Greene County Child Care Center

8VAC20-780-350-M

“One staff member shall not supervise more than one room or area during rest time. Staff #3 was observed supervising two separate rooms of two-year-old children from the doorway during rest time. Staff #1 and Staff #2 were supervising their assigned classroom from the doorway while each staff had one additional child in the large open childcare space.”

Rule 8VAC20-780-350-M.

Based on review of staff records, the center failed to ensure that documentation of a negative tuberculosis screening was completed at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff #3’s date of hire was 05/03/2024 and start date was 05/17/2024. The tuberculosis documentation in the record was dated 05/22/2024. 2. Administration verified the date of employment and start date for Staff #1 and the date on the tuberculosis screening.”

Rule 8VAC20-780-160-A.

Based on interview and review of documentation, the center failed to ensure that the medication authorization was available to staff the whole time it is effective.

“Evidence: 1. Child #1 had an emergency medication, Albuterol, on site at the center. The medical authorization form from both the parent and physician expired on 04/11/2023. The medication had not been administered. 2. Staff #1 verified the dates on the authorization form. 3. Staff #2 verified that they had not obtained updated authorization forms.”

Rule 8VAC20-780-510-F.

Based on review of staff files, the center failed to ensure that an updated tuberculosis screening/test was completed every two years.

“Evidence: 1. Staff #7’s tuberculosis screening/test on file was dated 07/10/2020. An updated tuberculosis screening/test was required by 07/10/2022. 2. Administration verified that an updated tuberculosis screening/test had not been obtained.”

Rule 8VAC20-780-160-C.

Based on observation, a non-absorbent surface for diapering was not used.

“Evidence: 1. The diaper changing mat, located on the changing table in the back classroom, had small tears and holes on both sides of the mat. The holes and tears make the diaper changing mat non-absorbent. 2. Administration verified that the mat had small tears and holes on both sides of the mat.”

Rule 8VAC20-780-500-B.

Based on review of staff records, the center failed to ensure that an updated tuberculosis screening/test was completed every two years.

“Evidence: 1. Staff #3’s tuberculosis screening/test on file was dated 08/21/2019. A new tuberculosis screening/test was required by 08/21/2021. 2. Staff verified the date of the tuberculosis screening/test on file.”

Rule 8VAC20-780-160-C.

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

“Evidence: 1. There were three trikes located on the back porch that were rusted in several areas. 2. There were four trikes located on the back porch that had the handle bar grips missing exposing the metal edge of the handlebar. 3. Staff verified that the trikes were rusting and missing the handle bar grips.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all personal articles used where labeled with the child’s name.

“Evidence: In Classroom #1 there were five water bottles sitting behind a shelf that were not labeled with the child’s name.”

Rule 8VAC20-780-430-I.