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

Evidence: Reviewed 7 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.

8VAC20-770-40-D-1-a · Based on record review, staff did not have a current sworn statement.

Evidence: The sworn statement of Staff A 08/02/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-245-J · Based on staff interview, record reviews and observations, children with prescribed emergency medication were not in care of staff with the medication administration required.

Evidence: 1. Child # 1 and Child # 2, both have prescribed emergency medication on site. 2. Staff # 1, Staff # 2 and Staff # 3 have the Medication Administration Training (MAT), but their certification does not include the training required for the administration of Child # 1 and Child # 2?s emergency medication. 3. In addition to Child # 1 and child 2?s written authorization form from the physician, Staff # 1 verbally confirmed that their medication was considered to be an emergency medication.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.