Harrisonburg Rockingham Child Day Care Centers, Inc.

*SYSTEMIC DEFICIENCY* Prescription medication shall be given to a child according to the center’s written medication policies and only with written authorization from the parent.

“The center’s medication policy is that they only administer emergency prescription medications, however, they administered a non-emergency topical cream requiring a prescription without parent’s written authorization.”

Rule 8VAC20-780-510-B.

*SYSTEMIC DEFICIENCY* The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: the medication is administered by a staff member or an independent contractor who meets the requirements in 8VAC20-780-245J; the center has obtained written authorization from a parent or guardian; the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container; and the center administers drugs only to the child identified on the prescription label in accordance with the prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“A medication was administered to Child 6 (8 months old) by a staff member that did not meet the requirements of 8VAC20-780-245J. The center did not obtain written authorization from the parent or guardian, the medication was not in the original, labeled container. There was no prescription label identifying the child, nor prescriber’s instructions.”

Rule 8VAC20-780-510-E.

*SYSTEMIC DEFICIENCY* Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“The medication was not labeled with the name of the medication, the dosage amount and the time or times to be given.”

Rule 8VAC20-780-510-G.

*SYSTEMIC DEFICIENCY* Medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using safe locking method that prevents access by children.

“A medication was in a basket above the diaper changing table, not in a locked place.”

Rule 8VAC20-780-510-L.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On November 11, 2025, Child #1 (3yrs old) was left alone on the playground for approximately two minutes.”

Rule 8VAC20-780-340-F.