The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2 has been attending the center for two years and seven months. The record for Child #2 contained one original immunization record from when the child first enrolled at the center at the age of four months.

8VAC20-780-130-E · Correction status not published

A tuberculosis (TB) screening is required every two years from the date of the previous screening. Staff #5?s TB screening has been overdue for more than three months.

8VAC20-780-160-C · Correction status not published

Based on observation, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles.

Evidence: 1. The climber with a slide located on the center's preschool playground did not have the required amount of resilient surfacing in the fall zone at the end of the slide shut. There must be at least six inches of resilient surfacing throughout the fall zone. The fall zone at the slide had approximately 1 inch of pea gravel. Areas of compacted dirt were visible where pea gravel was lacking. 2. The director stated the landscaping timbers had to be removed from around the equipment making it difficult to maintain the pea gravel for the fall zone.

8VAC20-780-330-B · Correction status not published

Based on review of five staff records and interview, the center failed to ensure a search of the central registry was completed for each staff by the end of the 30th day of employment.

Evidence: 1. The record for Staff #1 (date of employment 2/22/22) documented a search of the central registry dated, 4/4/22 which is beyond 30 days of employment. 2. No additional information was provided.

8VAC20-770-60-C-2 · Correction status not published

Based on a review of records and interview, the center did not ensure to develop written procedures for prevention of shaken baby syndrome or abusive head trauma including coping with crying babies, safe sleep practices and sudden infant death syndrome as required.

Evidence: 1. The written procedures for prevention of shaken baby syndrome or abusive head trauma including coping with crying babies, safe sleep practices and sudden infant death syndrome were not observed. 2. Administration acknowledged that the center had not developed the written procedures.

8VAC20-780-40-K · Correction status not published