8VAC20-780-70 · The name, address, verification of age requirement, job title, and date of employment and name, address, and telephone number of a person to be notified in an emergency shall be kept at the center for each staff. Four out on seven staff working during the inspection did not have the required staff record documentation on site.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-350-B-5 · Based on documentation review and interview the center failed to ensure that required ratios are maintained.

Evidence: 1 - On March 11, 2024 between approximately 2 and 3 pm there were 68 children present, ages five to eight years old, with three staff where four staff are needed. 2 - Administrator #1 confirmed that there was only three staff present on March 11, 2024 when four where needed.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Evidence: 1. There is not a allergy list available. However, Child #1 has information on file stating that the child has an allergy that required an injection. There is no allergy plan available. 2. Child #2 had documented allergies however, there is not a allergy list with the allergy plan available.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-530-C · Based on observation and documentation review the center failed to maintain hard copy of attendance.

Evidence: There is not a hard copy of attendance available for review today.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-140-A · Based on record review and interview the center failed to ensure each child has physical examination as required.

Evidence: 1 ? The record for Child #1 does not contain a hard copy or digital copy of any physical examination. a. Child #1 has a documented date of enrollment as September 6, 2022. 2 ? Staff #1 confirmed that the center did not have the required physical report in hard copy or digital form.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · Based on record review and interview the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1 - There is not any documentation of any immunizations were obtained for any of the 50 children in care during the inspection. 2 - Staff #1 confirmed that she did not have access to the documentation of immunization records for any of the children in care during the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on record review the vendor failed to ensure that all staff that work directly with children have cardiopulmonary resuscitation and first aid.

Evidence: 1 - The record for staff 3 did not contain documentation that first aid or CPR training had been completed. a. Staff 3 had a documented date of hire as January 12, 2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-4 · Based on record review the center failed to ensure that background checks are obtained within required time frames.

Evidence: 1 ? The record for staff 3 did not contain documentation of out-of-state background check as required based on information provided by the staff on the sworn disclosure statement. a. Staff 3 has a documented date of hire as January 12, 2022. b. Staff 3 was present providing direct to care to children during the inspection.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.