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 documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. The written allergy list was dated over 12 months ago. The initial registration record for Child #5 indicated the child has a food allergy. Child #5 has been attending the center for over six months.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

The record for staff #6 did not have a TB screening within the last 30 calendar days of date of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Based on a review of staff records and interview, the vendor did not ensure that staff who worked directly with children annually completed the department's health and safety update course.

Evidence: 1. The record of staff #4 (employed 2/08/21) contained a health and training certificate dated 5/30/22. The record of staff #5 (employed 2/05/19) contained a health and training certificate dated 5/30/22, The records did not contain a 2023 annual health and safety training certificate. 2. The vendor acknowledged that the 2023 training had not been completed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · Based on review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for child #2 (enrolled 10/02/23) did not include documentation of immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-M · Based on observation and staff interview, the licensee did not ensure 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.

Evidence: 1. In room #2 and room #4, the allergy list was not maintained and kept confidential. 2. Staff acknowledged that the allergy was not kept confidential.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on record review and interview, the center did not ensure that all required background checks are completed every 5 years.

Evidence: 1. The record for staff #5 (last CPS

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment.

Evidence: 1. The records for staff # 2 (start date: 1/10/22), staff #3 (start date: 1/05/22), and staff #4 (start date: 1/07/22), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #2, Staff #3, and Staff #4. The records did not contain documentation of any further contact, and the staff members had been continuously employed.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.