8VAC20-780-160-C · At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. The TB screening in the record for staff #1 were expired for approximately two months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-280-B · Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of toilet bowl cleaner with the label ?keep out of reach of children? was unlocked on a shelf in the children?s restroom.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-245-L · Based on record review and interview, it was determined the center did not ensure that there is always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

Evidence: 1.There was no documentation that any of the staff on duty during the inspection had current daily health observation training. 2.The Director confirmed the training was not current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on record review and interviews, it was determined that the vendor did not 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) appropriate to the ages of children in care.

Evidence: Staff #1 and #2 did not have current certification in CPR. The certification had expired 8/2023.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.

The record for child #2, child #4 and child #5 did not contain a parent work phone number.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-40-M · Based upon observation, the facility has not ensured that they maintain a current written list of all children's allergies, sensitivities and dietary restrictions that is dated and kept confidential.

Evidence: There was an allergy chart posted on the wall of the preschool classroom. The chart was not covered or made confidential. The children's names and allergies were open to viewing by whomever entered the room. The list was not dated.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-260-B · Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 5/28/21. 2. Staff #2 (Assistant Director) confirmed that the annual inspection from the health department had not been completed.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-350-B · Based on on observation and interviews, it was determined that the facility did not ensure that for children, three years up tp school age eligible, one staff member for every ten children is maintained at all times children are in care.

Evidence: 1. Staff #1 was observed working alone in the Pre-K classroom with 11 children. The children present were ages 4 years old. 2. Staff #1 was observed working alone in the Pre-K classroom with 11 children. The children present were ages 4 years old. 3. Staff #4 confirmed the two classrooms were not operating with the correct staff-to-child ratio.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.