8VAC20-790-640-A · Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

In the toddler room, a bottle of bleach water was next to the changing station unlocked and within reach of children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.031-A-3-d · Based on interview, and documentation review, the center failed to follow staff to child ratio of one staff member to 10 children from ages 36 months to five years.

Evidence: Review of daily attendance for the months of September and October 2023 revealed that there were multiple days where there were up to 15 children, age 4 years, that attended. Interview with staff #1 and administration confirmed that classroom #1 frequently has 1 staff member with up to 15 children, age 4 years, at a time.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-560-B · Based on record review, and interview, the center failed to ensure that staff submit subsequent TB screenings at least every two years from the date of the initial screening.

Evidence: 1. The record for staff #2, date of employment 04/16/12, contained a TB screening dated 09/21/2021. A subsequent TB screening was due on or before 09/21/2023. 2. The record for staff #3, date of employment 09/02/2014, contained a TB screening dated 08/21/2021. A subsequent TB screening was due on or before 08/21/2023. 3. The record for staff #4, date of employment 11/23/2020, contained a TB screening dated 11/17/2020. A subsequent TB screening was due on or before 11/17/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.031-A-3-d · Based on observation, and interview, the center failed to follow the staff to child ratios of one staff member to 10 children from ages 36 months to five years.

Evidence: Classroom #1 contained 1 staff with 13 children ages four to five years. Staff #1 and staff #2 confirmed that there were 13 children with 1 staff member.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22.1-289.031-A-4 · Based on a review of five staff records, the center did not obtain the required staff health report for one staff within the required timeframe.

Evidence: The staff health report in the record for Staff #1, employed 03/21/22, was dated 04/21/22. The staff health report should have been obtained prior to the staff beginning employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-560-A · Based on a review of five staff records, the vendor did not ensure one staff member had a statement that the individual was determined to be free of communicable tuberculosis (TB) within the required timeframe.

Evidence: The TB screening in the record of Staff #1, employed 03/21/22, was dated 02/16/22. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-665-540-B · Based on review of three staff records and interview, the vendor did not ensure one staff member obtained a subsequent tuberculosis (TB) screening at least every two years.

Evidence: The record for Staff #1 (hire date 05/27/2019) contained a TB screening dated 05/07/2019. A member of management confirmed this information.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.