8VAC20-780-500-A · Staff shall wash hands with soap and running water before and after a diaper change. Staff #2 did not wash hands before or after changing a child's diaper.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-550-P · Based on a review of incident reports and interview, the center failed to ensure that written records of children's serious and minor injuries contained all the required information.

Evidence: 1. The incident report for child #6 did not contain documentation of how the parent was notified. 2. The incident report for child #7 did not contain documentation of the date and time when parents were notified. 3. Administration confirmed the information was missing from the incident reports.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-270-A · Based on observation on May 25, 2023, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1. In classroom 3, there were several walls with areas containing chipped and peeling paint. 2. In classroom 6, there was chipped and peeling paint approximately 5 inches long along the back wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-280-B · Based on observation and interview, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

Evidence: The toddler classroom had an unlocked cabinet under the diapering station containing bleach water. Documentation of diaper changes showed the last diaper change occurred at 1:58pm and staff confirmed the time. The unlocked cabinet containing the bleach water was observed at 2:10pm.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-130-A · Based on the review of children's records and confirmation from the director, one child's record did not contain an immunization record signed by a physician at the time of enrollment.

Evidence: 1. The record for Child #3 contained an immunization record dated 05/08/2018 that was not signed or stamped by a physician documenting that the child was adequately immunized for the child's age. Date of enrollment for the child was 05/18/2018. 2. The director confirmed that there was no proof the immunization record had been reviewed by a physician.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on review of staff records and confirmation from the director, the center failed to obtain completed central registry findings within 30 days of employment for two staff members.

Evidence: 1. The record for Staff #3 contained a completed search of the central registry dated 10/28/2021. Date of hire for Staff #3 was 08/18/2021. 2. The record for Staff #6 did not contain a completed search of the central registry . Date of hire for Staff #6 was 11/04/2021. The director stated that the request for the search was mailed on 11/15/2021. 3. The director confirmed that she was unable to get the requests for the central registry search sent off for the two new staff with 7 days of hire

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.