Millstone of Ivy

22.1-289.035-A · The center is required to have employees undergo a background check every five years. The most recent sworn statement for staff #4 was overdue by a month.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

The center has not have immunization records for Child 3, at the center for two years and seven months, and Child 4, at the center for five months.

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8VAC20-780-210-A · Based on record review, the center failed to ensure that all program leaders had the required qualifications.

Evidence: Staff # 1, 3, and 5 did not have verification of a high school diploma or equivalent.

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22.1-289.036-A · Based on record review and interview, the center failed to ensure agents of the application for licensure updated central registry background check, fingerprint background check and sworn statement every five years.

Evidence: 1. The fingerprint results for board officer 1 are dated 9/17/18, the central registry results are dated 7/26/17 and the sworn statement is dated 7/11/17. 2. The director stated the background checks for board officer 1 have not been updated.

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8VAC20-780-240-A · Based on interview, the center failed to ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence: 1. The director advised staff 2's employment date was 8/15/22. 2. The director stated staff 2 has not completed the Virginia Department of Education-sponsored orientation course.

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8VAC20-780-130-A · Based on record review and interview, the center failed to obtain the immunization record for two out of four staff records reviewed prior to the children's first date of attendance.

Evidence: 1. Child 1's first date of attendance was documented as 1/3/23. The record did not contain an immunization record. 2. Child 1's first date of attendance was documented as 1/4/23. The record did not contain an immunization record. 3. The director verified both children are attending the center and they do not have immunization records for either child at this time.

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8VAC20-770-60-B · Based on record review and interview, the center failed to ensure staff completed a sworn statement or affirmation by the first day of employment for four out of four staff.

Evidence: 1. Staff 1's record documented the hire date as 7/1/22. The sworn statement is dated 8/16/22. 2. Staff 2's record documented the hire date as 7/14/22. The sworn statement is dated 8/21/22. 3. Staff 1's record documented the hire date as 7/15/22. The sworn statement is dated 7/25/22. 4. Staff 1's record documented the hire date as 6/17/22. The sworn statement is dated 8/16/22. 5. The director verified the hire dates.

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8VAC20-780-270-A · Based on observation, the center failed to ensure that all areas were maintained in a safe condition.

Evidence: 1. In Classroom #3 in the Upper Building there is paint peeling in the restroom that the children use. 2. Staff verified that there was paint peeling in the restroom.

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22VAC40-185-160-A · Based on review of staff files, the center failed to obtain documentation of a negative tuberculosis screening within 12 months prior to hire or within 21 days after employment.

Evidence: 1. Staff #1's tuberculosis screening was dated 08/18/2021. Date of employment for Staff #1 was 04/19/2021. 2. Staff #4's tuberculosis screening was dated 07/09/2020, more than 12 months prior to hire. Date of employment for Staff #4 was 08/23/2021. 3. Administration verified dates of tuberculosis screenings, and date of hire for both staff.

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