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 September 2024. The director acknowledged a drill had not been documented for September 2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-C · Based on review of five staff records, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

Evidence: The record of staff #5, employed 11/10/2014, contained documentation of a tuberculosis screening dated 01/18/2022, exceeding two years. The administrator stated a follow-up tuberculosis had not been obtained.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-70 · Based on review of four staff records, the center did not obtain all required documentation for one staff record.

Evidence: 1. The record of staff #2, employed 10/03/2023, contained one written reference dated 10/19/2023, exceeding the date of employment. The record did not contain a second reference as required by the standards. 2. Two or more references as to character and reputation are required to be checked before employment or volunteering.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-600-F · Based on review of four staff records, the center did not ensure one staff completed the department?s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training.

Evidence: The record of staff #2, contained documentation of completion of the department?s annual health & safety update training dated 10/18/2020. There was no documentation for the 2021 and 2022 year.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-570-A · Based on observation and interview, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt was fastened securely.

Evidence: Child #7 was observed being feed in a highchair without the protective belt being fastened. Staff acknowledged the belt was not fastened.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-40-E · Based on review of the center?s policies and procedures and interviews, the center did not ensure that the center?s activities and services were in compliance with the center?s own policies and procedures related to supervision that are required by the standards.

Evidence: 1) During interviews, staff #1 reported that on 11/04/2022, during the transition from the classroom to the outdoors, Child #1, two-years old, was mistakenly left in the classroom unsupervised for approximately 15 minutes. Staff #1 reported that a name-to-face check was not completed upon exiting the classroom. Staff #1, staff #2, Staff #3 and staff #4 were unaware that Child #1 was left behind in the classroom. Staff #1 reported that at approximately 10:35 am, the parent of child #1 texted staff #1 asking if child #1 was ok as she did not see him in any photos that were being sent out of the nature walk. Staff #3 returned to the classroom where child #1 was waiting by the door. 2) The center?s Child Supervision Policy stated, ?Classroom teachers are responsible for the supervision and whereabouts of the children assigned to their care at all times, which entails conducting regular headcounts. Name to face head counts are to be done anytime the class is leaving the room to go outside to the playground, once on the playground and going on field trips to ensure no child is hiding or left behind. ?

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-510-G · Based on review of medication and interview, the facility did not ensure medication was labeled with the child?s name, the name of the medication, dosage amount, and the time or times to be given.

Evidence: 1. Medication was observed in a Ziploc bag with the child?s name written on the bag, however the medication did not have the pharmacy label nor did it have the original container with information regarding the dosage, and times to be given. 2. The director stated they did not have the label or original container listing the required information.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-2 · Based on a review of five staff records and interview, the center did not ensure one staff member completed a national fingerprint check prior to the first day of employment and within the required time frame.

Evidence: 1. The national fingerprint check for Staff #1, hired on 03/09/2022, was dated 09/02/2021 exceeding 90 days prior to employment. 2. The director reported Staff #1 was delayed in starting employment and a new fingerprints background check was not completed prior to hire.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

63.2(17)-1720.1-B-2 · Based on a review of two staff records, the licensee failed to ensure that one staff had original fingerprint results prior to employment. Evidence: The record for Staff #1 indicated a hire date of 3/29/2021 and fingerprint results dated 3/31/2021.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.