8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The center did not updated additional immunizations records for Child # 6 every 6 months. The last dated immunization record is dated 7/16/2025. The center is 2 months out of compliance.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-E · The operational responsibilities of activities, services, and facilities are maintained in compliance with the center's own policies and procedures.

The center's policy states that ?As children leave the classroom with their teachers, threshold counts and name-to-face checks are conducted to ensure that all children are accounted for with the group.? The policy also states "Once the class has reached the final destination, a name-to-face check occurs. The teacher matches the name on the attendance record with the face of the child as he/she crosses the final threshold." At approximately 4:30pm On October 9 2025, Staff #1 did not complete a name to face check at the threshold entrance of the classroom and at the threshold entrance of the playground. Child #1 (age 23 months) was left in the classroom while Staff #1 and Staff #2 took the classroom outside. Child #1 was found by their parent in the restroom within the classroom, on a stool, at the sink with the water running approximate 6 to 8 minutes after the classroom entered the playground.