8VAC20-780-160-C · Based on record review and interview with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence: 1. The most recent tuberculosis screening for Staff 1 was dated 03/17/2022: there was not a follow-up test/screening for 2024 available for review. Staff 1 confirmed there was no 2024 test/ screening available for review. 2. The most recent tuberculosis screening for Staff 4 was dated 05/18/2022: there was not a follow-up test/screening for 2024 available for review. Staff 1 confirmed there was no 2024 test/ screening available for review.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-500-A · Based on observations, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

Evidence: Children were observed arriving to the program, and immediately eating food brought from home without washing their hands before eating.

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

22.1-289-036-B-4 · Based on review of three staff's records, the center failed to ensure that all out of state background checks were obtained and returned with results within 30 days of employment.

Evidence: 1. Staff # 2 was hired on 9/25/2021 and on the day of the inspection did not have results of the out of state CPS

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.