8VAC20-780-280-B · Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

There were two cans of sanitizing spray in an unlocked cabinet in the hallway bathroom used by children. The cleaning materials were accessible to children in care.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-60-A · Repeat Violation

Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 8/13/24) does not contain the addresses of the two designated people to call in an emergency if a parent cannot be reached. 2. The record for child 2 (date of enrollment: 12/27/22) doe not contain annual documentation of child updates and up-to-date information. 3. The center owner confirmed that the records for child 1 and child 2 are lacking all required information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-C · Based on a record review and interview, it was determined the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence: 1.The most recent Tb screening for staff #2 was dated 3/18/2022 and was therefore over two years old. 2.The Assistant Director confirmed the updated screening had not been completed at the time of the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-440-E · Based on observation, the center did not ensure that there shall be at least 12 inches of space between occupied cots.

Evidence: 1.In the toddler classroom, there were 7 children napping on cots that were not spaced at least 12 inches apart. 2. Staff in the toddler classroom confirmed that the occupied cots did not have at least 12 inches of space between them.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-60-A · Based on record review and interview, the center did not ensure that children's records contain all the required information.

Evidence: 1. The records for child 1 (date of enrollment: 8/8/22) and child 2 (date of enrollment: 3/10/22) do not contain documentation of viewing proof of the child's identity and age. 2. The center owner confirmed that the records for child 1 and child 2 are lacking documentation of viewing proof of the children's identity and age.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-130-A · Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health is obtained before the child can attend the center.

Evidence: 1. The records for child 1 (date of enrollment: 5/2/22) and child 2 (date of enrollment: 4/4/22) do not contain documentation of immunizations. 2. The center director confirmed that the records for child 1 and child 2 are lacking documentation of immunizations.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.