8VAC20-780-60-A-8 · Based on review of children?s records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: The record of child #4, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-140-A · Based on review of three children?s records and interview, the center did not obtain documentation of a physical examination before a child?s attendance or within 30 days after the first day of attendance for one child?s record.

Evidence: The record of child #1, enrolled 03/01/2021, did not contain documentation of a physical examination exceeding 30 days from the first day of attendance. The administrator acknowledged the record for child #1 did not contain documentation of a physical examination.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

63.2(17)-1720.1-B-4 · Based on review of four staff records and interview, the center did not obtain a sex offender registry check from all states in which one staff member had resided within the last 5 years prior to employment.

Evidence: The record for Staff #2 (Date of Hire: 04/26/2021) indicated the staff member had resided in another state within the last five years. The record did not contain a sex offender search from the state indicated in the record. A member of management confirmed this during the inspection.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.