Little Achievers

8VAC20-780-140-A

“Repeat Violation 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: 7/13/23) does not contain documentation of a physical examination. 2. Staff 3 (center owner) confirmed that the record for child 1 is lacking documentation of a physical examination.”

8VAC20-780-260-B

“Based on a review of the most recent health inspection and interview, the center did not ensure that annual approval from the health department is provided. Evidence: 1. Documentation of the most recent health inspection for the center is dated 5/11/22. 2. Staff 3 (center owner) confirmed that the most recent health inspection is expired.”

8VAC20-780-160-C

“Repeat Violation Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: 1. The most recent tuberculosis screening for staff 3 is dated 8/25/21. Staff 3 was due for an updated tuberculosis screening in August 2023. 2. The most recent tuberculosis screening for staff 4 is dated 4/17/21. Staff 4 was due for an updated tuberculosis screening in April 2023. 2. Staff 3 (center owner) confirmed that the TB screenings for herself and staff 4 are overdue.”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents. Evidence: 1. There was no menu for the current week posted in the center or in the online application used by parents. 2. Staff 3 (center owner) confirmed that the current menu for the week was not posted in the center or made available to parents.”

8VAC20-780-280-B

“Based on observation and interview, the center did not unsure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a can of Lysol and a spray bottle containing bleach water on an unlocked open shelf in the children's bathroom. 2. Staff 3 (center owner) confirmed that there were unlocked cleaning materials in the children's bathroom.”

8VAC20-780-70

“Repeat Violation 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 1 (date of hire: 5/18/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Staff 2 (date of hire: 5/18/22) has a documented position title of program leader. The record for staff 2 does not contain documentation that she possesses the education required by the job position. 3. Staff 3 (center owner) confirmed that the records for staff 1 and staff 2 do not contain all the information required by the standards.”

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 1 (date of hire: 5/18/22) does not contain documentation of her job title or documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff 2 (date of hire: 1/1/20) does not contain documentation of his job title. 3. Staff 3 (date of hire: 8/25/21) has a documented job title of program leader. The record for staff 3 does not contain documentation to demonstrate that she possesses the experience and training required for the job position of program leader. 4. The record for staff 4 (date of hire: 5/18/22) does not contain the name, address and telephone number of a person to be notified in an emergency. 5. The record for staff 5 (date of hire: 5/5/19) does not contain documentation of her job title and contains documentation that only one of the two required references as to character and reputation as well as competency were checked before employment. 6. The center owner confirmed that the records for staff 1, staff 2, staff 3, staff 4 and staff 5 are lacking the above missing items.”

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. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 4 (date of hire: 5/18/22) does not contain documentation of a negative tuberculosis screening. Staff 4 was working with children on the day of the inspection. 2. The center owner confirmed that the record for staff 4 is lacking documentation of a negative tuberculosis screening.”

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 records for child 1 (date of enrollment: 10/25/22), child 2 (date of enrollment: 10/31/22), child 3 (date of enrollment: 9/20/22) and child 4 (date of enrollment: 9/20/22) do not contain documentation of a physical examination. 2. The center owner confirmed that the records for child 1, child 2, child 3 and child 4 are lacking documentation of a physical examination.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure that an employee of a licensed registered child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. The record for staff 1 (date of hire: 5/18/22) does not contain a sworn statement or affirmation. Staff 1 was working on the date of the inspection. 2. The center owner confirmed that the record for staff 1 is lacking a sworn statement or affirmation.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There are 8 cans of paint in an unlocked cabinet under a sink used by children. During the inspection, children were observed washing their hands at the sink. 2. Staff 2 confirmed that the cabinet containing the cans of paint was unlocked.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of shelter-in-place and lockdown drills contain all the required elements. Evidence: 1. The shelter-in-place and lockdown drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, the time it took to complete the drill or problems encountered, if any. 2. The center director confirmed that the center's shelter-in-place and lockdown drill log does not contain the above required elements.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. Staff 1 has a documented date of hire of 5/18/22. The results of the national fingerprint search were not received by the center until 6/23/22. 2. The center owner confirmed that staff 1 began employment at the center prior to receiving the results of a national fingerprint search.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. The wooden fence on the outside play area has several boards that are warped and bent. One board has 2 protruding nails within reach of the children in care. 2. Staff 2 confirmed that the wooden fence on the outside play area has not been maintained in a safe condition.”

8VAC20-780-160-C

“Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: 1. The most recent tuberculosis screening for staff 5 (date of hire: 5/5/19) is dated 2/15/19. Staff 5 was due for an updated tuberculosis screening in February 2021. 2. The center owner confirmed that the tuberculosis screening for staff 5 is expired.”

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 1 (date of hire: 5/18/22) does not contain documentation of her job title or documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff 2 (date of hire: 1/1/20) does not contain documentation of his job title. 3. Staff 3 (date of hire: 8/25/21) has a documented job title of program leader. The record for staff 3 does not contain documentation to demonstrate that she possesses the experience and training required for the job position of program leader. 4. The record for staff 4 (date of hire: 5/18/22) does not contain the name, address and telephone number of a person to be notified in an emergency. 5. The record for staff 5 (date of hire: 5/5/19) does not contain documentation of her job title and contains documentation that only one of the two required references as to character and reputation as well as competency were checked before employment. 6. The center owner confirmed that the records for staff 1, staff 2, staff 3, staff 4 and staff 5 are lacking the above missing items.”

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. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff 4 (date of hire: 5/18/22) does not contain documentation of a negative tuberculosis screening. Staff 4 was working with children on the day of the inspection. 2. The center owner confirmed that the record for staff 4 is lacking documentation of a negative tuberculosis screening.”

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 records for child 1 (date of enrollment: 10/25/22), child 2 (date of enrollment: 10/31/22), child 3 (date of enrollment: 9/20/22) and child 4 (date of enrollment: 9/20/22) do not contain documentation of a physical examination. 2. The center owner confirmed that the records for child 1, child 2, child 3 and child 4 are lacking documentation of a physical examination.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure that an employee of a licensed registered child day program must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. The record for staff 1 (date of hire: 5/18/22) does not contain a sworn statement or affirmation. Staff 1 was working on the date of the inspection. 2. The center owner confirmed that the record for staff 1 is lacking a sworn statement or affirmation.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There are 8 cans of paint in an unlocked cabinet under a sink used by children. During the inspection, children were observed washing their hands at the sink. 2. Staff 2 confirmed that the cabinet containing the cans of paint was unlocked.”

8VAC20-780-550-G

“Based on a review of the emergency drill log and interview, the center did not ensure that documentation of shelter-in-place and lockdown drills contain all the required elements. Evidence: 1. The shelter-in-place and lockdown drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, the time it took to complete the drill or problems encountered, if any. 2. The center director confirmed that the center's shelter-in-place and lockdown drill log does not contain the above required elements.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. Staff 1 has a documented date of hire of 5/18/22. The results of the national fingerprint search were not received by the center until 6/23/22. 2. The center owner confirmed that staff 1 began employment at the center prior to receiving the results of a national fingerprint search.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. The wooden fence on the outside play area has several boards that are warped and bent. One board has 2 protruding nails within reach of the children in care. 2. Staff 2 confirmed that the wooden fence on the outside play area has not been maintained in a safe condition.”

8VAC20-780-160-C

“Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: 1. The most recent tuberculosis screening for staff 5 (date of hire: 5/5/19) is dated 2/15/19. Staff 5 was due for an updated tuberculosis screening in February 2021. 2. The center owner confirmed that the tuberculosis screening for staff 5 is expired.”

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

“Based on observation and interview, the center did not ensure that during the stated hours of operation, there shall always be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member with direct means for communication between the two of them. Evidence: 1. On 4/28/22, staff 1 was alone in the center supervising 9 children, ages 3 to 5 years, when inspectors arrived at the building at 10:30am. A tenth child arrived at the center at 10:36am. a. Staff 1 stated that staff 2 had been present at the center but left at approximately 10:00am due to an emergency. b. Staff 2 arrived at the center at approximately 11:15am. 2. Staff 1 confirmed that she was alone in the center supervising children with no other staff present on the premises and immediately available for approximately 1 hour and 15 minutes.”

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 one month after attendance. Evidence: 1. The records for child 1 and child 3 (date of enrollment: 6/3/21) do not contain documentation of a physical examination. 2. The center owner confirmed that the records for child 1 and child 3 are lacking documentation of a physical examination.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The half door entrance into the child care area of the center has a broken door hinge. 2. The interior wall in the main child care area has a hole that is approximately 2 inches in circumference close to the base of the floor and is accessible to the children in care. 3. The rubber carpet transition strip separating the carpet from the wood flooring in the main classroom area is detached from the carpet, which poses a tripping hazard. 4. There is plastic netting protruding from under the pine straw on the outdoor play area, which poses a tripping hazard. 5. The center owner confirmed the areas listed above were not maintained in a safe and operable condition.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each child's record contains all the required information. Evidence: 1. The record for child 1 does not contain the first date of attendance, the addresses of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age. 2. The record for child 2 (date of enrollment: 3/1/21) contains only one of the required two designated people to call in an emergency if a parent cannot be reached. The address for the listed emergency contact is also missing. 3. The record for child 3 (date of enrollment: 6/3/21) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain the phone number for one of the two emergency contacts. 4. The center owner confirmed that the records for child 1, child 2 and child 3 are lacking all the required information.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment. Evidence: 1. Staff 1 has a hire date of 8/25/21. The results of the fingerprint based background check for staff 1 was not received until 9/3/21. 2. The center owner confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.”

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 1 (date of hire: 8/25/21) does not contain the name, address and telephone number of a person to be notified in an emergency. 2. The record for staff 2 (date of hire: 5/5/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The center owner confirmed that the records for staff 1 and staff 2 are lacking all the required information.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed child day program must be denied continued employment if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a central registry finding. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a central registry finding.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure that cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. Of the 11 children in care, 4 of the children did not have bottom covers and 2 did not have top covers during the designated rest period. 2. The center owner confirmed that not all of the children in care have the required top and bottom covers during nap time.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a negative tuberculosis screening. a. Staff 1 was observed working with the children during the inspection. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.”

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 is obtained before the child can attend the center. Evidence: 1. The record for child 1 does not contain documentation of immunizations. Child 1 was in care at the time of the inspection. 2. The center owner confirmed that the record for child 1 is lacking documentation of immunizations.”

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

“Based on observation and interview, the center did not ensure that during the stated hours of operation, there shall always be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member with direct means for communication between the two of them. Evidence: 1. On 4/28/22, staff 1 was alone in the center supervising 9 children, ages 3 to 5 years, when inspectors arrived at the building at 10:30am. A tenth child arrived at the center at 10:36am. a. Staff 1 stated that staff 2 had been present at the center but left at approximately 10:00am due to an emergency. b. Staff 2 arrived at the center at approximately 11:15am. 2. Staff 1 confirmed that she was alone in the center supervising children with no other staff present on the premises and immediately available for approximately 1 hour and 15 minutes.”

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 one month after attendance. Evidence: 1. The records for child 1 and child 3 (date of enrollment: 6/3/21) do not contain documentation of a physical examination. 2. The center owner confirmed that the records for child 1 and child 3 are lacking documentation of a physical examination.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The half door entrance into the child care area of the center has a broken door hinge. 2. The interior wall in the main child care area has a hole that is approximately 2 inches in circumference close to the base of the floor and is accessible to the children in care. 3. The rubber carpet transition strip separating the carpet from the wood flooring in the main classroom area is detached from the carpet, which poses a tripping hazard. 4. There is plastic netting protruding from under the pine straw on the outdoor play area, which poses a tripping hazard. 5. The center owner confirmed the areas listed above were not maintained in a safe and operable condition.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each child's record contains all the required information. Evidence: 1. The record for child 1 does not contain the first date of attendance, the addresses of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age. 2. The record for child 2 (date of enrollment: 3/1/21) contains only one of the required two designated people to call in an emergency if a parent cannot be reached. The address for the listed emergency contact is also missing. 3. The record for child 3 (date of enrollment: 6/3/21) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain the phone number for one of the two emergency contacts. 4. The center owner confirmed that the records for child 1, child 2 and child 3 are lacking all the required information.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment. Evidence: 1. Staff 1 has a hire date of 8/25/21. The results of the fingerprint based background check for staff 1 was not received until 9/3/21. 2. The center owner confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.”

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 1 (date of hire: 8/25/21) does not contain the name, address and telephone number of a person to be notified in an emergency. 2. The record for staff 2 (date of hire: 5/5/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The center owner confirmed that the records for staff 1 and staff 2 are lacking all the required information.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed child day program must be denied continued employment if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a central registry finding. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a central registry finding.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure that cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. Of the 11 children in care, 4 of the children did not have bottom covers and 2 did not have top covers during the designated rest period. 2. The center owner confirmed that not all of the children in care have the required top and bottom covers during nap time.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a negative tuberculosis screening. a. Staff 1 was observed working with the children during the inspection. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.”

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 is obtained before the child can attend the center. Evidence: 1. The record for child 1 does not contain documentation of immunizations. Child 1 was in care at the time of the inspection. 2. The center owner confirmed that the record for child 1 is lacking documentation of immunizations.”

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

“Based on observation and interview, the center did not ensure that during the stated hours of operation, there shall always be on the premises when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member with direct means for communication between the two of them. Evidence: 1. On 4/28/22, staff 1 was alone in the center supervising 9 children, ages 3 to 5 years, when inspectors arrived at the building at 10:30am. A tenth child arrived at the center at 10:36am. a. Staff 1 stated that staff 2 had been present at the center but left at approximately 10:00am due to an emergency. b. Staff 2 arrived at the center at approximately 11:15am. 2. Staff 1 confirmed that she was alone in the center supervising children with no other staff present on the premises and immediately available for approximately 1 hour and 15 minutes.”

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 one month after attendance. Evidence: 1. The records for child 1 and child 3 (date of enrollment: 6/3/21) do not contain documentation of a physical examination. 2. The center owner confirmed that the records for child 1 and child 3 are lacking documentation of a physical examination.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The half door entrance into the child care area of the center has a broken door hinge. 2. The interior wall in the main child care area has a hole that is approximately 2 inches in circumference close to the base of the floor and is accessible to the children in care. 3. The rubber carpet transition strip separating the carpet from the wood flooring in the main classroom area is detached from the carpet, which poses a tripping hazard. 4. There is plastic netting protruding from under the pine straw on the outdoor play area, which poses a tripping hazard. 5. The center owner confirmed the areas listed above were not maintained in a safe and operable condition.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each child's record contains all the required information. Evidence: 1. The record for child 1 does not contain the first date of attendance, the addresses of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age. 2. The record for child 2 (date of enrollment: 3/1/21) contains only one of the required two designated people to call in an emergency if a parent cannot be reached. The address for the listed emergency contact is also missing. 3. The record for child 3 (date of enrollment: 6/3/21) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain the phone number for one of the two emergency contacts. 4. The center owner confirmed that the records for child 1, child 2 and child 3 are lacking all the required information.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment. Evidence: 1. Staff 1 has a hire date of 8/25/21. The results of the fingerprint based background check for staff 1 was not received until 9/3/21. 2. The center owner confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.”

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 1 (date of hire: 8/25/21) does not contain the name, address and telephone number of a person to be notified in an emergency. 2. The record for staff 2 (date of hire: 5/5/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The center owner confirmed that the records for staff 1 and staff 2 are lacking all the required information.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed child day program must be denied continued employment if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a central registry finding. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a central registry finding.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure that cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. Of the 11 children in care, 4 of the children did not have bottom covers and 2 did not have top covers during the designated rest period. 2. The center owner confirmed that not all of the children in care have the required top and bottom covers during nap time.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a negative tuberculosis screening. a. Staff 1 was observed working with the children during the inspection. 2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.”

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 is obtained before the child can attend the center. Evidence: 1. The record for child 1 does not contain documentation of immunizations. Child 1 was in care at the time of the inspection. 2. The center owner confirmed that the record for child 1 is lacking documentation of immunizations.”