22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 09/24/24, were not posted in a conspicuous place on the premises.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-150-B · Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

The immunization record for Child #3 and Child #4 was not signed and dated.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-J · Based on interview the center failed to ensure that the injury prevention plan is updated at least annually.

Evidence: 1.Upon request for the injury prevention plan, the Program Director could not locate the injury prevention plan, nor the date that was last updated.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-350-B-2 · Based on interview and document review, the center failed to maintain required staff-to-child ratios.

Evidence: 1. The center's request for the temporary staff-to-child ratio/group size waiver was approved requiring a staff-to-child ratio of 1:6 for children 16 months to 24 months. 2. On 03/07/2024, there were only two staff supervising 13 children. Staff #1 confirmed that the youngest child in the group was 23 months old and that the group was not within the required staff-to-child ratio of 1:6.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-160-A · REPEAT VIOLATION

Based on review of records, observation and interview, the center failed to ensure that each staff member submitted a negative tuberculosis (TB) screening at the time of employment and prior to coming in contact with children. Evidence: 1. Staff #8?s start date on file was 3/27/2023. Staff #8 was observed in a classroom with children. 2. Staff #8 did not have TB screening on file. Staff #1 confirmed that #8 did not submit a negative TB screening at the time of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-B · Based on review of records and interview, the center failed to ensure that documentation of a tuberculosis (TB) screening was submitted at the time of employment and prior to coming into contact with children. Evidence:

1. Staff #3?s start date is 08/16/2022. The TB screening on file was completed on 08/27/2022. Staff #7 confirmed that Staff #3 did not complete a TB screen prior to coming in contact with children.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-185-340-F · Based on observation, the center failed to ensure sight and sound supervision of children at all times.

Evidence: 1. On 10/07/2021 at approximately 11:05 A.M., ten two year olds were left without supervision in the classroom for approximately 45 seconds. 2. Staff #2 was in the restroom with four children assisting with handwashing. Staff #1 was left in the classroom with ten children. Nine children were playing various centers, and one child was sitting at the table drinking water. Staff #1 left the classroom and went into the kitchen and closed the door. The kitchen is adjacent to the classroom. 3. Staff #2 did not communicate with Staff #1 that she was leaving the classroom. The Licensing Inspector was the only adult in the classroom with ten two year olds for approximately 45 seconds.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.