8VAC20-780-140-A · Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The record for Child 5 documented the first date of attendance as 05/31/2022. There was not documentation of a physical examination in the record for Child 5.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-340-F · Based on observation and interview with staff, the center failed to ensure that children under 10 years of age always shall be within sight and sound supervision of staff.

Evidence: Child 2 was observed entering the room from the playground. Staff 4 confirmed they walked from the playground to the cafeteria out of sight and sound of staff. The entrance from the playground is around the corner and down the hallway from the cafeteria approximately 50 feet.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.