AppleTree Preschool

8VAC20-780-160-C

“Repeat violation. At least every two years from the date of the first initial screening or testing, staff members shall submit the results of a follow-up tuberculosis screening. Staff 2 did not have a current tuberculosis test or screening; the documented test expired 6 months ago.”

Rule 8VAC20-780-160-C.

8VAC20-790-600-D-1

“Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 2 did not have documentation of current cardiopulmonary resuscitation (CPR).”

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

8VAC20-790-600-D-2

“Staff shall have current first aid certification for the ages of the children in care. Staff 2 did not have current documentation of first aid certification.”

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

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall submit the results of a follow-up tuberculosis screening. Staff 2 did not have a current tuberculosis test or screening; the documented test expired 2 months ago.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member’s record, and shall include: the date of training. Orientation for Staff 3, employed for almost 3 months, was not dated.”

Rule 8VAC20-780-240-I.

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 last documented fire inspection expired 4 months ago.”

Rule 8VAC20-780-260-A.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The last documented shelter in place drill was 1 year and 4 months ago. Staff confirmed the drills had not been conducted.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The last documented lockdown drill was 1 year and 4 months ago. Staff confirmed the drill had not been conducted.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“The facility shall have 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. Child 1 has diagnosed food allergies but did not have a written allergy action plan on file.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“The facility failed to have required documentation in each staff file. Two references as to character, reputation, and competence should be checked prior to employment. Staff 1, employed for 9 months, did not have documentation of two references on file.”

Rule 8VAC20-780-70.

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 and Staff 3 who have been employed for 4 months, did not have a central registry search on file. The staff were not working under the supervision of staff with background checks at all times.”

Rule 22.1-289.035-B-3.

8VAC20-780-240-A

“Staff shall complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Staff 4, employed for four months, did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-70

“Two references as to character, reputation, and competence, shall be checked prior to employment. If a reference check is taken over the phone, documentation shall include dates of contact, names of persons contacted, the firms contacted, the results, and signature of person making call. Phone references for Staff 1, 2, 3, and 4 did not include dates of contact, the firm contacted, or the results.”

Rule 8VAC20-780-70.

8VAC20-780-160-A

“Based on review of three staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test for each staff within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 3 (date of employment 4/1/2024) had a TB test 8/25/2023, more than 30 days prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-500-A

“Based on staff interview, the facility failed to have staff wash their hands and the children’s hands with soap and running water before and after a diaper change. Evidence: Staff 1 stated that she uses hand sanitizer after changing a child’s diaper.”

Rule 8VAC20-780-500-A.

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 2 were in the infant and toddler rooms. There is no documentation that either staff are current in cardiopulmonary resuscitation (CPR).”

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

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with current certification in first aid. Evidence: Staff 1 and Staff 2 were in the infant and toddler rooms. There is no documentation that either staff are current in first aid certification.”

Rule 8VAC20-780-530-A-2.

8VAC20-780-70

“Based on review of three staff records, the facility failed to have required documentation in each file. Evidence: 1. Staff 1, Staff 2, and Staff 3 did not have documentation to demonstrate that they possess the education and experience required by the job position. 2. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 3 (date of employment 4/1/2024) did not have documentation of two references on file.”

Rule 8VAC20-780-70.

8VAC20-780-340-A

“Based on observation, the provider failed to ensure that when staff are supervising children, they always ensure their care and protection. Evidence: in the infant room, a child had a soft toy stuffed with beans brought from home. When the owner picked it up, a bean fell onto the floor. The bean could be a choking hazard.”

Rule 8VAC20-780-340-A.

8VAC20-780-560-M

“Based on observation, the facility failed to prevent children from drinking while walking around. Evidence: a toddler was walking around while drinking milk from a sippy cup.”

Rule 8VAC20-780-560-M.

22.1-289.036-B-1

Rule 22.1-289.036-B-1.

8VAC20-770-60-C-2

“Based on review of one licensee file, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file. Evidence: Licensee 1 did not have a completed search of the central registry on file at the time of the initial inspection.”

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

8VAC20-780-245-L

“Based on reviews of two staff records and interview, the center failed to have a staff trained in daily health training. Evidence: The two staff hired did not have documentation of daily health observation training. The licensee confirmed that none of the staff have daily health observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-530-C

“Based on staff interview and review of two staff records, the facility failed to have at least two staff present with current cardiopulmonary resuscitation (CPR). Evidence: two staff records reviewed di not have documentation of current CPR.”

Rule 8VAC20-780-530-C.