Carriage House Childrens Center

SECOND CITATION The file for Facility Person #3 did not contain documentation of fire safety training within the last 12 months. Previously cited on SIN-00263788. The files for all other Facility Persons are now in compliance.

The file for Facility Person #1, who was provisionally hired, lacked documentation of application of the Child Abuse and Neglect Registry clearance for the state of Virginia where the facility person resided in 5 years prior to date of hire as required under the CPSL (See IS Code Sheet). The file for Facility Person #1 now has current Child Abuse and Neglect clearance results from the state of Virginia.

In Room 107, a bottle of disinfectant spray that states, "Keep out of reach of children" was observed near the sink accessible to children in care.

In Room 105, toxins that included several bottles of disinfectant spray and baby oil were observed stored on a shelf above food. In Room 108, toxins that included Epson Salt and baby oil were observed stored on a shelf above food.

In the Older Infant room, it was observed that used nasal tissues were not in a closed, plastic-lined receptacle. In Room 105, it was observed that used nasal tissues were in a plastic-lined receptacle but did not have a closed lid.

In Room 105, peeling paint was observed on the wall below the windows in the room and in the children's restroom near the paper towel dispenser. In Room 107, peeling paint was observed on the wall near the windows in the room.

Two plastic bins in Room 107 and one plastic bin in Room 101 that contained children's toys were observed to be cracked and not in good repair. In the Young Toddler room, a green laundry bin was observed to have a cracked handle and was not in good repair.

The file for Facility Person #1 did not contain documentation of a TB test at initial employment.

The health assessment in the file for Facility Person #4 did not include an examination for communicable diseases and the results of that examination.

The files for Facility Persons #2 and #3 did not contain documentation of fire safety training within the last 12 months.

The two most recent child service reports in the file for child #2 are dated more than 6 months apart: 11/22/23 and 11/1/24.

The emergency contact form in the file for child #1 did not contain documentation of the enrolling parent's work address and telephone number.

Based on staff statements, on 1/8/25, Child #1 was left alone and unsupervised in Room 101's bathroom from approximately 3:30-3:45pm while the group transitioned to the Gymnasium and without staff person #1 being aware that the child was not with the group.

Based on staff statements, on 1/8/25, Child #1 was left alone and unsupervised in Room 101's bathroom from approximately 3:30-3:45pm while the group transitioned to the Gymnasium and without staff person #1 being aware that the child was not with the group.

Based on staff statements, on 1/8/25, Child #1 was left alone and unsupervised in Room 101's bathroom from approximately 3:30-3:45pm while the group transitioned to the Gymnasium and without staff person #1 being aware that the child was not with the group.

The most recent documentation of trainings regarding the facility's emergency plan in the files for Staff Person #1 through #8 exceeded 12 months between trainings.

The parent letter explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Observed two bent metal plates with rough edges at the bottom of the wall on the right in the gym. Observed two nails protruding from the floor where a baseboard had been removed on the left side of the gym. Observed exposed bolts protruding from the bases of the toilets in the Toddler Room, Room #101, 105, and 107.

Observed dirt and debris under the the mat on the diaper changing table in the Toddler Room.

Observed teeth marks on the foam peg fish and alphabet tiles in the AP2 Room. This creates a potential choking hazard for children who may still be placing objects in their mouths.

The most recent State Police and FBI clearances in the file for Staff Person #3 exceeded 60 months between clearances.

Observed adult scissors that were accessible to children in Room 102 and 107.

Observed Aquafor healing ointment, which was accessible to children, in an unlocked drawer in Room 104.

Observed leaves and trash in the exit stairwell of the Toddler Room. Observed linoleum peeling under the food cabinet and a molding separating from the left corner by the exit of the Young Toddler Room. Observed ceiling tiles stained from water damage in the corner of the music room.

The file for Child #1, a Preschool Child, did not include an updated health report conducted within the past 12 months.

The most recent health assessments in the file for Staff Person #10 exceeded 24 months between assessments.

The Pediatric First Aid/CPR in the files for Staff Person #1 and #2 was conducted more than 90 days after start date (See LIS Code Sheet).

Staff person #-9 and #10 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-Hour Health and Safety Training.

The most recent evaluations in the files for Staff Person #4, #5 and #6 exceeded 12 months between evaluations. The files for Staff Person #7 and #8 did not include an evaluation conducted within the past 12 months (March, 2022).

Emergency contact forms were not present in the Music Room for the children receiving care.

Instructions for how to access the regulations in this chapter electronically were not posted at the facility.

The file for staff person #2, #8, #9, #10, #11, #12, #13, #14, #15,#16, #17, and #18 all contained the old disclosure statement.

The multi-purpose room, music room, and the young toddler room lacked a first-aid kit.

The immunization record for child #2 lacked an influenza vaccination in accordance with the ACIP.

The file for staff person #1, #3, #4, #5, and #6 completed first-aid and CPR training after the pervious certificate expired.

The AP1, young toddler porch, older toddler porch, and multi purpose room lacked a daily activities schedule.

The emergency contact for child #1 lacked the physician's address.

The file for staff person #8 lacked pediatric first aid and CPR training within 90 days of hire (SEE LIS CODE SHEET). The file for staff person #11, #13, #15, #16, #17, and #18 lacked pediatric first aid and CPR training within 90 days of hire, have current certification on file.

Returning staff person #3, #5, and #7 lacked 12 training hours from 12/19/20-12/19/21.