Staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department,

Staff #5's last TB screening was overdue by more than 1 year and 5 months.

8VAC20-780-160-C · Correction status not published

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for the past 19 days, had 1 out 2 completed reference verifications on file.

8VAC20-780-70 · Correction status not published

Physical examination completed by a physician shall be obtained prior to the first day of attendance within 30 days after the first day of attendance.

There was no physical examination in the record of Child#2, who had been enrolled for 2 months.

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

When staff are supervising children, they shall always ensure their care, protection, and guidance.

On August 2, 2024, Child#1 (age 18 months ) was sitting at a table with other children, and was one of two children strapped into a toddler chair with a booster seat attached to it. Child#1 pushed away from and tilted the table forward with his hands and Staff#1 pulled the chair the child was strapped in and pushed him to face a wall. Child#1 used his feet to push away from the wall and Staff#1 picked the chair up with the child still strapped inside and carried him to another table across the room. Child#1 rocked the chair back and forth and attempted to exit multiple times before falling over with the chair still attached to his body sustaining an injury to his lip. The booster seat, which was attached to the toddler chair, was only intended to be used with dining chairs.

8VAC20-780-340-A · Correction status not published

Based on review of staff records and interview, the center did not ensure to submit fingerprinting to obtain the Office of Background Investigation (OBI) determination letter for all staff.

Evidence: In Staff#2's record (date of hire: 05/01/24), the OBI determination letter was not found for review. Interview with staff confirmed the results of fingerprinting for the staff was not available for review during the inspection.

22.1-289.036-B-2 · Correction status not published

Based on review of staff records and interview, the center did not ensure to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence: In Staff#3's record (date of hire: 12/11/23), there was no documentation of a search of the child abuse and neglect registry from the state of New York. Interview with staff confirmed the documentation for an out of state search was not available for review during the inspection.

22.1-289-036-B-4 · Correction status not published

Based on review of children's record and interview, the center did not ensure each child enrolled records contain all information.

Evidence: In Child#2's record (start date: 05/23/23) there two emergency contacts listed addresses were incomplete. In Child#4's record (start date: 07/17/2023), there were no emergency contacts listed for review. Interview with staff confirmed information available for review during the inspection.

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

Based on review of staff records and interview, the center did not ensure to obtain a copy of the results of a search of an out of state child abuse and neglect registry.

Evidence: In Staff#1's record (date of hire: 09/13/22), there was no results of an out of state central registry found. Interview with staff confirmed the search results not being available for review during the inspection.

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

Based on review of staff records and interview, the center did not ensure to obtain documentation of tuberculosis screening within the last 30 calendar days.

Evidence: In Staff#3's record (date of hire 07/06/22), the TB screening provided for inspection was dated 05/07/22. Interview with staff confirmed the most recent TB screening available for review.

8VAC20-780-160-A · Correction status not published

Based on review of staff record, the center did not ensure to obtain Office of Background investigation (OBI) determination letter results prior to employment of staff.

Evidence: 1. In Staff#1's record (date of hire:3/11/22),there was no documentation of an OBI determination letter available for review during this inspection. 2. In Staff#3's record (date of hire: 3/12/22), there was no documentation of an OBI determination letter available for review during this inspection.

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

Based on review of staff record and interview, the center did not ensure to obtain a copy of the results of an out of state criminal history record information check, sex offender registry check, and a search of the child abuse and neglect registry in which the individual has resides in the preceding five years.

Evidence: In Staff#1's record (date of hire: 12/21/22), there were no results of required out of state background checks found for review during the inspection. Interview with staff confirmed the results of background checks were not available for review at this time.

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