Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 TB was dated three months prior to date of employment. Staff #2 TB was dated two weeks after beginning employment. Staff #6 TB was dated over a month prior to date of employment. Staff #9 TB was dated a day after beginning employment.

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

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for eleven months, did not have documentation of requesting a central registry check, criminal history check, or sex offender check from one state.

22.1-289.035-B-4 · Correction status not published

The center must request a search of the central registry prior to the employee's first day of employment. The record for staff #4, who had been employed for three months, did not have documentation of a central registry search requested. The record for staff #6, who had been employed for two weeks, did not have documentation of a central registry search requested.

22.1-289.035-B-3 · Correction status not published

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been actively working at the center for the past 3 months, did not have any completed reference verifications on file.

8VAC20-780-70 · Correction status not published

(Repeat violation) The required ratio for children ages 16 to 24 month is one staff per five children. On September 4, 2024 at approximately 2:15, one staff was observed supervising eleven children in the Twaddler classroom. Child #1 was the youngest in the group (age 23 months old).

8VAC20-780-350-B-2 · Correction status not published

Based on observation and review, facility did not ensure in each grouping of children there is at least one staff member who has the qualifications of a program leader or program director.

Evidence: Between 8:30 am - 8:45 am, five of eight classrooms (groupings of children) did not have a staff member qualified as program leader or program director. Staff records were reviewed with staff member in charge and confirmed there was not sufficient education or training hours for the individuals to be qualified.

8VAC20-780-340-D · Correction status not published

Based on interview, facility did not ensure there is is at least 1 staff per 4 children when the youngest in the group is of infant age (birth to sixteen months old).

Evidence: On approximately June 14, 2024 during the morning hours, 2 staff were present with 11 children in the toddler classroom for approximately 20 minutes. Child #1 (age 14 months) was the youngest in the group.

8VAC20-780-350-B-1 · Correction status not published

Based on review, facility did not ensure 2 of 10 staff have a negative TB screening or test prior to beginning employment.

Evidence: The following was found during record review: 1. The record for staff #2 (start date 2/14/2024) had a TB test/screening dated 3/7/2024. 2. The record for staff #5 (start date 2/26/2024) had a TB test/screening dated 2/29/2024.

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

Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a safe and operable condition.

Evidence: On the outside playground, 1 of 2 chains was broken on the bottom portion of a green triangle climbing piece that anchors the triangle to the ground.

8VAC20-780-270-A · Correction status not published

Based on interviews with staff and review of recordkeeping, facility did not ensure staff do not commit any forbidden actions.

Evidence: On October 20, 2023, between approximately 2:30 pm ? 3:00 pm, staff #1 was observed roughly handling child #1 (16 months old). Child #1 was crawling off her cot and staff #1 pulled child by her ankles approximately 16? back onto her cot. Staff #1 was then observed picking child #1 up by the outside of her upper arms and placing her on the changing table.

8VAC20-780-410-1 · Correction status not published

Based on review, facility did not ensure when an employee has lived outside the state of Virginia within the past 5 years, background checks are completed for those states.

Evidence: The following was found during record review: 1. The record for staff #1 (start date 4/17/2023) did not have a child abuse/neglect registry search for a state the individual has lived in within the past 5 years. 2. The record for staff #2 (start date 5/30/2023) did not have a criminal history search for a state the individual has lived in within the past 5 years. 3. The record for staff #3 (start date 4/24/2023) did not have a criminal history search and child abuse/neglect registry search for 2 states the individual has lived in within the past 5 years.

22.1-289.035-B-4 · Correction status not published

Based on review, facility did not ensure the emergency preparedness plan had all required procedural components.

Evidence: The emergency preparedness plan did not address the following: establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each; accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety; procedures to reunite children with a parent or authorized person designated by the parent; and continuity of operations to ensure that essential functions are maintained during an emergency.

8VAC20-780-550-B · Correction status not published