8VAC20-790-600-F · Based on record review and interviews, it was determined the vendor did not ensure that staff who work directly with children shall, annually complete the departments health and safety update course.

1.The record for staff #3 did not include documentation of the annual health and safety update training course. a.Staff #6 confirmed the training had not been completed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.

Evidence: 1. The record for child #1 did not contain the date of enrollment, parent name, address, and phone number. a. Staff #6 confirmed the information was not in the record.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.035-A · Based on record review and interview, it was determined the center did not ensure that a repeat criminal history check was performed for each staff member at least every five years from the date of the last search.

Evidence: 1.The criminal history record check on file for staff #1 was completed on 6/11/2019, therefore it was over 5 years old. a. The Executive Director confirmed, an updated criminal history check was not in the record.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-160-C · Based on a review of staff records and interviews, it was determined that the facility did not ensure that each staff member obtained an updated tuberculosis (Tb) screening within two years of the their last screening.

Evidence: 1. The most recent Tb screening for staff #1 was dated 9/15/20, and was therefore over two years old. 2. Staff #2 (program director verified that the test was expired.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-2 · Based on a review of six staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).

Evidence: 1. The record for staff #4, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for staff #6, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing). 3. Staff #7 (Program Director) reviewed the record for the staff #5 and confirmed that he had not received the results of the national criminal record check (finger printing) before either staff began employment.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-530-C · Based on a review of three staff records and interviews, it was determined that the facility did not ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care.

Evidence: 1. The Licensing Inspector reviewed the records for both staff present and only staff #1 had a current CPR/First aid certification. 2. Staff #1 confirmed that staff #2 did not have a current CPR/First aid certification.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.