Dee Care, LLC.-Building 2

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 records for Child #4 and Child #5, were missing the work phone numbers for each parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 TB was dated five months prior to date of employment and Staff #3 was dated four months prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 4 children present in the one year old room, but only 2 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection was not posted.”

Rule 22.1-289.011-F.

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 is currently working and does not have documentation of a TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was two months past due.”

Rule 8VAC20-780-260-A.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, employed for five months, only had 1 reference verification on file and Staff #5, employed for nine months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2 had no documentation and had been employed for seven months.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 2 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The most recent annual approval was a month past due.”

Rule 8VAC20-780-260-B.

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age. There was no crib available for child #1 (9 months of age) who was sleeping on a cot or child #6 (11 months of age) who was in the same group.”

Rule 8VAC20-780-440-G.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, had references on file dated 12 months after their employment date.”

Rule 8VAC20-780-70.

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff #2 was observed disposing of a pull up in a trash can that was not foot operated. The pull up and the staff members hand touched the exterior of the storage system.”

Rule 8VAC20-780-500-B.

8VAC20-780-500-C

“Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. Staff #2 did not clean the toilet chair prior to spraying it with a bleach water solution, and did not allow the sanitizer to dry for a period of at least two minutes.”

Rule 8VAC20-780-500-C.

8VAC20-790-600-F

“Staff who work directly with children shall annually attend the department’s health and safety update course. Staff #4, who has been employed and working with children for more than 6 months since the center became a subsidy vendor has not yet completed this course.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

“The center is required to do the appropriate background checks from any state in which the individual has resided in the preceding five years. Staff #4 did not have results of a search of the child abuse and neglect registry from one previously resided state. Staff #4 has been employed for more than 9 months and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There was no documentation of immunizations in the record for child #5. The child had been enrolled for 13 months.”

Rule 8VAC20-780-130-A.

8VAC20-780-240-C

Rule 8VAC20-780-240-C.

8VAC20-780-70

“Based on a review of records and interview, the licensee did not ensure that a complete record is maintained for each staff, to include documentation that two or more references as to character and reputation as well as competency were checked prior to employment. Evidence: Five staff records were reviewed. The record for staff #3, who was hired 1/4/2023, did not contain documentation of any references as to character, reputation and competency were checked. The program director confirmed that she did not have any documented reference checks for staff #3.”

Rule 8VAC20-780-70.

Based on a review of records and interview, the licensee was unable to demonstrate that each staff member and individual from an independent contractor submits documentation of a negative tuberculosis screening prior to contact with children.

“Evidence: Two staff records were reviewed during the inspection on 12/07/2022. The record for staff #2, who was present with the children and whose date of hire was 12/4/2022, did not contain results of a Tuberculosis screening. Staff #3, the administrator, was unable to provide this documentation during the inspection.”

Rule 8VAC20-780-160-A.

Based on a review of records and interview, the licensee did not ensure that when children are present, there is always be 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: Two staff records were reviewed. Neither of the records for the two staff present (Staff #1 and Staff #2) contained documentation of training in the Daily Health Observation of Children. The administrator was unable to provide this documentation during the inspeciton.”

Rule 8VAC20-780-245-L.

Based on a review of records and interview, the licensee was unable to demonstrate that during the stated hours of operation, there is always on the premises when children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

“Evidence: At the time of the inspector’s arrival, staff #1 was caring for 6 infants alone in the classroom. Staff #2 returned from lunch within 10 minutes. The records for staff #1 and staff #2 did not contain documentation to demonstrate that they met the qualifications for a program leader. The center director was unable to provide further documentation during the inspection.”

Rule 8VAC20-780-340-C.

Based on observation, the licensee did not ensure that a ratio of 1 staff per 4 children was maintained for infants ages birth through 16 months.

“Evidence: There were six infants in care with one staff at the time of the inspector’s arrival on 12/7/2022. The youngest infant in the group was 14 months old. Five of the infants were sleeping and 1 infant was being held by the staff. The staff stated that there was a second staff assisting prior to nap time, but the second staff had gone on her lunch break during nap time.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-560-F

Rule 8VAC20-780-560-F.

8VAC20-780-560-G

“Based on observation and interview the licensee did not ensure that food containers are clearly dated and labeled in a way that identifies the owner. Evidence: There were 6 unlabeled “sippy” cups containing liquid in the refrigerator. Staff #1 stated that she was aware of who each cup belonged to by the color of the cup. There was no clear labeling system to ensure that another staff would be able to identify who each cup belonged to.”

Rule 8VAC20-780-560-G.

Based on observation and interview, not all areas and equipment inside and outside of the center are maintained in a clean, safe, and operable condition.

“Evidence: The threshold on the floor at the doorway between the pre-k rooms and the infant/toddler suite has several layers of material that protrude approximately 1/2 inch above the floor. This raised threshold poses a trip hazard. The program director acknowledged the hazard and stated that she has already asked the contractor to remedy the problem.”

Rule 8VAC20-780-270-A.

8VAC20-780-430-K

Rule 8VAC20-780-430-K.