8VAC20-780-240-C · Based on record review, the center failed to include some required elements of new staff orientation training.

EVIDENCE: New staff orientation for Staff 3 (documented employment date of 6/24/2023), Staff 4 (documented employment date of 8/21/2023), and Staff 5 (documented employment date of 8/21/2023) was missing the following components: Job responsibilities and to whom they report; the policies and procedures listed in subsection D of this section, 8VAC20780-420 A, and the standards in this chapter that relate to the staff member's responsibilities; the center's playground safety procedures unless the staff member will have no responsibility for playground activities or equipment; recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia; confidential treatment of personal information about children in care and their families; the center's policies and procedures on the administration of medication; emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event such as violence at a child care facility and the emergency preparedness plan as required by 8VAC20780-550 A through K; prevention of sudden infant death syndrome and use of safe sleep practices; prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children; prevention of and response to emergencies due to food and other allergic reactions including: recognizing the symptoms of an allergic reaction; responding to allergic reactions; preventing exposure to the specific food and other substances to which the child is allergic; and preventing cross contamination; and prevention and control of disease.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22.1-289.035-B-4 · Based on record review, the center failed to complete an out of state criminal history name check prior to the first day of employment.

EVIDENCE: Staff 4 began employment on 2/1/2023 and the does not contain an out-of-state criminal history name check. The sworn statement for staff 4 states this person lived in a state other than Virginia within the past five years.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-160-A · Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: The record for Staff 2 contained a documented hire date of 10/1/2022. The date on the tuberculosis screening in the record was 10/07/2021.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.