Karter School of Gainesville

The center is required to maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all of the required information.

“Thirteen accident/incident reports were reviewed; five were missing documentation of how and/or when the parent was notified, or a future action taken by the center to prevent recurrence of the injury.”

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

The center is required to inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“The center was notified on 10/2/26 that a family had obtained outside medical treatment for their child due to a bite received at the center. The center did not report the injury requiring outside medical treatment to the department as required.”

Rule 8VAC20-780-80-B-2. From a complaint.

The center is required to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The immunizations on record for Child A were dated more than three weeks after enrollment. The immunizations on record for Child D were dated more than four months after enrollment.”

Rule 8VAC20-780-130-A.

The center is required to obtain documentation of a physical examination by or under the direction of a physician within 30 days after attendance.

“The physical on record for Child D was dated more than four months after enrollment.”

Rule 8VAC20-780-140-A.

After the first license, annual approval from the health department is required to be provided, or approvals of a plan of correction.

“The most recent health inspections on record for the center were dated 9/15/25.”

Rule 8VAC20-780-260-B.

The center is required to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions in a way that is accessible to all staff who work with children.

“1. On 9/28/26 the allergy list contained documentation of allergies to peanuts, eggs, and tree nuts for Child G. The allergy care plan for the child, from their physician, contained documentation of allergies to milk, egg, and peanuts. 2. The classroom allergy list contained documentation of an allergy to cashews for Child H, but Child H has documented allergies to cashews and pistachios.”

Rule 8VAC20-780-40-M.

At least one staff in each classroom or area where children are present is required to have current certification in cardiopulmonary resuscitation (CPR).

“On 9/28/26, Staff #1 was observed to be the only staff member present in the Toddler 1 classroom during nap time. There was no documentation on record of Staff #1 being CPR certified.”

Rule 8VAC20-780-530-A.

The center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required documentation.

Rule 8VAC20-780-60-A.

The center shall obtain all of the required documentation for staff records.

“1. The record for Staff #1 did not contain a second reference as to character, reputation, and competency checked before employment. 2. The record for Staff #2 did not contain two references as to character, reputation, and competency checked before employment; or documentation to demonstrate that the individual possesses the education or certification required by the job position. 3. The record for Staff #4 did not contain documentation to demonstrate that the individual possesses the education or certification required by the job position.”

Rule 8VAC20-780-70.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The medication for child A has been expired for 13 days. Child B has two emergency medications on site. Medication one for child B has been expired for 43 days and medication two for child B has been expired for 13 days.”

Rule 8VAC20-780-510-E.

REPEAT VIOLATION 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 eleven children present in the school age room, but ten children were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

Repeat violation

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff A, employed for 4 months, did not have documentation of requesting a sex offender check from the state Staff A has resided in the last five years.”

Rule 22.1-289.035-B-4.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“The two emergency medications for child B (Age 23 months) could not be located at the facility for approximately 30 minutes. The medication was located by staff and provided to center administration.”

Rule 8VAC20-780-340-A.

Repeat violation

Rule 8VAC20-780-40-M.

Repeat violation

“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 C and child D was onsite, but the medication authorization had expired over 68 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Repeat violation

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR certification. Staff C, who have been actively working with children for the past 5 months did not have documentation of CPR certification on file.”

Rule 8VAC20-790-600-D-1.

Repeat violation

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current first aid certification. Staff C, who have been actively working with children for the past 5 months did not have documentation of first aid certification on file.”

Rule 8VAC20-790-600-D-2.

Repeat violation

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff A, who had been employed for two weeks, did not have a central registry search requested. Staff B, who had been employed for one month, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff B, employed for one month, did not have documentation of requesting a criminal history check or sex offender check from the state Staff B has resided in the last five years.”

Rule 22.1-289.035-B-4.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“There are several tree stumps on the toddler playground used for gross motor activities. Two stumps have large holes in the middle with sharp edges exposed and also pose a tripping hazard. There are nine pins protruding in the barrier of the large playground posing an entanglement hazard.”

Rule 8VAC20-780-270-A.

Toilet chairs shall be emptied promptly and cleaned and sanitized after each use.

“In the Toddler-two classroom, the toilet-seat in the middle toilet stall was soiled. A portable toilet chair was observed to have dried urine in the basin.”

Rule 8VAC20-780-500-C.

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 A was onsite, but the medication authorization had expired over 26 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Repeat violation

“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 ten children present in the toddler-two room, but eleven were marked present on the attendance record. There were ten children present in the toddler-one room, but nine children were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of CPR certification on file.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current first aid certification. Staff A and Staff D, who have been actively working with children for the past 4 months did not have documentation of first aid certification on file.”

Rule 8VAC20-790-600-D-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 A, who had been employed for four months, did not have a central registry search requested. Staff C, who had been employed for one month and twelve days did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

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 children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

Rule 8VAC20-780-160-A.

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 children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.”

Rule 8VAC20-780-160-A.

8VAC20-780-350-B-1

“The required ratio for children ages birth - 16 months is one staff per four children. Two staff were observed supervising 17 children (youngest child 14 months old) during rest time, from 1:00 p.m. - 2:30 p.m.”

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

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 E was observed carrying a soiled diaper in a plastic bag and taking it to a trash can outside instead of disposing the diaper in the foot-operated trash can at the diaper changing area.”

Rule 8VAC20-780-500-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 A and Child B, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-70

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

Rule 8VAC20-780-70.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation form before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a sworn statement form on file.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of five staff records it was determined that not all records contained documentation of a central registry check within the first thirty days of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a central registry check on file.”

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

8VAC20-780-160-A

“Based on review of five staff records it was determined that not all staff records contained documentation of a TB (tuberculosis) screening on file before the first day of employment. Evidence: The record for staff A (start date: 01/29/24) did not have documentation of a TB screening on file.”

Rule 8VAC20-780-160-A.

8VAC20-780-550-E

“Based on review of the emergency drill log it was determined that shelter in place drill’s were not practiced at least twice per year. Evidence: The most recent documentation that a shelter in place drill had taken place was on 05/16/2022.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on review of the center’s emergency drill log it was determined that lockdown drills were not precited at least annually. Evidence: The most recent lockdown drill was documented to have taken place on 05/23/22.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A-8

“Based on review of six children’s records and review of the center’s allergy list it was determined that not all children with a diagnosed food allergy had a written care plan on file. Evidence: Child A and Child B are documented on the center’s allergy list as having a diagnosed food allergy. There is not an allergy care plan on file for child A and child B to indicate instructions and actions to take place if the children come in contact with the specific allergen.”

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

8VAC20-770-60-B

“Based on review of five staff records it was determined that not all records contained documentation of a sworn statement or affirmation before the first day of employment. Evidence: The record for staff A (start date: 08/07/2023) did not contain documentation of a completed sworn statement form.”

Rule 8VAC20-770-60-B.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-40-M

“Based on review of documentation it was determined that the center failed to maintain an up to date list of children’s allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list on file was dated 04/13/2023. Child C had emergency medication on site for a diagnosed food allergy but was not listed on the center’s allergy list.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A-8

“Based on review of the food allergy list and review of two children’s records it was determined that not all children with food allergies had an written allergy care plan on file. Evidence: The records for Child A and Child B did not contain documentation of a written allergy care plan. Child A and Child B were documented to have food allergies on the center’s allergy list.”

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

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1.) The record for staff A (start date: 08/07/2023) did not contain documentation of a person to contact in an emergency. 2.) The record for staff A (start date: 08/07/2023) did not have documentation of two references as required.”

Rule 8VAC20-780-70.

8VAC20-780-280-B

“Based on observation of classroom 2 it was determined that not all hazardous substances were kept locked preventing access by children. Evidence: Hazardous substances such as disinfectant spray, bleach water, adhesive remover, and medication was observed in an unlocked closet in classroom two.”

Rule 8VAC20-780-280-B.

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were maintained in safe condition. Evidence: 1.) The paneling is beginning to detach from the sink cabinet creating sharp edges on the bottom-left and right side of the cabinet. 2.) Two bolts are protruding from the playground barrier creating a tripping hazard.”

Rule 8VAC20-780-270-A.