Smiling Faces Daycare

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. There was no documentation to show that immunization reports were received before Child #2 attended the center.

8VAC20-780-150-B · Each immunization report shall be signed by a physician, his designee, or an official of a local health department.

The immunization report for Child #1 was not signed by a physician, his designee, or an official of a local health department, which is required.

22.1-289.011-F · Repeat Violation

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent inspection were not posted, which is required.

22.1-289.011-F · Repeat Violation

The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent inspection were not posted, which is required.

22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #1 (employed for two weeks) was dated one day after their first day of employment.

22.1-289.011-F · Based on observation the center did not ensure that the license and documents related to the terms of the license are posted in a conspicuous place on the licensed premises.

Evidence: 1.The findings of the most recent inspection completed on 6/1/23 were not posted.

8VAC20-780-160-A · Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence: 1. Staff #4 (date of hire 03/02/2023) has a tuberculosis screening completed on 3/10/2023 which is outside of the required timeframe of submitting documentation of a negative TB screening at the time of employment or prior to coming into contact with children. 2. Staff #1 confirmed that Staff #4 did not have the TB screening completed in the required timeframe.

8VAC20-780-70 · Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: 1. The record for Staff #2 (date of hire March 10, 2023) only had one reference check completed before employment when two or more references are required. 2. Staff #1, Director, confirmed that Staff #2 had one reference check completed when two or more references before employment are required.

8VAC20-780-160-A · Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

Evidence: 1. The record for staff 1 (date of hire: 10/28/22) does not contain documentation of a negative tuberculosis screening. Staff 1 was working with children on the day of the inspection. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.

22.1-289.035-B-2 · Based on record review and interview, the center did not ensure that the results of a national fingerprint search is received for each staff member before employment.

Evidence: 1. The record for staff 1 (date of hire: 9/12/22) does not contain the results of a national fingerprint search. Staff 1 was working on the day of the inspection. 2. The center owner confirmed that the record for staff 1 is lacking the results of a national fingerprint search.

22.1-289.035-B-2 · Based on record review and interview, the center did not ensure that the results of a national fingerprint search is received for each staff member before employment.

Evidence: 1. The record for staff 1 (date of hire: 9/12/22) does not contain the results of a national fingerprint search. Staff 1 was working on the day of the inspection. 2. The center owner confirmed that the record for staff 1 is lacking the results of a national fingerprint search.

22.1-289.035-B-2 · Based on record review and interview, the center did not ensure that the results of a

national fingerprint search are received for each staff member before employment. Evidence: 1. The record for staff 1 (date of hire unknown) does not contain the results of a national fingerprint search. Staff 1 was working on the date of the inspection and stated she thinks she began employment at the center on or around 5/6/22. 2. The center owner confirmed that the record for staff 1 is lacking documentation of the results of a national fingerprint search.