8VAC20-780-240-C · Based on records review, staff orientation did not include all required components.

Evidence: Reviewed 4 staff records and found that Staff # 1 and Staff # 2 did not have documentation of all the required facility topics listed in the standards as of 10/13/2021, i.e. safe sleep, procedures to cope with crying babies or distraught children.?

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-240-C · Based on record review and staff interviews, it was determined the new staff had not received training on prevention and response to emergencies due to food and other allergic reactions including recognizing the symptoms, responding to allergic reactions, and preventing cross contamination.

Evidence: 1. Review of new staff training and the few without MAT certification did not have training on Allergy prevention and preparation of emergencies in allergic reactions.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-270-A · Based on observation, it was determined there was equipment inside that was not maintained in operable or safe condition.

Evidence: 1. A cabinet handle was not securely fastened to the cabinet door and was missing a screw to hold it in place.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.