8VAC20-780-510-L · Based on observation, medications were not kept locked.

Evidence: 1. Medication (a prescription cream, and two inhalers) was being kept in a back pack that was not locked; the medication box was reported to be not operable.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-340-A · Based on interviews, the center failed to ensure when staff are supervising children that staff shall always ensure their care, protection and guidance.

Evidence: 1. Staff #1 left the classroom to go into the bathroom leaving the classroom out of ratio at approximately 12:00 noon on September 15, 2022. Staff #2 was then left alone with 15 children ages 3-4 years old. The required ratio would be one staff for every 10 children. 2. Interviews with staff #1 and #2 determined that the staff responsible for supervision of children allowed a child, 3 years old, to leave the classroom undetected. The child was alone, out of sight and sound supervision of Head Start staff, and in the access road/parking area of the public school for a period of time that was undetermined, according to the staff, but greater than five minutes according to video. 3. Staff #1 left staff #2 in the classroom with 14 children for approximately four (4) minutes to search for the missing child and, ultimately, pick up the child from the public school main office.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.