8VAC20-790-560-A · Based on a review of five staff records and interviews, the vendor did not ensure two staff provided documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: The TB screening in the record of Staff #4, employed on 02/12/24, was completed on 12/17/23. The TB screening in the record of Staff #5, employed on 01/03/23, was completed on 01/18/22. During interview, a member of management confirmed there were no other TB screenings on file for Staff #4 or Staff #5. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.031-B-5 · Based on observation, the center failed to implement established procedures that ensured all areas of the premises accessible to children were free of obvious injury hazards.

Evidence: Several areas of exposed landscaping fabric had worked its way to the playground surface. The exposed fabric created a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-790-630-A · Based on observation, the vender did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: Several areas of exposed landscaping fabric had worked its way to the playground surface. The exposed fabric created a tripping hazard.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22VAC40-665-560-A · Based on the review of three children's records, the vendor did not receive immunization record required by the State Board of Health before one child began attending the center.

Evidence: The record for Child #2 (first day of attendance 07/22/2021) contained immunization record dated 01/10/2022. The parent handbook stated prior to children attending the center, copies of immunization records must be obtained. A member of management confirmed this information during the inspection.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.031-B-3 · Based on a review of records and interview, the center did not establish and implement procedures to conduct daily simple health screenings to exclude children as necessary by a person trained to conduct such screenings.

Evidence: A member of management was asked if the center had a procedure for ensuring that a daily simple health screening and exclusion of sick children is implemented. The member of management stated no staff had been trained for daily health observation.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.