8VAC20-780-40-J · Injury prevention procedures shall be updated at least annually based on documentation of

injuries and a review of the activities and services. The most recent plan available to review was dated 9-17-2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-245-J-3 · Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. On October 7, 2025 Child #1, has 3 emergency medications and was in care for approximately 3 hour and Child #2 was in care for approximately 2 hours and has 2 emergency medications. There was not a staff member with the required medication administration training on site on October 7, 2025 during the time Child #1 and Child #2 were in care.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-790-600-F · The vendor shall ensure staff completed who work directly with children shall have completed the departments annual health and safety update course. Staff #3?s updated course was overdue by 1 ? years.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

1.The record for Child #1 was not complete as it only included both parents? employment number and location. Child #1 was in care during the inspection. 2. The records for Child #2 and #5 were not available for review for an approximately 1 hour util the records were dropped off by a center staff. Child #2 and #5 were in care during the inspection. 3. The record for Child #3 was not available for review for an approximately 1-hour util the records were dropped off by a center staff. Child #3 was not in care during the inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for one month, did not have documentation of an immunization record on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on record review and staff interviews, the licensee did not ensure there was a written care plan for each 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: 1. The record for child # 3 has a diagnosed food allergy (peanuts) and the record did not include a written care plan, to include instructions from a physician 2. The record for child #1 has a diagnosed food allergy (shellfish, treenuts and peanuts) and the record did not include a written care plan, to include instructions from a physician

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-F · Based on staff record review and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments health and safety update course.

Evidence: The record for Staff #1 and Staff #4 did not include the required annual 3-hour health and safety update course. The most recent Health and Safety course available for review for Staff #1 was dated 11-29-2018 and for Staff #4 it was dated 9-26-2016.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for Child #1, (first date of attendance 10-24-2022) did not include documentation of required immunizations prior to attendance.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on review of 5 children?s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

Evidence: The following records were determined to be incomplete. 1) The record for child #1 did not have a physical or immunization record, the employment information for one parent listed and did not have a 2nd emergency contact name, address, or phone number. Child #1?s first date of attendance was 10-27-2022. 2) The record for child #2 did not have the city state or zip code for both emergency contacts listed. Staff #1 confirmed missing information.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-191-40-C-1-A · Based on record review and applicant interviews, the applicant did not ensure to obtain a Search of the Central Registry upon application for licensure.

Evidence: Applicant #1 confirmed, the findings from a Virginia Search of the Central Registry were not available for review during the scheduled initial inspection for Applicant #1 and Applicant #2.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.