Mary Bethune Academy

The TB documentation shall be completed 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.

“Staff #2 had a TB result dated 5 months prior to the date of employment.”

Rule 8VAC20-780-160-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Children were observed returning to activities after eating without washing hands or using a disposable wipe.”

Rule 8VAC20-780-500-A.

Staff records are required to have the job title.

“The record for staff 3 identifies the staff person as a lead; however, the staff person is only qualified to be an aide according to documentation in the file.”

Rule 8VAC20-780-70.

Based on observation, the center failed to be maintained in a clean, safe, and operable condition.

“EVIDENCE: In the Peeps classroom, there was a hole in the wall approximately one inch by one inch, about six inches off the floor, near the door. The hole was accessible to children.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to have a diapering surface that was non-absorbent.

“EVIDENCE: The diaper pad in the infant room had a split seam at the edge, making it no longer non-absorbent.”

Rule 8VAC20-780-500-B.

Based on video recordings, documentation, and staff interviews, forbidden actions (roughly handling children) occurred at the center.

Rule 8VAC20-780-410-1. From a complaint.

Based on record review, the center failed to obtain a TB screening on a new staff member within the last 30 calendar days of the date of employment.

“EVIDENCE: Staff 3 began employment on 5/22/2023 and the TB screening was done on 7/28/2022.”

Rule 8VAC20-780-160-A.

Based on observation, an area outside on the playground failed to be maintained in a clean, safe, and operable condition.

“EVIDENCE: A wooden fence in the playground had gaps approximately 4 ? inches wide at the top of the fence. A child’s head/neck could get stuck in the gap. Some of the boards of the fence were splintered.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to have resilient surfacing under climbing equipment on the playground.

“EVIDENCE: A piece of climbing equipment (slide/climber) was approximately 2 ? feet high and had not resilient surfacing at the base of the slide.”

Rule 8VAC20-780-330-B.

Based on review of five staff’s records, the center failed to ensure that all orientations were completed within 7 days of hire.

“Evidence: 1. Staff 1 was hired on 9/6/2022 and orientation was completed on 9/26/2022. 2. Staff # 3 was hired on 9/26/2022 and orientation was completed on 10/18/2022.”

Rule 8VAC20-780-240-C.

Based on observation, the center failed to ensure that all chemicals were not stored with or above food.

“Evidence: 1. Observed in the toddler room several containers of chemicals on a shelf and food was stored under the shelf.”

Rule 8VAC20-780-280-E.

Based on observation, the center failed that all food us stored in a clean and sanitary manner.

“Evidence: 1. There were two boxes of yogurt sitting on the cabinet in the infant room. One box had several tubes of yogurt gone and the other box was full. The tubes of yogurt state that it should be kept in the refrigerator.”

Rule 8VAC20-780-560-N.

Based on review of five staff’s records, the center failed to ensure that all staff had a returned CPS background check within 30 days of hire.

“Evidence: 1. Staff # 2 with hire date of 10/6/2021 did not have a returned CPS check on the day of the inspection.”

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

Based on observation of five staff’s records, the center failed to ensure that all TB screenings/test were signed.

“Evidence: 1. Staff # 1 with the hire date of 10/11/2021 did not have a physician’s or designee s signature. The TB screening or test was complete on 10/1/2021.”

Rule 8VAC20-780-160-A.

Based on observation of the downstairs bathroom, the center failed to ensure that all chemicals were locked.

“Evidence: 1. Observed in the laundry room that is directly off of the children’s bathroom downstairs. The door was unlocked and items were accessible to the children in care. There were several containers of cleaning chemicals, caulk, carpet cleaner, and WD40.”

Rule 8VAC20-780-280-B.

Based on observation of the toddler room, the center failed to ensure all children washed hands per the requirement of the standard.

“Evidence: 1. Observed four children waking up from nap and processing to the table for snack without washing their hands or using a wipe. The standard requires their hands to be washed or a wipe to be used before or after eating.”

Rule 8VAC20-780-500-A.

Based on observation of authorization for medications, the center failed to ensure that all authorizations were completed correctly per the standard.

“Evidence: 1. Child # 3 authorizations were completed by the physician but were not signed by the parent.”

Rule 8VAC20-780-510-I.

Based on review of four children’s records, the center failed to ensure that all required information was obtained per the standard.

“Evidence: 1. Child # 4 has a diagnosed food allergy and did not have an allergy action plan on the day of the inspection. The enrollment day for the child was 4/14/2020.”

Rule 8VAC20-780-60-A.