8VAC20-780-150-B · Based on record review and interview, the center failed to obtain documentation of physical examinations and immunizations that were signed by a physician, his designee, or an official of a health department.

Evidence: The record for child 9 did not contain an immunizations and physical examination that was signed by a physician, his designee, or an official of a health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-70 · Based on record review and interview, the center failed to ensure the staff records fail to provide documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.

Evidence: The director was unable to provide documentation for the lead teachers staff 8 and staff 9 to demonstrate that the they possess the education, certification and experience required by the job position.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-330-A · Based on observation and interviews, the center failed to ensure the playground was designated to protect children from hazards.

Evidence: 1. Staff 1 stated during COVID a temporary fence was put up for smaller group sizes. Staff 1 also stated the fence was intended to contain children and keep the community out as there is a public walk path and parking near by. 2. Per the mother of child 1, she was advised on 8/17/23 her child and two other children lifted the temporary fencing and attempted to leave the playground. 3. Staff 1 and staff 2 stated the three children were seen lifting the plastic fence. Two were caught before getting through and one was caught upon standing. 4. The plastic temporary fencing is loose enough to be lifted from the bottom so that children and staff can fit under. At the front of the building the fencing has a hole at the bottom that a child could fit through.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.035-A · Based on the review of eight staff records, the program failed to ensure all employees undergo a background check prior to employment and every five years thereafter for one staff.

Evidence The date of employment for Staff #3 is 05/08/2017. The initial results of a check of the child abuse and neglect registry was dated 05/26/2017. The subsequent results were dated 07/19/2022.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.023-A · Based on observation, program failed to ensure that the Notice of the Superintendent's intent to take any of the actions enumerated in subdivisions B 1 through 6 is posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

Evidence: 1. Upon arrival at the facility on 10/13/2022, the Notice of Intent (NOI) was not posted at the entrance. 2. The Director confirmed that it was not posted, and that she did not have a copy of the NOI to post. 3. The licensee confirmed electronic receipt of the NOI on 8/29/2022.

Open Not marked corrected in the state record

Open / not marked corrected.

22.1-289.035-B-4 · Based on record review, center did not ensure that a copy of the results of a criminal history record check was obtained from any state in which the individual has resided in the preceding five years prior to the first date of employment.

Evidence: The date of employment for Staff # 3 is 5/31/2022. There were no results in the file.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.