8VAC20-780-530-A-1 · At least one staff in each classroom or area where children are present shall have current certification in CPR. The training shall include an in-person competency demonstration.

Staff #3 was supervising 5 children in the toddler classroom at the time of inspection and did not have a completed CPR certification that included an in-person competency demonstration.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-60-A · Children's records are required to contain parental employment phone numbers, documentation of child updates and confirmation of up-to-date information.

The record for child #5 was missing the employment phone number for both parents. The child was present during the inspection and had been in care for 3 months. The record for child #2 and child #3 did not contain documentation of an annual update to the child?s record or information. Child #2 and child #3 have both been in care for over 2 years.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A · Based on review of child records, the center did not ensure each child record contained the name address and phone number of two designated people to call in an emergency if a parent cannot be reached.

Evidence: 1. The record for child #2 (enrolled 3/29/2022) contained documentation of only 1 emergency contact. 2. The director acknowledged only having documentation of 1 emergency contact in the record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A · Based on record review and interview, the center did not ensure that one child's record contained the required information.

Evidence: 1. The record of child #1 (date of attendance: 6/3/2024) did not contain documentation of viewing proof of the child's identity and age as required. 2. The provider acknowledged that the information had not been received.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-A · REPEAT VIOLATION

Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff the time of employment and prior to coming into contact with children. The documentation must 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. Evidence: 1. The record of staff #1 (date of employment: 2/5/2024) contained TB screening dated 9/25/2023. 2. Administration acknowledged that the screening was not completed within 30 days of the date of employment as required.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-600-F · Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required.

Evidence 1. The record of staff #2 (date of employment: 9/24/07) contained an annual health and safety update training dated 5/17/2022. The record did not contain the 2023 update that was due by 5/17/2023. 2. The vendor acknowledged that the training was not completed annually as required.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-70 · Based on a review of five staff records and interview, the center did not ensure that three staff records contained the required information.

Evidence: 1. The records of staff #1 (date of employment: 5/25/2023), staff #3 (date of employment: 10/21/2022) and staff #5 (date of employment: 5/15/2023) did not contain documentation to demonstrate that the individuals possessed the education, certification, and experience required by the job position. 2. Administration acknowledged that the three lead teacher records did not contain the full requirements to demonstrate they were qualified for the positions.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff who worked directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

Evidence: 1. The record of staff #2 (date of employment: 10/21/2022) did not contain a current CPR certification. 2. The vendor acknowledged that the staff member did not have a current certification.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on a review of five (5) employee records and interview, the center did not ensure to obtain a fingerprint background check for one (1) staff every five (5) years as required.

Evidence: 1. The record of employee #5 contained a fingerprint background check dated 3/12/2018. 2. Administration stated that the repeat fingerprint background check had not been obtained.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-340-A · Based on review of documentation and interview, the center did not ensure that when staff are supervising children, they always ensure their care and protection, and guidance.

Evidence: 1. On 8/22/2022, teacher #1 (date of employment: 01/28/2022) left the infant/toddler classroom for approximately one (1) to two (2) minutes, leaving three (3) children, ranging in age from seven (7) months to 18 months unsupervised. Teacher #1 stated that she heard crying and when she returned, another child was on top of child #1. Child #1 (age 12 months) sustained multiple bite marks and abrasions to the face and lower arms. Child #1 received medical care to treat the injuries on 8/22/2022. 2. The administrator acknowledged that the children in care were not adequately protected when teacher #1 left the room.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-140-A · Based on a review of five (5) children's records and interview, the center did not ensure that one (1) child had a physical examination by or under the direction of a physician:

1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of child #1 (DOE: 06/13/2022) did not contain a physical record. 2. Administration acknowledged that the physical record had not been received.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.