22.1-289.011-F · Based on observation, documents required by the Superintendent were not posted in a conspicuous place on the licensed premises.

Evidence: The most recent inspection and violation report posted was dated 08/08/2022. The last inspection was on 04/04/2024.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-800-830-D · Based on observation and provider statement, the records of emergency evacuation and shelter-in-place drills was not maintained.

Evidence: The log of practiced drills could no be located during the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-180-A · Based on a review of records, one caregiver record did not contain documentation of a subsequent tuberculosis (TB) result within 2 years.

Evidence: The TB result on file for Caregiver B is dated10/19/21. (expired)

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-B · Based on a review of records, Child records do not contain all required information.

Evidence: 7 child records were reviewed. Missing information includes: *Viewing Proof of birth documentation within 7 days of 1st attendance. (1st date of attendance: 4/17/22. POB viewed 5/9/23). (Child 2) *First date of attendance: (Child 1)

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.036-A · Based on a review of records, household member records do not contain documentation of repeated background checks within the 5 year allowable time frame.

Evidence; Sworn Disclosure Statement (SDS) and Central Registry Searches ( CPS ) were not repeated within 5 years for household members (HHM). *HHM 1- CPS is dated 1/19/17 (expired); SDS is dated 8/27/16 (expired) *HHM 2 - CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired) *HHM 3 - CPS is dated 1/19/17 (expired); SDS is dated 8/27/16 (expired) *HHM 4- CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired) *HHM 5 - CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired) New Central Registry Search form and SDS form were provided)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-800-B · The Emergency Preparedness Plan (EPP) has not been reviewed annually.

Evidence: The plan's last review date is documented as 12/12/2019. The plan lists the relocation address, that is no longer the correct address. (model form provided)

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-800-70-A · Based on a review of records, child records do not contain current written acknowledgment of policies and procedures.

Evidence: 2 of 4 records reviewed did not contain the correct address for the relocation destination in the event of an emergency, disclosed in the Emergency Preparedness Plan. The address written on the Provisions of the Emergency Preparedness Plan for the destination of the relocation is not the correct address. (Children #1, 2) (model form provided)

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-800-690-E · Based on observation, the diaper disposal container is not foot operated.

Evidence: The foot operated diaper disposal container is broken.

Open Not marked corrected in the state record

Open / not marked corrected.