8VAC20-800-100-A · Based upon review of children's records, the provider has not ensured that documentation of a physical examination by or under the direction of a physician is obtained prior to a child's attending or within 30 days after the first day of attendance.

Evidence: The record provided for child 1 indicated that child 1 began attending on 7/27/2023. The record did not include the results of a physical examination.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.036-B-2 · Based upon review of caregivers records and provider interview, the provider has not ensured that the results of fingerprinting are obtained for all caregivers.

Evidence: 1. The provider was unable to find the results of fingerprinting for caregiver 2 during the inspection. 2. The provider acknowledged that the results of fingerprinting for caregiver 2 were not in the records.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-800-830-C · Based upon review of the documentation of emergency drills and provider interview, the provider has not ensured that documentation is maintained of all emergency drills with the required information.

Evidence: 1. The provided documentation of emergency drills ended in December 2021. No drills have been documented in 2022. 2. The provider verified that the drills conducted since December 2021 have not been documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-430-A-3 · Based upon review of documentation, the provider has not ensured that lockdown drills are practiced at least annually.

Evidence: The documentation of drills conducted did not have a lockdown drill conducted within the past year.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.