22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment. The criminal background check in the record for Staff #3 was completed more than two years after the employee?s hire date.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate

to the ages of children in care. Staff #2 did not have current CPR certification.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-510-P · Repeat Violation

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. The medication authorization, signed by a parent for Child #1 had expired 18 months ago. The medication had not been picked up and was not disposed of.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.011-F · Based on observation and interviews, it was determined that the facility did not ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

Evidence: 1.Upon arrival to the center at 3:30pm, the parent board containing all required postings was not out and available for public viewing. 2.The most recent license was not posted. The license posted was a provisional license and had expired 9/2023. 3.The most recent inspection summary dated 9/14/24 was not posted. The inspection summary posted was dated 5/2023. 4.Staff #1 confirmed the parent board had not been set up at the correct time and the documents were not current.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-60-A · Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers of two persons to be contacted when a parent cannot be reached. In addition, each child's record must include a written care plan for any child with a physician diagnosed food allergy.

Evidence: 1. The record provided for child 6 included only one emergency contact person other than parents. 2. Staff 1 acknowledged that there was only one emergency contact person in the record provided for child 6. 3. The written care plan in the record provided for child 9 indicated that diphenhydramine is to be administered if there is a mild allergic reaction, however the facility did not have diphenhydramine for emergency administration to the child,

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-60-A · Based upon review of records, the facility has not ensured that children's records include all required information.

Evidence: The record provided for child 2 did not include any information regarding the parents or the parent contact information. The record also did not include the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-140-A · Based upon review of records, the facility has not ensured that each child has a physical examination by or under the direction of a physician.

Evidence: The record provided for child 5, whose first date of attendance was recorded as 9/6/2022, did not have documentation of a physical examination.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · Based on review of our staff records, it was determined that the facility did not ensure that each staff member had an updated tuberculosis (Tb) screening every two years from the date of the last screening.

Evidence: The Tb screening for staff #3, who was on duty at the time of the inspection, expired "this past summer" according to the Coordinator of the program.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.