Lady L's Little Angels Daycare

8VAC20-780-550-D

“Based on documentation review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: The last drill documented was dated 06/15/2023. When asked, staff #4 stated that drills are not implemented monthly.”

8VAC20-780-40-M

“Repeat Violation Based on record and documentation review, the center failed to maintain a current written list of children's allergies, sensitivities, and dietary restrictions. Evidence: The record for child #5, date of enrollment 08/28/23, contained documentation of a food allergy. The allergy list did not have child #5 listed.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #2 was observed changing a child's diaper on the diaper table. Staff #2 wiped the surface with an antibacterial wipe after the diaper change. Staff #2 did not clean the surface with soap water and then sanitize with a spray or dip.”

8VAC20-780-530-A-2

“Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid. Evidence: 1. The record for staff #2, date of employment 08/14/23, contained documentation of first aid dated 09/16/21. The certification period ended on 09/16/23. Staff #2 was alone in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, did not contain documentation of first aid training. Staff #2 was alone in a classroom with children.”

22.1-289.035-B-4

“Based on record review, the center failed to 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 from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #3, indicated that they have lived in another state within the 5 years preceding the date of employment. The record did not contain documentation of a criminal history information check, a sex offender registry check, or a search of the child abuse and neglect from that state. Staff #3 was observed working in a classroom alone with children.”

8VAC20-780-530-A-1

“Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. The record for staff #2, date of employment 08/14/23, contained documentation of CPR dated 09/16/21. The training certification period ended on 09/16/23. Staff #2 was alone in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, did not contain documentation of CPR training. Staff #2 was alone in a classroom with children.”

8VAC20-780-560-G

“Repeat Violation Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: The infant room contained bottles and containers of food in the refrigerator that were not labeled or dated.”

8VAC20-780-240-B

“Repeat Violation Based on record review, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #2, date of employment 08/14/23, did not contain documentation of orientation training. Staff #2 was observed working alone in a classroom with children.”

8VAC20-780-160-A

“Repeat Violation Based on record review, and observation, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and no more than 30 calendar days prior to employment. Evidence: 1. The record for staff #2, date of employment 08/14/23, did not contain documentation of a negative tuberculosis screening. Staff #2 was observed working in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, contained documentation of tuberculosis screening dated 03/12/23.”

8VAC20-780-260-B

“Based on documentation review, the center failed to provide annual approval from the health department. Evidence: The health inspection was dated 08/01/2022. Annual approval from the health department was due on or before 08/01/2023.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands with soap and running water before and after a diaper change and that children's hands are washed with soap and running water after toileting. Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash their hands or the child's hands before or after the diaper change.”

8VAC20-780-70

“Repeat Violation Based on record review, the center failed ensure that staff records contain all required information. Evidence: 1. The record for staff # 2, date of employment 08/14/23, did not contain two or more references as to character and reputation as well as competency prior to employment. 2. The record for staff #2, date of employment 08/14/23, did not contain information about any health problems that may interfere with fulfilling the job responsibilities. 3. The record for staff #2, date of employment 08/14/23, did not contain the name, address, and telephone number of a person to be notified in an emergency.”

8VAC20-780-550-D

“Based on documentation review and interview, the center failed to implement a monthly practice evacuation drill. Evidence: The last drill documented was dated 06/15/2023. When asked, staff #4 stated that drills are not implemented monthly.”

8VAC20-780-40-M

“Repeat Violation Based on record and documentation review, the center failed to maintain a current written list of children's allergies, sensitivities, and dietary restrictions. Evidence: The record for child #5, date of enrollment 08/28/23, contained documentation of a food allergy. The allergy list did not have child #5 listed.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #2 was observed changing a child's diaper on the diaper table. Staff #2 wiped the surface with an antibacterial wipe after the diaper change. Staff #2 did not clean the surface with soap water and then sanitize with a spray or dip.”

8VAC20-780-530-A-2

“Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid. Evidence: 1. The record for staff #2, date of employment 08/14/23, contained documentation of first aid dated 09/16/21. The certification period ended on 09/16/23. Staff #2 was alone in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, did not contain documentation of first aid training. Staff #2 was alone in a classroom with children.”

22.1-289.035-B-4

“Based on record review, the center failed to 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 from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #3, indicated that they have lived in another state within the 5 years preceding the date of employment. The record did not contain documentation of a criminal history information check, a sex offender registry check, or a search of the child abuse and neglect from that state. Staff #3 was observed working in a classroom alone with children.”

8VAC20-780-530-A-1

“Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. The record for staff #2, date of employment 08/14/23, contained documentation of CPR dated 09/16/21. The training certification period ended on 09/16/23. Staff #2 was alone in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, did not contain documentation of CPR training. Staff #2 was alone in a classroom with children.”

8VAC20-780-560-G

“Repeat Violation Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: The infant room contained bottles and containers of food in the refrigerator that were not labeled or dated.”

8VAC20-780-240-B

“Repeat Violation Based on record review, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #2, date of employment 08/14/23, did not contain documentation of orientation training. Staff #2 was observed working alone in a classroom with children.”

8VAC20-780-160-A

“Repeat Violation Based on record review, and observation, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and no more than 30 calendar days prior to employment. Evidence: 1. The record for staff #2, date of employment 08/14/23, did not contain documentation of a negative tuberculosis screening. Staff #2 was observed working in a classroom with children. 2. The record for staff #3, date of employment 08/08/23, contained documentation of tuberculosis screening dated 03/12/23.”

8VAC20-780-260-B

“Based on documentation review, the center failed to provide annual approval from the health department. Evidence: The health inspection was dated 08/01/2022. Annual approval from the health department was due on or before 08/01/2023.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands with soap and running water before and after a diaper change and that children's hands are washed with soap and running water after toileting. Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash their hands or the child's hands before or after the diaper change.”

8VAC20-780-70

“Repeat Violation Based on record review, the center failed ensure that staff records contain all required information. Evidence: 1. The record for staff # 2, date of employment 08/14/23, did not contain two or more references as to character and reputation as well as competency prior to employment. 2. The record for staff #2, date of employment 08/14/23, did not contain information about any health problems that may interfere with fulfilling the job responsibilities. 3. The record for staff #2, date of employment 08/14/23, did not contain the name, address, and telephone number of a person to be notified in an emergency.”

8VAC20-780-400-B

“Based on interview and documentation review, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior to resolve conflicts. Evidence: Interviews revealed that on May 8, 2023 child #1, age 4 years, was heard screaming. Staff #2 went into the classroom to investigate. Child #1 stated that staff #1 put her hands around child #1's neck. Child #1 had a large red mark on their neck. When interviewed by center administrators, staff #1 stated that she was trying to break up an altercation between child #1 and another child and she grabbed child #1 on the shoulder. Documentation review revealed that staff #1 was terminated on 05/15/2023.”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete The Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #1, date of employment 01/10/2023, did not contain documentation of the VDOE course being completed.”

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child has a physical examination within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment, 11/18/22, did not contain documentation of a physical.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain documentation of completion of orientation.”

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required documentation. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain two or more references checked as to character and reputation as well as competency before employment.”

8VAC20-780-160-A

“Based on a review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening 30 days prior to employment and no later than the time of employment and prior to coming into contact with children. Evidence: 1)The record for staff #1, date of employment 01/10/2023, contained the results of a tuberculosis screening dated 05/16/23. 3) The record for staff #4, date of employment, 02/07/2023, contained the results of a tuberculosis screening dated 10/07/2022.”

8VAC20-780-400-B

“Based on interview and documentation review, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior to resolve conflicts. Evidence: Interviews revealed that on May 8, 2023 child #1, age 4 years, was heard screaming. Staff #2 went into the classroom to investigate. Child #1 stated that staff #1 put her hands around child #1's neck. Child #1 had a large red mark on their neck. When interviewed by center administrators, staff #1 stated that she was trying to break up an altercation between child #1 and another child and she grabbed child #1 on the shoulder. Documentation review revealed that staff #1 was terminated on 05/15/2023.”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete The Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #1, date of employment 01/10/2023, did not contain documentation of the VDOE course being completed.”

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child has a physical examination within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment, 11/18/22, did not contain documentation of a physical.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain documentation of completion of orientation.”

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required documentation. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain two or more references checked as to character and reputation as well as competency before employment.”

8VAC20-780-160-A

“Based on a review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening 30 days prior to employment and no later than the time of employment and prior to coming into contact with children. Evidence: 1)The record for staff #1, date of employment 01/10/2023, contained the results of a tuberculosis screening dated 05/16/23. 3) The record for staff #4, date of employment, 02/07/2023, contained the results of a tuberculosis screening dated 10/07/2022.”

8VAC20-780-400-B

“Based on interview and documentation review, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior to resolve conflicts. Evidence: Interviews revealed that on May 8, 2023 child #1, age 4 years, was heard screaming. Staff #2 went into the classroom to investigate. Child #1 stated that staff #1 put her hands around child #1's neck. Child #1 had a large red mark on their neck. When interviewed by center administrators, staff #1 stated that she was trying to break up an altercation between child #1 and another child and she grabbed child #1 on the shoulder. Documentation review revealed that staff #1 was terminated on 05/15/2023.”

8VAC20-780-240-A

“Based on a review of staff records, the center failed to ensure that staff complete The Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #1, date of employment 01/10/2023, did not contain documentation of the VDOE course being completed.”

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child has a physical examination within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment, 11/18/22, did not contain documentation of a physical.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain documentation of completion of orientation.”

8VAC20-780-70

“Based on review of staff records, the center failed to keep the required documentation. Evidence: The record for staff #1, date of employment 01/10/2023, and the record for staff #4, date of employment 02/07/2023, did not contain two or more references checked as to character and reputation as well as competency before employment.”

8VAC20-780-160-A

“Based on a review of staff records, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening 30 days prior to employment and no later than the time of employment and prior to coming into contact with children. Evidence: 1)The record for staff #1, date of employment 01/10/2023, contained the results of a tuberculosis screening dated 05/16/23. 3) The record for staff #4, date of employment, 02/07/2023, contained the results of a tuberculosis screening dated 10/07/2022.”

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child had a physical within 30 days of attendance at the center. Evidence: The record for child #2, date of enrollment 7/11/2022, did not contain documentation of a physical.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home it is clearly dated and labeled in a way that identifies the owner. Evidence: The children’s lunch bags were on a cart in the kitchen. The bags were not labeled with the child’s name and were not dated.”

8VAC20-780-350-B-2

“Based on observation, and interview, the center failed to ensure that staff to children ratios are followed whenever children are in care. Evidence: 1) Classroom #3 contained 7 children ages 16 months to 24 months and 1 staff. The ratio for this age is 1 staff to 5 children. When asked, staff #4 stated that the other staff had stepped out for a moment.”

8VAC20-780-40-M

“Based on records review, and interview, the center failed to maintain a current, written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Child #4?s record indicated a food allergy. When asked to see the allergy list no children were listed as having any allergies.”

8VAC20-780-350-C

“Based on observation, and interview, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group will apply to the entire group. Evidence: The lunch room contained 13 children ages 16 months to 2 years and 1 staff member. In mixed age groups the staff to child ratio applicable to the youngest child in the group shall apply. The youngest child was 16 months. The ratio for this age is 1 staff to 5 children. When asked, the Director stated that the other staff members had stepped out to go get the other children”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that documentation of a negative TB screening was completed within the last 30 calendar days of the date of employment. Evidence: Staff #3?s record, date of employment 8/12/2022, contained documentation of TB screening dated 4/7/22.”

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child had a physical within 30 days of attendance at the center. Evidence: The record for child #2, date of enrollment 7/11/2022, did not contain documentation of a physical.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home it is clearly dated and labeled in a way that identifies the owner. Evidence: The children’s lunch bags were on a cart in the kitchen. The bags were not labeled with the child’s name and were not dated.”

8VAC20-780-350-B-2

“Based on observation, and interview, the center failed to ensure that staff to children ratios are followed whenever children are in care. Evidence: 1) Classroom #3 contained 7 children ages 16 months to 24 months and 1 staff. The ratio for this age is 1 staff to 5 children. When asked, staff #4 stated that the other staff had stepped out for a moment.”

8VAC20-780-40-M

“Based on records review, and interview, the center failed to maintain a current, written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Child #4?s record indicated a food allergy. When asked to see the allergy list no children were listed as having any allergies.”

8VAC20-780-350-C

“Based on observation, and interview, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group will apply to the entire group. Evidence: The lunch room contained 13 children ages 16 months to 2 years and 1 staff member. In mixed age groups the staff to child ratio applicable to the youngest child in the group shall apply. The youngest child was 16 months. The ratio for this age is 1 staff to 5 children. When asked, the Director stated that the other staff members had stepped out to go get the other children”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that documentation of a negative TB screening was completed within the last 30 calendar days of the date of employment. Evidence: Staff #3?s record, date of employment 8/12/2022, contained documentation of TB screening dated 4/7/22.”

8VAC20-780-160-A-1

“Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation of a tuberculosis screening. Administration confirmed the staff did not have tuberculosis screenings.”

8VAC20-780-550-P

“Based on a review of injury reports and interview, the center did not ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report for child #6 did not contain documentation of the date and time the parent was notified, how the parent was notified, and any future action to prevent recurrence of the injury. 2. The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury and only contained documentation of one signature. 3. Administration confirmed the injury reports didn't contain all the required information.”

8VAC20-780-340-D

“Based on a review of staff records and interview, the center failed to ensure that there is a qualified program leader regularly present in each grouping of children. Evidence: Four classrooms were observed with 1 staff in each classroom of children. Staff #1 was in the 2 year old class, staff #2 was in the 3 year old class, staff #3 was in the toddler 1 class, and staff #4 was in the toddler 2 class. Administration identified each of those staff as the program leads. Staff #1, staff #2, staff #3, and staff #4 do not meet the qualifications for the position. Administration acknowledged the staff do not meet with qualifications.”

8VAC20-780-250-C

“Based on observation and interview, the center did not ensure a notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review shall be posted. Evidence: The asbestos plan for the center was not posted. Administration acknowledged the asbestos plan was not posted.”

8VAC20-770-40-D-6

“Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check that is not more than 90 days prior to the date of employment. Evidence: The record of staff #2 (hired 5/2/22) contained documentation of fingerprints that were more than 90 days old dated 12/14/21. Administration acknowledged the fingerprints were more than 90 days old.”

22VAC40-185-70-A

“Based on a review of records and interview, the center did not ensure that two or more references were checked before employment and that the telephone references contained all the required information. Evidence: 1. The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation that references were completed. Administration confirmed the references were not completed. 2. The records of staff #2 (hired 5/2/22) and staff #4 (hired 5/2/22) contain documentation of only one reference and that reference was not dated or signed. Administration confirmed only one reference was completed and that it was not dated or signed.”

22VAC40-185-60-A

“Based on a review of children's records and interview, the provider did not ensure that each child's record contained the required information. Evidence: 1. The records of child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of two people to call in an emergency. 2. The records of child #3 (enrolled 5/13/22), child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of parent agreements. 3. The record of child #5 (enrolled 5/23/22) did not contain documentation of doctor's name and phone number and did not contain documentation of immunizations.”

8VAC20-820-120-E-2

“Based on observation and interview, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings from the most recent inspection conducted January 25, 2022, were not posted in the facility on the date of inspection. Administration acknowledged the inspection wasn't posted.”

8VAC20-780-160-A-1

“Based on a review of staff records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation of a tuberculosis screening. Administration confirmed the staff did not have tuberculosis screenings.”

8VAC20-780-550-P

“Based on a review of injury reports and interview, the center did not ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident report for child #6 did not contain documentation of the date and time the parent was notified, how the parent was notified, and any future action to prevent recurrence of the injury. 2. The incident report for child #7 did not contain documentation of any future action to prevent recurrence of the injury and only contained documentation of one signature. 3. Administration confirmed the injury reports didn't contain all the required information.”

8VAC20-780-340-D

“Based on a review of staff records and interview, the center failed to ensure that there is a qualified program leader regularly present in each grouping of children. Evidence: Four classrooms were observed with 1 staff in each classroom of children. Staff #1 was in the 2 year old class, staff #2 was in the 3 year old class, staff #3 was in the toddler 1 class, and staff #4 was in the toddler 2 class. Administration identified each of those staff as the program leads. Staff #1, staff #2, staff #3, and staff #4 do not meet the qualifications for the position. Administration acknowledged the staff do not meet with qualifications.”

8VAC20-780-250-C

“Based on observation and interview, the center did not ensure a notice regarding the presence and location of asbestos containing materials and advising that the asbestos inspection report and management plan are available for review shall be posted. Evidence: The asbestos plan for the center was not posted. Administration acknowledged the asbestos plan was not posted.”

8VAC20-770-40-D-6

“Based on a review of records and interview, the center did not ensure to obtain a fingerprint based national criminal record check that is not more than 90 days prior to the date of employment. Evidence: The record of staff #2 (hired 5/2/22) contained documentation of fingerprints that were more than 90 days old dated 12/14/21. Administration acknowledged the fingerprints were more than 90 days old.”

22VAC40-185-70-A

“Based on a review of records and interview, the center did not ensure that two or more references were checked before employment and that the telephone references contained all the required information. Evidence: 1. The records of staff #1 (hired 5/2/22) and staff #3 (hired 5/2/22) did not contain documentation that references were completed. Administration confirmed the references were not completed. 2. The records of staff #2 (hired 5/2/22) and staff #4 (hired 5/2/22) contain documentation of only one reference and that reference was not dated or signed. Administration confirmed only one reference was completed and that it was not dated or signed.”

22VAC40-185-60-A

“Based on a review of children's records and interview, the provider did not ensure that each child's record contained the required information. Evidence: 1. The records of child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of two people to call in an emergency. 2. The records of child #3 (enrolled 5/13/22), child #4 (enrolled 5/2/22) and child #5 (enrolled 5/23/22) did not contain documentation of parent agreements. 3. The record of child #5 (enrolled 5/23/22) did not contain documentation of doctor's name and phone number and did not contain documentation of immunizations.”

8VAC20-820-120-E-2

“Based on observation and interview, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings from the most recent inspection conducted January 25, 2022, were not posted in the facility on the date of inspection. Administration acknowledged the inspection wasn't posted.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal. Evidence: There was no leak-proof or plastic lined storage system that is foot-operated observed in the classroom where diapering occurs. Administration acknowledged the center did not have one.”