Precious Angels Developmental Center

8VAC20-780-160-A · Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

The screening for Staff #6 was completed 54 days prior to employment.

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8VAC20-780-550-P · When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

The medication for child #3 was onsite and the medication authorization expired four months ago.

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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 #3 was overdue by 1 year and 8 months. The most recent completed national criminal background check for staff #3 was overdue by 1 year and 9 months.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for child #2, enrolled for two weeks, was missing the following required components: the name, address, and phone number of one designated person to call in an emergency. The record for child #3, enrolled for two weeks, was missing the following required components: the name, address, and phone number of one designated person to call in an emergency

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8VAC20-780-130-A · Based on review on children?s records, the center did not ensure they obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1. The record for child #4 (enrolled 3/13/2023) contained an immunization record received and signed on 3/20/2023.

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8VAC20-780-150-B · Based on child record review, the provider failed to ensure that one of four immunizations records for children were signed by a physician, designee, or official of a local health department.

Evidence: The immunization record for C1, enrolled 08/01/2023 was not signed by a physician, designee, or official of a local health department.

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22.1-289.035-B-2 · Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment.

Evidence: The record for classroom teacher, S1, did not have results of a national criminal background check prior to the first day of employment. The record did not document the first day of employment and did not contain any results of a criminal record check.

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8VAC20-780-60-A · Repeat Violation:

Based on child record review, the provider failed to ensure that one of eight records contained required documentation. Evidence: Records for C1, enrolled 04/04/2022 did not contain documentation of confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420-E.3.b.

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8VAC20-780-160-A · Based on staff record review, the provider failed to ensure for three of six staff that staff members shall submit documentation of a negative tuberculosis screening.

Evidence: Three staff did not submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children: The record for S1, employed 10/11/2022, contained a screening completed 10/27/2022. The record for S2, employed, 2/6/2023, contained a screening completed 2/24/2023. The record for S4, employed 11/3/2022, contained a screening completed 11/28/2022.

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8VAC20-780-270-A · Based on observation, the facility failed to keep all areas inside the center clean and operable. Evidence: the lower level of the building had several ceiling tiles that were broken and had damage, including one directly above the infant room changing table.

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