Dee Care, LLC.-Building 1

22.1-289.035-B-4

“Based on a review of records and interview, the licensee did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff #1 (date of Employment 8/1/2023) contained a Sworn Disclosure Statement which documented that Employee #1 resided in Pennsylvania within the preceding 5 years. Employee #1's record did not contain copies of requests or results of an Abuse and Neglect Registry search for Pennsylvania. Employee #1's record did not contain copies of requests or results of a sex offender registry check for Pennsylvania. Employee #1's record did not contain results of a Criminal History Information Check for Pennsylvania.”

8VAC20-780-130-A

“**REPEAT VIOLATION** Based on a review of records and interview, the licensee did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Five children's records were reviewed. The record for child #5 who began attending the program 7/2/2020, did not contain any documentation of immunizations received. The program director confirmed that this documentation was not present in the record.”

22.1-289.035-B-4

“Based on a review of records and interview, the licensee did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff #1 (date of Employment 8/1/2023) contained a Sworn Disclosure Statement which documented that Employee #1 resided in Pennsylvania within the preceding 5 years. Employee #1's record did not contain copies of requests or results of an Abuse and Neglect Registry search for Pennsylvania. Employee #1's record did not contain copies of requests or results of a sex offender registry check for Pennsylvania. Employee #1's record did not contain results of a Criminal History Information Check for Pennsylvania.”

8VAC20-780-130-A

“**REPEAT VIOLATION** Based on a review of records and interview, the licensee did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Five children's records were reviewed. The record for child #5 who began attending the program 7/2/2020, did not contain any documentation of immunizations received. The program director confirmed that this documentation was not present in the record.”

8VAC20-780-60-A

“Based on record review and licensee interview, the center did not maintain a record for each child that contained the following information: Evidence: The director confirmed the records for child #2 and child #3 did not include the employment name and employment phone # for one or more parents listed.”

8VAC20-770-40-D-1-a

“Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a search of the central registry before 30 days of employment at the facility. Evidence: The director confirmed that Staff #2 (date of hire 9-19-2022) had no documentation of a central registry search.”

8VAC20-780-60-A

“Based on record review and licensee interview, the center did not maintain a record for each child that contained the following information: Evidence: The director confirmed the records for child #2 and child #3 did not include the employment name and employment phone # for one or more parents listed.”

8VAC20-770-40-D-1-a

“Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a search of the central registry before 30 days of employment at the facility. Evidence: The director confirmed that Staff #2 (date of hire 9-19-2022) had no documentation of a central registry search.”

8VAC20-780-160-C

“Based on a review of records and interview, the licensee was unable to demonstrate that at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors obtain and submit the results of a follow-up tuberculosis screening. Evidence: Three staff records were reviewed. The record for staff #1 contained the most recent Tuberculosis screening which was dated 6/21/2020. More than 2 years have passed since the screening was conducted. The program Director confirmed that this was the last documented TB Screening she had for staff #1.”

8VAC20-780-130-A

“Based on a review of records and interview, the licensee was unable to demonstrate that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Three children's records were reviewed. The record for child #1 did not contain documentation of immunizations. The program Director was unable to find child #1's immunization record during the inspection.”

8VAC20-780-160-C

“Based on a review of records and interview, the licensee was unable to demonstrate that at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors obtain and submit the results of a follow-up tuberculosis screening. Evidence: Three staff records were reviewed. The record for staff #1 contained the most recent Tuberculosis screening which was dated 6/21/2020. More than 2 years have passed since the screening was conducted. The program Director confirmed that this was the last documented TB Screening she had for staff #1.”

8VAC20-780-130-A

“Based on a review of records and interview, the licensee was unable to demonstrate that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Three children's records were reviewed. The record for child #1 did not contain documentation of immunizations. The program Director was unable to find child #1's immunization record during the inspection.”