Children's International - FSI

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

1. Child 1: Last immunizations were received at approximately 4? months of age. Updates are more than 15 months overdue. 2. Child 2: Last immunizations were received at approximately 4 months of age. Updates are more than 14 months overdue. 3. Child 3: Last immunizations were received at approximately 9? months of age. Updates are more than 1 year overdue. 4. Child 4: Last immunizations were received at approximately 12 months of age. Updates are more than 6 months overdue.

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8VAC20-780-40-E · The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance the center's own policies and procedures that are required by these standards.

Infants were observing sleeping in with blankets in cribs. Blankets were also observed draped over the sides of occupied cribs. The licensee's safe sleep policy states that blankets will not be used in cribs.

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22.1-289.035-B-1 · All employees must provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire.

Staff 5's sworn disclosure was completed one day after hire.

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8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of hire and prior to coming into contact with children. Staff 4 worked for seven and a half months before providing a Tuberculosis screening.

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8VAC20-780-210-A · Program leaders are required to meet the qualifications of the position. Staff 2 is operating as a "program leader", the staff member's record does not contain documentation that the staff member has met all of the qualifications of the role.

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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 inspection findings from April 19, 2023 were not posted in the facility.

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22.1-289.035-A · Based on record review, one staff did not have the results of a national criminal record check within the preceding five years.

Evidence: The criminal record check for Staff 2 was conducted on 3/23/2018.

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22.1-289-036-B-4 · Based on record review, renewal applicants did not have the results of an out of state child abuse and neglect search by the end of their 30th day of employment, or the results of a criminal record check prior to the first day of service.

Evidence: 1. Applicant 1's record does not contain the results of an out-of-state criminal record check for two listed out of state residences. 2. Applicant 2's record does not contain the results of an out-of-state criminal record check and an out- of-state central registry check for two listed out of state residences.

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22VAC40-185-50-A · Based on observation, not all children's records were treated confidentially.

Evidence: An allergy list containing children's names and medical information was observed posted in plain view in the Older Toddler classroom.

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22.1-289-036-B-4 · Based on record review, one staff member's record did not contain the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence: 1. The out of state central registry check for Staff 3 was conducted on 12/20/2020 by another facility and not the current licensed facility. 2. The record for Staff 3 did not contain a sex offender registry check.

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