(Repeat Violation) The center is required to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

The record for Child K, who had been enrolled for more than 20 months, did not contain documentation of immunizations.

8VAC20-780-130-A · Correction status not published

(Repeat Violation) Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for 10 months.

8VAC20-780-140-A · Correction status not published

Based on review of five staff records, it was determined that Out of State background checks were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #4, (Date of hire: 9/15/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of child abuse and neglect search request.

22.1-289.035-B-4 · Correction status not published

Based on review of six staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #6 had Central Registry search results dated: 9/5/2018. The record for staff #1 had a criminal history (fingerprints) dated: 8/21/2018, The record for staff #4 had a criminal history (fingerprints) dated: 8/13/2018 and the record for staff #6 had a criminal history (fingerprints) dated: 8/21/2018.

22.1-289.035-A · Correction status not published

Based on review, the facility did not ensure that the injury prevention plan update was available for review.

Evidence: the facility did not have documentation available for review on the annual update of the injury prevention plan.

8VAC20-780-40-I · Correction status not published

Based on review, the facility did not ensure that children's records were maintained with the required information.

Evidence: reviewed 7 children's records and found that Child 1, 2, and 5 did not have documentation of the parents' annual review of the child's emergency contact information, completed within the past 12 months.

8VAC20-780-60-A · Correction status not published

Based on review, the facility did not ensure that documentation of children's injuries were included the required information.

Evidence: Reviewed 10 children's injury reports and found that 9 of them did not have documentation of the time parents were notified of the injury.

8VAC20-780-550-P · Correction status not published