Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence: Staff #1 had a TB screening that had been completed four months prior to employment, and not within the last 30 calendar days as required.

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

Prescription and nonprescription medication shall be given to a child only with written authorization from parent.

Evidence: On October 8, 2025, at 2:56 p.m. Staff #1 applied a non-prescription skin product on Child #1 after observing an irritation on the child?s arm. The Non-prescription authorization form the center had on file expired two months ago. The center did not have current written authorization from the parent to apply the skin product.

8VAC20-780-510-B · Correction status not published

The center is required to obtain a central registry background check report every five years from the date of the last check.

Evidence: The record for Staff #4 did not contain documentation of a repeat central registry background check. The background check expired one year ago.

22.1-289.035-A · Correction status not published

Children under 10 years of age, shall be within actual sight and sound supervision of staff at all times.

Evidence: When the three-year class utilize the restroom in the multi-purpose room after outside time, staff remain at the restroom and send children to hang up their coats in the three-year class. The three-year classroom is located outside of the multi-purpose room across from the Directors desk in the lobby. Interviews revealed that the Director is not always at their desk therefore, children from the three-year class were not within sight and sound supervision at all times.

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

When staff are supervising children, they shall always ensure their care, protection, and guidance

Evidence: On 3/28/2025 at approximately 10:15am, Staff #1 was supervising 13 children, ranging in age from three-years-old to school age, in the multi-purpose room. Child #1, three-years-old, began poking other children in the group, Child #2, three-years-old, who was poked chased after Child #1 and pulled the child?s hair causing two braids to be pulled out of their scalp.

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

Based on record review, the center did not obtain documentation that each child has received immunizations required by the State Board of Health prior to the first day of attendance. Evidence: the record for child #1 (start date: 7/1/2024) did not contain documentation of immunizations.

8VAC20-780-130-A · Correction status not published

Based on observation, the facility failed to post the license in a place conspicuous to the public. Evidence: the license was located on a desk in the office.

8VAC20-780-40-D · Correction status not published

Based on review of documentation, the facility did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: the facility did not have written procedures that included coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

8VAC20-780-40-K · Correction status not published

Based on review of four staff records, it was determined that not all records contained documentation of a negative tuberculosis (TB) test/screening at the time of employment. Evidence: the record for staff #4 (date of hire: 1/2/2024) had documentation of a negative TB test/screening that was dated: 7/20/2023.

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

Based on review of three staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #3 had an OBI fingerprint determination letter dated: 6/12/2018.

22.1-289.035-A · Correction status not published

Based on review of three staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of hire: unknown) who was observed supervising a group of children alone, did not have an OBI fingerprint determination letter.

22.1-289.035-B-2 · Correction status not published

Based on review of documentation, and an interview with staff, the facility failed to maintain a current written list of all children?s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: The list posted in the two classrooms was not current; a) the list was dated: April, 2022; b) the list included child #4 who no longer attends the facility; and c) the list did not include child #2, who has dietary sensitivities/restrictions of ?no meat and no dairy.? Per staff, the list is posted on the board in the classroom, but is not accessible to the staff when children go outside to play.

8VAC20-780-40-M · Correction status not published

Based on review of two staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) had an OBI fingerprint determination letter dated: 6/3/2022. The record for staff #2 (date of hire 6/27/2022) did not have an OBI determination letter.

22.1-289.035-B-2 · Correction status not published

Based on a review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #3 and child #5 did not contain the name, address or phone number for a second emergency contact. The record for child #5 (date of first attendance: 3/1/2022) did not contain documentation of viewing proof of the child's identity and age.

8VAC20-780-60-A · Correction status not published