8VAC20-790-600-D-1 · Based on a review of five staff records and interviews, the vendor did not ensure two staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children care.

Evidence: 1. The CPR certification in the record of Staff #2, employed on 05/16/23, expired on 01/10/2024. 2. The record of Staff #5, employed on 10/23/23, did not contain documentation that the staff has current certification in CPR. All staff who work directly with children shall have current certification in CPR within 90 days of the date of employment. 3. During interview, management confirmed Staff #2 and Staff #5 did not have current certification in CPR as required.

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 six staff records and interview, the vendor did not ensure four staff had the 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 of Staff #1, employed on 08/29/22, was dated 09/13/22. 2) The fingerprint-based national criminal background check in the record of Staff #2, employed on 01/24/23, was dated 02/24/23. 3) The fingerprint-based national criminal background check in the record of Staff #5, employed on 09/09/22, was dated 09/21/22. 4) The fingerprint-based national criminal background check in the record of Staff #6, employed on 02/21/23, was dated 03/07/23. 5) During interview, a member of management confirmed the fingerprint results for Staff #1, Staff #2, Staff #5, and Staff #6 were not received prior to employment.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

22.1-289.031-A-4 · Based on a review of six staff records, four staff did not obtain the required staff health

report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #2, employed on 01/24/23, was completed on 01/25/2023. 2) The staff health report in the record of Staff #3, employed on 12/07/22, was completed on 02/03/23. 3) The staff health report in the record of Staff #5, employed on 09/09/22, was completed on 09/11/22. 4) The staff health report in the record of Staff #6, employed on 02/21/23, was completed on 03/20/23. The staff health report for each staff member 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.

8VAC20-790-700-B · Based on interviews, the vendor did not ensure in order to promote the child?s physical, intellectual, emotional, and social wellbeing and growth, staff shall model desired, appropriate behavior and respect personal privacy.

Evidence: 1. Staff #1 stated on July 18, 2022, Child #1 had a ?blow-out bowel movement?. Staff #1 stated ?some of the poop was inside the vagina of [Child #1]?. Staff #1 stated she called Staff #2 to the room to ask about the best way to clean the area. 2. Staff #2 stated she took a picture of the vaginal area of Child #1 in order to show the parent and to ensure Child #1 was cleaned properly. 3. The parent of Child #1 stated Staff #2 showed pictures of her child?s private area and was concerned about pictures existing of the child?s vaginal area and insisted on Staff #2 deleting the photos. 4. Staff #2 stated all pictures of Child #1 were deleted.

Open Not marked corrected in the state record

Open / not marked corrected.

22VAC40-665-530-2-a-1 · Based on review of five staff records and interview, the vendor did not ensure the satisfactory results of a fingerprint-based national criminal background check was obtained for one staff member.

Evidence: .1 The record for Staff #2 (hire date 08/25/2021) did not contain results of the fingerprint-based national criminal background check. 2. A member of management stated two attempts had been made to obtain the criminal background check and each scheduled appointment was cancelled by the person responsible for obtaining the fingerprints for Staff #2.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

63.2(17)-1720.1-B-2 · Based on review of five staff records and interview, the center did not ensure the satisfactory results of a fingerprint-based national criminal background check was obtained for one staff member.

Evidence: 1. The record for Staff #2 (hire date 08/25/2021) did not contain results of the fingerprint-based national criminal background check. 2. A member of management stated two attempts had been made to obtain the criminal background check and each scheduled appointment was cancelled by the person responsible for obtaining the fingerprints for Staff #2.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.