8VAC20-780-150-B · Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The immunization reports for child #2 and child #3 were not signed by a physician or his designee

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Repeat

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. 1. Staff #3 did not have documentation of completing the department's health and safety update course for the 2024 year. 2. Staff #5 did not have documentation of completing the department's health and safety update course for the 2024 year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Repeat

The center is required to have employees undergo a background check every five years. 1. The most recent central registry check for staff #1 was overdue by five months. 2. The most recent national criminal fingerprint background check for staff #3 was overdue by one year, five months.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-F · Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

1. Staff #1 did not have documentation of completing the department's health and safety update course for the 2024 year. 2. Staff #3 did not have documentation of completing the department's health and safety update course for the 2024 year. 3. Staff #5 did not have documentation of completing the department's health and safety update course for the 2024 year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · The center is required to have employees undergo a background check every five years.

The most recent national criminal fingerprint background check for staff #1 was overdue by three months.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on review of four staff records, the center did not ensure all staff who work directly

with children obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment or 90 days from vender approval. Evidence: 1. The record of staff #1, employed 07/31/2023, did not have documentation of current CPR exceeding 90 days from employment. 2. The record of staff #2, employed 08/23/2023, did not have documentation of current CPR exceeding 90 days from employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-A · Based on the review of four staff records, the center did not obtain documentation of a negative tuberculosis screening for three staff members within the required time frame.

Evidence: 1. The record for Staff #1, employed 07/31/2023, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 2. The record for Staff #2, employed 08/23/2023, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 3. The record for Staff #4, employed 08/10/2020, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 4. Tuberculosis screenings are required to be submitted at the time of employment and prior to coming into contact with children as well as have been completed no more than 30 calendar days prior to beginning employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Based on review of seven staff records, the center did not ensure one staff completed the

department?s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #5, employed 08/18/2015, did not contained documentation of the completion of the department?s annual health & safety update training.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on a review of seven staff records and interview, the center did not ensure two staff

member completed a national fingerprint check prior to the first day of employment and within the required time frame. Evidence: 1. The national fingerprint check for staff #2, employed 08/29/2022, was dated 05/13/2022, exceeding 90 days prior to employment. 2. The national fingerprint check for staff #3, employed 10/11/2022, was dated 08/19/2019, exceeding 90 days prior to employment. 3. The national fingerprint check for Staff #6, employed 07/12/2021, was dated 07/23/2021 exceeding the date of employment. 4. The national fingerprint check for staff #7, employed 08/23/2021, was dated 08/31/2021, exceeding the date of employment. 5. National fingerprint background checks are required to be obtained prior to employment and no more than 90 days prior to employment.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.035-B-4 · Based on review of two staff records and staff interview, the facility did not obtain an out of state search of the central registry check for each staff prior within the required time frame for any state an individual has resided in the past five years. Evidence: Staff 1 (date of hire 7/19/2021) indicated on the sworn disclosure statement that she had lived outside the state of Virginia in the past five years. There was no documentation of an out of state search of the central registry check for Staff 1. The director stated she forgot about it.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22VAC40-665-780-A-3 · Based on staff interview, the facility failed to practice a lockdown drill at least annually. Evidence: there was no documentation of a lockdown drill since 2/2019 and the director stated a lockdown drill has not been conducted.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22VAC40-185-240-A · Based on review of two staff files, the facility failed to have documentation that each staff had orientation training by the end of their first day of assuming job responsibilities. Staff 2 (first day of employment 8/31/2021) did not have documentation of orientation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.