22.1-289.057-B · The plan established pursuant to subsection A and the results of each test conducted pursuant to such plan shall be submitted to and reviewed by the Commissioner and the Department of Health's Office of Drinking Water.

The facility's potable water testing was not completed prior to 1/1/2025 and the test results have not yet been submitted to the Virginia Department of Health.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-1 · Based upon review of staff records, the facility has not ensured that staff complete a sworn statement or affirmation disclosing any convictions or pending charges or child abuse or neglect findings.

Evidence: Staff 2 was hired on 6/26/2024. Staff 2 did not complete a sworn statement or affirmation.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-B · Based upon review of staff records, the facility has not ensured that employees have completed and signed a sworn statement or affirmation.

Evidence: There was not a completed sworn statement or affirmation available for staff 3, employed since 1/2/2024.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-160-A · Based upon review of staff records, the facility has not ensured that staff have submitted documentation of a negative tuberculosis screening that was obtained within 30 days prior to employment.

Evidence: The tuberculosis screening for staff 2, employed on 7/6/2023, is dated 4/14/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-270-A · Based upon observation and staff interview, the facility has not ensured that areas and equipment outside of the facility are maintained to be safe.

Evidence: There I are several areas on the toddler playground where poison ivy vines have grown through the fencing. Staff 1 acknowledged that the poison ivy vines are within reach of children on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-270-A · Based upon observation, the facility has not ensured that areas and equipment, inside and outside, are maintained in a safe and operable condition.

Evidence: 1. The veneer and paint on the back exterior door to the playground from the preschool area is peeling in long strips. 2. There are two rotten boards on the low bridge on the preschool playground creating a tripping hazard. 3. The roof on the small utility enclosure is rotten, exposing sharp splinters and nails within reach of the children. 4. The cove base along the floor behind the toilet in the bathroom has pulled away from the wall. 5. The accordion door enclosing the cot storage area in the toddler room has come off the track and is splitting. 6. Staff 1 acknowledged the needed repairs.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.