All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of

employment. There was no documentation of current certification in cardiopulmonary resuscitation (CPR) in the record of S-2.

8VAC20-790-600-D-1 · Correction status not published

Staff records must include documentation to demonstrate that the individual possesses the education and experience required by the job position. The record for Staff 3 did not include transcripts or a copy of their high school diploma.

8VAC20-780-70 · Correction status not published

Staff who work directly with children shall attend the department?s health and safety update course annually.

Staff #2 has not taken the course and has been employed for over 16 months. Staff #5 has not completed the course within the last year.

8VAC20-790-600-F · Correction status not published

The center shall verify proof of a child?s age and identity within seven days of initial attendance.

There was no documentation of the age and identity of Child #2 or Child #4 in the records. Child #2 had been enrolled for almost four months and Child #4 had been enrolled for over three months.

8VAC20-780-40-G · Correction status not published

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

Staff #2 cleaned the diaper changing surface but did not sanitize the surface.

8VAC20-780-500-B · Correction status not published

Based on record review, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 10/30/2023) did not have documentation of a physical examination.

8VAC20-780-140-A · Correction status not published

Based on review of four staff records, not all records contained all required information. Evidence: The records for staff #1 and staff #2, who were reported to be the lead teachers in their classrooms, did not contain verification of age requirement and documentation to demonstrate that the individual possesses the education, certification and experience required for the job position. The record for staff #3 (date of hire: 3/22/22) did not contain documentation of orientation training.

8VAC20-780-70 · Correction status not published

Based on review of three staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #1 had a TB test/screening dated: 8/5/2021 and the record for staff #2 had a TB test/screening dated: 2/10/2021.

8VAC20-780-160-C · Correction status not published

Based on observation of the playground, areas and equipment outside the center have not been maintained in a safe condition.

Evidence: 1. On the School Age playground, at the bottom of the wooden bridge structure, there were 4 nails protruding that could entangle clothing or snag skin. 2. On the Infant/Toddler playground, there were four toddler bicycles with multiple cracks and holes in the plastic wheels.

8VAC20-780-270-A · Correction status not published