8VAC20-790-530-C · For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 12/06/2024 the licensing inspector observed 32 children in the center. The daily attendance record documented 27 children present. The daily attendance log for 11/27/2024 did not document the departure time for 7 children. The log for 12/02/2024 did not document the departure time for 12 children. The log for 12/03/2024 did not document the departure time for 7 children. The log for 12/05/2024 did not document the departure time for 7 children.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.035-B-2 · Providers must obtain a completed national criminal background check prior to the employee's first day of employment. S5 who had been employed for one day, did not have a completed national criminal background check until the following day. The file for S5 documented the staff receiving orientation and training required 8VAC20-780-240-C the day prior to the national criminal background check being completed.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-790-600-D-1 · The provider failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and first aid.

Evidence: The record for S5, hired 03/03/2023 documented certification in CPR and first aid 06/15/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-J · The provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

Evidence: The injury prevention procedures provided for review documented the last review dated 02/08/2023.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

22.1-289.035-B-2 · Based on record review, the provider failed to ensure all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment.

Evidence: The record for S5, employed 06/01/2023, did not contain results of a national criminal background check.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-60-A · Based on child record review, the provider failed to ensure that three of five records contained all the required information.

Evidence: 1. The records for C2 and C3 did not contain parental work phone number and place of employment of each parent. 2. The records for C3 and C4 did not contain home address and home phone numbers for their fathers. 3. The record for C4 did not contain the name, address, and phone number for a second designated person to call in an emergency if a parent cannot be reached. 4. The record for C2 did not document allergies and intolerance to medication or other substances, and actions to be taken in an emergency. The element on the form was blank and the child?s physical documented the child having ?wheezing?. 5. The record for C3 did not contain documentation of provider viewing proof of the child?s identity and age. 6. The record for C3 did not contain documentation of health information as required by 8VAC20-780-130. The provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years old. The last immunizations contained in C3?s record was dated 01/07/2022 and C3 is under the age of two. 7. The record for C4 did not contain documentation that the center received the child?s immunizations before attending the center. C4 was enrolled in the center 06/24/2022 and the immunization record was dated 06/30/2022.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-C · Based on staff interview, the inspector was not able to inspect all aspects of the program during today's inspection. Evidence: 1. An unannounced inspection was conducted from 2:30 p.m. to 5:00 p.m. on June 28, 2022. The director stated that the owner was on vacation and the office that has employee files and other records was locked and no key was present. 2. The director stated that it is the policy to lock the office door when the owner is not on site.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.