8VAC20-790-600-F · Staff who work directly with children must, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

Staff #2 Did not complete the department's health and safety update course in the first year after employment. The training should have been completed within 1 year and 90 days of hire and is overdue by 1 month.

Open Not marked corrected in the state record

Category: health medication. 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 8 months and is designated as the lead teacher at this 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.

22.1-289.011-F · The license and any other documents required shall be posted in a conspicuous place on licensed premises. The findings from the most recent inspection, dated 1/26/2024, were not posted in a conspicuous place on the premises.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-150-B · Based on a review of records and interview, the licensee did not always ensure that the required documentation of Physical Examinations and Immunizations are signed by a physician, his designee, or an official of a local health department.

Evidence: Five children's records were reviewed. The record for child #2 contained a physical form which was not signed by the child's physician. The program director confirmed that the physical form had not been signed by the child's physician or designee.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

63.2-1509-A · Based on a review of documentation and interviews, the licensee and staff persons working at the before and after school program, who are mandated reporters, failed to immediately report to the local department or to the Department of Social Services? toll-free child abuse and neglect hotline, a reasonable suspicion that the abuse of a child in their care may have occurred.

Evidence: On the afternoon of 12/6/2023, staff #1 overheard child #2?s verbal account that she witnessed an incident between staff #2 and a 9 year old child in care (child #1) in which staff #2 ?pinned [child #1] to the trashcan, punched [child #1] in the chest and squirted a [juicebox] on [child #1]? earlier that afternoon. Immediately upon hearing child #2?s account of the alleged incident, staff #1 reported the account to staff #3, who is the direct supervisor of staff #2 Both Staff #1 and Staff #3 stated that they reported child #2?s account of these events to their immediate supervisor, Staff #4, on the same day that the incident allegedly occurred. Staff #2 stated at an interview on 1/16/2024, that she had never been questioned, counselled or followed up with by staff #4 or any other members of administration regarding her interactions with child #1 on 12/6/2023. The local department received a report of child #1?s alleged abuse on 12/26/2023, 20 days after the incident occurred.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-60-A · Based on a review of records and interview the licensee was not able to demonstrate that each child's record contains all of the required documentation to include the date that the child began attending the program.

Evidence: Five records were reviewed. The record for child #1 who was in attendance on the date of inspection did not documentation of the child's first date of attendance. The site supervisor confirmed that the first date of attendance / enrollment date was not present ion child #1's record at the time of the inspection.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-340-F · Based on observation and interview, facility did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that there is a system to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children.

Evidence: On 2/27/2023 at approximately 4:02 PM, three children were observed leaving the cafeteria and returning approximately 5 minutes later. Staff stated that the children went to the restroom. Staff further reported that is a common practice for meeting ratio requirements. The restroom was located through closed double doors and three hallways away from the cafeteria. Staff confirmed she could not hear the children while they were gone. Multiple individuals were observed in the hallways that were not staff or individuals picking up children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.