The center must request a search of the central registry prior to the employee's first day of employment.

Staff #2, who had been employed for 10 months, did not have a central registry search requested.

22.1-289.035-B-3 · Correction status not published

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

Medication for Child #7 was onsite, but the medication authorization had expired over 3 months ago.

8VAC20-780-510-P · Correction status not published

The center shall ensure there is always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

Neither staff present at the time of inspection had current daily health observation training. Their previous training was expired for one week.

8VAC20-780-245-L · Correction status not published

A tuberculosis (TB) screening is required every two years from the last screening.

Staff #2's updated screening was expired for 4 days as of the date of inspection.

8VAC20-780-160-C · Correction status not published

Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled.

Evidence: Child #4 was present at the time of inspection and did not have a record on site.

8VAC20-780-60-A · Correction status not published

Based on record review, the center did not obtain 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: Child #1 has a diagnosed food allergy to eggs and shellfish and did not have a written allergy care plan on file at the time of inspection.

8VAC20-780-60-A-8 · Correction status not published

Based on a review of on-site documentation, it was determined that not all required information was available for all staff. Evidence: Staff #2 did not have documentation of a name, address and phone number to be notified in an emergency.

8VAC20-780-70 · Correction status not published

Based on review of two staff records, it was determined that the facility did not have a repeat central registry report for all staff every five years as required. Evidence: The record for staff #2 had a central registry search report dated: 1/31/2017.

22.1-289.035-A · Correction status not published

Based on review of documentation, and an interview with staff, it was determined that not all staff had acceptable documentation of a TB test/screening. Evidence: the record for staff #2 had a TB clearance statement that was not signed by a physician, the physician's designee or an official of the local health department.

22VAC40-185-160-B · Correction status not published