8VAC20-790-600-D-1 · Based on record review and interview, it was determined that the vendor did not ensure that all caregivers shall have within 90 days of employment or 90 days from subsidy vendor approval: 1. Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1. Staff #2 did not have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 2. Staff #1 confirmed that Staff #2 does not have a certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-540-B · 8VAC20-790-540. B. 9.

Based on record review and interview, it was determined that the vendor did not ensure that written authorization to administer prescription or nonprescription medications if the vendor administers medication was present in the child?s record. Evidence: 1) Child #1 did not have written authorization by a parents for the facility to administer over-the-counter medication. 2) The daycare administrative form that is part of the parent handbook, ?Non-Prescription Topical Medication Form? was not signed by a parent for Child #1. 3) Staff #1 confirmed the there was no written authorization signed by a parent to administer medication for Child #1.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-770-40-D-2 · Based on record review and interview, it was determined that the center did not obtain the child abuse and neglect (

CPS

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-I · Based on record review and observation, it was determined that the vendor did not ensure that there be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.

Evidence: 1. There are no staff members that have instruction in performing a daily health observation of children. 2. Staff #1 confirmed the training has not been provided nor do the staff members at the center have the daily health observation training.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-710-1 · Based on observation and interview, it was determined that the center did not ensure that staff did not use physical punishment on children.

Evidence: 1. There is video footage of Staff #1 throwing a ball at Child #1 as punishment. 2. Staff #1 was immediately terminated. 3. Staff #2 confirmed that Staff #1 was terminated immediately.

Open Not marked corrected in the state record

Open / not marked corrected.

22.1-289.035-B-2 · Based on record review and interview, it was determined that the fingerprint-based criminal history (

CRC

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-560-A · Based on record review and interview, it was determined that the vendor did not ensure that staff be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician?s designee, or an official of the local health department.

Evidence: 1. In review of five staff records, 4 of the 5 records did not have a required TB screening. a. Staff #1, the director (date of hire: 04/04/22) does not have the required TB screening completed. b. Staff #2 (date of hire: 04/20/22) does not have the required TB screening completed. c. Staff #4 (date of hire: 04/04/22) does not have the required TB screening completed. d. Staff #5 (date of hire:05/16/22) does not have the required TB screening completed. 2. The vendor acknowledged that TB screenings were required and that 4 of the 5 staff members did not have it completed prior to the date of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.