Based on record review and staff interviews, the vendor did not ensure all staff who work directly with children shall, in addition to preservice and orientation training required annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

Evidence: The record for Staff #1, Staff #2 and Staff #3 did not include the department's health and safety update course. The center director confirmed the staff had not obtained the training.

22VAC40-665-580-H · Correction status not published

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 10 children present in the 3's & 4's room but only 9 were marked present on the attendance sheet.

8VAC20-780-80-A · Correction status not published

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet in 3 out of 3 classrooms did not have accurate attendance, room#1 had 6 children present and 7 were marked present, room #2 had 4 children present and 7 were marked present and in room #3 4 children were present and 14 were marked present.

8VAC20-780-80-A · Correction status not published

Based on record review, observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

Evidence: The allergy list did not include the following information. 1) Child #1 parent preference -no diary 2) Child #2 physician diagnosed allergy to amoxicillin 3) Child #5 physician diagnosed seasonal allergies

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

Based on observation, the licensee did not ensure hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the center's lobby on shelf there was container of disinfecting wipes and a container of air freshener beads. These items were observed stored in an unlocked manner and labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".

8VAC20-780-280-B · Correction status not published

Based on observation and staff interviews, the licensee did not ensure children?s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

Evidence: Staff #4 was observed conducting a diaper change for Child #6 and the child?s hands were not washed after diaper change. The child was observed touching the soiled diaper.

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