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.

1. The record for Child #1, enrolled for four months, was missing the following required components: mom?s home phone number. 2. The record for Child #5, enrolled for over a year, was missing the following required components: home phone number and a work number for mom and dad. 3. The record for Child #6, enrolled for six months, was missing the following required components: a work number for mom and dad.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-C · Based on review of staff records, the center did not obtain updated tuberculosis (TB)screening or testing every two years for one staff member.

Evidence: 1. Staff #5 had a TB screening or testing completed on 11/20/2021 and did not have an updated screening or test in the file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-420-E-3 · Based on record review and interview, the center did not ensure that at least annually parent confirmation that the required information in the child's record is up to date.

Evidence: 1. Child #1's record did not contain an annual update confirming the child's information in the child's record was up to date. Child # 1?s start date was 7/5/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-270-A · Based on observation and inspection of the facility, the licensee did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

Evidence: 1. An area of the rug in the school age classroom near the back door was torn and the material was lifted up causing a potential tripping hazard for children. 2. There are two cots with torn and frayed areas in the 2's classroom. 3. One outlet cover on a lower area of wall in the 2?s classroom was broken off at the top resulting in exposure of the electrical unit within the wall.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-270-A · Based on observation, the center did not maintain the facility in a safe condition. Evidence: There was a hole in the wall exposing sheetrock and chipped/peeling paint near the play area in the Toddler Room.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-770-60-C-2 · Based on a review of staff records and interview on February 10, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.

Evidence: 1. The record of staff #1, hired on 10/11/21, contained documentation of a central registry result dated 1/18/22. Administration confirmed it was late. 2. The record of staff #2, hired on 9/13/21, contained documentation of a central registry result dated 11/8/21. Administration confirmed it was late. 3. The record of staff #3, hired on 9/13/21, contained documentation of a central registry result dated 11/8/21. Administration confirmed it was late.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-260-B · Based on record review and interview, the center did not ensure to have annual approval from the health department for meeting requirements for water supply, sewage disposal system, and food service, if applicable.

Evidence: 1. The center did not have documentation of a current health inspection. The last documented health inspection was dated 07/15/2020. 2. Administration acknowledged the health inspection was not current.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.