proof of orientation. 3. Staff C was missing 2 required references, proof of orientation and job title.”

Rule 8VAC20-780-70.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: 1) Cleaning liquid containing bleach was located on the shelf in the classroom. 2) Cleaning substances were in an unlocked closet in the hallway.”

Rule 8VAC20-780-280-B.

Based on interview, the facility did not have a qualified director on site.

“Evidence: Staff A stated the program director was not in the center consistently for the past two weeks.”

Rule 22VAC40-185-190-A.

Based on interview, the facility did not have a complete first aid kit.

“Evidence: The first aid kit was missing 2 of 2 required triangle bandages.”

Rule 22VAC40-185-540-A.