8VAC20-780-240-A · The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

Staff #1, has not yet completed this course which is overdue by 10 months.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-550-D · REPEAT VIOLATION

The center shall implement a monthly practice evacuation drill. The evacuation drill log did not contain documentation of an evacuation drill for the month of July 2024. The director acknowledged a drill had not been documented for July 2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-A · Based on review of five staff records and interview, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: 1. The record of staff #2, employed 11/08/2023, contained documentation of a negative tuberculosis screening dated 11/10/2023, exceeding the first day of employment. 2. The director acknowledged the TB results for staff #2 were documented after the first day of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-M · Based on review of children?s records and review of the allergy, sensitivities, and dietary restriction list, the center did not ensure all dietary restrictions were included on the current written list.

Evidence: The written allergy, sensitivities, and dietary restriction list did not include the dietary restriction for child #5 as listed in the record of child #5.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on review of seven staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment.

Evidence: 1. The record of staff #5, employed 05/29/2019, contained documentation of CPR certification that expired 05/05/2023. 2. The record of staff #6 contained documentation of CPR certification that expired 12/29/2022. 3. The director stated the two staff members had not renewed their certification in CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-A · Based on review of seven staff records and interview, the center did not ensure one staff obtained background checks every five years.

Evidence: 1. The record for staff #2 (employed 04/30/2018) contained the results of a fingerprint national criminal record check dated 04/27/2018, exceeding five years. 2. The director confirmed a request to update the fingerprint national criminal record check had not yet been obtained.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on review of three staff records, the center did not obtain the central registry finding for one staff within 30 days of employment or volunteer service.

Evidence: 1. The record of staff #3, hired 01/10/2022, had a completed central registry dated 03/08/2022, exceeding the 30 days from hire. 2. Administration reported they did not have documentation of following up on the status of the central registry after 30 days from hire.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-510-P · Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Evidence: The medication authorization for child #5 expired 09/28/2021, The medication had not been returned to the parent nor had the parent renewed the medication authorization form.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.