8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance.

On 10/25/2024 Staff # 1 and Staff #2, did not step in to address the parent of Child #1 who, walked from her car, up to the bus and signaled Child #2 to come speak with her. Child #1?s parent was bending down to Child #2?s eye-level and speaking to the child, in response to a matter that transpired on the bus from the public school to the facility between Child #1 and Child #2. Staff #1 and Staff #2 did not intervene, and Child #2 was visibly upset and crying during the interaction with Child #1?s parent.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-60-A-8 · Based on review of children?s records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record of child #6, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Evidence: The metal step used to enter the bus is rusted and decayed on the left side where it attaches to the van. When stepped on the step bends downward, posing a falling hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-550-H · Based on interview and review of documentation, the center did not maintain a record of the dates of the practice drills for one year.

Evidence: The emergency drill log contained documentation of two evacuation drill from the 2023 year. The director stated the emergency drill log for the 2022 year was not available for review.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-550-P · Based on review of three injury reports, the facility did not ensure all required information was documented regarding children?s serious and minor injuries.

Evidence: 1. Injury report #1, dated 08/19/2022, for child #1 did not have how the parent was notified of the injury documented as required. 2. Injury report #2, dated 08/22/2022, for child #1 did not have the time the parent was notified of the injury documented as required.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-40-M · Based on review of children?s records, documentation and interview, the facility did not maintain a current list of all children?s allergies, sensitivities and dietary restrictions that shall be dated and kept confidential in each room or where children are present.

Evidence: The record of child #4, enrolled 05/27/2022, documented a diagnosed food allergy. Child #4 was not listed on the allergies, sensitivities and dietary restrictions document. The allergies, sensitivities and dietary restrictions document was not dated. The director stated she was aware of the food allergy for child #4, however she had not up dated the allergies, sensitivities and dietary restrictions list.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on a review of records and interview, 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 #2, hired on 11/15/21, contained documentation of a central registry finding dated 1/14/22. 2) The record of Staff #3, hired on 9/13/21, contained a central registry finding dated 11/9/21. 3) Administration acknowledged the checks were late.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

63.2(17)-1720.1-B-4 · Based on a review of records the center did not obtain the results of a check of the out-of-state sex offender registry prior to employment for each employee.

Evidence: The record of Staff #2 (DOH 3/22/21) contained documentation of two out-of-state sex offender registries dated 4/1/21.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.