McLean Children’s Academy, Inc.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been 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 #3, hired July 13 2026, tuberculosis documentation is dated March 2 2025. The center is 7 weeks out of compliance.”

Rule 8VAC20-780-160-A.

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“The center did not obtain results from Staff #2 of a follow-up tuberculosis screening every two years from the date of the first screening. The center is 3 months and 3 weeks out of compliance.”

Rule 8VAC20-780-160-C.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, employed for more than 16 months, did not have documentation or requesting a central registry check from two states.”

Rule 22.1-289.035-B-4.

Based on staff record review, the center did not ensure that all staff have submitted the results of a follow up tuberculosis screening or test at least every two years from the date of the initial screening.

“Evidence: 2 of 3 staffing records did not have updated Tuberculosis documentation. Staff #2 last documented date of test or screening is March 31, 2022. Staff #3 last documented date of test or screening is August 7 2021.”

Rule 8VAC20-780-160-C.

Based on observation, the center did not ensure that emergency evacuation and shelter-in-place maps are posted on each floor of each building.

“Evidence: There is not an evacuation route map posted in the basement of the center.”

Rule 8VAC20-780-550-C.

Based on observation, the center did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Cleaning spray bottles were stored in a room that children are not regularly in. The room is not locked and can be opened. The cleaning supplies were stored approximately 8 feet from the ground. The requirement is that all cleaning supplies are in a locked area.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure that cleaning materials are not located about utensils or single-service articles.

“Evidence: The cleaning supplies were stored about boxes of single use spoons.”

Rule 8VAC20-780-280-D.

Based on a review of children’s records, the center failed to obtain all required documents for each child enrolled.

“Evidence: - Child #2, #3 and #5’s records do not contain documentation of the work phone number of each parent with custody of the child. - Child # 2, #4 and #5’s records do not contain documentation of persons, other than parents, who are authorized to pick up child.”

Rule 8VAC20-780-60-A.

Based on review of staff records, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: Staff member s #3 and #5’s records do not contain documentation of training hours.”

Rule 8VAC20-780-245-A.

Based on a review of staff records, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation/.

“Evidence: There was no documentation in any staff record of Daily Health Observation training.”

Rule 8VAC20-780-245-L.

Based on review of center record, the center failed to obtain annual approval from the health department for meeting requirements for food service.

“Evidence: The center did not have documentation of an annual report related to food service.”

Rule 8VAC20-780-260-B.

Based on inspection of the center, the center failed to maintain areas and equipment of the center, inside and outside in a clean safe and operable condition.

“Evidence: In a portion of the fence, there are nails and on the playground equipment there is visible cracks that could endanger children.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the upstairs class room there were two containers of hand sanitzer marked “keep out of reach of children. On the first floor, there was a can of Lysol in the cabinet above the sink. On the basement level there was Lysol wipes on the shelf.”

Rule 8VAC20-780-280-B.

Based on interviews the center failed to develop a written playground safety procedure that provided for active supervision by staff to include positioning of staff in strategic locations scanning play activities and circulating among children.

“Evidence: The center does not have a written playground safety proceduires.”

Rule 8VAC20-780-40-N.

Based on observation, the center tailed to ensure that a first aid kit shall be on each floor of the building used by the children.

“Evidence: There was no first aid kit on the second floor or on the basement level.”

Rule 8VAC20-780-540-A.

8VAC20-780-550-A

Rule 8VAC20-780-550-A.

8VAC20-780-560-F

“Based on review of menu, the center failed to follow the most age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture.”

Rule 8VAC20-780-560-F.

Based on a review of children’s records, the center did not obtain/maintain all required documents for each child enrolled.

“Evidence: Child,#1, #2, #3, #4 and #5’s records do not contain the sex of the child. Child #1’s records do not contain documentation of addresses for emergency contacts. Child #2’s record does not contain documentation of of annual record review. Child #4’s record does not contain documentation of a work phone number for one parents or documentation that proof of ID was viewed by staff.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that staff obtain documentation of Recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by 63.2-1509 of the Code of Virginia.

“Evidence: Staff #1’s record does not contain documentation of completion of Recognizing Child Abuse and Neglect.”

Rule 22VAC40-185-240-A.

Based on a review of records, the center failed to obtain a central registry finding within 30 days of employment.

“Evidence: Staff member #1’s record does not include documentation of a central registry finding within 30 days of employment. The staff member first day of employment was 09/22/2021. Staff member #2’s record does not include documentation of a central registry finding within 30 days of employment. The staff member first day of employment was 11/09/2021.”

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