Fremont Street Nursery, Incorporated

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for two months, did not have documentation of requesting a central registry check , criminal history and sex offender for one state. Staff #2, employed for over one week, did not have documentation of requesting a central registry check , criminal history and sex offender for one state.”

Rule 22.1-289.035-B-4.

The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Staff #1 was hired two days before references were documented. Staff #2 was hired one day before references were documented.”

Rule 8VAC20-780-70.

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

“On 9/17/2024, Staff #1 applied their personal non-medicated gum massage gel to Child #1, age 4 months old, without parental authorization. No adverse reaction was documented or reported.”

Rule 8VAC20-780-340-A.

22.1-289.036-A

“Based on review of documentation, the center failed to obtain repeat national fingerprint background checks every five years as required. Evidence: Board officer #2 most recent national fingerprint results were dated 10/04/2018.”

Rule 22.1-289.036-A.

Based on observation, the center failed to ensure that all areas shall be maintained in a clean, safe and operable condition.

“Evidence: 1. In the restroom between the one year old classroom and the two year old classroom the molding is missing in several areas. The tiles in the restroom are discolored and dirty. 2. Throughout the center the floors and tiles were dirty and had debris stuck to them.”

Rule 8VAC20-780-270-A.

Based on review of staff files, the facility failed to ensure that a tuberculosis screening had been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. Staff #2’s date of employment was 02/24/2023. The tuberculosis screening on file was dated 03/18/2021. 2. Staff #1 verified the date of employment for Staff #2, and the date on the tuberculosis screening.”

Rule 8VAC20-780-160-A.

Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a lockdown was practiced at least annually.

“Evidence: 1. There was no documentation that a lock down drill had been completed in 2022. 2. Staff #2 verified that a lockdown drill had not been completed in 2022.”

Rule 8VAC20-780-550-F.

Based on review of injury reports, the center failed to ensure that all information was included on the report.

“Evidence: 1. An injury report dated 01/09/2023 was missing the date and time the parent was notified of and a second signature from a parent or another staff member. 2. Administration verified that the report was missing all required information.”

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

Based on a review of children records, the center failed to ensure that the immunizations and physical shall be dated and signed by a physician, designee, or an official of a local health department.

“Evidence: 1. Child #2’s immunizations and physical had not been signed or dated by a physician, designee, or an official of a local health department. 2. Administration verified that the health reports did not have a date or signature.”

Rule 8VAC20-780-150-B.

Based on a review of staff records, the center failed to ensure that a tuberculosis screening/test was obtained at least every two years from the date of the last screening/test.

“Evidence: 1. Staff #1’s last documented tuberculosis screening on file was dated 10/13/2020. A new one was required by 10/13/2022. 2. Administration verified the date of the tuberculosis screening on file.”

Rule 8VAC20-780-160-C.

Based on measurements taken and confirmation from staff, the center failed to keep the required amount of resilient surfacing in the fall zones of the play equipment.

“Evidence: 1. The resilient surfacing at the end of both slides measured 3 inches. The required amount is 6 inches. 2. The resilient surfacing underneath and around the climbing structure measured 2.5 inches. The required amount is 6 inches. 3. The resilient surfacing at the end slide on the one year old’s playground measured 2 inches. The required amount is 6 inches.”

Rule 8VAC20-780-330-B.

Based on a review of evacuation drills, the center failed to ensure that a monthly evacuation drill was completed once a month.

“Evidence: 1. There was not documentation that a November 2021 evacuation drill had been completed. 2. Staff verified that there was not an evacuation drill completed for November 2021.”

Rule 8VAC20-780-550-D.