Hopkins House - Helen Day Preschool Academy

8VAC20-780-340-A

“REPEAT VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. A child was observed picking up cereal from the floor and eating it. 2. Teacher was observed standing in hall with 4 children in the classroom while one child was in the bathroom. This resulted in children not being under direct supervision.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Caregiver 1, did not have a completed national criminal background check until 2 days after hire date.”

8VAC20-780-270-A

“Areas and equipment of the center, shall be maintained in a clean, safe and operable condition. Wall in the upstairs bathroom, behind the toilet was repaired with duct tape, the toilet in the downstairs class bathroom was repaired with duct tape, both of which pose a health risk with maintaining cleanliness and sanitization.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff 1 had documentation of Tb screening 90 days prior to date of hire.”

8VAC20-780-280-B

“REPEAT VIOLATION: Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. A bucket labeled "Bleach" was on the kitchen counter accessible to children, as the kitchen area is open (there is no door).”

8VAC20-780-540-D Complaint related: No

“An ice pack or cooling agent is required to be available on field trips. Staff 1 confirmed that there was not an ice pack in the 1st aid bag at the playground with the children at the time that Child A was injured. Staff 1 stated that the ice pack had been used and not replaced yet.”

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

“REPEAT VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. Child A was running on the basketball court on the local playground, when they tripped and fell, scraping their forehead over and under the left eye. Staff 1 stated that the child got up and continued to play, so no first aid was given. Staff also stated that abrasions were noted after the child woke up from naptime, and no first aid was given at that time.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. In the Infant Classroom, a bottle was observed in the warmer without a date or the child's name.”

8VAC20-780-500-B

“~The diapering area shall have the following: a. A sink with running warm water not to exceed 120?F; b. Soap, and disposable towels. ~The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. 1.The Mixed-Age Group classroom was noted to have the diapering area in another area, outside of the classroom, without a sink, soap, or towels. 2.It was observed in the Infant Class that Staff 7 did not clean and sanitize the changing table after changing an infant's diaper.”

8VAC20-780-500-A

“1. Children's hands shall be washed with soap and running water after diapering. 2. Staff shall wash their hands with soap and running water, before and after a diaper change. Staff 7 was observed changing an infant's diaper, then laying the child down on the floor and immediately picking up another infant, without washing their own hands or the child's hands.”

8VAC20-780-470-F

“After each day's use, portable wading pools shall be emptied, sanitized, and stored in a position to keep them clean and dry. A portable wading pool was observed outside of the classroom, in the area that is used for evacuation. The pool was full of dirty water.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Four children from the K-Prep class were observed in the hallway and bathroom, (adjacent to the open kitchen area) outside of the classroom, without a staff member present.”

8VAC20-780-320-B

“Each restroom area provided for children shall: Be equipped with soap, toilet paper, and disposable towels within reach of children. The upstairs children's bathroom did not have paper towels within reach of the children. The director confirmed that they are kept inside the classroom door to keep the children from flushing them down the toilet.”

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Two unlabeled spray bottles were noted in the bathroom used by the K-Prep class. Teacher confirmed they were cleaning fluids.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. 1. Cleaning material bottles were observed on a shelf in the hallway children's bathroom. 2. A bucket labeled "Bleach" was on the kitchen counter accessible to children, as the kitchen area is open (there is no door). 3. Air Freshener noted to be on the changing table in the two-year old classroom, accessible to children.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 15 months is one staff per four children. ~ The fifth infant was signed in on the Child Supervision Record (CSR) at 8:29am. The second staff member signed into the CSR at 8:36am. ~At 11:00am, staff 6, who was signed into the infant CSR at 9:49am, was observed upstairs in the kitchen. When questioned, the director confirmed that the staff member left the infant class out of ratio to prepare lunch for the center.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. In the Infant Classroom, a bottle was observed in the warmer without a date or the child's name.”

8VAC20-780-500-B

“~The diapering area shall have the following: a. A sink with running warm water not to exceed 120?F; b. Soap, and disposable towels. ~The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. 1.The Mixed-Age Group classroom was noted to have the diapering area in another area, outside of the classroom, without a sink, soap, or towels. 2.It was observed in the Infant Class that Staff 7 did not clean and sanitize the changing table after changing an infant's diaper.”

8VAC20-780-500-A

“1. Children's hands shall be washed with soap and running water after diapering. 2. Staff shall wash their hands with soap and running water, before and after a diaper change. Staff 7 was observed changing an infant's diaper, then laying the child down on the floor and immediately picking up another infant, without washing their own hands or the child's hands.”

8VAC20-780-470-F

“After each day's use, portable wading pools shall be emptied, sanitized, and stored in a position to keep them clean and dry. A portable wading pool was observed outside of the classroom, in the area that is used for evacuation. The pool was full of dirty water.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Four children from the K-Prep class were observed in the hallway and bathroom, (adjacent to the open kitchen area) outside of the classroom, without a staff member present.”

8VAC20-780-320-B

“Each restroom area provided for children shall: Be equipped with soap, toilet paper, and disposable towels within reach of children. The upstairs children's bathroom did not have paper towels within reach of the children. The director confirmed that they are kept inside the classroom door to keep the children from flushing them down the toilet.”

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Two unlabeled spray bottles were noted in the bathroom used by the K-Prep class. Teacher confirmed they were cleaning fluids.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. 1. Cleaning material bottles were observed on a shelf in the hallway children's bathroom. 2. A bucket labeled "Bleach" was on the kitchen counter accessible to children, as the kitchen area is open (there is no door). 3. Air Freshener noted to be on the changing table in the two-year old classroom, accessible to children.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 15 months is one staff per four children. ~ The fifth infant was signed in on the Child Supervision Record (CSR) at 8:29am. The second staff member signed into the CSR at 8:36am. ~At 11:00am, staff 6, who was signed into the infant CSR at 9:49am, was observed upstairs in the kitchen. When questioned, the director confirmed that the staff member left the infant class out of ratio to prepare lunch for the center.”

8VAC20-780-570-A

“When a child is placed in a high chair, the protective belt shall be fastened securely . Child #1 (age 17 months), Child #2 (age 10 months) and Child #3 (age 12 months), were eating in high chairs with none of the safety belts engaged.”

22.1-289.023-A

“Notice of the Superintendent's intent shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. The Notice of the Superintendent's intent was posted in the office, not in a prominent place at each entrance.”

63.2-1509-A

“Staff employed by a child day program who have reason to suspect that a child has been hurt through the actions of an adult will report the matter immediately to the local department's toll-free child abuse hotline. Staff were aware of the burn incident, and no one from the center reported it to CPS .”

8VAC20-780-520-C

“If ointment or cream is used, the following requirements will be met: 1. Written parent authorization will be obtained; 2. These products shall be in the original container and labeled with the child's name; 3. A record will be kept that includes the child's name, date of use, frequency of application and any adverse reactions. As noted on the incident report and confirmed with the director, the staff applied Vaseline ointment to the child's blisters 20 minutes after the burns occurred. There was no written permission given for the treatment by the parent.”

8VAC20-780-550-N

“The center will notify the parent immediately when a child sustains a serious injury. The parent was not notified of the child's injury until 20 minutes after the serious injury occurred.”

8VAC20-780-270-A

“The center will ensure that all areas of the center are maintained in a safe condition. Child A was burned by hot coffee brought into the classroom and left in an area accessible to children. Child A received medical care from a physician.”

8VAC20-780-340-A

“When staff are supervising children, they will always ensure their care, protection, and guidance. 1. On 10/17/2024, Child A (age 28 months) knocked over a mug of hot coffee that was placed, by a staff member, on a surface within reach of children. 2. Staff did not immediately perform first aid for Child A although blisters started to form on child's arm and chest.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-01/08/2024) did not contain documentation to demonstrate the individual possesses the education , certification, and experience required by the job position.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-01/08/2024) did not contain documentation to demonstrate the individual possesses the education , certification, and experience required by the job position.”

8VAC20-780-500-B

“Based on observation and interview, after diapering, staff did not sanitized the diapering surface after each use. Evidence: 1. Staff #1 was diapering a child. After diapering, Staff #1 cleaned the diapering surface with soap and water, but did not sanitize the diapering surface after. Staff #1 confirmed that the diapering surface was cleaned with soap and water, but not sanitized after each use.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water. Evidence: 1. Staff #3 (Date of hire-08/17/2022) did not wash their hands before feeding an infant. 2. Staff #6 (Date of hire-12/07/2020) did not wash their hands after wiping a child's nose.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle of bleach was located in low unlocked cabinet in the bathroom.”

8VAC20-780-240-I

“Based on record review, documentation of orientation training was not kept by the center. Evidence: 1. Staff #1's record (Start date-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #6 received staff orientation, but documentation was not available. 2. Staff #2's record (Date of hire-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #2 received staff orientation, but documentation was not available.”

8VAC20-780-90-A

“Based on record review, a written agreement between the parent and the center was not in each child's record by the first day of the child's attendance. Evidence: 1. Child #3's record (Start date-11/6/2023) did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-10/11/2023) contained documentation of one reference to character and reputation as well as competency checked after the first day of employment. The second reference check was conducted on 10/18/2023.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-10/11/2022) did not contain documentation of child's updates and confirmation of up to date information in the child's record. 2. Child #2's record (Start date-10/10/2023) did not contain the addresses of two emergency contacts and names of persons authorized to pick up the child. 3. Child #6's record did not contain a written care plan for each child with a diagnosed with a food allergy.”

8VAC20-780-520-C

“Based on documentation review, written parent authorization of diaper ointment was not obtained. Evidence: 1. Child #1 has Triple Paste diaper ointment located in the classroom. Documentation of the written authorization of the diaper ointment was not available at the time of the inspection.”

8VAC20-790-600-F

“Based on record review, staff who work directly with children did not complete the department's annual health and safety update course. Evidence: 1. Staff #3's record (Start date-8/17/2022) did not contain documentation of the department's annual health and safety update course. Staff #3 completed the department's annual health and safety update course on 07/25/2022. 2. Staff #4's record (Start date-8/29/2022) did not contain documentation of the department's annual health and safety update course. Staff #4 completed the department's annual health and safety update course on 02/27/2022. 3. Staff #5's record (Start date-10/11/2022) did not contain documentation of the department's annual health and safety update course. Staff #5 completed the department's annual health and safety update course on 09/19/2022.”

8VAC20-780-500-B

“Based on observation and interview, after diapering, staff did not sanitized the diapering surface after each use. Evidence: 1. Staff #1 was diapering a child. After diapering, Staff #1 cleaned the diapering surface with soap and water, but did not sanitize the diapering surface after. Staff #1 confirmed that the diapering surface was cleaned with soap and water, but not sanitized after each use.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water. Evidence: 1. Staff #3 (Date of hire-08/17/2022) did not wash their hands before feeding an infant. 2. Staff #6 (Date of hire-12/07/2020) did not wash their hands after wiping a child's nose.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle of bleach was located in low unlocked cabinet in the bathroom.”

8VAC20-780-240-I

“Based on record review, documentation of orientation training was not kept by the center. Evidence: 1. Staff #1's record (Start date-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #6 received staff orientation, but documentation was not available. 2. Staff #2's record (Date of hire-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #2 received staff orientation, but documentation was not available.”

8VAC20-780-90-A

“Based on record review, a written agreement between the parent and the center was not in each child's record by the first day of the child's attendance. Evidence: 1. Child #3's record (Start date-11/6/2023) did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-10/11/2023) contained documentation of one reference to character and reputation as well as competency checked after the first day of employment. The second reference check was conducted on 10/18/2023.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-10/11/2022) did not contain documentation of child's updates and confirmation of up to date information in the child's record. 2. Child #2's record (Start date-10/10/2023) did not contain the addresses of two emergency contacts and names of persons authorized to pick up the child. 3. Child #6's record did not contain a written care plan for each child with a diagnosed with a food allergy.”

8VAC20-780-520-C

“Based on documentation review, written parent authorization of diaper ointment was not obtained. Evidence: 1. Child #1 has Triple Paste diaper ointment located in the classroom. Documentation of the written authorization of the diaper ointment was not available at the time of the inspection.”

8VAC20-790-600-F

“Based on record review, staff who work directly with children did not complete the department's annual health and safety update course. Evidence: 1. Staff #3's record (Start date-8/17/2022) did not contain documentation of the department's annual health and safety update course. Staff #3 completed the department's annual health and safety update course on 07/25/2022. 2. Staff #4's record (Start date-8/29/2022) did not contain documentation of the department's annual health and safety update course. Staff #4 completed the department's annual health and safety update course on 02/27/2022. 3. Staff #5's record (Start date-10/11/2022) did not contain documentation of the department's annual health and safety update course. Staff #5 completed the department's annual health and safety update course on 09/19/2022.”

8VAC20-780-140-A

“Based on record review, children's records did not contain a physical examination under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-01/17/2023) did not contain documentation of a physical examination. 2. Child #5's record (Start date-03/13/2023) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on record review and interview, the center did not obtain fingerprint results prior to the first day of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained documentation of fingerprint results after the first day of employment. The fingerprint results were dated 03/16/2023. The record contained documentation of a Sworn Statement dated 03/13/2023 and staff orientation dated 03/13/2023. 2. Staff #1 confirmed that the fingerprint results were obtained after the first day of employment.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis(TB) is screening at the time of employment and completed within 30 calendar days of the date of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained documentation of a negative TB screening at the time of employment. The TB screening was dated 03/16/2023. 2. Staff #3's record (Date of hire-04/21/2023) contained documentation of a negative TB screening not within the last 30 calendar days of the date of employment. The TB screening was dated 02/07/2023. 3. Staff #4's record (Date of hire-04/11/2023) contained documentation of a negative TB screening not within the last 30 calendar days of the date of employment. The TB screening was dated 02/01/2023.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle labeled bleach and water and soap and water were sitting on a high shelf and not kept in in a locked place using a safe locking method.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water before or after a diaper change. Evidence: 1. In the two year old classroom, Staff #6 (Date of hire 08/17/2022) did not wash their hands before or after a diaper change.”

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were not stored in areas separate from food. Evidence: 1. In the Infant classroom, a container of bleach sanitizing wipes was located in a cabinet with containers of applesauce, infant formula, plates, bowls, and spoons.”

22.1-289.035-B-4

“Based on record review and interview, the child day center did not obtain a copy of the results of a criminal history background record information check from any state in which the individual has resided in the preceding five years prior to the first day of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained a Sworn Statement that states that they live in Washington D.C. Staff #1's record did not contain documentation of an out of state criminal background check for Washington D.C. 2. Staff #1 confirmed that a copy of the results of a criminal background check for Washington D.C. had not been obtained prior to the first day of employment. Staff #1 stated that an out of state criminal background check has been submitted for Washington D.C., but results have not been returned.”

8VAC20-780-140-A

“Based on record review, children's records did not contain a physical examination under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-01/17/2023) did not contain documentation of a physical examination. 2. Child #5's record (Start date-03/13/2023) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on record review and interview, the center did not obtain fingerprint results prior to the first day of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained documentation of fingerprint results after the first day of employment. The fingerprint results were dated 03/16/2023. The record contained documentation of a Sworn Statement dated 03/13/2023 and staff orientation dated 03/13/2023. 2. Staff #1 confirmed that the fingerprint results were obtained after the first day of employment.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis(TB) is screening at the time of employment and completed within 30 calendar days of the date of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained documentation of a negative TB screening at the time of employment. The TB screening was dated 03/16/2023. 2. Staff #3's record (Date of hire-04/21/2023) contained documentation of a negative TB screening not within the last 30 calendar days of the date of employment. The TB screening was dated 02/07/2023. 3. Staff #4's record (Date of hire-04/11/2023) contained documentation of a negative TB screening not within the last 30 calendar days of the date of employment. The TB screening was dated 02/01/2023.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle labeled bleach and water and soap and water were sitting on a high shelf and not kept in in a locked place using a safe locking method.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water before or after a diaper change. Evidence: 1. In the two year old classroom, Staff #6 (Date of hire 08/17/2022) did not wash their hands before or after a diaper change.”

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were not stored in areas separate from food. Evidence: 1. In the Infant classroom, a container of bleach sanitizing wipes was located in a cabinet with containers of applesauce, infant formula, plates, bowls, and spoons.”

22.1-289.035-B-4

“Based on record review and interview, the child day center did not obtain a copy of the results of a criminal history background record information check from any state in which the individual has resided in the preceding five years prior to the first day of employment. Evidence: 1. Staff #1's record (Date of hire-03/13/2023) contained a Sworn Statement that states that they live in Washington D.C. Staff #1's record did not contain documentation of an out of state criminal background check for Washington D.C. 2. Staff #1 confirmed that a copy of the results of a criminal background check for Washington D.C. had not been obtained prior to the first day of employment. Staff #1 stated that an out of state criminal background check has been submitted for Washington D.C., but results have not been returned.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #3's record (Start date-04/06/2022) did not contain the name, address, and phone number of a second emergency contact.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #3's record (Start date-04/06/2022) did not contain the name, address, and phone number of a second emergency contact.”

22.1-289.035-B-2 Complaint related: No

“Based on record review and staff interview, the center did not conduct a fingerprint based criminal history check prior to the first day of employment. Evidence: 1. Staff #1(Date of hire-04/29/22) did not have documentation of fingerprint results in the record. 2. Staff #2 (Date of hire-04/19/22) did not have documentation of fingerprint results in the record. 3. Staff #3 (Date of hir-04/21/22) did not have documentation of fingerprint results in the record. 4. Staff #4 confirmed that fingerprint results had not been obtained and returned for Staff #1,#2.and #3.”

8VAC20-780-160-A Complaint related: No

“Based on record review, each staff member did not submit documentation of a negative tuberculosis screening. Evidence: 1. Staff #1's (Date of hire-04/29/22) record did not contain documentation of a negative tuberculosis screening.”

8VAC20-780-70 Complaint related: No

“Based on record review, required records were not kept for each staff. Evidence: 1. Staff #1's record did not contain documentation of a second reference check. 2. Staff #2's record did not contain documentation of a second reference check. 3. Staff #3's record did not contain documentation of two reference checks.”

8VAC20-780-240-B Complaint related: No

“Based on record review, three of three staff members did not complete orientation training. Evidence: 1. Staff #1, Staff #2, and Staff #3 did not have documentation of completed orientation training in the records.”

22.1-289.035-B-4 Complaint related: No

“Based on record review, the center did not obtain a copy of the results of an out of state criminal history check prior to the first day of employment. Evidence: 1. Staff #1 (Date of hire-04/29/22) lives in Washington DC. Documentation of an out of state background check was not in the record.”

8VAC20-780-570-E

“Based on observation, a prepared infant bottle was not dated. Evidence: 1. Two bottles located in the refrigerator in the Infant 2 room were not dated.”

8VAC20-780-570-A

“Based on observation, children using infant seats or high chairs shall be supervised during snacks and meals. Evidence: 1. In the Infant 2 classroom, two older infants were seated at a table eating while unsupervised. One older infant was seated in a highchair while eating unsupervised.”

8VAC20-780-550-D

“Based on record review and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1. The evacuation drill log did not have documentation of a monthly evacuation drill for the months of January, March, and April. 2. Staff #4 confirmed that a practice evacuation drill was not conducted for the months of January, March, and April.”

8VAC20-780-500-B

“Based on observation, it was determined that the facility did not ensure that a nonabsorbent surface for diapering or changing is used. Evidence: 1. In the Toddler classroom, the changing pad had three one inch tears on the surface.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #2's record did not contain a second emergency contact. 2. Child #1's record and Child #3's record did not contain documentation of an annual update.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician. Evidence: 1. Child #1 (Start date-5/20/19) did not have documentation of a physical examination.”

22.1-289.035-B-2

“Based on record review, staff did not submit to fingerprinting prior to the first day of employment. Evidence: 1. Staff #1 (Date of hire-3/23/22) did not have documentation of fingerprint results in the record. 2. Staff #3 (Date of hire-12/13/21) did not have documentation of fingerprint results in the record.”

22.1-289.035-A

“Based on record review, the center did not conduct a five year repeat check for Central Registry results. Evidence: 1. Staff #3's (Date of rehire-12/13/21) record did not have documentation of a five year repeat Central Registry results. The Central Registry results was dated 04/21/2017.”

8VAC20-780-560-M

“Based on observation, a child was allowed to drink or eat while walking around. Evidence: 1.In the Toddler classroom, a child was allowed to walk around while drinking a bottle.”

8VAC20-780-570-E

“Based on observation, a prepared infant bottle was not dated. Evidence: 1. Two bottles located in the refrigerator in the Infant 2 room were not dated.”

8VAC20-780-570-A

“Based on observation, children using infant seats or high chairs shall be supervised during snacks and meals. Evidence: 1. In the Infant 2 classroom, two older infants were seated at a table eating while unsupervised. One older infant was seated in a highchair while eating unsupervised.”

8VAC20-780-550-D

“Based on record review and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1. The evacuation drill log did not have documentation of a monthly evacuation drill for the months of January, March, and April. 2. Staff #4 confirmed that a practice evacuation drill was not conducted for the months of January, March, and April.”

8VAC20-780-500-B

“Based on observation, it was determined that the facility did not ensure that a nonabsorbent surface for diapering or changing is used. Evidence: 1. In the Toddler classroom, the changing pad had three one inch tears on the surface.”

8VAC20-780-60-A

“Based on record review, children's records did not contain required information. Evidence: 1. Child #2's record did not contain a second emergency contact. 2. Child #1's record and Child #3's record did not contain documentation of an annual update.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician. Evidence: 1. Child #1 (Start date-5/20/19) did not have documentation of a physical examination.”

22.1-289.035-B-2

“Based on record review, staff did not submit to fingerprinting prior to the first day of employment. Evidence: 1. Staff #1 (Date of hire-3/23/22) did not have documentation of fingerprint results in the record. 2. Staff #3 (Date of hire-12/13/21) did not have documentation of fingerprint results in the record.”

22.1-289.035-A

“Based on record review, the center did not conduct a five year repeat check for Central Registry results. Evidence: 1. Staff #3's (Date of rehire-12/13/21) record did not have documentation of a five year repeat Central Registry results. The Central Registry results was dated 04/21/2017.”

8VAC20-780-560-M

“Based on observation, a child was allowed to drink or eat while walking around. Evidence: 1.In the Toddler classroom, a child was allowed to walk around while drinking a bottle.”

8VAC20-770-60-C-2

“Based on record review and interview, three of three records did not contain documentation of a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff #1's record (Date of hire-09/28/2020) did not contain documentation of a Central Registry finding. 2. Staff #2's record (Date of hire-09/21/2021) did not contain documentation of a Central Registry finding. 3. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of a Central Registry finding. 4. Staff #4 stated that the central office processes paperwork and the documentation of the Central Registries were not available during the time of the inspection.”

8VAC20-780-160-A-1

“Based on record review, the center did not obtain documentation of tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #3's record (Date of hire-08/30/21) did not contain documentation of a tuberculosis screening.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff # 2's record (Date of hire-09/21/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection. 2. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection.”

8VAC20-780-240-B

“Based on record review, two of three staff records was missing documentation of receiving orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #2's record (Date of hire- 09/21/2021) did not contain documentation of a completed orientation and child abuse and neglect training. 2. Staff #3's record (Date of hire- 08/30/2021) did not contain documentation of a completed orientation and child abuse and neglect training.”

22.1-289.035-B-4

“Based on record review, the child day center did not obtain 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: 1. Staff #1's record (Date of hire-09/28/2020) contained documentation of a Sworn Disclosure dated 09/17/2020 that confirmed that staff had lived in the state of Pennsylvania in the past 5 years. Documentation of a Pennsylvania Central Registry dated 09/02/15, Sex Offender, and Criminal Background check was dated 09/03/2015. These results were not obtained by the center and were expired.”

22VAC40-185-550-B

“Based on record review, the center did not ensure that the emergency plan was reviewed and updated annually. Evidence: 1. The Emergency Plan had not been updated to reflect new staff and management. The plan was last updated on 03/12/2020.”

22.1-289.035-A

“Based on record review and interview, two of three records did not contain documentation of fingerprint results. Evidence: 1. Staff #2's record (Date of hire-09/21/2021) did not contain documentation of fingerprint results. 2. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of fingerprint results. 3. Staff #4 stated that the central office processes staff background checks and documentation of fingerprint results was not available at the time of inspection.”

22VAC40-665-540-B

“Based on record review, the center did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: 1. Staff #1's record (Date of hire-09/28/2020) contained documentation of an expired tuberculosis screening dated 09/18/2019. Documentation of a subsequent tuberculosis screening was not available for review.”

22VAC40-665-580-B

“Based on record review, Within the first 90 days of employment all staff who work directly with children did not complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Staff #3's record (Date of hire 08/30/2021) did not contain documentation of the Virginia Preservice Training for Child Care Staff. At the time of the inspection, documentation was not available.”

22VAC40-665-540-A

“Based on record review, staff was not evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening was not submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2's record (Date of hire-09/21/2021) contained documentation of a TB test results dated 09/24/2021. The TB results were obtained after the date of hire.”

8VAC20-770-60-C-2

“Based on record review and interview, three of three records did not contain documentation of a central registry finding within 30 days of employment or volunteer service. Evidence: 1. Staff #1's record (Date of hire-09/28/2020) did not contain documentation of a Central Registry finding. 2. Staff #2's record (Date of hire-09/21/2021) did not contain documentation of a Central Registry finding. 3. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of a Central Registry finding. 4. Staff #4 stated that the central office processes paperwork and the documentation of the Central Registries were not available during the time of the inspection.”

8VAC20-780-160-A-1

“Based on record review, the center did not obtain documentation of tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #3's record (Date of hire-08/30/21) did not contain documentation of a tuberculosis screening.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff # 2's record (Date of hire-09/21/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection. 2. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection.”

8VAC20-780-240-B

“Based on record review, two of three staff records was missing documentation of receiving orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #2's record (Date of hire- 09/21/2021) did not contain documentation of a completed orientation and child abuse and neglect training. 2. Staff #3's record (Date of hire- 08/30/2021) did not contain documentation of a completed orientation and child abuse and neglect training.”

22.1-289.035-B-4

“Based on record review, the child day center did not obtain 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: 1. Staff #1's record (Date of hire-09/28/2020) contained documentation of a Sworn Disclosure dated 09/17/2020 that confirmed that staff had lived in the state of Pennsylvania in the past 5 years. Documentation of a Pennsylvania Central Registry dated 09/02/15, Sex Offender, and Criminal Background check was dated 09/03/2015. These results were not obtained by the center and were expired.”

22VAC40-185-550-B

“Based on record review, the center did not ensure that the emergency plan was reviewed and updated annually. Evidence: 1. The Emergency Plan had not been updated to reflect new staff and management. The plan was last updated on 03/12/2020.”

22.1-289.035-A

“Based on record review and interview, two of three records did not contain documentation of fingerprint results. Evidence: 1. Staff #2's record (Date of hire-09/21/2021) did not contain documentation of fingerprint results. 2. Staff #3's record (Date of hire-08/30/2021) did not contain documentation of fingerprint results. 3. Staff #4 stated that the central office processes staff background checks and documentation of fingerprint results was not available at the time of inspection.”

22VAC40-665-540-B

“Based on record review, the center did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: 1. Staff #1's record (Date of hire-09/28/2020) contained documentation of an expired tuberculosis screening dated 09/18/2019. Documentation of a subsequent tuberculosis screening was not available for review.”

22VAC40-665-580-B

“Based on record review, Within the first 90 days of employment all staff who work directly with children did not complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Staff #3's record (Date of hire 08/30/2021) did not contain documentation of the Virginia Preservice Training for Child Care Staff. At the time of the inspection, documentation was not available.”

22VAC40-665-540-A

“Based on record review, staff was not evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening was not submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2's record (Date of hire-09/21/2021) contained documentation of a TB test results dated 09/24/2021. The TB results were obtained after the date of hire.”