A Child’s Place

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and must be signed by a physician, physician’s designee, or an official of the local health department.

“Staff 2, employed for over 2months, and Staff 3, employed for over 5 months, had screen shots of the TB screening as documentation, not signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Outlet in the preschool class not covered.”

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

Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that there is no second entry-way to the bathroom.

“The Pre-K teacher was observed allowing children to use the bathroom without sight and sound supervision. The bathroom was across the classroom (>20 feet), the teacher asked for confirmation that no other children were in the bathroom. The bathroom also had a second door to another classroom.”

Rule 8VAC20-780-340-F.

Based on staff record review, a subsequent TB screening was not obtained every two years for one staff.

“Evidence: Staff #2’s last TB screening was dated March 2, 2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-510-E

“Based on review of medications, the center failed to follow their own procedures for administering medications. Evidence: 1. Medication for Child #1 expired in September 2023. 2. Medication for Child #2 expired in June 2023. 3. Medication for Child #3 expired in August 2023. 4. The physician authorizations for all 3 long term medications had expired.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-I

“Based on review of medication, an expired medication was administered to a child without a current parent/physician authorization. 1. Child #2 was administered a medication on 10/16/2023. 2. The medication expired in June 2023. 3. The parent/physician authorization expired in July 2023.”

Rule 8VAC20-780-510-I.

8VAC20-780-270-A

“Based on observation of the center and playground, equipment was not maintained in a safe and operable condition. Evidence: 1. The train play equipment located on the Toddler playground had a wooden wheel that has splintered and cracked. 2. Some of the mats used for napping in the Trainers class were cracked exposing the inside foam cushion which interferes with proper weekly sanitizing.”

Rule 8VAC20-780-270-A.

8VAC20-780-440-B

“Based on observation of the center, mats were not identified for use by a specific child. Evidence: Staff were observed laying mats out for nap time in the Trainers Class. Not all mats were numbered to identify a specific child’s use.”

Rule 8VAC20-780-440-B.

8VAC20-780-440-E

“Based on observation of the classrooms, occupied rest mats did not have 12 inches of space between them. Evidence: The children were observed napping in the Trainer’s and Preschool 1 classroom. A minimum of 12 inches between the occupied rest mats was not maintained.”

Rule 8VAC20-780-440-E.

Based on review of medication on site, the center was not following methods to prevent use of outdated medicine

“Evidence: Medication for Child #1 expired on 3/2022.”

Rule 8VAC20-780-510-E.

22VAC40-185-560-F

“Based on review, the center did not follow the most recent, age appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).which requires two food components to be served for snack. Evidence: 1. The center’s menu listed gold fish and water on December 7th, mandarin oranges and water on December 16th and goldfish and water on December 20th.”

Rule 22VAC40-185-560-F.

8VAC20-780-270-A

“Based on observation, the equipment of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Two Year old class, a home living sink had a missing part on the top right side of the sink which created a hole in the equipment. 2. The orange structure on the playground had a loose steering wheel.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Based on observation, the diapering area did not meet all requirements. Evidence: 1. In the Toddler classroom, the changing pad had a thin crack approximately 1 1/2 inches long on the side and another small crack on the corner of the pad.”

Rule 8VAC20-780-500-B.