8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1 did not have a copy of their additional immunizations after being at the center for 6 months. Their original immunization record at enrollment were the documents on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Staff #1 tuberculosis screening expired on March 31, 2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 screening was dated July 14, 2021, and Staff #3?s was dated November 22, 2021. Both staff were present and working at the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on record review and interview, it was determined that the center did not ensure that all employees shall undergo a background check every five years thereafter.

Evidence: 1. In reviewing staff records, 2 of 4 staff records had expired background checks. a. Staff #1 expired on August 29, 2018. b. Staff #2 expired on September 12, 2018. 2. Staff #1 and Staff #2, the owners, confirmed their criminal background checks are expired.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on record review and interview, it was determined that the center did not ensure that staff complete a central registry finding within 30 days of employment.

Evidence: 1. Staff #2 (date of hire 8/24/22) did not have results of the Virginia Central Registry and no follow up call to obtain the results were conducted. 2. Staff #3 confirmed that there were no results for Staff #2?s Virginia Central Registry result.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-80-A · Based on observation and interview, it was determined that the center did not ensure that for each group of children, they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: 1. There are no daily attendance written records in each group of children?s classrooms. 2. All 4 classroom teachers and assistances confirmed that they did not have a daily written attendance record in their classroom. 3. Staff #1 and Staff #2, owners of the center, confirmed that there are no daily attendance records in each group of the children?s classroom.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-A · Based on record review and interview, the center did not ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician?s designee, or an official of the local health department.

Evidence: 1. Staff #3 (date of hire 9/08/2022) does not have a TB screening statement in their record. 2. Staff #4 (date of hire 9/12/2022) has a TB screening statement in their record dated, 10/21/22, which is after the required timeframe. 3. Staff #5 (date of hire 7/28/22) has a TB screening statement in their record dated, 7/16/2021, which was not completed within the last 30 days of the date of employment. 4. Staff #2 confirmed that Staff #3 does not have a TB screening completed prior to coming in contact with children and that Staff #4 has a TB screening statement after the date of hire. Staff #2 confirmed Staff #3 has a TB screening prior to the required timeframe of 30 days prior of the date of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-B · Based on record review and interview, it was determined that the vendor did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

Evidence: 1. Staff #5 (date of hire 7/28/22) does not have the Virginia Preservice Training completed. 2. Staff #2 confirmed Staff #5 does not have their Virginia Preservice Training completed.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-260-B · During record review and interview, it was determined that the center did not ensure that subsequent to initial licensure that an annual approval from the health department was provided.

Evidence: 1) There is no record or documentation of an annual health inspection for the past year. 2) The center?s director, Staff #1, confirmed no inspection was conducted the past year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.