Play-N-Pretend Preschool & Child Care Center, LLC

8VAC20-780-140-A · REPEAT VIOLATION

Each child shall have a physical examination within 30 days after the first day of attendance. The record for Child 1 (age 19 months), who has been enrolled for 17 months, does not have contain documentation of a physical examination; this record was reviewed and cited at a previous inspection.

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8VAC20-790-520-A · The vendor shall ensure compliance with the terms of the vendor agreement; the vendor shall not be in possession of or swipe any parents? or guardians? VA-ECC card.

Staff 5 confirmed that they had been in possession of and swiped the VA-ECC card for Child 1 and Child 2.

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22.1-289.035-A · The center is required to have employees undergo a background check every five years.

The 5 year recheck of the central registry check for Staff 4 was overdue by 2 weeks.

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8VAC20-780-550-P · COMPLAINT RELATED

The center shall maintain a written record of children?s serious and minor injuries in which entries are made the date of occurrence. The written record of an injury sustained by Child 1 was not made the day of the occurrence; the written record was completed the day after the injury occurred.

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8VAC20-780-140-A · The center shall have a physical examination by or under the direction of a physician by the child?s attendance or within 30 days after the first day of attendance.

The record for Child 1 did not contain a physical examination; Child 1 has been attending for more than 2 years.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee?s first day of employment.

The record for Staff 5, who has been employed for more than 3 months, did not contain a completed sworn statement.

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8VAC20-780-160-C · A tuberculosis screening or testing is required every two years from the date of the last screening.

The tuberculosis screening for Staff 1 was overdue by 10 months.

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8VAC20-780-160-A · Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children; the documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: The record for Staff 2 contained a documented hire date of 09/04/2024; the tuberculosis screening was dated 11/01/2023.

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22.1-289.035-A · Based on record review and staff interviews, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

Evidence: 1. The most recent search of the central registry in the record for Staff 1 was dated 08/14/2018; there was not a follow-up search obtained by 08/14/2023. 2. The most recent search of the central registry in the record for Staff 5 was dated 10/12/2018; there was not a follow-up search obtained by 10/12/2023.

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8VAC20-780-70 · Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards.

Evidence: 1. The record for Staff 1 did not contain the following information: name, address and telephone number of a person to be notified in an emergency. 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.

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22.1-289.035-B-4 · Based on record review and staff interviews, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

Evidence: The record for Staff 4 contained evidence that Staff 4 had resided outside of the state of Virginia within the preceding five years. The record for Staff 4 contained a documented hire date of 10/30/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/07/2024 inspection. Staff 4 was observed working during the 02/07/2024 inspection.

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22.1-289.035-A · Based on record review, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

Evidence: 1. The most recent criminal history record check (fingerprint eligibility letter) in the record for Staff 3 was dated 04/11/2018; there was not a follow-up criminal history record check obtained by 04/11/2023. 2. The date on the original criminal history record check (fingerprint eligibility letter) in the record for Staff 4 was 03/29/2018. The follow-up criminal history record check was dated 05/19/2023. The follow-up criminal history record check was not obtained within the 5 year period. 3. The record for Staff 4 contained documentation that Staff 4 resides outside of the state. The original out of state child abuse and neglect registry check is dated 07/03/2018. There was not a follow-up out of state child abuse and neglect registry check obtain by 07/03/2023.

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8VAC20-780-140-A · Based on record review, the center failed to ensure 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 1 did not contain a physical examination record; the record had a documented start date of 08/01/2022.

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