Haygood KinderCare #300940

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that the results of a criminal history record information check 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 8/23/23. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Alabama within the past five years. The results of a criminal history record information check from the state of Alabama was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Alabama has not been completed.”

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 record for child 1 (date of enrollment: 9/10/23) does not contain documentation of a physical examination. 2. The center director confirmed that the record for child1 is lacking documentation of a physical examination.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that the results of a criminal history record information check 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 8/23/23. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Alabama within the past five years. The results of a criminal history record information check from the state of Alabama was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Alabama has not been completed.”

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 record for child 1 (date of enrollment: 9/10/23) does not contain documentation of a physical examination. 2. The center director confirmed that the record for child1 is lacking documentation of a physical examination.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that the results of a criminal history record information check 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 8/23/23. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Alabama within the past five years. The results of a criminal history record information check from the state of Alabama was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Alabama has not been completed.”

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 record for child 1 (date of enrollment: 9/10/23) does not contain documentation of a physical examination. 2. The center director confirmed that the record for child1 is lacking documentation of a physical examination.”

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 (date of hire: 6/29/23) has a documented position title of program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education required for the position of program leader. 2. The center director confirmed that the record for staff 1 is lacking documentation of her high school diploma.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 6/26/23) contains only one name, address and phone number of a person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

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 (date of hire: 6/29/23) has a documented position title of program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education required for the position of program leader. 2. The center director confirmed that the record for staff 1 is lacking documentation of her high school diploma.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 6/26/23) contains only one name, address and phone number of a person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

8VAC20-780-510-I

“Based upon observation and staff interview, the facility has not ensured that medication is administered only with written parental permission. Evidence: 1. Child 5 was administered dextroamphetamine and oxcarbazepine for seven days (March 27, 28,29,30,31 and April 3 &4) without written parental permission. 2. Staff 1 acknowledged that the medication was administered to child 5 and that the parent had not signed the authorization form.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that outside areas of the center are maintained to be safe. Evidence: There is poison ivy growing on the fence in the back corner of the toddler playground in an area accessible to the children.”

8VAC20-780-320-B

“Based upon observation and staff interview, the facility has not ensured that the children's bathroom sinks do not have warm water that exceeds 120 degrees F. Evidence: 1. The water in the boys restroom in the multi-age classroom reached a temperature at which hands could not remain in the water without being burned. 2. Staff 1 acknowledged that the hot water was too hot for the children's use.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that disposable diapers are disposed in a leak-proof or plastic lined storage system that is either foot-operated or used in such a way that neither staff member's hands nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: Staff 6 was observed using her hands to open the lid on the diaper disposal system when disposing of an infant's soiled diaper.”

8VAC20-780-510-I

“Based upon observation and staff interview, the facility has not ensured that medication is administered only with written parental permission. Evidence: 1. Child 5 was administered dextroamphetamine and oxcarbazepine for seven days (March 27, 28,29,30,31 and April 3 &4) without written parental permission. 2. Staff 1 acknowledged that the medication was administered to child 5 and that the parent had not signed the authorization form.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that outside areas of the center are maintained to be safe. Evidence: There is poison ivy growing on the fence in the back corner of the toddler playground in an area accessible to the children.”

8VAC20-780-320-B

“Based upon observation and staff interview, the facility has not ensured that the children's bathroom sinks do not have warm water that exceeds 120 degrees F. Evidence: 1. The water in the boys restroom in the multi-age classroom reached a temperature at which hands could not remain in the water without being burned. 2. Staff 1 acknowledged that the hot water was too hot for the children's use.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that disposable diapers are disposed in a leak-proof or plastic lined storage system that is either foot-operated or used in such a way that neither staff member's hands nor the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: Staff 6 was observed using her hands to open the lid on the diaper disposal system when disposing of an infant's soiled diaper.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that the results of a criminal history record information check 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 12/28/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check from the state of Texas was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Texas has not been completed.”

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 2 (date of hire: 12/12/22) does not contain documentation of orientation training. 2. The center director confirmed that the record for staff 2 is lacking documentation of orientation training.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 2/16/21) contains only one name, address and phone number of a person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that the results of a criminal history record information check 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 12/28/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check from the state of Texas was not available for staff 1. 2. The center owner confirmed that the criminal history record information check for staff 1 from the state of Texas has not been completed.”

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 2 (date of hire: 12/12/22) does not contain documentation of orientation training. 2. The center director confirmed that the record for staff 2 is lacking documentation of orientation training.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 2/16/21) contains only one name, address and phone number of a person to call in an emergency if a parent cannot be reached, where two are required. 2. The center director confirmed that the record for child 1 is lacking one of the two required emergency contacts.”

8VAC20-780-40-E

“Based on interviews and a review of the center’s policies, the center failed to ensure that the operational responsibilities of the licensee shall ensure that the center’s services are maintained in compliance with the center’s own policies and procedures that are required by these standards. Evidence: The center failed to follow their written policy for Guidance, Protection of and Respect for Children as demonstrated by the following incidents: 1. The center’s policy for unacceptable child guidance states ?Employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures when caring for children on behalf of the Company?Any kind of physical discipline or corporal punishment, including but not limited to hitting, pinching, pushing, biting or grabbing a child is unacceptable?. a. It was reported that on 11/18/22, child 1 was ?slapped? on his face by staff 1, resulting in a red mark in the shape of a handprint to his left cheek. b. Center management confirmed that staff 1 did not follow the center’s policy on unacceptable child guidance. 2. The center’s policy for requirement to report states ?All employees are expected to protect children by observing each other and their surroundings and reporting any concerning actions or unsafe conditions. Any time an employee feels uncomfortable about a situation or the behavior of another employee, a manager must be notified. If an employee is not comfortable reporting concerns to their manager, they should call the Employee Hotline. In addition to adhering to Company policies, all employees in a child care environment are mandated reporters by law. Each employee is legally required to report suspicions of child abuse or neglect to the appropriate regulatory agency. Employees are expected to monitor their own behavior and the behavior of others and must report any suspicion of abuse, including physical discipline, corporal treatment, inadequate supervision, verbal or emotional abuse, sexual misconduct, or acts of child endangerment?. a. Multiple staff reported witnessing past incidents of staff 1 utilizing unacceptable child guidance techniques in the classroom, such as dragging, throwing, pulling and yelling at children in the classroom or having concerns regarding staff 1?s behavior in the classroom and not reporting the incidents or concerns to center management or the appropriate regulatory agency. b. Center management confirmed that center staff did not follow the center’s policy for reporting suspected incidents of physical discipline or corporal punishment in the classroom.”

8VAC20-780-410-1

“Based on interviews and a review of center documentation, it was determined the center failed to ensure that physical punishment, striking a child, roughly handling or shaking a child is forbidden. Evidence: 1. The center self-reported that on 11/18/22 child 1 (age 21 months) was ?slapped? on the left side of his face by staff 1, resulting in a mark to the child’s face. 2. Staff 2 stated she was working in the toddler room on the morning of 11/18/22 when she heard a ?loud smack? and a scream coming from the changing table, where staff 1 was changing child 1?s diaper. Staff 2 stated when she looked up, she observed a red mark that looked like a handprint on child 1?s left cheek and that he was crying. Staff 2 stated staff 1 was leaning over child 1 at the changing table and was holding his face. 3. Staff 3 stated that on the morning of 11/18/22, she was told by staff 2 that child 1 was ?smacked? on the face by staff 1. Staff 3 stated she observed child 1 to have a mark on his face that looked like a handprint. 4. Staff 4 (center director) stated she was on her way to the center on the morning of 11/18/22 when she received a call that staff 1 had ?slapped? child 1 on his face. Staff 4 stated when she arrived at the center, she observed child 1 to have a mark on his left cheek. 5. The licensing inspector observed a photograph of child 1, provided by the center and taken on the day of the incident, that showed a red mark to his left cheek, consistent with that of a handprint. 6. Multiple staff reported that they have observed staff 1 roughly handle, pull, throw, drag and yell at children in the classroom on other occasions.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. The laminate countertop at the sink in the infant room has a large area that is peeling off and has exposed particleboard that is crumbling. 2. The center director confirmed that the sink countertop in the infant room is not in a clean and safe condition.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: The diaper changing pad in the infant classroom has a tear, approximately 2 inches in length, to the outer material, exposing the absorbent material underneath.”

8VAC20-780-510-E

“Based on a review of medication and interview, the center did not ensure that the center's procedures for administering medication shall include methods to prevent the use of outdated medication. Evidence: 1. There is an emergency asthma medication for a child in care being stored at the center with an expiration date of September 2022. 2. The center director confirmed that the medication is expired.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The records for child 1 (date of enrollment: 9/27/22) and child 2 (date of enrollment: 6/19/22) do not contain documentation of viewing proof of the child's identity and age. 2. The record for child 3 (date of enrollment: 2/22/21) contains only one name, address and phone number of a designated person to call in an emergency if the parent cannot be reached, where two are required. 3. The center director confirmed that the records for child 1, child 2 and child 3 are lacking the above missing information.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements. Evidence: 1. The center's emergency drill log for the months of January 2022 through August 2022 does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, problems encountered or the weather conditions. 2. The center director confirmed that the center's emergency drill log does not contain the above required elements.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health are obtained before the child can attend the center. Evidence: 1. The record for child 1 (date of enrollment: 9/27/22) does not contain documentation of immunizations. 2. The center director confirmed that the record for child 1 is lacking documentation of immunizations.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that 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 11/15/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of South Carolina within the past five years. The results of a central registry search from the state of South Carolina was not available for staff 1. 2. The center owner confirmed that the central registry search for staff 1 from the state of South Carolina has not been requested.”

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 into contact with children. Evidence: 1. Staff 2 has a documented date of hire of 11/16/21. Documentation of a tuberculosis screening for staff 2 was not obtained by the center until 2/2/22. 2. The center director confirmed that the TB screening for staff 2 was not obtained until after staff 2 began employment and after coming into contact with children.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. The laminate countertop at the sink in the infant room has a large area that is peeling off and has exposed particleboard that is crumbling. 2. The center director confirmed that the sink countertop in the infant room is not in a clean and safe condition.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing shall be used. Evidence: The diaper changing pad in the infant classroom has a tear, approximately 2 inches in length, to the outer material, exposing the absorbent material underneath.”

8VAC20-780-510-E

“Based on a review of medication and interview, the center did not ensure that the center's procedures for administering medication shall include methods to prevent the use of outdated medication. Evidence: 1. There is an emergency asthma medication for a child in care being stored at the center with an expiration date of September 2022. 2. The center director confirmed that the medication is expired.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The records for child 1 (date of enrollment: 9/27/22) and child 2 (date of enrollment: 6/19/22) do not contain documentation of viewing proof of the child's identity and age. 2. The record for child 3 (date of enrollment: 2/22/21) contains only one name, address and phone number of a designated person to call in an emergency if the parent cannot be reached, where two are required. 3. The center director confirmed that the records for child 1, child 2 and child 3 are lacking the above missing information.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements. Evidence: 1. The center's emergency drill log for the months of January 2022 through August 2022 does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, problems encountered or the weather conditions. 2. The center director confirmed that the center's emergency drill log does not contain the above required elements.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health are obtained before the child can attend the center. Evidence: 1. The record for child 1 (date of enrollment: 9/27/22) does not contain documentation of immunizations. 2. The center director confirmed that the record for child 1 is lacking documentation of immunizations.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure that 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 11/15/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of South Carolina within the past five years. The results of a central registry search from the state of South Carolina was not available for staff 1. 2. The center owner confirmed that the central registry search for staff 1 from the state of South Carolina has not been requested.”

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 into contact with children. Evidence: 1. Staff 2 has a documented date of hire of 11/16/21. Documentation of a tuberculosis screening for staff 2 was not obtained by the center until 2/2/22. 2. The center director confirmed that the TB screening for staff 2 was not obtained until after staff 2 began employment and after coming into contact with children.”

8VAC20-780-400-B Complaint related: Yes

“Based on staff interviews and a review of center documents, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff reported that on 3/2/22, staff 2 poured water from a water bottle down the pants of child 1, age 4 years, because he was in the wrong classroom and would not got back to his class when asked. 2. Staff 1 stated that he was working in the school-age classroom and child 1 "hopped" over the gate to the two's classroom and began running around the room. Staff 1 reported that staff 2 (two's teacher) told child 1 "This is why you need to stay in your classroom" and then proceeded to pour water down the back of his pants. Staff 1 stated he asked staff 2 why she would do something like that and she replied "It's okay. It will dry". Staff 1 reported the water was enough to cover the bottom of child 1's shirt and saturate his pants. 3. Staff 2 reported that child 1 came into the two's class after being told not to come in and was running around the classroom. Staff 2 reported that she poured a small amount of water from her water bottle down the back of child 1's pants after repeatedly asking him to go back to his class and stated she "thought it was a joke" between her and the children. 4. Center management confirmed that staff 2 poured water down child 1's pants because he would not leave the two's classroom when asked and that staff 2 did not demonstrate appropriate behavior guidance in the classroom.”

8VAC20-780-340-D Complaint related: No

“Based on record review and staff interviews, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. In the school-age classroom, there was no lead teacher scheduled to be present from 2:30pm until 5:00pm. 2. Staff 1 stated he was the assistant in the school-aged classroom and had been employed at the center for 5 months. Staff 1 stated he had no prior experience working with children. 3.Center management confirmed that staff 1 (date of hire: 1/12/22) was not lead teacher qualified and was regularly scheduled to work alone in the school-aged classroom from 2:30pm until 5:00pm.”

8VAC20-780-400-B Complaint related: Yes

“Based on staff interviews and a review of center documents, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff reported that on 3/2/22, staff 2 poured water from a water bottle down the pants of child 1, age 4 years, because he was in the wrong classroom and would not got back to his class when asked. 2. Staff 1 stated that he was working in the school-age classroom and child 1 "hopped" over the gate to the two's classroom and began running around the room. Staff 1 reported that staff 2 (two's teacher) told child 1 "This is why you need to stay in your classroom" and then proceeded to pour water down the back of his pants. Staff 1 stated he asked staff 2 why she would do something like that and she replied "It's okay. It will dry". Staff 1 reported the water was enough to cover the bottom of child 1's shirt and saturate his pants. 3. Staff 2 reported that child 1 came into the two's class after being told not to come in and was running around the classroom. Staff 2 reported that she poured a small amount of water from her water bottle down the back of child 1's pants after repeatedly asking him to go back to his class and stated she "thought it was a joke" between her and the children. 4. Center management confirmed that staff 2 poured water down child 1's pants because he would not leave the two's classroom when asked and that staff 2 did not demonstrate appropriate behavior guidance in the classroom.”

8VAC20-780-340-D Complaint related: No

“Based on record review and staff interviews, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. In the school-age classroom, there was no lead teacher scheduled to be present from 2:30pm until 5:00pm. 2. Staff 1 stated he was the assistant in the school-aged classroom and had been employed at the center for 5 months. Staff 1 stated he had no prior experience working with children. 3.Center management confirmed that staff 1 (date of hire: 1/12/22) was not lead teacher qualified and was regularly scheduled to work alone in the school-aged classroom from 2:30pm until 5:00pm.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one of the two required emergency contact persons.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over six months.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over sox months.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one emergency contact person.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one of the two required emergency contact persons.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over six months.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over sox months.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one emergency contact person.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one of the two required emergency contact persons.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over six months.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over sox months.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one emergency contact person.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one of the two required emergency contact persons.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over six months.”

8VAC20-780-130-E

“Based on a review of two children's records, it was determined that the facility did not ensure that updated immunizations are obtained every six months for children under the age of two years. Evidence: The record for child #2, who was under the age of two, had not had updated immunizations for over sox months.”

8VAC20-780-60-A

“Based on a review of two children's records, it was determined that the facility did not ensure that all required information was present in each child's record. Evidence: The record for child #1, who was in care at the time of the inspection, had only one emergency contact person.”