8VAC20-790-700-A · Behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. In an interview on 2/26/26, Staff #1 acknowledged that she was involved in a physical ?tussle? with Child #1 (age 12) in December when the child refused to hand over his cell phone.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-790-530-B · For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

There were six children present in the Infant classroom, but only five were checked in. There were three children present in the Toddler classroom, but the record of daily attendance did not have any children checked in. There were four children present in the Preschool classroom, but the record of daily attendance did not have any children checked in.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.031-A-4 · Each person in a supervisory position should be certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.

Staff #3 and Staff #4 were in a supervisory position for two and three months prior to having a completed staff health report. The staff health report in the record of Staff #5, who is in supervisory position, was not completed annually. The staff health report was expired by more than one month.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

22.1-289.031-B-1 · Based on observation, the center did not establish and implement procedures for hand washing by staff and children after diapering.

Evidence: A staff member in the Infants? classroom was observed changing a child?s diaper. After the diaper change, the staff member did not wash the child?s hand. The child was placed back on the floor to play.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-790-560-A · Based on the review of five children's records, the vendor did not obtain documentation that two of the children had received the immunizations required by the State Board of Health before allowing the children to attend the center. Evidence:

1. The records for Child #3 (first day of attendance 08/15/2023) did not have documentation of immunizations. 2. Staff #4 confirmed this information during the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.031-A-4 · Based on a review of five staff records, two staff did not obtain the required staff health report within the required timeframe.

Evidence: 1) Staff #2, employed 07/09/19, did not have an updated annual staff health report in the record. The staff health report on file dated 10/01/21 expired 10/01/22. 2)The staff health report in the record for Staff #3, employed 03/16/22, was dated 03/28/22. The staff health report should have been obtained prior to the staff beginning employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-550-2-a · Based on a review of five staff records and interview, the vendor did not ensure three staff had satisfactory results of the fingerprint-based national criminal background check prior to employment.

Evidence: 1) The fingerprint-based national criminal background check in the record for Staff #1, employed 09/15/22, was dated 03/27/19. Fingerprint-based national criminal background checks are required to be obtained no more than 90 days prior to employment. 2) The record for Staff #4, employed 09/19/22, and the record for Staff #5, employed 09/26/22, did not contain documentation of satisfactory results of the fingerprint-based national criminal background check. 3) During interview, management confirmed Staff #4 and Staff #5 do not have the results of a fingerprint-based national criminal background check.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22VAC40-191-40-D-2 · Based on review of three staff records and interview, the center did not ensure documentation of required background checks for three staff members within 30 days of the individual's beginning date of employment or service.

Evidence: 1. The records for Staff #1 (hire date 04/19/2021), Staff #2 (hire date 08/17/2017) and Staff #3 (hire date 09/13/2019) did not contain the results of central registry search. 2. A member of management was unable to provide documentation of the results of a completed central registry search.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22VAC40-665-530-2-e · Based on review of three staff records and interview, the center did not ensure documentation of required background checks for three staff members within 30 days of the individual's beginning date of employment or service.

Evidence: 1. The records for Staff #1 (hire date 04/19/2021), Staff #2 (hire date 08/17/2017) and Staff #3 (hire date 09/13/2019) did not contain the results of central registry search. 2. A member of management was unable to provide documentation of the results of a completed central registry search.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.