Lakeside Presbyterian Preschool

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #3's file only had the original immunization records dated 8/16/2024. No updated immunizations were received, and the child is still in care. Child #7?s file only had the original immunization records dated 7/27/2024. No updated immunizations were received, and the child is still in care.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first

day of employment. The sworn statement for S6 was completed one day after the employee?s first day of employment.

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8VAC20-780-40-E · Complaint Related

The licensee shall ensure that the center?s activities are maintained in compliance with their own policies and procedures. The center requires that staff should position themselves in quadrants of the playground to ensure adequate supervision while children are playing and circulate among the children while playing. On 06/30/2025 staff did not position or circulate around the play area used by children when a child went to the street to retrieve a ball that was kicked into the street.

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8VAC20-790-600-F · Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #3, #4, and #5 have not completed department's health and safety update course within the last 12 months.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six

months for children under the age of two years. The record of Child #3, age 2, did not contain updated immunizations every six months as required.

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8VAC20-780-270-C · Inside areas occupied by children shall be maintained no lower than 68 degrees F. The temperature in nine occupied classrooms and hallways were below 68 degrees. Children and staff were observed wearing coats and gloves. Center administrator acknowledged the classrooms were cold despite the use of space heaters, and reported that the main pump on the boiler system was broken the week before and they are awaiting repair parts.

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22.1-289.035-B-2 · Based on a review of seven staff records, the center did not ensure one staff obtained a national criminal background check prior to employment.

The record for S2, did not contain the results of a national criminal background check prior to completing the center?s staff orientation and training on 05/21/2024. The background check was completed 06/06/2024.

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8VAC20-770-60-B · REPEAT VIOLATION

Based on a review of seven staff records and interview, the center did not ensure that one staff completed a sworn statement background check prior to employment as required. Evidence: 1. The record of staff # 7 (date of employment: 8/28/2023) contained a sworn statement dated 8/29/2023. 2. Administration acknowledged that the sworn statement was not completed prior to employment.

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8VAC20-780-60-A · Based on record review, the center did not ensure two of ten children?s records contained documentation of viewing proof of the child?s identity and age.

Evidence: The record of child #1 (enrollment date: 3/13/2023) did not have documentation of viewing proof of the child?s identity and age.

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22.1-289.035-B-2 · Based on record review, the provider did not ensure 3 of 17 staff records contained documentation of fingerprint based national criminal history search results prior to employment.

Evidence: 1. The record of staff #2 (start date: 9/14/22) had documentation of fingerprint based national criminal history search results dated 10/3/2022. 2. The record of staff #7 (start date: 3/28/22) had documentation of fingerprint based national criminal history search results dated 9/28/2022.

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22.1-289.035-B-2 · Based on a review of eight staff records and interview, the center did not ensure three staff obtained a national criminal background check prior to employment.

Evidence: 1) The record for Staff #4, employed 08/01/22, did not contain the results of a national criminal background check by the current employer. The record for Staff #4 contained a national criminal background check dated 06/18/18, this background check was conducted by a different center. National criminal background checks cannot be transferred from center to center unless both centers are sponsored by the same business entity. New results should have been obtained prior to employment. 2) The record for Staff #7, employed 03/28/22, did not contain the results of a national criminal background check. 3) The record for Staff #8, employed 03/28/22, did not contain the results of a national criminal background check. 4) During interview, Staff #9 reported the background checks were requested, but the results have not been received.

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22.1-289.035-B-2 · Based on record review, the provider did not ensure 24 of 33 staff records contained documentation of fingerprint based national criminal history search results prior to employment.

Evidence: 1. The record of staff #2 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 2. The record of staff #4 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 3. The record of staff #5 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 4. The record of staff #6 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 5. The record of staff #7 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 6. The record of staff #8 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 7. The record of staff #10 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 8. The record of staff #11 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 9. The record of staff #12 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 10. The record of staff #14 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 11. The record of staff #15 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 12. The record of staff #16 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 13. The record of staff #17 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 14. The record of staff #18 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 15. The record of staff #19 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 16. The record of staff #23 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 17. The record of staff #24 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 18. The record of staff #26 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 19. The record of staff #27 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 20. The record of staff #28 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 21. The record of staff #29 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 22. The record of staff #31 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 23. The record of staff #32 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 24. The record of staff #33 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results.

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8VAC20-770-40-C-1-a · Based on record review, the center's applicant did not have documentation of central registry results.

Evidence: The record of the applicant did not have documentation of central registry results.

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