8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2?s CPR certification was obtained approximately 6 weeks after required.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-M · (Repeat Violation)

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in 4 rooms was not dated and in 1 room it was not kept in a confidential manner.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than 4 months, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.035-B-4 · Based on record review and staff interview, the licensee did not ensure to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence: Staff #2 lived in Minnesota with in the last five years. Staff #2 hire date was 08/28/2023. Staff #2 did not obtain results of sex offender and child abuse and neglect.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-340-A · Based on interviews and document review, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection and guidance.

Evidence: 1.Child #1 fell asleep in a rocker . Staff #1 picked the rocker up with child #1 in it. Staff #1 moved the rocker with child#1 asleep and placed it in the crib with a mattress. 2.Staff #1, Staff #2 and Staff #3 confirmed child #1 was in the rocker placed in the crib while sleeping . 3. Manufacture guidelines for the infant rock seat state the following: - Never move the unit while child is in the seat. - Always use on the floor. - Never use on soft soft surface as seat may tip over and cause suffocation. 4. The center did not follow the manufacture guidelines.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-770-60-C-2 · REPEAT VIOLATION

Based on record review, the licensee did not ensure central registry finding were recieved within 30 days of employment . Evidence: Staff #3 hire date 04/21/2022. There was no results for Central Registry in Staff #3's record.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-160-A · Based on record review and staff interview, the licensee did not ensure the documentation for tuberculosis was 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: Staff#2 hire date was November 11, 2022 and TB test was completed November 17, 2022. Staff #3 hire date was November 22, 2022 and TB test was completed December 1, 2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Evidence: In the School Age group there was 16 children and only 14 children were documented on the written record of daily attendance.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-B · Based on record review and staff interview, the licensee did not ensure employee of a licensed child day program must not be employeed until person completed sworn statement and affirmation.

Evidence: The center was unable to provide sworn statement or affirmation documentaiton for staff #2 ( hire date 4/28/2022) and staff #3 ( hire date 05/02/2022).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-280-G · Based on observation and staff interview, the licensee did not label the substitute container indicate contents.

Evidence: There was a container with a liquid substance in the girls and boys bathroom . Staff confirmed it was soap. The container was not label with the content.

Open Not marked corrected in the state record

Open / not marked corrected.