Four Seasons Daycare

8VAC20-780-40-E Complaint related: Yes

“Based on review of the Playground Policy, the licensee did not ensure that the center's activities, services, and facilities were maintained in compliance with the center's own policies and procedures. Evidence: 1. In the Center’s Playground Policy, procedure #2 lists ?Teachers must always ensure that children stay within sight and sound supervision, as a teacher should be able to see and hear all children from his/her vantage point?. Child #1 was out of sight and sound supervision of staff on 7/30/2024 for approximately two minutes. Child #1 left the playground area and was found in the parking lot by a parent who notified administration. 2. In the Center’s Playground Policy, procedure #3 lists ?Teachers should position themselves on the playground so that they can collectively monitor all zones of the playground?. 3. On the video footage recorded on 7/30/2024, Staff #2 is stationed at the bottom of the playground hill, standing next to the picnic table, observing the children on the playground. There was a tree in front of the picnic table that obstructs the view of the playground equipment where children were observed playing.”

8VAC20-780-340-H Complaint related: Yes

“Based on staff interviews, the center did not ensure that, when the outdoor activity area is not adjacent to the center, there shall be at least two staff members on the outdoor activity area whenever one or more children are present. Evidence: 1. Two staff verified during interviews conducted on 08/09/2024 that there were six children, on the playground with one staff member. 2. The playground is located across from the center, and the children have to cross a parking lot to get the playground.”

8VAC20-780-340-A Complaint related: Yes

“Based on a review of video footage and interviews, the facility failed to ensure the care, protection and guidance of the children. Evidence: 1. Review of video footage, time stamped 7/30/2024, Child #1, (age 3), was observed without the presence of a staff member from approximately 4:05pm-4:07pm. 2. During staff interviews, on 8/9/2024, Staff #1 confirmed that a parent informed her on 7/30/2024, that a child was in the parking lot without the supervision of an adult. 3. Review of video footage, time stamped 7/30/24, Child #1 was observed walking across the crosswalk to the sidewalk. Child #1 then turns and runs back into the crosswalk. Staff can be seen walking toward the child, Child #1 runs back to the fence. Staff then turn and walks away. Child #1 then return to the parking lot. Staff did not ensure the child returned to the fenced play yard. 4.The Parking lot has a crosswalk from the playground to the main building, that intersects two lots for parking. Parking lot has immediate access to the main road, without a secured entrance or fencing.”

8VAC20-780-340-G Complaint related: Yes

“Based on a review of video footage and interviews, the facility did not ensure that the children were within sight and sound supervision of staff at all times. Evidence: 1. Based on the video footage recorded on 7/30/2024, Child #1, (age 3), opened the playground gate, left the playground, and went into the parking lot. Child #1 was on the parking lot for approximately two minutes until an administrative staff assisted the child back onto the playground. The child’s teacher was observed standing near the picnic table at the bottom of the hill. 2. Staff #2 confirmed that she was not aware that the child had left from the playground until Staff #1 returned him back into her care.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record of Staff #1, employed on 01/22/24, was dated 01/25/24. During interview, management confirmed the documentation was not received within the required time frame.”

22.1-289.035-B-2

“(Repeat Violation) Based on a review of five staff records and interviews, the center did not obtain a national fingerprint-based criminal record search for one staff member prior to employment. Evidence: The national fingerprint-based criminal record search in the record of Staff #1, employed on 01/22/24, was completed on 01/23/24. During interview, a member of management confirmed the fingerprint-based criminal record search for Staff #1 was not received prior to employment.”

8VAC20-780-140-A

“Based on a review of five children's records and interviews, the center did not ensure one child had 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: The physical examination in the record of Child #1, date of attendance 01/02/24, was dated 02/15/24. During interview, a member of management acknowledged the physical examination for Child #1 was not obtained within 30 days of the child's attendance.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record of Staff #1, employed on 01/22/24, was dated 01/25/24. During interview, management confirmed the documentation was not received within the required time frame.”

22.1-289.035-B-2

“(Repeat Violation) Based on a review of five staff records and interviews, the center did not obtain a national fingerprint-based criminal record search for one staff member prior to employment. Evidence: The national fingerprint-based criminal record search in the record of Staff #1, employed on 01/22/24, was completed on 01/23/24. During interview, a member of management confirmed the fingerprint-based criminal record search for Staff #1 was not received prior to employment.”

8VAC20-780-140-A

“Based on a review of five children's records and interviews, the center did not ensure one child had 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: The physical examination in the record of Child #1, date of attendance 01/02/24, was dated 02/15/24. During interview, a member of management acknowledged the physical examination for Child #1 was not obtained within 30 days of the child's attendance.”

8VAC20-790-600-D-2

“Based on a review of eight staff records and interview, the vendor did not ensure two members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #2, employed on 06/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 2) The first aid certification in the record of Staff #5, employed on 08/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 3) During interview, a member of management reported Staff #2 and Staff #5 did not have other documentation to show they had first aid certification prior to 11/11/22.”

8VAC20-790-600-D-1

“Based on a review of eight staff records and interview, the vendor did not ensure two members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #2, employed on 06/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 2) The CPR certification in the record of Staff #5, employed on 08/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 3) During interview, a member of management reported Staff #2 and Staff #5 did not have other documentation to show they had CPR certification prior to 11/11/22.”

8VAC20-790-600-F

“Based on a review of eight staff records, the vendor did not ensure four staff members who work directly with children completed the department’s health and safety update course annually. Evidence: 1) The record of Staff #2, employed on 06/08/22, did not contain the department’s health and safety update course. The course should have been completed no later than 06/08/23. 2) The most recent health and safety update course in the record of Staff #4, employed on 03/26/21, was completed on 04/02/21. The health and safety update course was not completed annually. 3) The most recent health and safety update course in the record of Staff #7, employed on 12/28/18, was completed on 03/02/20. The health and safety update course was not completed annually. 4) The health and safety update course in the record of Staff #8, employed on 05/31/22, was completed on 06/12/23. The course should have been completed no later than 05/31/23.”

8VAC20-780-510-G

“Based on a review of eight medications and interview, the center did not ensure one medication was labeled with the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1) A prescription medication was observed for Child #8. The medication was in a plastic bag and did not contain the name of the medication, the dosage amount, and the time or times to be given. 2) During interview, a member of management stated the medication should not have been accepted in a plastic bag without the required information.”

22.1-289.035-B-2

“Based on a review of eight staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search within the required timeframe. Evidence: 1) The record of Staff #5, employed on 08/08/22, contained the results of a national fingerprint-based criminal record search that were completed on 09/07/21. 2) During interview, a member of management reported Staff #5 was previously employed as a contractor on 09/13/21 and new fingerprints were not obtained upon employment on 08/08/22. The results of the national fingerprint-based criminal record search are required to be obtained no more than 90 days prior to employment.”

8VAC20-780-245-A

“Based on a review of eight staff records and interview, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The record of Staff #4, employed on 03/26/21, contained a total of 13 hours of annual training from 03/2022-03/2023. 2) The record of Staff #7, employed on 12/28/18, contained a total of 9 hours of annual training from 12/2021-12/2022. 3) During interview, a member of management confirmed the center did not have further documentation of other training completed by Staff #4 or Staff #7.”

8VAC20-780-530-A

“Based on observation, a review of records, and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1) Staff #3, employed on 04/24/23, was the only staff member present in the Toddler classroom on 05/31/23. 2) The record of Staff #3 did not contain documentation that the staff has current certification in CPR and first aid. 3) During interview, a member of management confirmed Staff #3 does not have current certification in CPR and first aid.”

8VAC20-780-240-A

“Based on a review of eight staff records and interview, the center did not ensure two staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: 1) The VDOE orientation course in the record of Staff #5, employed on 08/08/22, was completed on 01/01/23. 2) The VDOE orientation course in the record of Staff #8, employed on 05/31/22, was completed on 06/12/23. 3) During interview, a member of management confirmed Staff #5 and Staff #8 did not complete the VDOE orientation course within 90 calendar days of employment.”

8VAC20-770-60-C-2

“Based on a review of eight staff records and interview, the center did not ensure two staff had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record of Staff #5, employed on 08/08/22, was dated 10/19/22. 2) The central registry finding in the record of Staff #8, employed on 05/31/22, was dated 07/07/22. 3) During interview, a member of management confirmed the central registry results for Staff #5 and Staff #8 were not received within 30 days of employment. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure two staff members submitted documentation of a negative tuberculosis (TB) screening within the required timeframes. Evidence: 1) The TB screenings in the record of Staff #3, employed on 04/24/23, were completed on 02/10/23 and 05/30/23. 2) The TB screening in the record of Staff #5, employed on 08/08/22, was completed on 09/10/21. 3) During interview, a member of management confirmed the TB screenings for Staff #3 and Staff #5 were not completed within the required timeframes. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-510-P

“Based on a review of documentation, observation, and interview, the center did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1) Two prescription medications were observed for Child #11. The authorization to administer one medication expired on 05/06/23 and the authorization to administer the second medication expired on 05/2023. 2) During interview, a member of management confirmed the parent did not renew the authorization and did not pick up the medication within 14 days.”

8VAC20-790-600-D-2

“Based on a review of eight staff records and interview, the vendor did not ensure two members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #2, employed on 06/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 2) The first aid certification in the record of Staff #5, employed on 08/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 3) During interview, a member of management reported Staff #2 and Staff #5 did not have other documentation to show they had first aid certification prior to 11/11/22.”

8VAC20-790-600-D-1

“Based on a review of eight staff records and interview, the vendor did not ensure two members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #2, employed on 06/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 2) The CPR certification in the record of Staff #5, employed on 08/08/22, was completed on 11/11/22, exceeding 90 days of the date of employment. 3) During interview, a member of management reported Staff #2 and Staff #5 did not have other documentation to show they had CPR certification prior to 11/11/22.”

8VAC20-790-600-F

“Based on a review of eight staff records, the vendor did not ensure four staff members who work directly with children completed the department’s health and safety update course annually. Evidence: 1) The record of Staff #2, employed on 06/08/22, did not contain the department’s health and safety update course. The course should have been completed no later than 06/08/23. 2) The most recent health and safety update course in the record of Staff #4, employed on 03/26/21, was completed on 04/02/21. The health and safety update course was not completed annually. 3) The most recent health and safety update course in the record of Staff #7, employed on 12/28/18, was completed on 03/02/20. The health and safety update course was not completed annually. 4) The health and safety update course in the record of Staff #8, employed on 05/31/22, was completed on 06/12/23. The course should have been completed no later than 05/31/23.”

8VAC20-780-510-G

“Based on a review of eight medications and interview, the center did not ensure one medication was labeled with the name of the medication, the dosage amount, and the time or times to be given. Evidence: 1) A prescription medication was observed for Child #8. The medication was in a plastic bag and did not contain the name of the medication, the dosage amount, and the time or times to be given. 2) During interview, a member of management stated the medication should not have been accepted in a plastic bag without the required information.”

22.1-289.035-B-2

“Based on a review of eight staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search within the required timeframe. Evidence: 1) The record of Staff #5, employed on 08/08/22, contained the results of a national fingerprint-based criminal record search that were completed on 09/07/21. 2) During interview, a member of management reported Staff #5 was previously employed as a contractor on 09/13/21 and new fingerprints were not obtained upon employment on 08/08/22. The results of the national fingerprint-based criminal record search are required to be obtained no more than 90 days prior to employment.”

8VAC20-780-245-A

“Based on a review of eight staff records and interview, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The record of Staff #4, employed on 03/26/21, contained a total of 13 hours of annual training from 03/2022-03/2023. 2) The record of Staff #7, employed on 12/28/18, contained a total of 9 hours of annual training from 12/2021-12/2022. 3) During interview, a member of management confirmed the center did not have further documentation of other training completed by Staff #4 or Staff #7.”

8VAC20-780-530-A

“Based on observation, a review of records, and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1) Staff #3, employed on 04/24/23, was the only staff member present in the Toddler classroom on 05/31/23. 2) The record of Staff #3 did not contain documentation that the staff has current certification in CPR and first aid. 3) During interview, a member of management confirmed Staff #3 does not have current certification in CPR and first aid.”

8VAC20-780-240-A

“Based on a review of eight staff records and interview, the center did not ensure two staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: 1) The VDOE orientation course in the record of Staff #5, employed on 08/08/22, was completed on 01/01/23. 2) The VDOE orientation course in the record of Staff #8, employed on 05/31/22, was completed on 06/12/23. 3) During interview, a member of management confirmed Staff #5 and Staff #8 did not complete the VDOE orientation course within 90 calendar days of employment.”

8VAC20-770-60-C-2

“Based on a review of eight staff records and interview, the center did not ensure two staff had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record of Staff #5, employed on 08/08/22, was dated 10/19/22. 2) The central registry finding in the record of Staff #8, employed on 05/31/22, was dated 07/07/22. 3) During interview, a member of management confirmed the central registry results for Staff #5 and Staff #8 were not received within 30 days of employment. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure two staff members submitted documentation of a negative tuberculosis (TB) screening within the required timeframes. Evidence: 1) The TB screenings in the record of Staff #3, employed on 04/24/23, were completed on 02/10/23 and 05/30/23. 2) The TB screening in the record of Staff #5, employed on 08/08/22, was completed on 09/10/21. 3) During interview, a member of management confirmed the TB screenings for Staff #3 and Staff #5 were not completed within the required timeframes. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-510-P

“Based on a review of documentation, observation, and interview, the center did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1) Two prescription medications were observed for Child #11. The authorization to administer one medication expired on 05/06/23 and the authorization to administer the second medication expired on 05/2023. 2) During interview, a member of management confirmed the parent did not renew the authorization and did not pick up the medication within 14 days.”

22.1-289.035-B-4

“Based on a review of three staff records and interview, the center did not obtain a copy of the results of a criminal history record information check or a sex offender registry check from any state in which one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #1, employed on 12/28/22, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a copy of the results of a criminal history record information check or a sex offender registry check from that state. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to employment. 2) During interview, management reported the required out-of-state background checks for Staff #3 were not obtained prior to employment. They were requested on 01/30/2023.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #2, employed 06/28/22, was completed on 11/11/22. 2) The CPR certification in the record of Staff #3, employed 06/28/22, was completed on 11/11/22.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure two staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #2, employed 06/28/22, was completed on 11/11/22. 2) The first aid certification in the record of Staff #3, employed 06/28/22, was completed on 11/11/22.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector reviewed the emergency drill log for the year 2022. The last practice evacuation drill was documented on 05/02/22. 2) During interview, management reported there have not been monthly practice evacuation drills since May 2022.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain satisfactory results of the child abuse and neglect registry from any other state in which one individual has resided in the preceding five years. Evidence: 1) The record of Staff #4, employed on 09/22/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state within 30 days of employment. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #4 had not been obtained.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure five staff records contained the required information. Evidence: 1) The following staff records did not contain documentation that two or more references as to character and reputation as well as competency were checks before employment.: Staff #1 (employed 09/06/22), Staff #2 (employed 06/28/22), Staff #3 (employed 06/28/22), and Staff #5 (employed 09/26/22). 2) The record of Staff #4, employed 09/22/22, was missing a second reference. 3) During interview, management acknowledged the references were not obtained for each staff member prior to employment.”

8VAC20-780-160-A

“Based on a review of five staff records, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required timeframes. Evidence: 1) The TB screening in the record of Staff #2, employed 06/28/22, was dated 03/19/22. The documentation should have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 2) The record for Staff #4, employed 09/22/22, and the record for Staff #5, employed 09/26/22, did not contain documentation of a negative tuberculosis screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-240-A

“Based on a review of five staff records and interview, the center did not ensure one staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #3, employed 06/28/22, did not contain documentation of the Virginia Department of Education-sponsored orientation course. 2) During interview, management reported Staff #3 has not completed the training.”

8VAC20-770-60-B

“Based on a review of five staff records and interview, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: 1) The record of Staff #1, employed 09/06/22, did not contain a completed sworn statement or affirmation. 2) During interview, management reported Staff #1 completed the sworn statement, but it could not be located during the inspection.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interview, the center did not ensure that five staff members had a central registry finding within 30 days of employment. Evidence: 1) The record of Staff #1, employed 09/06/22, did not contain the results of the central registry finding. 2) The central registry finding in the record of Staff #2, employed 06/28/22, was dated 08/12/22. 3) The central registry finding in the record of Staff #3, employed 06/28/22, was dated 08/12/22. 4) The record of Staff #4, employed 09/22/22, did not contain the results of the central registry finding. 5) The record of Staff #5, employed 09/26/22, did not contain the results of the central registry finding. 6) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #2, employed 06/28/22, was completed on 11/11/22. 2) The CPR certification in the record of Staff #3, employed 06/28/22, was completed on 11/11/22.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure two staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #2, employed 06/28/22, was completed on 11/11/22. 2) The first aid certification in the record of Staff #3, employed 06/28/22, was completed on 11/11/22.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector reviewed the emergency drill log for the year 2022. The last practice evacuation drill was documented on 05/02/22. 2) During interview, management reported there have not been monthly practice evacuation drills since May 2022.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain satisfactory results of the child abuse and neglect registry from any other state in which one individual has resided in the preceding five years. Evidence: 1) The record of Staff #4, employed on 09/22/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state within 30 days of employment. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #4 had not been obtained.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure five staff records contained the required information. Evidence: 1) The following staff records did not contain documentation that two or more references as to character and reputation as well as competency were checks before employment.: Staff #1 (employed 09/06/22), Staff #2 (employed 06/28/22), Staff #3 (employed 06/28/22), and Staff #5 (employed 09/26/22). 2) The record of Staff #4, employed 09/22/22, was missing a second reference. 3) During interview, management acknowledged the references were not obtained for each staff member prior to employment.”

8VAC20-780-160-A

“Based on a review of five staff records, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required timeframes. Evidence: 1) The TB screening in the record of Staff #2, employed 06/28/22, was dated 03/19/22. The documentation should have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 2) The record for Staff #4, employed 09/22/22, and the record for Staff #5, employed 09/26/22, did not contain documentation of a negative tuberculosis screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-240-A

“Based on a review of five staff records and interview, the center did not ensure one staff member completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #3, employed 06/28/22, did not contain documentation of the Virginia Department of Education-sponsored orientation course. 2) During interview, management reported Staff #3 has not completed the training.”

8VAC20-770-60-B

“Based on a review of five staff records and interview, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: 1) The record of Staff #1, employed 09/06/22, did not contain a completed sworn statement or affirmation. 2) During interview, management reported Staff #1 completed the sworn statement, but it could not be located during the inspection.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interview, the center did not ensure that five staff members had a central registry finding within 30 days of employment. Evidence: 1) The record of Staff #1, employed 09/06/22, did not contain the results of the central registry finding. 2) The central registry finding in the record of Staff #2, employed 06/28/22, was dated 08/12/22. 3) The central registry finding in the record of Staff #3, employed 06/28/22, was dated 08/12/22. 4) The record of Staff #4, employed 09/22/22, did not contain the results of the central registry finding. 5) The record of Staff #5, employed 09/26/22, did not contain the results of the central registry finding. 6) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of a review of policies and procedures, interviews, and a review of documentation, the center did not ensure that the center’s activities and services are maintained in compliance with the center’s own policies and procedures required by the standards. Evidence: 1) During interviews, staff reported that on October 18, 2022, the children in the Twos class were not offered their scheduled morning snack. Staff reported that it was picture day, and they did not want the children’s clothes to get dirty. The morning snack was brought to the classroom, but it was not offered to the children. It was reported that the children were offered lunch at approximately 11:00am when management discovered they did not have a morning snack. 2) The center’s Food Policy for Toddlers and Preschoolers states: ?Four Seasons provides lunch and snacks for all toddler and preschool children. Our menus are posted in the parent information center and meet all USDA requirements. See your child’s class schedule for specific meal times.? The Preschool Schedule indicates the morning snack time is between 9:00-9:15am.”

8VAC20-780-70

“Based on a review of six staff records and interviews, the center did not ensure that four staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 04/26/22, were obtained on 05/05/22. 2) The record for Staff #3, hired on 04/21/22, was missing a second reference. 3) The record for Staff #5, hired on 06/01/22, and the record for Staff #6, hired on 06/01/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) During interview, a member of management acknowledged the references were not obtained before employment.”

8VAC20-780-160-A

“Based on a review of six staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record for Staff #3, hired on 04/21/22, did not contain documentation of a negative TB screening. 2) The record for Staff #5, hired on 06/01/22, did not contain documentation of a negative TB screening. 3) The record for Staff #6, hired on 06/01/22, did not contain documentation of a negative TB screening. 4) During interview, a member of management confirmed the documentation was not received within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

22.1-289.035-B-4

“Based on a review of six staff records and interview, the center did not obtain the results of a search of the child abuse and neglect registry or equivalent registry from any state in which one staff member had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #3, hired on 04/21/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state check was not obtained for Staff #3 within the required time frames. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-70

“Based on a review of six staff records and interviews, the center did not ensure that four staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 04/26/22, were obtained on 05/05/22. 2) The record for Staff #3, hired on 04/21/22, was missing a second reference. 3) The record for Staff #5, hired on 06/01/22, and the record for Staff #6, hired on 06/01/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) During interview, a member of management acknowledged the references were not obtained before employment.”

8VAC20-780-160-A

“Based on a review of six staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record for Staff #3, hired on 04/21/22, did not contain documentation of a negative TB screening. 2) The record for Staff #5, hired on 06/01/22, did not contain documentation of a negative TB screening. 3) The record for Staff #6, hired on 06/01/22, did not contain documentation of a negative TB screening. 4) During interview, a member of management confirmed the documentation was not received within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

22.1-289.035-B-4

“Based on a review of six staff records and interview, the center did not obtain the results of a search of the child abuse and neglect registry or equivalent registry from any state in which one staff member had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #3, hired on 04/21/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state check was not obtained for Staff #3 within the required time frames. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-70

“Based on a review of six staff records and interviews, the center did not ensure that four staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 04/26/22, were obtained on 05/05/22. 2) The record for Staff #3, hired on 04/21/22, was missing a second reference. 3) The record for Staff #5, hired on 06/01/22, and the record for Staff #6, hired on 06/01/22, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) During interview, a member of management acknowledged the references were not obtained before employment.”

8VAC20-780-160-A

“Based on a review of six staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record for Staff #3, hired on 04/21/22, did not contain documentation of a negative TB screening. 2) The record for Staff #5, hired on 06/01/22, did not contain documentation of a negative TB screening. 3) The record for Staff #6, hired on 06/01/22, did not contain documentation of a negative TB screening. 4) During interview, a member of management confirmed the documentation was not received within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

22.1-289.035-B-4

“Based on a review of six staff records and interview, the center did not obtain the results of a search of the child abuse and neglect registry or equivalent registry from any state in which one staff member had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #3, hired on 04/21/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state check was not obtained for Staff #3 within the required time frames. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

22VAC40-665-580-B

“Based on a review of three staff records and interviews, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain a certificate of completion of the VA Preservice Training for Child Care Staff. 2) During interview, a member of management confirmed that Staff #1 has not completed the training to date. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment.”

8VAC20-790-600-D-1

“Based on a review of three staff records and interview, the vendor did not ensure two staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain documentation of CPR certification. 2) The record for Staff #2, hired on 09/10/21, does not contain documentation of CPR certification. 3) During interviews, a member of management confirmed Staff #1 and Staff #2 do not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of three staff records and interview, the vendor did not ensure two staff had documentation of current certification in first aid appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain documentation of certification in first aid. 2) The record for Staff #2, hired on 09/10/21, does not contain documentation of certification in first aid. 3) During interviews, a member of management confirmed Staff #1 and Staff #2 do not have current certification in first aid.”

8VAC20-770-60-C-2

“Based on a review of three staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record for Staff #1, hired on 09/02/21, were dated 10/20/21. 2) The central registry finding in the record for Staff #2, hired on 09/10/21, were dated 10/20/21. 3) The record for Staff #3, hired on 12/07/21, did not contain the results of a central registry finding. 4) During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #2, and Staff #3. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

22.1-289.035-B-2

“Based on a review of three staff records and interview, the center did not ensure that one out of three staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #3, hired on 12/07/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) During interview, a member of management confirmed the fingerprint-based background check results for Staff #3 have not been received.”

22VAC40-665-580-B

“Based on a review of three staff records and interviews, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain a certificate of completion of the VA Preservice Training for Child Care Staff. 2) During interview, a member of management confirmed that Staff #1 has not completed the training to date. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment.”

8VAC20-790-600-D-1

“Based on a review of three staff records and interview, the vendor did not ensure two staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain documentation of CPR certification. 2) The record for Staff #2, hired on 09/10/21, does not contain documentation of CPR certification. 3) During interviews, a member of management confirmed Staff #1 and Staff #2 do not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of three staff records and interview, the vendor did not ensure two staff had documentation of current certification in first aid appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 09/02/21, does not contain documentation of certification in first aid. 2) The record for Staff #2, hired on 09/10/21, does not contain documentation of certification in first aid. 3) During interviews, a member of management confirmed Staff #1 and Staff #2 do not have current certification in first aid.”

8VAC20-770-60-C-2

“Based on a review of three staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record for Staff #1, hired on 09/02/21, were dated 10/20/21. 2) The central registry finding in the record for Staff #2, hired on 09/10/21, were dated 10/20/21. 3) The record for Staff #3, hired on 12/07/21, did not contain the results of a central registry finding. 4) During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #2, and Staff #3. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

22.1-289.035-B-2

“Based on a review of three staff records and interview, the center did not ensure that one out of three staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #3, hired on 12/07/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) During interview, a member of management confirmed the fingerprint-based background check results for Staff #3 have not been received.”