8VAC20-780-270-A · Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: The bathroom used by children had a piece of molding approximately 1 foot in length broken and laying on the floor.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-40-M · Based on record review, observation, and interview, the center failed to maintain in a way that is accessible to all staff who work with children, a current, dated, written list of all children's allergies, sensitivities, and dietary restrictions.

Evidence: The allergy list that was posted in the classroom was dated 2021-2022. There were no names listed on the allergy list. The record for child #1, date of enrollment 10/18/23, indicated a food sensitivity. The record for child #4, date of enrollment 08/22/23, indicated a food allergy. The record for child #6 indicated a food preference. Child #1, child #4, and child #6 were not listed on the allergy list posted in the classroom. Interview with staff # 1 confirmed that the allergy list was not current and did not list child #1, child #4, or child #6.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · Based on records review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: The record for child #4, date of enrollment, 09/12/23, did not contain documentation of immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.058 · Based on interview, the center failed to ensure that the center contains at least one carbon monoxide detector. Evidence: When asked, the Director stated that she did not know that they were required to have a carbon monoxide detector.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.035-A · Based on a review of staff records, the center failed to obtain central registry search results every five years for all employees.

Evidence: The record of staff #1 (hired on 12/01/08) did not contain documentation of a repeat central registry check. The last central registry in staff #1's file is dated 2/28/17.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22VAC40-185-320-B · Based on observation and interview on November 3, 2021, the center did not ensure that each restroom provided for the children be equipped with disposable towels or an air dryer within reach of children.

Evidence: 1. Children were observed coming from the restroom with wet hands. The restroom was not equipped with disposable towels. 2. Administration stated the center was out of paper towels and that the children were using tissues until supplies arrive tomorrow.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-70-A · Based on a review of staff records and interview, the center did not ensure that each staff record contains all required documentation.

Evidence: 1. The record of Staff #2 (DOH 8/9/19) did not contain documentation of references and orientation. 2. Administration acknowledged there was no documentation of references or orientation in Staff #2's record.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.