8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance.

During this inspection child #5, three months old was sleeping in baby swing swaddled in a sherpa lined blanket that came up around their face.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #2, who had been employed for on day, did not have a completed national criminal background check.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-40-M · The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present..

The children's allergy list was not dated and confidential.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · Based on record review and interview it was determined the center did not ensure all staff had a follow up TB screening at least every two years from the date of the first initial screening or testing.

Evidence: 1. The record for staff #1(hired 6/23/21) did not contain updated TB screening documentation. 2. Staff confirmed the only documentation available during this inspection was dated 6/28/21.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-C · Based on record review and interview it was determined the center did not ensure that staff obtained and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing.

Evidence: 1. The record for staff #1(hired 5/16/22) did not contain documentation of an updated TB test. The test on file was dated 4/22/21. 2. Staff confirmed a more recent TB test/screen was not available during this inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on record review and interview it was determined the center did not ensure that the record for each child contained all of the required information.

Evidence: 1. The record for child #2 and #3 did not contain the required information for the emergency contacts. 2. Staff confirmed this information was not in the record during this inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on record review and interview it was determined the center did not ensure that a central registry search was completed for each staff member within 30 days of employment.

Evidence: 1. The record for staff #3(hired 7/5/22) did not contain results of a central registry search. 2. Staff confirmed these results were not available during this inspection.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-130-E · Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The record for child #2(under 2 y/o) did not contain documentation of updated immunization records. The documentation present was dated 9/27/21. 2. Staff confirmed this documentation was not available during the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.