Highland Children’s House-Hot Springs

8VAC20-780-260-B

“SYSTEMIC DEFICIENCY After the first license, annual approval from the health department shall be provided. The annual approval was overdue by 3 months.”

Rule 8VAC20-780-260-B.

REPEAT VIOLATION;SYSTEMIC VIOLATION Hazardous substances must be in a locked place that prevents access by children.

“In Classroom A, the cleaning solution and sanitizing solution were in an unlocked cabinet, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age. Child 5 (7 ? months old) was observed sleeping on a crib mattress on the floor. Child 6 (11 months old) was observed sleeping on a cot on the floor.”

Rule 8VAC20-780-440-G.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. There were two unrefrigerated bottles that were not labeled or dated on the floor in Classroom B.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“The center shall maintain a separate record for each enrolled child that contains the elements required by the standards. The records for Child 2 and Child 3 did not contain all of the required information.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #1 (employed for over 2 months) was not documented prior their first day of employment.”

Rule 22.1-289.035-B-1.

Hazardous substances must be in a locked place that prevents access by children.

“In Classroom A, a bottle of multi-surface cleaner was in an unlocked cabinet, within reach of children. In Classroom B, the cleaning solution and sanitizing solution were in an unlocked cabinet, within reach of children.”

Rule 8VAC20-780-280-B.

Staff records shall be kept for each person that contain all the required information.

“The record for Staff #1 (employed for over 2 months) and Staff #3 (employed over one month) was missing two required components.”

Rule 8VAC20-780-70.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1, in care for 2 weeks, was not signed.”

Rule 8VAC20-780-150-B.

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

“The record for Child #1, enrolled for three months, was missing the following required components: Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for children 1 and 3 were not signed and dated.”

Rule 8VAC20-780-150-B.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“Children in the Infant/Toddler room were playing next to one uncovered outlet that were within their reach.”

Rule 8VAC20-780-290-A-3.

Each restroom shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

“Three of the restrooms did not have disposable towels or an air dryer.”

Rule 8VAC20-780-320-B.

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #2, who did not meet lead teacher qualifications, was alone with a group of infants for 30 minutes while the program lead left the building to obtain towels off premises.”

Rule 8VAC20-780-340-D.

Children’s hands shall be washed with soap and running water or a disposal wipe before and after each feeding.

“Staff # 2 was feeding an infant and the infant’s hands were not washed with soap and water or with a disposal wipe before and after the feeding”

Rule 8VAC20-780-500-A.

When the center provides snacks, a menu listing food to be served the current week period.

“The center did not provide a menu for the snacks that are served daily.”

Rule 8VAC20-780-560-F.

Tables and high chair trays shall be sanitized before and after each use for feeding; and Cleaned at least daily.

“The tables in the infant room were cleaned after feeding and not sanitized before and after feeding.”

Rule 8VAC20-780-560-J.

Based on review of five staff’s records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1.Staff # 2 had a documented hire date of 05/28/2024 and on the fingerprint letter of eligibility was dated 06/12/2024.”

Rule 22.1-289.035-B-2.

Based on interviews, the center failed to ensure that all crib sheets were washed daily.

“Evidence: Confirmed by infant room staff the crib sheets were washed weekly.”

Rule 8VAC20-780-450-C.

Based on observation, the center failed to ensure that disposable diapers were 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.

“Evidence: The storage system for soiled diapers had a swinging lid that the soiled diaper or the staff member’s hand would touch when disposing the soiled diaper.”

Rule 8VAC20-780-500-B.