Tuckaway Child Development Center - West

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence to include all of the required elements.

“1. Four of ten injury reports did not include the date, time and how the parent was notified.”

Rule 8VAC20-780-550-P.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“1. Staff #3, working at the center for nine days, did not have any completed reference verifications on file. 2. Staff #4, working at the center for 3 days, did not have any completed reference verifications on file. 3. Staff #5, working at the center for 105 days, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Staff shall complete the Department’s health and safety update course annually.

“Documentation of the 2026 health and safety training for Staff #2 was overdue by 29 days, Staff #3 was overdue by 36 days, and Staff #4 was overdue by 11 days.”

Rule 8VAC20-790-600-F.

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #4 did not have current certification in CPR and recertification was overdue by 10 days.”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current certification in first aid appropriate to the ages of children in care.

“Staff #4 did not have current certification in first aid and recertification was overdue by 10 days.”

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

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff #2, who is currently working, was dated one day after their first day of employment.”

Rule 22.1-289.035-B-1.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“A deck covering the sand box has broken and splintered floor board and railings. Floor boards from deck are broken and hanging down from the deck which poses a risk to children in care.”

Rule 8VAC20-780-270-A.

Annual approval from the health department shall be provided for meeting the requirements of food service.

“The center did not have a current Environmental Sanitation Inspection.”

Rule 8VAC20-780-260-B.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child A was onsite, but the medication authorization had expired over 22 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed, and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

The center shall maintain written records of children’s injuries that contain all of the required information.

“Three injury reports dated 03/06/2025, and 03/12/2025 did not document the date, time, and how parents were notified of the injury. Three injury reports were missing required signatures.”

Rule 8VAC20-780-550-P.

Based on records review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: The record for staff #1, date of employment 01/10/2024, contained a tuberculosis screening dated 02/27/2024. The tuberculosis screening was not conducted within 30 days prior to the date of employment.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records, the center did not ensure a record was kept for one staff that contained the required information.

“Evidence: 1. The record of staff #1 (date of employment: 1/10/2024) identified the staff member as a lead teacher/program leader. The record was missing documentation to demonstrate that the individual possessed the certification/training required by the job position.”

Rule 8VAC20-780-70.

Based on a review of records and interview, the center did not ensure that results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry are obtained from any state in which the individual staff has resided in the preceding five years.

“Evidence: 1. The record for staff #3 (hire date 9/11/2023), contained a sworn disclosure that indicated that staff #3 has lived outside of Virginia within the last 5 years. Staff #3?s record did not have documentation of an out of state sex offender registry check, and an out of state search of the child abuse and neglect registry. 2. An administrator stated that the state does not provide background checks.”

Rule 22.1-289.035-B-4.

Based on record review, the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance.

“Evidence: The record for Child #3 (date of enrollment is 09/05/2023) did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on a review of five staff records, the center did not ensure one staff member had a completed tuberculosis (TB) test within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: The record of Staff #5 (employment date1/3/2024), contained a tuberculosis (TB) document that was not signed by a physician, physician designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records and interview, the center did not ensure one staff submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing.

“Evidence: 1. The most recent TB screening in the record of Staff #4, was dated on 3/4/2022. 2. During the interview, management confirmed Staff #4 does not have an updated TB screening on file.”

Rule 8VAC20-780-160-C.

Based on interview and review of documentation, the center did not ensure that monthly evacuation drills were practiced as required.

“Evidence: 1. The last evacuation drill was documented on 05/09/2023.There were no evacuation drills documented for June 2023 ? February 2024. 2. An administrator stated that drills were conducted but the drills had not documented.”

Rule 8VAC20-780-550-D.

Based on review of documentation, the center did not ensure that shelter in place procedures shall be practiced a minimum of twice per year.

“Evidence: 1. There was no documentation of a shelter in place drill practiced a minimum of twice per year for January 2023- December 2023. The last shelter-in-place drill was documented on 10/30/2022.”

Rule 8VAC20-780-550-E.

Based on the record review, the center failed to ensure that lockdown procedures shall be practiced at least annually.

“Evidence: 1. There was no documentation that a lockdown drill was practiced at least annually between January 2023- December 2023. The last lockdown drill was documented 7/20/2022. 2. The director stated that drills were conducted but were not documented.”

Rule 8VAC20-780-550-F.

Based on a review of five (5) child records and interview, the center did not ensure that three (3) contained the required information.

“Evidence: The record for #2 (enrollment date 8/23/2022), and child #4 (enrollment date, 12/15/2020), did not contain documentation of child updates and confirmation of up-to-date information in the child’s required.”

Rule 8VAC20-780-60-A.

Based on observation, the center did not ensure children’s hands are washed after diapering and toileting.

“Evidence: Staff #1 was observed completing two diaper changes in the Twos and Threes classroom. Staff #1 placed the children on the floor without washing their hands.”

Rule 8VAC20-780-500-A. From a complaint.

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. Staff #2’s CPR certification expired on 3/12/2023. 2. Administration verified that the CPR certification was expired.”

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

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid. Evidence: 1. Staff #2’s first aid certification expired on 3/12/2023. 2. Administration verified that the first aid certification had expired.”

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

22.1-289.035-A

“Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The staff record for Staff #3 contained a national criminal background check dated 5/17/2018. Staff #2 should have undergone a criminal background check on or before 5/17/2023. 2. The director verified that a criminal background check had not been completed for staff #2.”

Rule 22.1-289.035-A.

8VAC20-770-60-B

“Based on a review of eight staff records, the center did not ensure that two staff had a completed sworn statement or affirmation prior to employment. Evidence: 1. Staff #2, employed on 1/3/2023, completed a sworn statement 1/18/2023. 2. Staff #4, employed 9/15/2022, completed a sworn statement 9/20/2022.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on a review eight staff records, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for Staff #4, hired on 9/15/2022, did not contain the results of a search of the central registry. The record did not contain documentation of any further contact with the Office of Background Investigations, and the staff has been continuously employed.”

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

8VAC20-780-160-A

“Based on the file review for staff, the center did not obtain documentation of having received a negative tuberculosis (TB) screening or test within the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff Member #4 contained documentation of a TB screening/test dated 9/18/2022. Date of hire for Staff Member #4 was 9/15/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete. Evidence: 1. Child #1 and child #4?s file was missing the doctor’s phone number.”

Rule 8VAC20-780-60-A.

Based on review of five staff records and interview, one staff did not have a completed sworn statement prior to the first date of employment as required.

“Evidence: 1. The record of staff #5 (DOH:11/10/2021) contained a sworn statement dated 11/11/2021. 2. Administration acknowledged that the sworn statement was not received within the required time frame.”

Rule 8VAC20-770-60-B.

Based on review of five records and interview, one staff did not have the results of a central registry background check within 30 days of employment as required.

“Evidence: 1. The record of staff 5 (DOH: 11/10/2021) contained the results of a central registry dated 1/21/2022. 2. Administration acknowledged that it was not received during the required time frame.”

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

Based on review of records and interview, the center did not ensure that any child with prescribed emergency medications (such as but not limited to albuterol, glucagon, and epinephrine auto injector) were always in the care of a staff member or independent contractor who met the requirements for medication administration. (MAT)

“Evidence: 1. Administration stated that no staff had current MAT training. They acknowledged that there was a child with an as needed inhaler who was regularly in the care of teacher #2. Teacher #2’s medication administration certification expired on 3/14/2022.”

Rule 8VAC20-780-245-J-3.