8VAC20-780-160-C · (Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

The TB in the record of Staff #3 was overdue by more than two months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Staff who work directly with children shall complete the department's health and safety update course annually.

Staff #3, who works directly with children and has been employed for over three years, does not have documentation of completing the department's health and safety update course in 2024.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening.

The repeat TB screening in the record of Staff #2 was completed 14 days late.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-245-L · There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

Staff #1, Staff #2, Staff #3, and Staff #4, who were present during the inspection on 12/17/24, did not have a current certificate in daily health observation training.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · Based on a review of five staff records and interviews, the center did not obtain documentation that one staff had a negative tuberculosis (TB) at least every two years from the date of the first initial screening or testing.

Evidence: The most recent TB screening in the record of Staff #4 was completed on 01/23/24. The previous TB screening was completed on 08/10/21 and should have been repeated no later than 08/10/23. During interview, a member of management acknowledged the TB was not obtained within the required timeframe.

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 five staff records and interviews, the vendor did not ensure two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: The CPR certification in the records of Staff #4 and Staff #5 expired on 01/22/2024. During interview, a member of management confirmed Staff #4 and Staff #5 do not have current certification in CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children completed the department's health and safety update course annually.

Evidence: 1) The most recent health and safety update course in the record of Staff #5, employed on 04/12/22, was completed on 11/09/21. The health and safety update course should have been completed no later than 04/12/23. 2) During interview, a member of management confirmed Staff #5 did not complete the training annually as required.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-245-A · Based on a review of five staff records and interview, the center did not ensure one staff completed annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence: 1) The record of Staff #5, employed on 04/12/22, contained a total of 12 hours of annual training from 04/2022 - 04/2023. 2) During interview, a member of management confirmed the staff member was missing 4 hours of annual training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on a review of four staff records and interview, the center did not ensure that two staff members had a central registry finding within 30 days of employment.

Evidence: 1) The record of Staff #1, employed 07/25/22, did not contain the results of the central registry finding. 2) The record of Staff #4, employed 10/15/21, did not contain the results of the central registry finding. 3) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1 and Staff #4. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on a review of three staff records and interviews, the vendor did not ensure one staff member had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

Evidence: 1) The record for Staff #3, hired on 12/08/21, did not contain documentatin that the staff member has current certification in CPR. 2) During interviews, a member of management confirmed Staff #3 does not have current CPR ceritification.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-70 · Based on a review of three staff records and interviews, the center did not ensure one staff record contained all the required information.

Evidence: 1) The record for Staff #3, hired on 12/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) During interviews, a member of management reported the references for Staff #3 were obtained prior to hire, but documentation was not kept on file as required.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.