8VAC20-790-600-D-1 · All staff who work directly with children must have, within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Staff #1 has not obtained current certification in cardiopulmonary resuscitation (CPR) which was overdue by more than 4 months. Staff #2 has not renewed her certification in cardiopulmonary resuscitation (CPR) which was expired by 1 year and 2 months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · The center must maintain a separate record for each child which contains all required documentation and information to include first and last dates of attendance, the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached, and written agreements between the parent and the center as required by the standards.

The record for child #1 contained only one of two emergency contacts. The record for child #5 contained only one of two emergency contacts and had no address listed for this contact. The record for child #2 did not have their first date of attendance and did not contain written agreements between the parent and the center as required by the standards.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-70 · Documentation to demonstrate that the individual possesses the education,

certification, and experience required by the job position must be in each staff record. Staff #1, who has been working with children in the program for over 9 months, and is the designated Lead Teacher of the site, does not have documentation on record to demonstrate her qualifications.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-60-A-8 · ***REPEAT VIOLATION***

Based on a review of records and interview, the licensee did not ensure that a written care plan, 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 is obtained for each child who is diagnosed with a food allergy. Evidence: Three children's allergy plans were reviewed. The record for child (B) contained documentation stating that child (B) is allergic to eggs. The record for child (C) contained documentation stating that child (C) is allergic to Shellfish. Child (B) and child (C)'s records do not contain a written care plan, 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. The program director confirmed that an allergy care plan was not available for child (B) or child (C).

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-E · Based on interview and observation, the licensee did not maintain compliance with the terms of the current license issued by the department.

Evidence: The program is operating at a new location, the newly constructed Hardy Elementary School, 9389 Old Stage Hwy. Smithfield VA 23430. The current Child Day License issued to the program permits operation at 9311 Hardy Circle, Smithfield VA 23430. The licensee did not inform the Department of Education of the program's relocation prior to operating at a new facility. The Department became aware of the program's relocation during the process of obtaining a complete application for the renewal of their License to operate. The department received written notification of the new location, after requesting it, on 9/12/202. The program director stated that the program had been operating at the new location since 9/5/2023.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-280-B · Based on observation and interview, facility did not ensure hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children.

Evidence: Cleaning supplies were observed in an unlocked cabinet used by the program in the cafeteria. Staff stated the cabinet does not lock.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.