Winchester Day Nursery, Incorporated

8VAC20-780-160-C

“At least every two years, staff members shall obtain and submit results of a follow-up tuberculosis (TB) screening. Staff #1?s follow up TB screening was six weeks past due.”

Rule 8VAC20-780-160-C.

8VAC20-780-350-B-4

“Based on observation and interview the center failed to maintain the required staff: children ratio of 1:10 for children ages three years old to school eligibility. Evidence: 1. In the PreK classroom, there were 12 children. Staff #6 confirmed the age of the youngest child was four years old. 2. Staff #7 was observed leaving the classroom twice to go to the kitchen, leaving Staff #6 alone with 12 children.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-200-A

Rule 8VAC20-780-200-A.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-500-A

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not wash their hands or the children’s hands after the diaper change. 2. Staff #3 confirmed that they did not wash their hands or the children’s hands after the diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that the diapering surface was cleaned with soap and water and sanitized after each use. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not clean or sanitize the diapering surface after each diaper change. 2. Staff #3 confirmed that they had not cleaned or sanitized the diapering surface after each diaper change.”

Rule 8VAC20-780-500-B.

8VAC20-780-60-A

“Based on review of records and interview, the center failed to maintain a record for each child that contained the required information. Evidence: 1. Child #1?s record did not contain the place of employment or a phone number for the place of employment for either parent. 2. Child #3?s record did not contain a phone number for the parent’s place of employment. 3. Staff #6 and Staff #7 confirmed that information was missing from the files.”

Rule 8VAC20-780-60-A.

8VAC20-780-140-A

“Based on review of records, the center failed to ensure that each child had a physical examination prior to or within 30 days of the first day of attendance, Evidence: 1. A physical examination was not in Child #2?s record. Child #2?s start date was 9/26/2022. 2. Staff #1 confirmed that there was not a physical examination in Child #2?s record.”

Rule 8VAC20-780-140-A.

Based on review of staff files, the center failed to complete an out-of-state central registry background check in the required timeframe.

“Evidence: 1. Staff #1’s date of hire was 03/07/2022. The ID in the file was an out of state drivers license issued in Maryland issued in 2021.. There was not an out-of-state central registry background check completed for Maryland. The background check was required by 04/21/2022. 2. Administration verified the date of employment, and that there was not an out-of-state central registry background check completed.”

Rule 22.1-289.035-B-4.

Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location.

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure children washed their hands before meals.

“Evidence: In Classroom #4 the children washed their hands when they returned from outside play. The children came into the classroom and then sat on the floor while staff prepared the lunch tables and lunch. The children were observed touching the floor, each other, and materials in the classroom. The children moved from the floor to the table to begin lunch. They did not rewash their hands with soap and water or a disposable wipe before eating lunch.”

Rule 8VAC20-780-500-A.

Based on review of the menu and verification by staff, the center failed to follow the nutritional requirements of a recognized authority such as the the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: 1. The afternoon snack for three days did not contain two creditable components. One day contained Jello-O, goldfish and water. Jell-O is not a creditable component and the snack would require one more creditable component. 2. The afternoon snack for two days listed carrot sticks with ranch and juice. One more component was required from a different food group.”

Rule 8VAC20-780-560-F.

Based on review of children records, the center failed to obtain documentation of immunizations prior to or on the first day of attendance.

“Evidence: 1. Child #1’s immunizations were dated 10/21/2021. Date of enrollment was 10/14/2021. 2. Child #2’s immunizations were dated 10/21/2021. Date of enrollment was 10/18/2021. 3. Child #4’s immunizations were dated 11/12/2021. Date of enrollment was 11/08/2021.”

Rule 22VAC40-185-130-A.

Based on observation and interview with the staff, the center failed to ensure that all areas were maintained in a clean and safe condition.

“Evidence: 1. In the restrooms next to the three year old classrooms, the floors in the bathroom staffs had dirt and debris along the baseboard behind the toilets, there were yellow stains and dark stains and rings around the toilet base, and behind the toilets. 2. Staff verified that there were yellow stains and dark rings around the toilet base and behind the toilets.”

Rule 22VAC40-185-270-A.