Westgate Child Center

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

“The center did not request a search of the child abuse and neglect registry from one state for Staff #2, who has been employed for more than three weeks and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

When food is brought from home the food container must be clearly dated.

“One child’s food container was not dated.”

Rule 8VAC20-780-560-G.

Staff records shall contain documentation that staff possess the education or certification required by the job position.

“The record for Staff #4 (employed for six years and four months) did not contain documentation of the education required by the job position.”

Rule 8VAC20-780-70.

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 #4 is missing the following required components: documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance.

“The records for Child #4 and Child #5, is missing the following required components: a statement that the center will notify the parent when the child becomes ill, and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

Rule 8VAC20-780-90-A.

Repeat violation

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for over one month, did not have documentation of a sex offender check from one state. Board Officer #1, elected for over five months, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

Repeat violation

Rule 8VAC20-780-60-A-8.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 was overdue by 15 days.”

Rule 22.1-289.035-A.

Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff members and is considered part of the staff member’s record.

“Staff #1, who has been actively working at the center for the past 5 years, did not have documentation of orientation training.”

Rule 8VAC20-780-240-I.

Areas inside of the center were not maintained in a safe condition.

“Plastic bags were kept in the sunshine classroom bathroom in a blue caddy accessible to children posing a suffocation hazard. Plastic bags were kept in the rainbow classroom in a drawer next to the sink accessible to children posing a suffocation hazard.”

Rule 8VAC20-780-270-A.

Based on record review and interview, the center failed to ensure that each staff completed annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1.Staff #2 completed 10 hours of training between 8/2022 and 8/2023. Staff #2 employment date is 8/18/2021. 2.Staff #3 completed 13 hours of training between 8/2022 and 8/2023. Staff #3 employment date is 8/1986.”

Rule 8VAC20-780-245-A.

Based on observation, areas and equipment of the center, inside were not maintained in a clean, safe and operable condition.

“Evidence: There were several areas of peeling paint on the blue wall across from the entrance door and between the four classroom windows.”

Rule 8VAC20-780-270-A.

Based on record review and staff interview, 1 of 5 staff files indicated that the center failed to obtain an out-of-state child abuse and neglect search request by the end of the 30th day of employment.

“Evidence: There was no documentation of an out-of-state central registry check for Staff #3 hired on 04/19/2023.”

Rule 22.1-289.035-B-4.

Based on observation, the sandbox was not covered when not in use.

“Evidence: 1. The playground’s sandbox was not covered. 2. The playground’s sandbox was not in use when the Inspector inspected the playground. 3. The director confirmed that the sandbox needs a cover.”

Rule 8VAC20-780-330-E.

Based on observation and interview, the facility did not ensure that all medication was kept in a locked place, using a safe locking method that prevents access by children.

“Evidence: 1. In the Lightning classroom, a red medication bag that stored an epi-pen and other medication for Child #1 was hanging on a hook in the classroom. 2. The red medication bag was not kept in a locked place, using a safe locking method that prevents access by children.”

Rule 8VAC20-780-510-L.

Repeat violation

Rule 8VAC20-780-60-A-8.

Based on record review, the center did not obtain all the required information for 5 of 5 staff records.

“Evidence: 1. Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 are missing the name, address, and telephone number of a person to be notified in an emergency. 2. There was no documentation of orientation for Staff #4.”

Rule 8VAC20-780-70.

Based on record review and interview, one of five staff records did not have an orientation completed within 7 days of the date of assuming job responsibilities.

“Evidence: Staff #1 (DOH 11/2/2022) record did not have documentation of receiving an orientation of their current job responsibilities.”

Rule 8VAC20-780-240-B.

Based on record review and interview, the center did not develop a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff or a team of staff members.

“Evidence: There was no documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff.”

Rule 8VAC20-780-350-F.

Based on record review and inteview, the injury prevention procedures were not updated at least annually.

“Evidence: The injury prevention procedures were last updated on 11/28/2012.”

Rule 8VAC20-780-40-J.

Based on record review and interview, the center did not develop written procedures for the prevention of abusive head trauma.

“Evidence: There was no documentation of a written policy and procedure for the prevention of abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on record review and interview, one of six long-term prescription medications did not have written authorization signed by the physician.

“Evidence: 1. Child #5’s long-term medication authorization form was not signed by a physician. 2. The written authorization was dated 4/14/2023 to 4/14/2024.”

Rule 8VAC20-780-510-E.

Based on record review and interview, evacuation drills were not practiced monthly.

“Evidence: There was no documentation of a December 2022 evacuation drill being practiced.”

Rule 8VAC20-780-550-D.

Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year.

“Evidence: There was no documentation of a shelter-in-place being practiced in 2022.”

Rule 8VAC20-780-550-E.

Based on record review and interview, one of six children’s records was not updated at least annually.

“Evidence: 1. Child #2’s record did not have an annual update confirming the child’s information in the child’s record was up-to-date. 2. Start date for child #2 is 8/25/2020.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center did not obtain 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.

“Evidence: There was no documentation of a written care plan for child #1 and child #6, who both have a diagnosed food allergy.”

Rule 8VAC20-780-60-A-8.

Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“1. In the Rainbow classroom, a bleach spray bottle and a container of Lysol were located in a cabinet that was not locked. 2. In the Little Leaguers classroom, a bleach spray bottle was located on a counter next to a sink.”

Rule 8VAC20-780-280-B.

Based on staff interviews and a review of the center’s written policies, it was determined the center failed to comply with its own policies and procedures as it relates to behavior guidance.

Rule 8VAC20-780-40-E.

Based on staff interviews, the center did not ensure that behavioral guidance was constructive in nature, age, and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B.

Based on staff interviews and observation, the center failed to ensure that children were not placed in a small confined space or any space where the child could not freely exit.

“Evidence: 1. Staff #4 reported that they saw Staff #1 cornering the child against the bathroom wall and shelf where the child could not exit. 2. Multiple staff reported and confirmed the location where the incident took place and where Child #1 and Staff #1 were standing in the bathroom, which was between the wall and shelf on September 2, 2022. 3. Staff #1 stated that Child #1 was standing next to the shelf during the incident.”

Rule 8VAC20-780-410-2.

8VAC20-780-340-A

Rule 8VAC20-780-340-A. From a complaint.

Based on center’s policies and procedures, the center’s own policies and procedures does not provide information how staff are supervising children to ensure their care, protection and guidance. Evidence: 1. The policy does not address how supervision would be implemented during transitions. 2. There was no system in place to assure children who are using the restroom are provided supervision under the age 10 years.

“Policies do not outline how staff supervision is maintained to ensure that the staff are supervising childen as required by these standards. Evidence: 1. The center’s polices and procedures does not provide detail on how supervision will be provided for transitions, seeing and hearing children, and how staff will directly be supervising children.”

Rule 8VAC20-780-40-E. From a complaint.