8VAC20-780-280-B · Hazardous substances such as cleaning materials and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

The cabinet under the sink in the children?s bathroom was unlocked and had various cleaning materials stored in it with the warning labels, ?Keep out of reach of children.?

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-140-A · Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician within 30 days of attending.

Evidence: 1. The record provided for child 5, who began attending on 2/27/2023, did not include the results of a physical examination. 2. Staff 1 verified that the record did not yet include the results of a physical examination,

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based upon review of children's records and staff interview, the facility has not ensured that the record for each child contains the written agreements between the parent and the center.

Evidence: 1. In the record provided for child 1, the parent did not sign the agreements between the parent and center. 2. Staff 1 agreed that the parent did not sign the agreements.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.