WILLIAMSBURG-JAMES CITY COUNTY COMMUNITY ACTION AGENCY, INC-Popl

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #5’s certificate was dated five months after date of hire.”

Rule 8VAC20-780-240-A.

8VAC20-780-560-J

“Tables shall be sanitized before and after use for feeding. “Sanitized” requires the surface to be sprayed or dipped and allowed to air dry for a minimum of two minutes. Staff was observed spraying the table atter lunch with bleach water solution and then wiping the table with a paper towel. Staff did not allow the solution to air dry for two minutes.”

Rule 8VAC20-780-560-J.

8VAC20-780-60-A

“(Repeat violation) 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 #1, enrolled for two months, was missing the address for one of the emergency contacts.”

Rule 8VAC20-780-60-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 3-5 year old classrooms, multiple sanitizing solutions were in an unlocked closet in both rooms.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. In the 3-5 year old classrooms, medications were in an unlocked back pack in an unlocked closet in both rooms.”

Rule 8VAC20-780-510-L.

8VAC20-780-550-I

“The center did not post a document containing all required information to be kept in the vehicle when transporting children. The center did not ensure to have a document with required phone numbers to include 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center.”

Rule 8VAC20-780-550-I.

8VAC20-780-550-K

“The center did not prepare a document containing all required information to be kept in the vehicle when transporting children. The center did not ensure to have a document for 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.”

Rule 8VAC20-780-550-K.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for Staff #1 was overdue by 9 months.”

Rule 22.1-289.035-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“(Repeat Violation ) Documentation shall be kept at the center for each staff regarding a name, address, and telephone number of a person to be notified in an emergency and any health problems that may interfere with fulfilling the job responsibilities. Staff #1, has been employed for 15 years and did not have emergency contact information or health related information. Staff #4 has been employed for 5 months and did not have health related information.”

Rule 8VAC20-780-70.

Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance.

“Evidence: The following records did not include physicals 1.Child #2, first date of attendance 9-11-2023 2.Child #6 first date of attendance 10-3-2023”

Rule 8VAC20-780-140-A.

Based on record review and staff interviews, the licensee did not ensure the required staff information to be kept at the center for staff records contained all required documentation.

“Evidence: The record for Staff #5, did not include information about any health problems that may interfere with fulfilling the job responsibilities or their emergency contact information.”

Rule 8VAC20-780-70.

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Center Director confirmed the most recent copy of the health inspection available for review was dated 11-29-2021.”

Rule 8VAC20-780-260-B.

8VAC20-770-40-D-1-b

“Based on record review and staff interviews, the licensee did not ensure any employee of a licensed facility who is involved in the day-to-day operations or who is alone with, in control of, or supervising one or more children shall have a Sworn statement or affirmation prior to first day of employment at the facility. worn Evidence: The record for Staff #5 (hire date was 6-7-2022) did not include a sworn statement. Staff #5 was observed working on the day of inspection.”

Rule 8VAC20-770-40-D-1-b.

8VAC20-770-60-C-2

“Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 5?s date of hire 6-7-2022 does not have documentation of a CPS check conducted. Staff #5 was observed working on the day of the day of the inspection”

Rule 8VAC20-770-60-C-2.

8VAC20-780-240-E

“Based on staff record review and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff #3 (hire date 3-3-23) did not have documentation of CPR / First Aid orientation.”

Rule 8VAC20-780-240-E.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required information at the center. Evidence: The following records were incomplete as listed below; 1) The record for #2 and Staff #4 did not have emergency contact information and required health related information which is required to be available and at the center. 2) The record for Staff #5 did not include reference checks conducted prior to hire.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“Based on center documentation review and observation, the licensee did not ensure that 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. Evidence: During inspection in Room #3, 15 children were observed and only 13children were listed on the attendance sheet. The last two children arrived in the classroom at 10:00 and 10:03. Licensing inspector reviewed the attendance list at 11:05.”

Rule 8VAC20-780-80-A.

Based on review of 5 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Staff #5?s date of hire was 9-19-2022 and the TB screening/ test was dated 12-13-2021 and it was not conducted within the required timeframe.”

Rule 8VAC20-780-160-A.

Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“Evidence: The Education Manger confirmed they do not have a carbon monoxide detector.”

Rule 22.1-289.058.

Based on record review and staff interviews, the licensee did not ensure staff had complete orientation training that was appropriate to the age of the children in care and include all of the facility specific topics.

“Evidence: The Human Resource staff confirmed there was not information available for review confirming staff #4 (date of hire 4-16-2022) had obtained facility specific orientation.”

Rule 8VAC20-780-240-B.

8VAC20-780-240-E

“Based on record review and staff interviews, the licensee did not ensure that within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: The record for staff #4 (date of hire 4-16-2022) did not include information regarding CPR and First Aid orientation training.”

Rule 8VAC20-780-240-E.

Based on record review and staff interviews, the licensee did not ensure the center shall 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: The Education Manager confirmed there was not a current written list of all children’s allergies, sensitivities, and dietary restrictions. The record for child #2 included a diagnosed food allergy (red dye) from a physician. Child #2 was in care during the inspection”

Rule 8VAC20-780-40-M.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration.

“Evidence: There was not a staff member with CPR certification in 3 out of 3 of the classrooms observed during the inspection. Classroom #1 included 14 children, with staff #5 and staff #2. Classroom #2 included 15 children with staff #6 and staff #7. Classroom #3 included 11 children with staff #8 and staff #3. All children were ages 3-5.”

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

Based on record review and staff interviews, the licensee did not ensure there was a written care plan 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.

“Evidence: The record for child # 2 has a diagnosed food allergy (red dye) and the record did not include a written care plan, to include instructions from a physician.”

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

Based on record review and staff interviews, the licensee did not ensure that 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 and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: Two out of three records reviewed did not have updated TB screenings. Staff #1’s most recent TB screening was dated 2-18-2019 and Staff #2’s most recent TB screening was dated 3-14-2020.”

Rule 8VAC20-780-160-C.

Based on documentation review and staff interviews, the licensee did not ensure to develop a written playground safety procedures that includes all required items.

“Evidence: The playground procedures available for review did not include the following information; 1) Provision for active supervision by staff to include scanning play activities, and circulating among children. 2) Method of maintaining resilient surface.”

Rule 8VAC20-780-40-N.

Based on observation nd staff interviews, the licensee did not ensure to have all required items for the first aid kit.

“Evidence: The first aid kit available for review during the inspection did not include a triangular bandages.”

Rule 8VAC20-780-540-C.

Based on documentation review and staff interviews, the licensee did not ensure to develop a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. The plan, which shall be developed in consultation with local or state authorities, shall include the most likely to occur emergency scenario or scenarios, including fire, severe storms, loss of utilities, natural disaster, chemical spills, intruder, violence at or near the center, terrorism specific to the locality, and other situations, including facility damage that requires evacuation, lockdown, or shelter-in-place.

“Evidence: The emergency plan procedures available for review did not include the following information; 1) Establishment of center emergency officer and backup officer to include 24-hour contact telephone number for each 2) Assembly points, relocation site and secondary means of egress, and complete evacuation of the buildings 3) Staff training requirement, drill frequency, and plan review and update”

Rule 8VAC20-780-550-A.