Based on records review, the center failed to maintain documentation that a child had a physical examination by a physician within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 8/9/21, did not contain documentation of a physical examination.
Plan of Correction:
Per the Director "The physical form was received and misplaced during the shuffle of documents in the office, the new record keeping system will eliminate this from occurring again."
Standard #:
8VAC20-780-40-M
Description:
Based on records review and interview, the center failed to maintain in a way that is accessible to all staff who work with children, a current, dated, written list of all children?s allergies, sensitivities, and dietary restrictions in each room where children are present. Evidence: When asked if there was a dated allergy list staff #1 located in classroom #1 with a group of children and staff #2 located in classroom #2 with a group of children stated that there was not a list. The record for Child #2, who was present in classroom #1, contained a documented allergy requiring an epi-pen.
Plan of Correction:
Per the Director "an allergy list was posted."
Standard #:
8VAC20-780-270-A
Description:
Based on observation the center failed to maintain areas and equipment of the center, inside and outside, in a clean, safe and operable condition. Evidence: 1) Classroom #2 had several areas of peeling, chipped paint on the walls. 2) Classroom #2 had an outlet that was separated from the wall creating a space in between the cover and the wall.
Plan of Correction:
Per the Director "the peeling paint is from the removal and use of tape on the walls we will touch up the paint however the children can not reach the missing paint to peel it...the outlet cover on the 100 year old building has been replaced several times and this includes by an electrician...however, it is difficult to force it to stay it. We have never had anyone of the kids mess with the outlet and have and will continue to try to remedy the issue."
Standard #:
8VAC20-780-450-C
Description:
Based on observation and interview, the center failed to ensure that crib sheets shall be clean and washed daily. Evidence: A child was placed into a crib with a sheet that was visibly dirty. When asked how often the sheets are cleaned, staff #2 stated that they are washed every Monday.
Plan of Correction:
Per the Director "we have over 20 sheets at our center and only service 4 infants at a time and therefore there's no need to wash the sheets daily (WE DO NOT HAVE A WASHER AND DRYER at this location) however, we change out the sheets and wash them more regularly when needed...at the time of this inspection we had plenty clean sheets and changed out the sheet once the stain was noticed."
Standard #:
8VAC20-780-500-A
Description:
Based on observation and interview, the center failed to ensure that staff and children?s hands are washed with soap and running water before and after a diaper change. Evidence: 1) Staff #2, changed a diaper and did not wash her hands with soap and running water. 2) Immediately after the diaper change the child was picked up and put into a crib without washing his hands. When interviewed staff #2 stated that she did not wash hands because the sink has been broken for over a month.
Plan of Correction:
Per the Director "as stated during the inspection the sink in the classroom is a portable sink and was in fact NOT BROKEN it just needed water. The staff is asked to remove the water and fill it back up daily! And failed to do so. The Director has assigned an individual to fill the sink with water daily to avoid this. However, the staff is able to use the sink in the bathroom that is outside of her classroom as well."
Disclaimer:
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