8VAC20-780-130-A · Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center.

Evidence: The record of Child 2 (DOE: 08/14/2023) did not contain any documentation of immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on a review of records, all staff did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

Evidence: 1. Staff 1 (DOH: 12/13/2023) and Staff 4 (DOH: 10/05/2023) did not have documentation of current cardiopulmonary resuscitation (CPR) in their records.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on staff record review, the vendor failed to ensure that all staff were current in cardiopulmonary resuscitation (CPR) appropriate to ages of children in care.

Evidence: 1. Staff 1 did not have documentation of current cardiopulmonary resuscitation (CPR).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-A · Based on a review of staff records. the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence: 1. The record of Staff 1 without documentation of a date of hire, did not contain documentation of a tuberculosis screening. 2. Staff 1 was working with the children the date the licensing inspector was onsite to conduct inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on staff record review, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment.

Evidence: 1. Staff #1's date of employment was 06/13/2022. There is no documentation of central registry background check on file. 2. Staff #3's date of employment was 09/08/2022. There is no documentation of central registry background check on file. 3. Administration confirmed that there were no central registry background checks on file for Staff #1 and Staff #3.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22.1-289.035-B-2 · Based on review of staff records and discussion with the administrator, one staff member/volunteer record did not contain a completed criminal history record check before the date of volunteering/employment.

Evidence: 1. Interview with Staff D and Director confirmed Board Member (Staff D) was being used as staff in ratios. 2. Staff D was being used in ratio on 05/09/2022. 3. The record for Staff D did not have a criminal history record check on file. 4. The administrator confirmed they did not have a criminal history record check on file.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.