Ms. Letitia Paige

8VAC20-790-250-F · Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course.

Assistant provider #2 did not complete the department's annual health and safety update course.

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22.1-289.035-A · The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #2 was overdue by three months.

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22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 8/20/2024, were not posted in a conspicuous place on the premises.

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22.1-289.035-B-4 · Based on record review and interview it was determined the center did not request a search of the child abuse and neglect registry or equivalent registry from any state in which staff had resided in the preceding five years.

Evidence: 1. Assistant provider #2 (hired 7/25/23) reported on their signed sworn statement that they had lived in Texas within the past five years. There was no documentation of a criminal history, central registry search, and sex offender search from Texas in the record for assistant provider #2. 2. Staff confirmed this documentation was not available during this inspection.

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8VAC20-800-570-A · Based on observation and interview it was determined the provider exceeded the 16 points per caregiver.

Evidence: 1. There were 10 napping children in care with the substitute provider totaling 22 points at the time of the inspector's arrival. 2. The provider confirmed that there were 22 points in care with the substitute until her return.

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22.1-289.058 · Based on observation and interview it was determined the provider did not ensure the home had at least one carbon monoxide detector.

Evidence: 1. There was no carbon monoxide detector in the home. 2. Provider confirmed that there was no carbon monoxide detector present during this inspection.

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8VAC20-800-830-A · Based on record review and interview it was determined the provider did not ensure emergency evacuation procedures were practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence: 1. The emergency evacuation drill log did not contain documentation for July 2022. 2. Provider confirmed an emergency evacuation drill was not practiced in July.

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8VAC20-800-100-A · Based on record review and interview it was determined the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence: 1. The record for child #2(enrolled 4/6/21) did not contain documentation of a physical exam. 2. Provider confirmed that this documentation was not available during this inspection.

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22VAC40-111-180-A · Based on record review and interview it was determined the provider did not obtain a report of tuberculosis screening form from each caregiver every two years from the date of the first screening.

Evidence: 1. The last TB screening report for the assistant provider was dated 3/7/19. 2. The provider confirmed that the assistant did not have an updated TB screening.

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