22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #6, employed for over 1 month, did not have documentation of requesting a central registry check from one state. Administration stated that staff #6 does work alone with children at times.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening.

Staff #1's updated screening was completed over 2 months late.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-270-A · Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: 1. A total of 10 protruding nails were observed on the wooden shed structures on the preschool playground. On the toddler playground, a protruding nail was observed on the wooden fence. 2. Administration acknowledged that the areas required maintenance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-160-A · REPEAT VIOLATION

Based on record review and interview, the center did not ensure that obtain documentation of a negative tuberculosis screening for one staff member at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 2/15/2024) contained a TB screening dated 2/16/2024. 2. Administration acknowledged that the TB screening was obtained after the start of employment.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22.1-289.035-B-2 · Based on a review of 12 staff records and interview, the center did not ensure that two staff completed a fingerprint background check prior to the first date of employment as required.

Evidence: 1. The record of staff #8 (date of employment: 9/5/23) contained a fingerprint background check dated 9/6/23. The record of staff #12 (date of employment: 8/25/23) did not contain a fingerprint background check. 2. Administration acknowledged that the fingerprint checks were not completed prior to employment for the two staff.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on a review of 12 staff records and interview, the vendor did not ensure that two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment as required.

Evidence: 1. The record of staff #5 (date of employment 8/29/2023) did not contain documentation of a CPR certification. The record of staff #7 (date of employment 8/28/2023) did not contain documentation of a CPR certification. 2. The vendor acknowledged that the two staff were not CPR certified.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-270-A · Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition as required.

Evidence: 1. On the preschool playground three (3) rusted bikes and a wooden bench with splintering wood were observed. Areas of chipped and peeling paint were observed in three (3) of six (6) classrooms. 2. Administration acknowledged that the areas and equipment required maintenance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-130-A · Based on a review of five (5) child records and interview, the center did not ensure that one (1) child had received the immunizations required by the State Board of Health before the child's first date of attendance as required.

Evidence: 1. The record of child #5 (date of attendance: 9/28/2021) contained an immunization record dated 10/18/2021. 2. Administration acknowledged that the record was not received prior to the child's first date of attendance.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22.1-289.035-B-4 · Based on a review of 5 staff records and interview, the center did not ensure that 2 staff records contained documentation of required out of state background checks from any state in which the individual(s) had resided in the preceding five years within the required time frames.

Evidence: 1. The record of staff #2 (DOH:1/10/2022) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record contained an out of state criminal history response dated 2/15/2022. Out of state criminal history checks are required to be obtained prior to the first date of employment. 2. The record of staff #4 (DOH: 7/8/2021) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record did not contain an out of state sex offender registry check and out of state criminal history check. Both are required prior to the first date of employment. 3. Administration acknowledged that the background checks were not obtained within the required time frame.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

63.2(17)-1720.1-B-4 · Based on record review and interview, the center did not ensure to obtain out of state background checks for one staff as required.

Evidence: 1. The record of staff #2 (DOH: 7/19/2021) contained a sworn statement that indicated that the staff resided outside of Virginia within the preceding five years. 2. The record did not contain an out of state sex offender name search, an out of state criminal history check and an out of state child abuse and neglect registry check. 3. Administration acknowledged that the background checks were missing.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.