8VAC20-780-150-B · Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Repeat Violation

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, was missing the name, address and phone number of a second emergency contact if the parents cannot be reached.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-140-A · Based on a record review and interview, it was determined that the facility did not ensure that all children had documentation of a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.

Evidence: 1. Child #4 (enrolled on 11/27/23) did not have documentation of having received a physical. 2. The Director confirmed the physical information was missing.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-270-A · Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition.

Evidence: 1. In the two-year-old classroom, low on a partial wall and accessible to children, there was crumbling drywall. 2. In the four-year-old classroom, there was paint peeling on a partial wall. The peeling paint was approximately 3 feet from the ground and accessible to children. 3.The Director confirmed the paint and drywall was in need of repair.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-280-B · Based upon observation and staff interview. the facility has not ensured that hazardous substances are kept in locked locations using safe locking methods that prevent access by children.

Evidence: 1. There was a spray bottle of air freshener and another container of spray disinfectant, both with warning labels, in the unlocked staff bathroom in the girls' bathroom. 2. Staff 2 verified the unlocked substances in the girls' bathroom 3. There was a container of spray disinfectant with a warning label on a high shelf in the unlocked bathroom adjoining the toddler room. 4. Staff 1 verified the presence of the disinfectant.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-130-A · Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: 1. The record for child #4, present during the inspection, did not contain documentation of an immunization record. 2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.