8VAC20-780-270-A · Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

The following physical plant hazards and maintenance issues were observed: 1. Various rusted patches on multiple climbing structures. 2. Broken plastic seat on a sea saw causing a potential pinching injury. 3. Protruding wires on play area fencing at a child? level causing a potential poking or snagging injury.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-70 · Based on a review of 5 staff records it was determined the center did not ensure that a record was kept for each staff member with all the required information.

Evidence: 1. The record for staff #1 did not include an emergency contact. 2. The Director confirmed the emergency contact information was not in the record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-270-A · Based upon observation, the facility has not ensured that areas are maintained to be in a safe condition.

Evidence: There are two sections of paneling, one on the inside and one on the outside of the door to the two year old classroom, that have come loose creating possible pinch points.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-245-H · Based upon review of staff records, the facility has not ensured that annual training of staff includes the prevention of and response to emergencies due to food and other allergic reactions.

Evidence: The record for staff 3 did not include documentation of any annual training regarding the prevention of emergencies due to allergies. Staff 2 had an open can of cashew nuts on the staff desk in the school age classroom when the facility has a nut free p[olicy due to a child's allergy.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-510-P · Based upon review of the medications stored for administration to children in care and staff interview, the facility has not ensured that when medication expires it is returned to the parent within 14 days or disposed of by the facility.

Evidence: 1.There was an epipen stored for emergency administration to child 2. The epipen expired on 5/20/2021. 2. Staff 4 confirmed that the epipen for child 2 was expired.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.