8VAC20-780-80-A · 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.

At approximately 9:10 a.m. on 12/18/2024, there were 5 children present, and no children were marked present on the attendance record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-130-A · REPEAT VIOLATION

Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: 1. Child 4 had a documented first date of attendance as 09/05/2023. The immunization record was obtained 10/02/2023. 2. Child 5 had a documented first date of attendance as 08/22/2023. The immunization record was obtained 10/12/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-L · Based on observation, interviews with staff and record review the center failed to inform all staff who work with children of children?s allergies, sensitivities, and dietary restrictions.

Evidence: 1. The record for Child 3 listed ?Dairy? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction. Children were observed having milk and cheese stick for am snack. 2. The record for Child 4 listed ?Lactose Intolerance? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction. Children were observed having milk and cheese stick for am snack. 3. The record for Child 5 listed ?Apple juice, oranges, citrus fruit? in the Allergies or Intolerance to Food, Medication, etc., and Action to Take in an Emergency section of the child registration form. Staff 1 confirmed they were unaware of this food allergy or restriction.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

Evidence: The record for Child 3 indicated the first date of attendance as 11/21/2022. The immunization in record was dated 1/23/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-140-A · Based on record review, the center failed to ensure each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.

1. Evidence: The record for Child 4 did not contain a physical examination. The record indicated the child?s first day of attendance was 8/29/2022. 2. The record for Child 5 did not contain a physical examination. The record indicated the child?s first day of attendance was 8/29/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-450-A · Based on observation and discussion with staff, the center failed to ensure during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

Evidence: There were three children observed laying on their mats during the designated rest period without a bottom cover.

Open Not marked corrected in the state record

Open / not marked corrected.