Crib sheets shall be clean and washed daily.

In interview, staff stated that crib sheets were changed weekly unless soiled.

8VAC20-780-450-C · Correction status not published

The center shall obtain documentation of additional immunizations once every six months for children under the age of two.

Child #4 (age 14 months) updated immunization record was due over 9 months ago.

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

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The center did not request a search of the child abuse and neglect registry or sex offender registry from one state for Staff #3, who has been employed for over a year and was working with children at the time of the inspection.

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

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Staff #1, #3 and #5 did not have a current certification in cardiopulmonary resuscitation (CPR).

8VAC20-790-600-D-1 · Correction status not published

**Repeat Violation**

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child #1, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #2, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #3, enrolled for over 8 months, was missing the following required components: the name, address and phone number of 1 designated person to call in an emergency, work phone numbers for both parents. The record for child #4 and #5, enrolled for over 10 months, was missing the following required components: work phone numbers for both parents.

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

The center is required to have employees undergo a background check every five years.

The most recent fingerprint background check for staff #4 was overdue by over 9 months.

22.1-289.036-A · Correction status not published

Staff are required to maintain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

The record for staff #3, who has been employed and working with children for 5 months, did not contain documentation of a current CPR certification.

8VAC20-790-600-D-1 · Correction status not published

The license shall be posted in a conspicuous place on the licensed premises.

The center did not have the current license posted during the inspection on 9/3/2024 and 9/6/2024.

22.1-289.011-F · Correction status not published

The center is required to obtain background checks every five years. The most recent central registry check (

CPS

22.1-289.035-A · Correction status not published

Based on review of six staff records and staff interview, the facility failed to have each staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 4 (date of employment 7/5/2019) did not have documentation of completed 10 hour VA Pre-service course on file.

8VAC20-790-600-B · Correction status not published

Repeat violation. Based on review of six staff records, the facility failed to have documentation of a completed search of the central registry (

CPS

8VAC20-770-60-C-2 · Correction status not published

Based on review of five children's records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1 (date of enrollment 1/20/2023) and Child 5 (date of enrollment 1/28/2021) did not have documentation of a physical in the file.

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

Based on review of four staff files, the facility did not ensure that the required fingerprint check was completed within the last 90 days prior to the date of employment. Evidence: The fingerprint check for Staff A (date of re-hire 10/15/2022) was dated 9/28/2018. Staff A had been on leave from the facility for more than one year, requiring a new fingerprint check.

22.1-289.035-B-2 · Correction status not published

Based on observation, the facility failed to maintain all areas and equipment of the center, inside and outside, in a safe and operable decision. Evidence: in the infant and toddler room, there was a light fixture missing with exposed wires hanging from the ceiling. In the preschool and school age room, the soffit was cracked and coming apart from the ceiling. Outside, the wooden fence around the air conditioning heat pump was broken, leaving the unit accessible to children.

8VAC20-780-270-A · Correction status not published

Based on observation and staff interview, the facility failed to maintain the required staff to children ratio applicable to the youngest child in the group. Evidence: on 12/21/2021, Staff A was alone with eight children ranging in age from 7 months to 2 years old. Children ages birth through 16 months require 1 staff person for every four children. Staff C stated she had to assist with the video inspection and could not be in the room to maintain ratio.

8VAC20-780-350-C · Correction status not published