Blue Ribbon Results Academy

8VAC20-790-530-C

“Based on observation and interview, the center did not ensure that for each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The classrooms in the center only had an electronic record of attendance for the groups of children to document arrivals and departures. 2. Staff #1 confirmed that a written hard copy record of attendance as it occurred was not present in the classrooms.”

8VAC20-790-600-D-2

“Based on record review, the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for Staff #4 (working since 12/6/2023), had an expired first aid certification, dated April 2024. 2. Staff #1 confirmed that all staff who work directly with children did not have current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“Based on record review, the center did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and current certification in first aid appropriate to the ages of children in care. 1. The record for Staff #4 (working since 12/6/2023), had an expired cardiopulmonary resuscitation (CPR) certification, dated April 2024. 2. Staff #1 confirmed that all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center. Evidence: 1. The center serves breakfast, lunch and snack, however, the menu posted lists only meals being served for lunch. 2. Staff #1 confirmed that the center’s food menu only includes what is served for lunch.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. The Pre-K (pink) three year old room had peeling paint on the wall accessible to children. 2. The Pre-K (pink) three year old room had a box of rubber gloves accessible to children stored on the wall of the bathroom, creating a potential choking hazard. 3. The Pre-K (orange) four year old room had large zip loc bags stored under the children’s cots while they were sleeping, creating a potential suffocation hazard. 4. Staff #1 confirmed that the above physical plant hazards were present in the rooms.”

8VAC20-780-70

“Based on record review, the center did not ensure that all staff records include documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required in 8VAC20-780-240 and 8VAC20-780-245. Evidence: 1. Staff #2, Staff #3, Staff #4, Staff #5, Staff #6 and Staff # 7 did not receive training in Daily Health Observation. 2. Staff #1 confirmed that the staff have not received training in Daily Health Observation.”

8VAC20-780-40-M

“REPEAT VIOLATION Based on observation, interview and record review, the center did not ensure that the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The allergies, sensitivities and dietary restrictions written in each room only included those children who were assigned to a particular room. 2. Staff #1 confirmed that the there was not a current list including all children’s allergies, sensitivities and dietary restrictions in each classroom accessible to staff.”

8VAC20-780-430-I

“Based on observation and interview, the center did not ensure that if combs, toothbrushes, or other personal articles are used, they shall be individually assigned. Evidence: 1. The Pre-K (pink) three year old room had a tube of toothpaste stored in a cabinet that was not labeled with a name. 2. Staff #1 confirmed that the tube of toothpaste was not labeled with a name, and was not aware of who it belonged to.”

8VAC20-780-280-B

“Based on observation and interview the center did not ensure that Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The Kindergarten room had hand sanitizer bottles labeled ?keep out of reach of children? unlocked and accessible to children. 2. The Pre-K (green) four year old room had cans of disinfectant spray, canisters of sanitizing wipes and bottles of shaving cream labeled ?keep out of reach of children? stored in unlocked cabinets accessible to children. 3. The Pre-K (pink) three year old room had a bottle of hand sanitizer labeled, ?keep out of reach of children? on the counter that was accessible to children. 4. The Pre-K (purple) three year old room had a bottle of hand sanitizer labeled, ?keep out of reach of children? on a shelf that was accessible to children. 5. The Pre-K (red) four year old room had a bottle lotion, three bottles of room spray and a bottle of white out all containing the label, ?keep out of reach of children? stored on a shelf accessible to children. 6. Staff #1 confirmed that the above hazardous materials were not kept in a locked place using a safe locking method that prevented access by children.”

22.1-289.035-B-2

“Based on record review and interview the center failed to ensure that background checks are completed as required. Evidence: 1 ? The record for Staff #5 contains fingerprint background check results dated November 30, 2022. However, the documented date of hire is November 29, 2022. 2 ? Staff #5 was present providing direct care to children enrolled in the program. 3 ? Staff #1 confirmed that the results of the fingerprint background check were received the date of hire for Staff #5.”

8VAC20-780-160-A

“Based on record review and interview the center failed to ensure that tuberculosis screenings are obtained prior to staff coming in contact with children. Evidence: 1 ? The record for Staff #3 contained tuberculosis results dated January 22, 2023. However, the documented date of hire, including contact with children, is January 12, 2023. 2 ? The record for Staff #5 contained tuberculosis results dated March 11, 2023. However, the documented date of hire, including contact with children, is November 29, 2023. 3 ? Staff #1 confirmed that the tuberculosis result information was obtained after Staff #3 and #5 had been in contact with children in care.”

8VAC20-780-40-M

“Based on observations and interviews the center failed to confidentially maintain a current written list of all children's allergies, sensitivities and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. Additionally, The list was not dated and kept in each room or area where the children are present. Evidence: 1 ? The allergy list posted in the three-year-old room is posted on the wall and visible to everyone in the classroom. 2 ? The information on the posted allergy list is not dated. 3 ? The information available to staff in the classroom does not include the allergy plan for Child #1. 4 ? The room where children are served lunch does not have, accessible to staff, information regarding children’s allergies or allergy plans. 5 ? Staff #2 and #3 confirmed that the list was posted and visible, the list was not dated, and they did not have the allergy plan for Child #1.”

8VAC20-780-500-B

“Based on observations and interviews the center failed to ensure that disposable diapers are disposed of in a leakproof or plastic-lined storage system that is foot-operated. Evidence: 1 ? The diaper pail in the two-year-old room requires the user to lift the lid with their hand in order to dispose of a soiled diaper. 2 ? Staff present in the room confirm that the disposable diaper pail in the two-year-old bathroom required them to lift the lid with their hand to throw away soiled diapers.”

8VAC20-780-70

“Based on record review and interview the center failed to ensure that all required information is present in each staff record. Evidence: 1 ? The record for Staff #4 did not contain any documentation of reference checks. a. The documented date of hire for Staff #4 is August 1, 2022. 2 ? Staff #1 confirmed that there were reference checks available for Staff #4.”

8VAC20-790-600-D-2

“Based on record review and interview, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in first aid appropriate to the ages of children in care. Evidence: 1. The records for staff 1 (date of hire: 10/20/22), staff 2 (date of hire: 7/18/22) and staff 5 (date of hire: 10/15/22) do not contain documentation of current certification in first aid. 2. The center director confirmed that staff 1, staff 2 and staff 5 do not have current certification in first aid.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care and that the training shall include an in-person competency demonstration. Evidence: 1. The records for staff 1 (date of hire: 10/20/22), staff 2 (date of hire: 7/18/22), staff 3 (date of hire: 8/1/22) and staff 4 (date of hire: 10/17/22) do not contain documentation of current certification in cardiopulmonary resuscitation (CPR) that also includes an in-person competency demonstration. 2. The center director confirmed that staff 1, staff 2, staff 3 and staff 4 are lacking certification in CPR that includes an in-person competency demonstration.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The records for child 1 (date of enrollment: 9/8/22) and child 2 (date of enrollment: 10/17/22) do not contain documentation of a physical examination. 2. The center director confirmed that the records for child 1 and child 2 are lacking documentation of a physical examination.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 1 (date of hire: 8/1/22) contains documentation of a negative tuberculosis screening dated 12/16/22, which is after her first day of employment. 2. The record for staff 2 (date of hire: 10/17/22) contains documentation of a negative tuberculosis screening dated 10/18/22, which is after her first day of employment. 3. The record for staff 3 (date of hire: 1/10/23) contains documentation of a negative tuberculosis screening dated 10/21/22, which is not within the last 30 calendar days of the date of employment. 4. The record for staff 5 (date of hire: 10/15/22) does not contain documentation of a negative tuberculosis screening. 5. The record for staff 6 (date of hire: 7/18/22) contains documentation of a negative tuberculosis screening dated 7/21/22, which is after her first day of employment. 6. The record for staff 7 (date of hire: 8/31/20) does not contain documentation of a negative tuberculosis screening. 7. The record for staff 8 (date of hire: 6/22/22) contains documentation of a negative tuberculosis screening dated 6/26/22, which is after her first day of employment. 8. The record for staff 9 (date of hire: 6/20/22) does not contain documentation of a negative tuberculosis screening. 9. The center director confirmed that the tuberculosis screenings for staff 1, staff 2, staff 3, staff 5, staff 6, staff 7, staff 8 and staff 9 were not completed within the required timeframes.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 1 (date of hire: 8/1/22) does not contain the address of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff 2 (date of hire: 10/17/22) does not contain the address of a person to be notified in an emergency or documentation to demonstrate that she has completed orientation training. 3. The record for staff 3 (date of hire: 1/10/23) does not contain the address of a person to be notified in an emergency. 4. The record for staff 4 (date of hire: 10/20/22) does not contain the name, address and telephone number of a person to be notified in an emergency. 5. The record for staff 5 (date of hire: 10/15/22) does not contain the address of a person to be notified in an emergency. 6. The record for staff 6 (date of hire: 7/18/22) does not contain the address of a person to be notified in an emergency. 7. The record for staff 8 (date of hire: 6/22/22) does not contain the address of a person to be notified in an emergency or the dates of contact for the two reference checks. 8. The record for staff 9 (date of hire: 6/20/22) does not contain the address of a person to be notified in an emergency or documentation to demonstrate that she possesses the education and experience required by the job position of program leader, which is her documented position title. 9. The center director confirmed that the above required information is missing from the staff records.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 5 has a hire date of 10/15/22. Staff 5 indicated on her sworn statement or affirmation that she has resided in the state of Florida within the past five years. The results of a central registry search from the state of Florida not available for staff 5. 2. Staff 8 has a hire date of 6/22/22. Staff 8 indicated on her sworn statement or affirmation that she has resided in the state of Ohio within the past five years. The results of a central registry search from the state of Ohio was not available for staff 8. 3. Staff 9 has a hire date of 6/20/22. Staff 9 indicated on her sworn statement or affirmation that she has resided in the state of Ohio within the past five years. The results of a central registry search from the state of Ohio was not available for staff 9. 4. Board member 1 indicated on his sworn statement or affirmation that he has resided in the state of South Carolina within the past 5 years. The results of a criminal history record information check and a search of the child abuse and neglect registry from the state of South Carolina was not available for board member 1. 4. The center director confirmed that the records for staff 5, staff 8, staff 9 and board member 1 are lacking the results of their out-of-state background checks.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment. Evidence: 1. The records for staff 2 (date of hire: 10/17/22) and staff 6 (date of hire: 7/18/22) do not contain the results of a central registry finding. 2. The center director confirmed that the records for staff 2 and staff 6 are lacking documentation of a central registry finding.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. Staff 1 has a hire date of 8/1/22. The results of the fingerprint based background check for staff 1 was not received by the center until 8/29/22. 2. Staff 2 has a hire date of 10/17/22. The results of the fingerprint based background check for staff 1 was not received by the center until 12/1/22. 3. Staff 3 has a hire date of 1/10/23. The record for staff 1 does not contain the results of a national fingerprint search. 4. Staff 4 has a hire date of 10/20/22. The results of the fingerprint based background check for staff 1 was not received by the center until 10/21/22. 5. Staff 5 has a hire date of 10/15/22. The results of the fingerprint based background check for staff 1 was not received by the center until 11/7/22. 6. Staff 6 has a hire date of 7/18/22. The results of the fingerprint based background check for staff 1 was not received by the center until 9/1/22. 7. The center director confirmed that the fingerprint based background checks for staff 1, staff 2, staff 3, staff 4, staff 5 and staff 6 were not completed within the required timeframe.”

8VAC20-790-600-D-2

“Based on record review and interview, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in first aid appropriate to the ages of children in care. Evidence: 1. The records for staff 1 (date of hire: 10/20/22), staff 2 (date of hire: 7/18/22) and staff 5 (date of hire: 10/15/22) do not contain documentation of current certification in first aid. 2. The center director confirmed that staff 1, staff 2 and staff 5 do not have current certification in first aid.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care and that the training shall include an in-person competency demonstration. Evidence: 1. The records for staff 1 (date of hire: 10/20/22), staff 2 (date of hire: 7/18/22), staff 3 (date of hire: 8/1/22) and staff 4 (date of hire: 10/17/22) do not contain documentation of current certification in cardiopulmonary resuscitation (CPR) that also includes an in-person competency demonstration. 2. The center director confirmed that staff 1, staff 2, staff 3 and staff 4 are lacking certification in CPR that includes an in-person competency demonstration.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The records for child 1 (date of enrollment: 9/8/22) and child 2 (date of enrollment: 10/17/22) do not contain documentation of a physical examination. 2. The center director confirmed that the records for child 1 and child 2 are lacking documentation of a physical examination.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff 1 (date of hire: 8/1/22) contains documentation of a negative tuberculosis screening dated 12/16/22, which is after her first day of employment. 2. The record for staff 2 (date of hire: 10/17/22) contains documentation of a negative tuberculosis screening dated 10/18/22, which is after her first day of employment. 3. The record for staff 3 (date of hire: 1/10/23) contains documentation of a negative tuberculosis screening dated 10/21/22, which is not within the last 30 calendar days of the date of employment. 4. The record for staff 5 (date of hire: 10/15/22) does not contain documentation of a negative tuberculosis screening. 5. The record for staff 6 (date of hire: 7/18/22) contains documentation of a negative tuberculosis screening dated 7/21/22, which is after her first day of employment. 6. The record for staff 7 (date of hire: 8/31/20) does not contain documentation of a negative tuberculosis screening. 7. The record for staff 8 (date of hire: 6/22/22) contains documentation of a negative tuberculosis screening dated 6/26/22, which is after her first day of employment. 8. The record for staff 9 (date of hire: 6/20/22) does not contain documentation of a negative tuberculosis screening. 9. The center director confirmed that the tuberculosis screenings for staff 1, staff 2, staff 3, staff 5, staff 6, staff 7, staff 8 and staff 9 were not completed within the required timeframes.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 1 (date of hire: 8/1/22) does not contain the address of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff 2 (date of hire: 10/17/22) does not contain the address of a person to be notified in an emergency or documentation to demonstrate that she has completed orientation training. 3. The record for staff 3 (date of hire: 1/10/23) does not contain the address of a person to be notified in an emergency. 4. The record for staff 4 (date of hire: 10/20/22) does not contain the name, address and telephone number of a person to be notified in an emergency. 5. The record for staff 5 (date of hire: 10/15/22) does not contain the address of a person to be notified in an emergency. 6. The record for staff 6 (date of hire: 7/18/22) does not contain the address of a person to be notified in an emergency. 7. The record for staff 8 (date of hire: 6/22/22) does not contain the address of a person to be notified in an emergency or the dates of contact for the two reference checks. 8. The record for staff 9 (date of hire: 6/20/22) does not contain the address of a person to be notified in an emergency or documentation to demonstrate that she possesses the education and experience required by the job position of program leader, which is her documented position title. 9. The center director confirmed that the above required information is missing from the staff records.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 5 has a hire date of 10/15/22. Staff 5 indicated on her sworn statement or affirmation that she has resided in the state of Florida within the past five years. The results of a central registry search from the state of Florida not available for staff 5. 2. Staff 8 has a hire date of 6/22/22. Staff 8 indicated on her sworn statement or affirmation that she has resided in the state of Ohio within the past five years. The results of a central registry search from the state of Ohio was not available for staff 8. 3. Staff 9 has a hire date of 6/20/22. Staff 9 indicated on her sworn statement or affirmation that she has resided in the state of Ohio within the past five years. The results of a central registry search from the state of Ohio was not available for staff 9. 4. Board member 1 indicated on his sworn statement or affirmation that he has resided in the state of South Carolina within the past 5 years. The results of a criminal history record information check and a search of the child abuse and neglect registry from the state of South Carolina was not available for board member 1. 4. The center director confirmed that the records for staff 5, staff 8, staff 9 and board member 1 are lacking the results of their out-of-state background checks.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment. Evidence: 1. The records for staff 2 (date of hire: 10/17/22) and staff 6 (date of hire: 7/18/22) do not contain the results of a central registry finding. 2. The center director confirmed that the records for staff 2 and staff 6 are lacking documentation of a central registry finding.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. Staff 1 has a hire date of 8/1/22. The results of the fingerprint based background check for staff 1 was not received by the center until 8/29/22. 2. Staff 2 has a hire date of 10/17/22. The results of the fingerprint based background check for staff 1 was not received by the center until 12/1/22. 3. Staff 3 has a hire date of 1/10/23. The record for staff 1 does not contain the results of a national fingerprint search. 4. Staff 4 has a hire date of 10/20/22. The results of the fingerprint based background check for staff 1 was not received by the center until 10/21/22. 5. Staff 5 has a hire date of 10/15/22. The results of the fingerprint based background check for staff 1 was not received by the center until 11/7/22. 6. Staff 6 has a hire date of 7/18/22. The results of the fingerprint based background check for staff 1 was not received by the center until 9/1/22. 7. The center director confirmed that the fingerprint based background checks for staff 1, staff 2, staff 3, staff 4, staff 5 and staff 6 were not completed within the required timeframe.”

8VAC20-790-600-B

“Based on record review and interview, the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for staff 2 (date of hire: 10/4/21) does not contain documentation of completion of the Virginia Preservice Training for Child Care Staff. 2. The center director confirmed that staff 2 has been employed more than 90 days and has not completed the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: 1. The record for staff 1 (date of hire: 1/10/22) does not contain a current certification in cardiopulmonary resuscitation (CPR). 2. The center director confirmed that staff 1 does not have a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-790-600-D-2

“Based on record review and interview, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff 1 (date of hire: 1/10/22) does not contain a current certification in first aid. 2. The center director confirmed that staff 1 does not have a current certification in first aid.”

8VAC20-780-560-G

“Based on observation and interview, the center did not ensure that when food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. Water bottles and lunch boxes were not labeled with the date or name that identifies the owner in any of the classrooms. 2. The center director confirmed that there was no name and dates to the children’s food/drink containers.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted. Evidence: 1. There was no observation of a menu posted in the center. 2. The center director confirmed that there was no menu posted.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure that the cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. In the PreK 2 year old room, there were two children sleeping on cots without a bottom cover. 2. In the PreK 3 year old room, there were three children sleeping on cots without a bottom cover. 3. In the 4 year old room, there were two children sleeping on cots without a bottom cover. 4. The center director confirmed that not all of the children had bottom covers for their cots.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the PreK 3 year old classroom, there was an unlocked spray bottle of bleach water located on the counter within reach of children. 2. In the PreK 2 year old classroom, there were two bottles of disinfectant spray unlocked on top of a cabinet accessible to children. 3. The center director confirmed that the cleaning products were unlocked and accessible to children in care.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. On the playground, the 2 Little Tikes Bikes had all four wheels cracked and broken off the hinge, which poses an injury hazard to the children. 2. On the playground, the seated skateboard had a broken handle, which poses a pinching and injury hazard. 3. The center director confirmed that the broken play equipment was being used on the playground by children in care.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. Staff 1's (date of hire: 1/24/22) job title is documented in the record as program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. The record for staff 1 also contains documentation that only one reference as to character and reputation as well as competency was checked before employment, where two are required. 2. Staff 2's (date of hire: 1/10/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. 3. The record for staff 3 (date of hire: 10/4/21) does not contain the name, address and telephone number of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment. 4. The center director confirmed that the above information is missing from the records for staff 1, staff 2 and staff 3.”

8VAC20-780-40-D

“Based on observation and interview, the center did not ensure that the The license shall be posted in a place conspicuous to the public (? 22.1-289.011 of the Code of Virginia). Evidence: 1. The license was not posted in the center. 2. The center director confirmed that the license was not posted in the center.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 1 (date of hire: 1/24/22), staff 2 (date of hire: 1/10/22) and staff 3 (date of hire: 10/4/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking documentation of a negative tuberculosis screening.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 1/24/22) and staff 2 (date of hire: 1/10/22) do not contain the results of a central registry finding. Staff 1 and staff 2 were working on the day of the inspection. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 1/24/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Tennessee and Mississippi within the past five years. The results of a criminal history record information check from the state of Mississippi and the results of a central registry search from the states of Tennessee and Mississippi were not available for staff 1. 2. Staff 2 has a hire date of 1/10/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Florida and California within the past five years. The results of a criminal history record information check from the state of California and the results of a central registry search from the states of California and Florida were not available for staff 2. 3. Staff 3 has a hire date of 10/4/21. Staff 3 indicated on his sworn statement or affirmation that he has resided in the state of Texas within the past five years. The results of a criminal history record information check and the results of a central registry search from the state of Texas were not available for staff 3. 4. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking the results of their out-of-state background checks.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. The record for staff 2 (date of hire: 1/10/22) does not contain the results of a national fingerprint search. Staff 2 was working at the center on the day of the inspection. 2. The center director confirmed that the record for staff 2 is lacking documentation of the results of a national fingerprint search.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The results from the most recent inspection (3/3/22) was not posted anywhere in the center. 2. The center director confirmed that the findings from the most recent inspection were not posted.”

8VAC20-790-600-B

“Based on record review and interview, the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for staff 2 (date of hire: 10/4/21) does not contain documentation of completion of the Virginia Preservice Training for Child Care Staff. 2. The center director confirmed that staff 2 has been employed more than 90 days and has not completed the Virginia Preservice Training for Child Care Staff.”

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: 1. The record for staff 1 (date of hire: 1/10/22) does not contain a current certification in cardiopulmonary resuscitation (CPR). 2. The center director confirmed that staff 1 does not have a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-790-600-D-2

“Based on record review and interview, it was determined that the vendor did not ensure that within 90 days of employment each staff member shall be trained in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff 1 (date of hire: 1/10/22) does not contain a current certification in first aid. 2. The center director confirmed that staff 1 does not have a current certification in first aid.”

8VAC20-780-560-G

“Based on observation and interview, the center did not ensure that when food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. Water bottles and lunch boxes were not labeled with the date or name that identifies the owner in any of the classrooms. 2. The center director confirmed that there was no name and dates to the children’s food/drink containers.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted. Evidence: 1. There was no observation of a menu posted in the center. 2. The center director confirmed that there was no menu posted.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure that the cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. In the PreK 2 year old room, there were two children sleeping on cots without a bottom cover. 2. In the PreK 3 year old room, there were three children sleeping on cots without a bottom cover. 3. In the 4 year old room, there were two children sleeping on cots without a bottom cover. 4. The center director confirmed that not all of the children had bottom covers for their cots.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the PreK 3 year old classroom, there was an unlocked spray bottle of bleach water located on the counter within reach of children. 2. In the PreK 2 year old classroom, there were two bottles of disinfectant spray unlocked on top of a cabinet accessible to children. 3. The center director confirmed that the cleaning products were unlocked and accessible to children in care.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. On the playground, the 2 Little Tikes Bikes had all four wheels cracked and broken off the hinge, which poses an injury hazard to the children. 2. On the playground, the seated skateboard had a broken handle, which poses a pinching and injury hazard. 3. The center director confirmed that the broken play equipment was being used on the playground by children in care.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. Staff 1's (date of hire: 1/24/22) job title is documented in the record as program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. The record for staff 1 also contains documentation that only one reference as to character and reputation as well as competency was checked before employment, where two are required. 2. Staff 2's (date of hire: 1/10/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. 3. The record for staff 3 (date of hire: 10/4/21) does not contain the name, address and telephone number of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment. 4. The center director confirmed that the above information is missing from the records for staff 1, staff 2 and staff 3.”

8VAC20-780-40-D

“Based on observation and interview, the center did not ensure that the The license shall be posted in a place conspicuous to the public (? 22.1-289.011 of the Code of Virginia). Evidence: 1. The license was not posted in the center. 2. The center director confirmed that the license was not posted in the center.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 1 (date of hire: 1/24/22), staff 2 (date of hire: 1/10/22) and staff 3 (date of hire: 10/4/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking documentation of a negative tuberculosis screening.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 1/24/22) and staff 2 (date of hire: 1/10/22) do not contain the results of a central registry finding. Staff 1 and staff 2 were working on the day of the inspection. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 1/24/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Tennessee and Mississippi within the past five years. The results of a criminal history record information check from the state of Mississippi and the results of a central registry search from the states of Tennessee and Mississippi were not available for staff 1. 2. Staff 2 has a hire date of 1/10/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Florida and California within the past five years. The results of a criminal history record information check from the state of California and the results of a central registry search from the states of California and Florida were not available for staff 2. 3. Staff 3 has a hire date of 10/4/21. Staff 3 indicated on his sworn statement or affirmation that he has resided in the state of Texas within the past five years. The results of a criminal history record information check and the results of a central registry search from the state of Texas were not available for staff 3. 4. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking the results of their out-of-state background checks.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. The record for staff 2 (date of hire: 1/10/22) does not contain the results of a national fingerprint search. Staff 2 was working at the center on the day of the inspection. 2. The center director confirmed that the record for staff 2 is lacking documentation of the results of a national fingerprint search.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The results from the most recent inspection (3/3/22) was not posted anywhere in the center. 2. The center director confirmed that the findings from the most recent inspection were not posted.”