8VAC20-780-510-B · Based on review, facility did not ensure prescription and nonprescription medication is given to a child only with written authorization from the parent.

Evidence: According to the medication log, a nonprescription medication was given to child #2 on 12-7-2022 and there was not written authorization from the parent to administer.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-60-A · Based on review, facility did not ensure 4 of 5 children's records have documentation of all required information.

Evidence: The records for child #1 (start date 9/1/2022), child #2 (start date 9/1/2022), child #3 (start date 9/1/2022) and child #4 (start date 9/1/2022) did not have complete information for two emergency contacts (name, address and phone number).

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-270-A · 8VAC20-780-270.A Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snap skin.

Evidence: Two head entrapment hazards were observed at the gate entrance and exit of the playground. There was between 3.5? and 3.75? opening between the wood panels.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.