The Nansemond-Suffolk Academy Association, Incorporated

22.1-289.035-B-4 · Based on review, facility did not ensure required out of state background checks are completed when an individual has lived outside the state of Virginia within the past 5 years.

Evidence: The record for staff #2 (start date 4/17/2023) had documentation that they had lived in two other states within the past 5 years prior to beginning employment. There was not a completed criminal history search for one state and a central registry search for the other state.

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8VAC20-780-160-B · Based on review, facility did not ensure 5 of 5 staff have acceptable forms of documentation of tuberculosis screening.

Evidence: The records for staff #1, staff #2, staff # 3, staff # 4 and staff #5 had documentation of tuberculosis screenings that were signed by a RN however it was not a physician, physician's designee or an official of the local health department as required.

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8VAC20-780-550-P · Based on review, facility did not ensure required information is documented when a child sustains an injury.

Evidence: The record for child #3 had an injury report completed on 11/14/2022 that did not document the staff present, date/time/method of parent notification and two signatures.

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8VAC20-780-410-5 · Based on interview, review of documentation and observation of photographs, facility did not ensure staff do not engage, by action or threat, in any forbidden action to include forcing rest.

Evidence: Staff have placed child size chairs over top of children laying on napping mats when the children have been restless and would not lie still during naptime. The following was reported and/or reviewed in documentation received: 1. Staff reported observing staff #2 and staff #3 put a chair over a child while the child was laying down for naptime. Staff reported this was done when a child ?wasn?t still? for naptime. Staff stated sometimes the chair was put over the child?s legs and sometimes the chair was put over the child?s legs and torso. Staff stated she has observed this happen multiple times per week. 2. Staff reported observing staff #1 put a weighted blanket and chair over a child?s legs during naptime because ?it helps her not to wiggle?. 3. Staff reported being told by staff #3 to place a chair over a child during naptime to keep them from moving around. 4. Photograph shows a child laying on their back on a napping mat with a child sized chair over the bottom half of the child with the front chair legs on either side of the child?s waist. 5. Photograph shows a child laying on their stomach on a napping mat with a child sized chair over the child?s back with the front chair legs behind the child?s armpit and the back chair legs on the side of the child?s legs.

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22.1-289.035-B-4 · Based on review, facility did not ensure required background checks are completed for an individual has lived outside the state of Virginia within the past 5 years.

Evidence: The record for staff #3 (start date 8/15/2022) did not have a completed child abuse and neglect registry search for a state listed as having lived in within the past 5 years.

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