22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment. The record for Staff #4 did not have documentation of submitting the central registry prior to beginning employment and the staff has been employed for a month. The record for Staff #5 did not have documentation of submitting the central registry prior to beginning employment and the staff has been employed for two months.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-40-E · The center is required to follow the policies and procedures that are required by the standards to include termination polices. The record for child #1 contained a copy of the Child Care Agreement/Contract signed by parent and center. The contract stated a two-week written notice was to be provided if either party terminated services. Parent/guardian was not given notice as stated in the policy.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A · (Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for eight months, was missing the name and phone number of the child's physician. The record for Child #2 was missing the first date of attendance. The record for Child #3, enrolled for 6 months, was missing a second emergency contact. The record for Child #5 was missing the name and phone number of the child's physician, a second emergency contact, the first date of attendance, and previous child day care and schools attended by the child.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.035-B-2 · Centers must obtain a completed national criminal background check prior to the employee's first day of employment. The record for Staff #1 had a national criminal background check completed ten days after hire. The record for Staff #2 had a national criminal background check completed two days after hire. The record for Staff #3 had a national criminal background check completed a week after hire. The record for Staff #4 had a national criminal background check completed one day after hire.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-60-C-2 · Repeat Violation

Based on review and interview, facility did not ensure 1 of 6 staff have a completed central registry search within 30 days of beginning employment. Evidence: The record for staff #5 (start date 12/6/2023) did not have a completed central registry search. Staff member in charge confirmed the central registry search results letter was not available during the record review.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-60-B · Based on a review of records and interview, the licensee did not obtain a signed, completed sworn statement or affirmation for each employed staff.

Evidence: Eight staff records were reviewed. The record for staff #8, whose date of employment was documented as 7/19/2023, did not contain a signed, completed sworn statement or affirmation. The program director confirmed that this documentation was not in staff #8's file and was not available at the time of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-500-B · Based on interviews and a review of available documentation, the licensee did not always ensure that when a child's clothing or diaper becomes wet or soiled, the child is cleaned and changed immediately.

Evidence: Ten staff were interviewed on 4/14/2023. All of the 10 staff stated that diapers are regularly checked frequently throughout the day, at a minimum of once every two hours, and changed immediately when staff become aware that a child is wet or soiled. During interviews on 4/14/2023, one staff (Staff #1) recalled one occasion when she was made aware by child #1's parent, that the child's diaper needed changing. Staff #4 stated that, at the time of pick up, child #1's parent brought to her attention that child #1's diaper was very wet. Staff #4 stated that she confirmed that child #1's diaper was wet and ascertained that, due to miscommunication between the staff in the classroom, child #1's diaper had inadvertently not been checked or changed at the most recent round of diaper changes. Staff #4 said that child #1's diaper was immediately changed upon the parent bringing this to her attention.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-410-1 · Based on interviews and photographic evidence, the licensee did not ensure that staff do not roughly handle children in care.

Evidence: During an interview with staff #3 on 12/5/2022, staff #3 stated that child #1 (two years old) was climbing on the back of a chair occupied by another child. Staff #3 stated that she "grabbed him by his upper arms and removed him" when the other child began to scoot the chair back. Child #1 sustained a bruise on his upper arm where he was grabbed,

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-140-A · Based on a review of records, the licensee was unable to demonstrate that each enrolled child had a physical exam by or under the direction of a physician.

Evidence: Five children's records were reviewed. The record for child #3, whose enrollment date is 10/17/2022, did not contain the results of a physical examination. The record for child #5, whose enrollment date is 10/3/2022, did not contain the results of a physical examination. Staff #1 was unable to demonstrate that this documentation had been obtained for child #3 and child #5.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-290-A-3 · Based on observation and interview, the licensee did not ensure that electrical outlets in areas accessible to children are fitted with protective covers.

Evidence: The licensing inspector observed two outlets that were not fitted with a protective cover in the preschool classroom, two outlets that were not fitted with a protective cover in the toddler classroom and two outlets that were not fitted with a protective cover in the napping room where children were resting and sleeping at the time. Staff stated that these outlets had just been added and it was an oversight that they had not been fitted with a cover.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.