8VAC20-780-330-B · Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall.

The fall zones on the climbing piece of equipment measured to be two/ three feet when the piece of equipment required at least six feet of a fall zone. Children were observed playing on the equipment.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-40-M · REPEAT VIOLATION

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 allergies lists were posted and were not dated.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-150-B · Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

The immunization record for children 3 and 4 were not signed and dated. Child # 3 has been in attendance for 18 months and child # 4 has been in attendance for 22 months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-500-A · Based on observation, the center failed to ensure that children washed their hands before and after eating a meal or snack.

Evidence: Three groupings of children were observed eating lunch without washing hands prior to eating lunch.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

8VAC20-780-130-A · Based on review of five children?s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.

Evidence: The record for Child # 5, with documented first day of attendance of 01/12/2023, did not have the immunization prior to attending. There was no documentation on the day of the inspection of an immunization record in the child?s file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-150-B · Based on review of five children?s records, the center failed to ensure that all immunizations were signed by a physician or a physician?s designee.

Evidence: Children # 2, 4 and 5 did not have a physician signature or designee on the immunization record.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on record review, the center failed to ensure that the separate record for each

enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 1 did not include the following information: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (Only one person was documented in the record and did not provide an address). Previous Childcare and other programs attending and chronic physical problems and allergies were not documented. 2. The record for Child #2 did not include the following information: address, work information for both parents, the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address or phone number provided for both designated people). Previous Childcare and other programs attending, Chronic physical problems and allergies were not documented.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.