Pittsylvania County Community Action- Joseph L. Galloway

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The immunization record for Child 3 was obtained one week after the first day of attendance.”

Rule 8VAC20-780-130-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff 4 TB was dated nine months prior to date of employment.”

Rule 8VAC20-780-160-A.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #3 was missing the following required components: name address and phone number of two designated people to all in an emergency if a parent cannot be reached. Only one contact was documented.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 5 documented the first date of attendance as 03/25/2024. No immunization record was available for review. Staff 3 verified that no immunization record was available for review.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff 1 had a documented hire date of 10/12/2022. The employee eligibility letter was dated 10/13/2022.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation within 90 calendar days of hire.

“Evidence: 1.The record for Staff 1 contained a documented hire date of 10/12/22; no documentation of Virginia Department of Education-sponsored orientation was available for review. Agent/ Applicant 5 confirmed Virginia Department of Education-sponsored orientation was not available for review. 2.The record for Staff 4 contained a documented hire date of 08/07/2023; no documentation of Virginia Department of Education-sponsored orientation was available for review. Agent/ Applicant 5 confirmed Virginia Department of Education-sponsored orientation was not available for review.”

Rule 8VAC20-780-240-A.

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

“Evidence: 1.A table in Class 1 was observed with a broken table leg. Children were observed using the table to play with manipulatives. 2.A part of the kitchen play set in Class 1 was observed with the left side and left door separating from the center, exposing wooden dowels, creating pinch points.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-A

“Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipe before and after eating meals and snack. Evidence: Children were observed returning to activities without washing hands after eating morning snack. Staff 3 confirmed they were not aware of the requirement.”

Rule 8VAC20-780-500-A.

Based on record review and discussion with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter.

“Evidence: The most recent search of the central registry in the record for Staff 5 was dated 09/26/2016; there was not a 2021 repeat search available for review during the inspection.”

Rule 22.1-289.035-A.

Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. The large wooden piece of playground equipment had multiple boards that were splintered and deteriorating and had multiple protruding nails and screws that could snag skin. 2. The bridge rail of the 2Step plastic play structure was cracked; the crack in the plastic material created a pinch point.”

Rule 8VAC20-780-270-A.

Based on observation, measurements and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards described in the American Society for Testing and Materials and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“Evidence: The height of the slide on the plastic jeep play structure measured 1 foot 11 inches high, which requires a 5 foot 11 inch fall zone for the slide trajectory. There was only 3 feet of resilient surfacing, creating the fall zone, for the slide trajectory. The fall zone for the slide did not comply with the minimum safety standards described in the American Society for Testing and Materials.”

Rule 8VAC20-780-330-B.

Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards.

“Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. The record for Child 4 did not contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The care plan in the record did not include instructions from a physician.”

Rule 8VAC20-780-60-A.

Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The children of Center 2 were observed during breakfast and the attendance had not yet been taken; the written attendance record did not document the arrival of each child as it occurred.”

Rule 8VAC20-780-80-A.

Based on record review and discussion with staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment or beginning to serve as a volunteer and every five years thereafter.

“Evidence: The most recent search of the central registry in the record for Staff 1 was dated 09/26/2016; there was not a 2021 repeat search available for review during the 12/08/2021 inspection.”

Rule 22.1-289.035-A.