Arms of the King, Inc.

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #2, who had been attending for eight months, did not have documentation of an immunization record on file.

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22.1-289.035-A · The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #1 was overdue by 3 months.

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8VAC20-780-330-B · Based on measurements and observations, the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

Evidence: The playground had a spring rocker (zebra) and a spring rocker (tricycle) and both did not have the minimum of 6 feet of fall zone around the equipment . There was 3 feet 4 inches between the spring rocker (zebra) and a plastic caterpillar and on the other side there was 5 feet between the spring rocker (zebra) and the spring rocker (tricycle).

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8VAC20-790-600-D-1 · Based record review and staff interviews, the licensee did not ensure staff who work directly

with children shall have, a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #4's CPR certification expired 2-2024 as verified by Center Director.

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8VAC20-780-40-M · Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

Evidence: Staff #5 verified the written list of children's allergies, sensitivities and dietary restrictions for the 2 ? - 3 year old room did not include the dietary restrictions (no cows milk) for Child #2.

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8VAC20-780-80-A · Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: There was not an attendance for the school age children, who were outside waiting for the bus, the children in the two?s room and the children in the toddler room.

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8VAC20-780-160-A · Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children.

Evidence: Staff #5?s TB screening was dated 4-11-2023 and hire date was 8-7-2023 which is more than 30 days prior to hire.

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22.1-289.035-A · Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check (

CRC

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22.1-289.035-B-4 · No out of state criminal history name check required for non-NFF states only*** prior to the 1st day of employment, service, and by end of 30th day for new household members and board officers/agents

Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC

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8VAC20-780-60-A · Based on review of 3 children's records, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which shall contained all required information.

Evidence: The following records were determined incomplete as they did not include the following information; 1) Child #1 did not include the second parent's home address, home phone number, employment place and employment phone number. 2) Child #2 did not include the second parent's home address, home phone number, employment place and employment phone number. 3) Child #3 did not include the second employment place and employment phone number.

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