8VAC20-780-40-E · The center did not follow its policies to prevent use of outdated medication and to require a physician?s authorization. There were two medications on site for Child #4 that had expired and had no physician authorization. The medication had not been administered.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-410-1 · Based on review of a child?s record, a staff person?s record and interview, a staff member used a forbidden action (striking a child?s hand) to get the child to cooperate.

Evidence: In an interview on 7/26/24, Staff #1 reported that she witnessed Staff #2 strike the hand of Child #1, (age 3), three times when they were in the bathroom on 7/17/24 and that the child began to cry. An incident report in Child #1?s file and an ?employee warning? in Staff #2?s file corroborated Staff #1?s account of the incident.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-600-F · Based on review of staff records and interview, the center did not ensure that staff members completed the department?s health and safety update course annually as required.

Evidence: 1) Staff #1?s date of employment was 5/2/22. The most recent documentation of completion of the department?s health and safety update course in the record of Staff #2 was dated 6/10/23. 2) Staff #4?s date of employment was 8/12/19. The most recent documentation of completion of the department?s health and safety update course in the record of Staff #4 was dated 4/07/22. 3) The Program Director acknowledged that Staff #1 and Staff #4 did not take the class annually as required.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · Based on review of a child?s record and interview, the center did not obtain documentation that each child received immunizations required by the State Board of Health before the child can attend the center.

Evidence: The first day of attendance for Child #2 was 12/27/23. There were no immunization records in the record of Child #2. The Program Director acknowledged that there was no way to verify if Child #2 received the required immunizations before the child started attending the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-B · Based on review of four staff records, the facility did not obtain a completed sworn statement prior to the first day of employment for one staff member.

Evidence: The record of staff #4, employed 03/06/2023, contained a sworn statement dated 03/23/2023, exceeding the first day of employment.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.