Tee Care 4 U Academy LLC

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. There was no documentation of a TB screening for Staff #1 who has been working for more than two 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 the water supply and sewage disposal system. The most recent Report of Environmental Sanitation was dated 1/21/2025.”

Rule 8VAC20-780-260-B.

8VAC20-780-420-A

“Before the child’s first day of attending, parents shall be provided all required information in writing. There was no documentation in the records of Child #1, #2, #3, #4, #5 that the parents were provided with all required policies in writing before their children’s first day of attending. Staff #1 did not indicate that the parent handbook was sent to the parents as part of the enrollment process.”

Rule 8VAC20-780-420-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 #3, enrolled for two weeks, was missing the following required components: name, address, and phone number of a second person to call in an emergency if a parent cannot be reached and the names of persons authorized to pick up the child.”

Rule 8VAC20-780-60-A.

8VAC20-780-90-A

Rule 8VAC20-780-90-A.

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 three weeks, did not have a central registry search requested. Staff #1 was working alone with children.”

Rule 22.1-289.035-B-3.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been working at the center for the past 3 weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-40-E

“The center did not follow its policies to prevent use of outdated medication and to require a physician’s authorization. There were two medications on site for Child #4 that had expired and had no physician authorization. The medication had not been administered.”

Rule 8VAC20-780-40-E.

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

Based on review of a child’s record and interview, the center did not obtain documentation that each child received immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The first day of attendance for Child #2 was 12/27/23. There were no immunization records in the record of Child #2. The Program Director acknowledged that there was no way to verify if Child #2 received the required immunizations before the child started attending the center.”

Rule 8VAC20-780-130-A.

Based on review of children’s records and interview, the center did not ensure each child had a physical examination by or under the direction of a physician within 30 days after the first date of attendance. Evidence: 1) The first day of attendance for Child #1 was 1/24/24. There was no physical examination in the record of Child #1. 2) The first day of attendance for Child #3 was 4/22/24. There was no physical examination in the record of Child #3. 3) The first day of attendance for Child #4 was 1/24/24. The physical examination in the record of Child #4 was dated 6/12/24.

“The Program Director acknowledged that there was no way to verify if Child #1 and Child #3 had obtained physical examinations and that the physical examination for Child #4 was not completed within the required timeframe.”

Rule 8VAC20-780-140-A.

Based on observation, review of a staff record, and interview, the center did not ensure that a staff member completed orientation prior to working alone with children as required.

“Evidence: Staff #2 began employment on 7/22/24. Staff #2 was observed supervising a classroom of five children by herself on 7/26/24. There was no documentation of orientation in the record of Staff #2. The Program Director acknowledged that Staff #2 had not received orientation as required.”

Rule 8VAC20-780-240-B.

Based on observation, review of a staff record, and interview, the center did not ensure that a staff member received information in writing with the center’s information listed in 8VAC20-780-420.A prior to working alone with children as required.

“Evidence: Staff #2 began employment on 7/22/24. Staff #2 weas observed supervising a classroom of five children by herself on 7/26/24. There was no documentation in the record that Staff #2 received the required information in writing prior to working alone with children. The Program Director acknowledged that Staff #2 had not received the written information as required.”

Rule 8VAC20-780-240-D.

Based on review of a child’s record, a staff person’s record and interview, a staff member used a forbidden action (striking a child’s hand) to get the child to cooperate.

“Evidence: In an interview on 7/26/24, Staff #1 reported that she witnessed Staff #2 strike the hand of Child #1, (age 3), three times when they were in the bathroom on 7/17/24 and that the child began to cry. An incident report in Child #1?s file and an ?employee warning? in Staff #2?s file corroborated Staff #1?s account of the incident.”

Rule 8VAC20-780-410-1.

Based on review of a staff record and interview, the center did not check references as required before the staff member began employment.

“Evidence: Staff #2 began employment on 7/22/24. There was no documentation that references were checked in the record of Staff #2. The Program Director acknowledged that they did not obtain references prior to Staff #2?s date of employment.”

Rule 8VAC20-780-70.

Based on review of four staff records, the facility did not obtain a completed sworn statement prior to the first day of employment for one staff member.

“Evidence: The record of staff #4, employed 03/06/2023, contained a sworn statement dated 03/23/2023, exceeding the first day of employment.”

Rule 8VAC20-770-60-B.

Based on review of four staff records and interview, the facility did not obtain the results of a follow up tuberculosis screening at least every two years from the date of the initial screening for one staff member.

“Evidence: The most recent tuberculosis screening for staff #3 was dated 06/12/2019 exceeding two years. The director stated that an updated tuberculosis TB screening had not been completed.”

Rule 8VAC20-780-160-C.

Based on review of four staff records and interview, the facility did not ensure one staff 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: The record of staff #4, employed 03/06/2023, did not contain documentation of orientation training. The director stated, orientation had not been completed as of today, March 23, 2023, exceeding seven days from employment.”

Rule 8VAC20-780-240-B.

Based on review of documentation, the facility did not obtain annual approval from the health department.

“Evidence: The most recent health inspection for the facility was dated 10/26/2021, exceeding the annual requirement.”

Rule 8VAC20-780-260-B.

Based on observation, the facility did not ensure all required items were included in the first aid kit.

“Evidence: The first aid kit had only one tri-angular bandage when at least two are required”

Rule 8VAC20-780-540-C.