Piedmont Child Care Center

The Center is required to ensure that staff complete orientation prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities.

“The file for Staff #1 did not contain documentation of the completion of the staff orientation as required.”

Rule 8VAC20-780-240-B.

The Center is required to maintain documentation for staff records including two or more references as to character and reputation as well as competency were checked before employment.

“The center did not have two or more signed references for Staff #1 prior to hire.”

Rule 8VAC20-780-70.

The Center is required to ensure that orientation documentation was kept for each staff member.

“The file for Staff #1 did not contain documentation of an orientation.”

Rule 8VAC20-780-240-I.

The Center is required to ensure that prepared infant formula is dated and labeled with the child’s name.

“Evidence: In the Infant classroom, there was a bottle of infant formula that was stored in the refrigerator and was not dated.”

Rule 8VAC20-780-570-E.

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

“Evidence: 1)During inspection in the unlocked utility room, 4 containers of glass cleaner containing a label that stated ?Keep out of Reach of Children? and the word ?Caution? were stored on a shelf in an unlocked area. 2)On the playground 1 container of bleach water was stored on top of an outdoor storage bin. 3)In the Infant room, 1 container of bleach water was stored on the counter and not in use.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

Based on review of 3 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: For a medication for Child #1, the duration of the parent’s authorization was not renewed after 10 workdays nor was written medication authorization given from the child’s physician and parent for a long term medication.”

Rule 8VAC20-780-510-E.

Based on review of 3 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“Evidence: The medication for Child #1 was not maintained in the original, labeled container from a pharmacy.”

Rule 8VAC20-780-510-I.

(Repeat Violation) Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill.

“Evidence: There was no documentation for evacuation drills for July 2024 and August 2024.”

Rule 8VAC20-780-550-D.

Based on review of 5 staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire.

“Evidence: The record for Staff #1 (date of hire 11/6/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire. The sworn disclosure statement on file was dated 11/7/23.”

Rule 8VAC20-770-60-B.

Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone.

“Evidence: The far back playground has a climbing structure with slide that is 56 inches in height. In front of the slide at 62 inches from the end of the slide, the resilient surfacing stops at a hard plastic support for the playground surround. Resilient surfacing is required to extend to 6 feet of resilient surfacing beyond the end of the slide.”

Rule 8VAC20-780-330-B.

(Repeat Violation) Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use.

“Evidence: 1)In the Infant classroom, a staff member stated they are not sanitizing the diaper area and are only using soap and water to clean the diapering surface. To properly sanitize the diapering surface once cleaned, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes. 2)In the Green room (ages 16 months- 2 yrs old) there was debris on the diapering surface indicating the surface was not clean.”

Rule 8VAC20-780-500-B.

(Repeat Violation) Based on observation, the center did not ensure that diaper cream was kept inaccessible to children.

“Evidence: In the Yellow Room bathroom (ages 2-3 yrs old), there were 2 diaper creams stored in low unlocked drawers where children have access.”

Rule 8VAC20-780-520-C.

(Repeat Violation) Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill.

“Evidence: There was no documentation of evacuation drills for March 2024 and April 2024.”

Rule 8VAC20-780-550-D.

Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

“Evidence: 1)In the Infant classroom, there were 2 items for children that were brought from home that were stored in the refrigerator and not dated. 2)In the Infant classroom, there were 4 containers of food for children that were brought from home that were stored in a cabinet and not dated.”

Rule 8VAC20-780-560-G.

(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: 1)During inspection in the Infant classroom (ages 8-13 months), there were 5 children present, but the written record reflected there were 2 children present. 2)During inspection of the Yellow room group (ages 2-3 yrs old) there were 10 children present, but the written record reflected there were 11 children present.”

Rule 8VAC20-780-80-A.

8VAC20-780-210-A

“Based on review, the facility did not ensure that program leaders documentation of education and experience met one of the listed options. Evidence: reviewed 5 program leader records and found that Staff 2, 3, 4, and 5 did not have documentation of program leader qualifications.”

Rule 8VAC20-780-210-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that there was a tube of Neosporin marked, keep out of reach of children, accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-430-A

“Based on observation, the facility did not ensure that furnishings, equipment, and materials shall be of an appropriate size for the child using it. Evidence: observed small “lego-like” blocks that were small enough to be a choking hazard for children under the age of 3, in the Twos’ classroom.”

Rule 8VAC20-780-430-A.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments were labeled with the child’s names. Evidence: observed that there were two bottles of diaper cream, in children’s cubbies that were not labeled with either child’s name.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-D

“Based on review and staff interviews, the facility did not ensure that they practiced monthly evacuation drills. Evidence: reviewed the facility’s evacuation drill and interviewed staff and verified that there was no evacuation drill practiced in September of 2023.”

Rule 8VAC20-780-550-D.

22.1-289.035-B-2

“Based on review of four staff records, the center did not ensure that the results of a national fingerprint-based criminal history check were obtained prior to employment for one staff. Evidence: The record for Staff #2, with an employment date of 5/30/23, did not contain fingerprint results.”

Rule 22.1-289.035-B-2.

8VAC20-780-130-E

“Based on review of six child records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunizations on record for Child B (DOB 12/7/19), were dated 9/18/20. The most recent immunizations on record for Child D (DOB 2/1/22), were dated 4/4/22.”

Rule 8VAC20-780-130-E.

8VAC20-780-130-F

“Based on review of six child records, the center did not obtain documentation of additional immunizations once between each child’s fourth and sixth birthdays. Evidence: The most recent immunizations on record for Child E (DOB 4/1/15), were dated 6/2/15.”

Rule 8VAC20-780-130-F.

8VAC20-780-160-A

“Based on review of four staff records, the center did not ensure each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #2, with an employment date of 5/30/23, did not contain TB test results.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Based on review of six child records, the center did not obtain all of the required documentation for child records. Evidence: The records for Child A (start date 10/20/20), Child B (start date 2/11/20), Child D (start date 4/25/22), and Child E (start date 7/20/15) did not contain documentation of child updates and annual confirmation of up-to-date information in the child’s record.”

Rule 8VAC20-780-60-A.

8VAC20-780-140-A

“Based on review of five child records, the center did not ensure that each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The records for Child D, with a start date of 11/11/22, and Child E, with a start date of 6/8/20, did not contain documentation of physicals.”

Rule 8VAC20-780-140-A.

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing was used. Evidence: The changing pad in the ?Green Room? contained several small tears in the surface, making it absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-L

“Based on observation, the center did not ensure that medication, except for those prescriptions designated otherwise by written physicians order, including refrigerated medication and staff’s personal medication, was kept in a locked place using a safe locking method that prevented access by children. Evidence: Inside the refrigerator in the ?Yellow Room? a medication injection was observed on a shelf, not locked.”

Rule 8VAC20-780-510-L.

8VAC20-780-550-D

“Based on review of documentation and interview, the center did not implement a monthly practice evacuation drill. Evidence: The emergency drill log did not contain documentation of practice drills conducted in November and December 2022. Staff confirmed this was accurate.”

Rule 8VAC20-780-550-D.

8VAC20-780-60-A

“Based on review of five child records, the center did not obtain documentation of viewing proof of a child’s identity and age. Evidence: The record for Child D, with a start date of 11/11/22, did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection on 6/2/22 the Licensing Inspector observed two disinfectant spray bottles on a high shelf over the sink in the four-year-old classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-430-H

“Based on observation, the center did not ensure that trampolines were not used. Evidence: An indoor trampoline was observed in the Schoolage classroom on 6/2/22.”

Rule 8VAC20-780-430-H.

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure that cribs were identified for use by a specific child. Evidence: During the inspection on 6/2/22, there were five infants in care in the Infant Class. There were only four cribs in the Infant Class. Interview revealed that the infants share cribs with the sheets changed in between.”

Rule 8VAC20-780-440-B.

22VAC40-185-260-B

“Based on review of documentation and interview with the provider, the center did not obtain an annual health inspection. Evidence: The most recent health inspection on record was dated 3/18/2020.”

Rule 22VAC40-185-260-B.

22VAC40-185-510-G

“Based on review of medication and medication authorization forms, the center did not obtain written authorization from a parent to administer medication to a child in care. Evidence: The medication authorization form for emergency medication on site for Child A did not contain a parents signature.”

Rule 22VAC40-185-510-G.

22VAC40-191-60-C-2

“Based on review of three staff records, the center did not obtain the results of a central registry check within 30 days of employment for one staff. Evidence: The record for Staff 1, with a start date of 8/23/21, did not contain the results of a central registry check.”

Rule 22VAC40-191-60-C-2.