Oak Hill Preschool

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #4 does not have documentation of a TB screening, the screening is past due by 3 weeks.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply; sewage disposal; and food service if applicable. The center does not have a current health and sanitation inspection, the last inspection was dated 6/13/2024.”

Rule 8VAC20-780-260-B.

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 #2, # 4, #5 and #6 have a diagnosed food allergy and did not have a written care plan signed by a physician in their file.”

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

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. Staff #5, employed for one month, did not have documentation of requesting a central registry check from one state. The staff was caring for children during this inspection.”

Rule 22.1-289.035-B-4.

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. The side of the steps to the little playground climber and the large playground climber has a piece of foam that is torn away and exposing rusty metal which can cause an unsafe condition to the children in care. The children were observed playing on both climbers during this inspection.”

Rule 8VAC20-780-270-A.

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #5 was alone with a group of 5, three-year-old children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

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 #4, enrolled for ten months, was missing the physical and immunization record. The record for child # 5, enrolled for 3weeks, was missing a second emergency contact information.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. Staff #3, who had been employed for 4 weeks did not have a sworn statement completed, Staff was working with children.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #3, who had been employed for 4 weeks did not have a completed national criminal background check. Staff was working with children.”

Rule 22.1-289.035-B-2.

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 #2, who had been employed for two months, and Staff # 3, who had been employed for 4 weeks and Staff # 6, who had been employed for 5 months did not have a central registry search requested. All three staff were working with children.”

Rule 22.1-289.035-B-3.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #3 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. None of the children’s food containers were dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-240-B

“Based on review of staff record, there was no documentation that staff completed orientation training within seven days of assuming job responsibilities. Evidence: Staff #1 date of hire 10/19/23 does not have documentation of completing orientation training. Staff #1 observed caring for children this date.”

Rule 8VAC20-780-240-B.

8VAC20-780-40-N

“Based on review and conversation, the center has not developed written playground safety procedures, which addresses staff supervision and maintaining resilient surface. Evidence: No written playground safety procedures were available to review.”

Rule 8VAC20-780-40-N.

8VAC20-780-510-E

“Based on review of medication, the center has not followed their procedure for methods to prevent use of outdated medication. Evidence: Medication for Child #1 is outdated. Benadryl expired 8/2023, EpiPen expired 10/2023.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-H

“Based on review of children’s medication, nonprescription medication was not in the original container with the direction label attached. Evidence: Child #1 Children’s allergy vials were found not in the original container and did not have directions attached.”

Rule 8VAC20-780-510-H.

8VAC20-780-240-B

“Based on a review of new staff records, staff have not completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: staff # 2, date of employment 4/1/2022 and staff #1, #3, #4, #5 and #6, date of employment 9/6/2022 does not have documentation that staff have completed the orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-550-D

“Based on a review of the emergency evacuation drills, the center has not implemented monthly practice fire drills. Evidence: Fire evacuation drills were not conducted the months of November and December 2022.”

Rule 8VAC20-780-550-D.

22.1-289.035-B-2

“Based on a review of staff records, staff did not have required fingerprint results prior to first day of employment. Evidence: The following staff did not have fingerprint results prior to their first day of employment. These staff were observed supervising children. Staff #1, date of first employment 5/2/2022. Fingerprint results dated 5/4/2022 Staff #3, date of first employment 7/11/2022. There were no fingerprint results on file.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Based on a review of staff records, each staff member has not submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: The following staff do not have TB results within the last 30 calendar days of their employment. These staff were observed supervising children. Staff #1, date of employment 5/2/2022, TB completed 5/11/2022 Staff #2, date of employment 6/13/2022, TB completed 1/21/2022 Staff #3, date of employment 7/11/2022, TB completed 5/22/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-510-I

“Based on a review of medications, a prescription medication was not maintained in the original prescription labeled container. The prescription medication did not contain the prescriber’s instruction pertaining to dosage, frequency and manner of administration. Evidence: Child #1’s prescription inhaler was not in the pharmacy labeled container. The inhaler was not labeled with the Child’s name nor were their directions as how to administer the medication., how much medication to administer and how often to administer.”

Rule 8VAC20-780-510-I.

8VAC20-780-550-D

“Based on a review of emergency evacuation drill and assistant director interview, the center has not implemented monthly practice evacuation drill. Evidence: The emergency evacuation drill record did not show that a fire drill was completed for the following months; January 2022, February 2022, May 2022 and June 2022. The assistant director stated that they were not conducted.”

Rule 8VAC20-780-550-D.

8VAC20-780-70

“Based on a review of staff records, documentation of two or more references were not checked prior to employment for each staff member. Evidence: The following staff were hired with no references checked prior to employment and were observed supervising the children; Staff #1, date of employment 5/2/2022 Staff #2, date of employment 6/13/2022 Staff #3, date of employment 7/11/2022”

Rule 8VAC20-780-70.