The Campagna Center - Alexandria Head Start - Jefferson Houston

8VAC20-780-510-I

“Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian. The center did not have a current authorization to administer medication signed by the parent/guardian and physician on file for one prescription medication that has been administered daily to Child #6. The authorization on file at the center for medication expired three months prior to the date of inspection.”

Rule 8VAC20-780-510-I.

Repeat Violation

“All staff who work directly with children are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #1, 4, and 5 did not have current certification in CPR.”

Rule 8VAC20-790-600-D-1.

Repeat Violation

“All staff who work directly with children are required to have current certification in first aid appropriate to the ages of children in care. Staff #1, 4, and 5 did not have current certification in first aid.”

Rule 8VAC20-790-600-D-2.

8VAC20-790-600-D-1

“All staff who work directly with children are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The CPR certification in the record for Staff #3 has been expired for more than one month.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“All staff are required to have current certification in first aid appropriate to the ages of children in care. The first aid certification in the record for Staff #3 has been expired for more than one month.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-150-B

“Immunization records for each child must be signed by a physician, his designee, or an official of a local health department. The immunizations in the record for Child #3, who was in care and has been attending the center for more than 5 months, did not contain a signature by a a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-70

“The center must maintain a record for each staff that contains all required information. The record for Staff #3 did not contain the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Staff who work directly with children shall annually attend 16 hours of training to include the department’s health and safety update course.

“Evidence: Staff #3 most recently completed the annual health and safety update course in March 2023, more than one year ago.”

Rule 8VAC20-790-600-F.

The center shall maintain a record of the dates of the practice drills for one year.

“Evidence: Documentation of drills completed prior to August 2024 were not available for review during the inspection.”

Rule 8VAC20-780-550-H.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the time when parents were notified.

“Evidence: One injury report reviewed did not include the time when the parents were notified.”

Rule 8VAC20-780-550-P.

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

“Evidence: The records for Child #1, Child #2, and Child #4 were missing documentation of first dates of attendance.”

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 agreement shall be signed by the parent and include an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.

“Evidence: The authorization for emergency medical care for Child #1 was not signed by a parent.”

Rule 8VAC20-780-90-A.

Based on record review, 1 of 3 staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. The record for Staff #2 (hire date 08/14/2023) did not contain documentation of the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on record review, the record of medication given to children did not contain all required information.

“Evidence: 1. The log for medication administered to Child # 5 on 2/09/2024 did not contain the name and signature of person administering the medication.”

Rule 8VAC20-780-510-N.

Based on record review, 1 of 3 staff records did not contain all required information.

“Evidence: 1. The record for Staff #1 did not contain the name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.”

Rule 8VAC20-780-70.

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.

“Evidence: 1. A swiffer mop was observed in a bathroom connecting two classrooms, accessible to children.”

Rule 8VAC20-780-280-B.

Based on record review, 1 of 3 staff records reviewed did not contain all required information.

“Evidence: 1. The record for Staff #3 did not contain the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

Based on observation, areas inside the center were not maintained in a safe condition.

“Evidence: Peeling paint was observed on the back wall of Classroom 134, accessible to children.”

Rule 8VAC20-780-270-A.

Based on staff interviews, the center failed to ensure the care, protection, and guidance of one child, when supervising children.

Rule 8VAC20-780-340-A.

Based on staff interview, one child under 10 years of age was not always within actual sight and sound supervision of staff.

“Evidence: 1. On 3/23/2023, Child #1 (age 3) was not within sight and sound supervision of staff for an unspecified amount of time. 2. Child #1 was present for a face to name check completed at 1:30pm. Following the check, it was determined that the child was no longer in the classroom. Child #1 was located at the front office of the school in which the center is located and was returned to the classroom at 1:45pm.”

Rule 8VAC20-780-340-F.

Based on observation, the center did not ensure medications were labeled.

“Evidence: 1. Medications for Child #2 and Child #3 were not labeled with the child’s name.”

Rule 8VAC20-780-510-G.

Based on record review, 1 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The record for Child #1 did not contain the following: -documentation of the child’s first date of attendance -the name, address, and phone number of the mother’s place of employment -Name, address, and phone number of one of two designated people to call in an emergency if a parent cannot be reached”

Rule 8VAC20-780-60-A.