Lynnhaven Colony Child Development Center

8VAC20-780-430-J

“Provision shall be made for an individual place for each child's personal belongings. In the school age room, all the children’s bags and water bottles were scattered throughout the perimeter of the classroom with no individual place for each child’s personal belongings.”

8VAC20-780-440-J

“Thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. The 4 occupied cribs in the middle of the infant classroom did not have thirty inches of space between service side.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. All the cribs in the infant room did not have identifying labels on them for each specific child.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. Three ceiling tiles are damaged with water stains and holes. Children were observed sleeping under the tiles. 2. In the Seastar room, the carpet is loose and buckling which poses as a tripping hazard and the baseboards are peeling off the walls. 3. On the toddler playground, there is an 8 foot log that is loose on the ground with sharp wood edges to both corners.”

8VAC20-780-330-F

“A shady area shall be provided on playgrounds during the months of June, July, and August. There is no designated shady area to all three playgrounds.”

22.1-289.035-B-4

“The center is required to do the appropriate background checks from any state in which the individual has resided in the preceding five years. The center did not request a criminal background search and search of the child abuse and neglect registry from one previously resided state for Staff #1, who has been employed for more than one year and was working with children at the time of the inspection.”

8VAC20-780-430-J

“Provision shall be made for an individual place for each child's personal belongings. In the school age room, all the children’s bags and water bottles were scattered throughout the perimeter of the classroom with no individual place for each child’s personal belongings.”

8VAC20-780-440-J

“Thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. The 4 occupied cribs in the middle of the infant classroom did not have thirty inches of space between service side.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. All the cribs in the infant room did not have identifying labels on them for each specific child.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. Three ceiling tiles are damaged with water stains and holes. Children were observed sleeping under the tiles. 2. In the Seastar room, the carpet is loose and buckling which poses as a tripping hazard and the baseboards are peeling off the walls. 3. On the toddler playground, there is an 8 foot log that is loose on the ground with sharp wood edges to both corners.”

8VAC20-780-330-F

“A shady area shall be provided on playgrounds during the months of June, July, and August. There is no designated shady area to all three playgrounds.”

22.1-289.035-B-4

“The center is required to do the appropriate background checks from any state in which the individual has resided in the preceding five years. The center did not request a criminal background search and search of the child abuse and neglect registry from one previously resided state for Staff #1, who has been employed for more than one year and was working with children at the time of the inspection.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they 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 #2 (date of hire 12/28/2023) disclosed and signed on their sworn statement on 12/28/23, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #2. 2. Staff #3, disclosed and signed on their sworn statement that they lived outside of Virginia the past five years and also has an out of state identification card. There was no out-of-state background check completed for Staff #3. 3. Staff #1, Director, confirmed that Staff #2 and Staff #3 do not have their out of state background checks in their record.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they 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 #2 (date of hire 12/28/2023) disclosed and signed on their sworn statement on 12/28/23, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #2. 2. Staff #3, disclosed and signed on their sworn statement that they lived outside of Virginia the past five years and also has an out of state identification card. There was no out-of-state background check completed for Staff #3. 3. Staff #1, Director, confirmed that Staff #2 and Staff #3 do not have their out of state background checks in their record.”

22.1-289.035-B-4 Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that they 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 #3 (date of hire 10/23/2023) reported on their Sworn Statement Disclosure dated 10/23/2023, that they lived in another state outside of Virginia in the past five years. 2. Staff #3 was present at the center caring for children without an out of state background check completed. 3. Staff #1 confirmed that there was no out-of-state background check completed on Staff #3 and that they were currently at the center working with children.”

22.1-289.035-B-2 Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that the criminal history records check is received prior to the first day or employment. Evidence: 1. Staff #2 (date of hire 06/20/2023) was present at the center working with children. Staff #2 did not have documentation that the criminal checks were completed in their file. 2. Staff #5 (date of hire 05/04/2023) did not have documentation that the criminal checks were completed in their file. 3. Staff #1 confirmed that Staff #2 and Staff #5 were hired prior to obtaining results of a criminal history check and were working with children without a criminal history record check at the daycare.”

8VAC20-770-60-C-2 Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that central registry results by the end of the 30th day of employment was completed. Evidence: 1. Staff #4 (date of hire 05/08/2023) did not have the central registry results completed and there is no documented in their record that it was requested. 2. Staff #1, the director, confirmed that there the Virginia Central Registry results were not completed by the end of the 30th day of employment for Staff #4.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Three of the five staff records reviewed did not have a cardiopulmonary resuscitation (CPR) certification and was present at the center working with children. a. Staff #2 (date of hire 5/08/2023) did not have a CPR certification. b. Staff #3 (date of hire 5/04/2023) did not have CPR certification. c. Staff #5 (date of hire 4/03/2023) did not have CPR certification. 3. Staff #1 confirmed Staff #2 , Staff #3 and Staff #5 do not have a current CPR certification and are working with children at the center.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center be maintained in a safe and operable condition. Evidence: 1. The entrance hallway and 2 year old classroom has loose baseboards in reach of children in care. This poses as injury and/or tripping hazard. 2. The doors to the 2 year old classroom and infant room have chipping paint in reach of children. 3. Staff #1 confirmed that there are loose baseboards and chipping paint in reach of children in care.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the children’s bathroom, there was disinfectant cleaner with a warning label, ?Keep out of reach of children? in a cabinet and not locked. 2. In the toddler classroom, there were two bottles of disinfectant cleaner unlocked in a cabinet with warning labels that state, ?Keep out of reach of children.? 3. Staff #1 confirmed that both the children’s bathroom and toddler classroom had disinfectant cleaners that were unlocked.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that for general physical plant requirements for centers serving children of preschool age or younger in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the 2 and 3 year old classrooms and the children’s bathroom, there were electrical outlet cover that did not have a protective cover in reach of children. 2. Staff #1 confirmed that the electrical outlet in the 2 and 3 year old classrooms and the children’s bathroom were not covered.”

8VAC20-780-440-G

“Based on observation and interview, it was determined that the center did not ensure that cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: 1. Three of the twelve children in the infant room are the age of 12 months and older and are sleeping in a crib. 2. The infant staff members confirmed that the three children that are 12 months of age or older are sleeping in cribs and not cots or rest mats. 3. Staff #1, the Director, confirmed that all the children in the infant room that are above the age of 12 months of age are sleeping in cribs.”

22.1-289.035-A

“Based on record review and interview, it was determined that the center failed to acknowledge that the background checks in the staff record show a disqualifying background which lists a barrier conviction, other felony conviction in the past 5 years, or knowledge of barrier for Virginia or elsewhere. Evidence: 1. Staff #5 (date of hire 4/03/2023) completed the background check for the State of Virginia and the documentation dated 4/12/2023, disqualifies the staff member to work in a daycare setting stating, ?Not Eligible.? 2. The center failed to acknowledge that the background check for Staff #5 dated April 12, 2023, disqualified them as the document states, ?Not Eligible.? 3. Staff #1 confirmed that the background check for the State of Virginia dated April 12, 2023, for Staff #5 disqualifies them from working in the center.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they 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 #4 (date of hire 8/15/2023) reported on their Sworn Statement Disclosure dated 08/15/2023, that they lived in another state outside of Virginia in the past five years. 2. Staff #1 confirmed that the out of state background check was not completed for Staff #2.”

8VAC20-770-60-C-2

“Based on record review and interview, it was determined that the center did not ensure that central registry results by the end of the 30th day of employment was completed. Evidence: 1. Staff #5 (date of hire 4/03/2023) did not have their results for the Virginia Central registry which is required by the end of the 30th day of employment. 2. Staff #3 (date of hire 5/04/2023) did not have their results for the Virginia Central registry which is required by the end of the 30th day of employment. 3. Staff #1, the director, confirmed that there the Virginia Central Registry results for both Staff #5 and Staff #3 were not completed by the end of the 30th day of employment.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the center did not ensure that the criminal history records check is received prior to the first day or employment. Evidence: 1. Staff #4 (date of hire 08/15/2023) was present at the center working with children and had a background check for Virginia dated on 8/22/2023, which is after the first day of employment. 2. Staff #1 confirmed that Staff #2 was a new hire and has been around children in the center starting the hire date of 08/15/2023.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Three of the five staff records reviewed did not have a cardiopulmonary resuscitation (CPR) certification and was present at the center working with children. a. Staff #2 (date of hire 5/08/2023) did not have a CPR certification. b. Staff #3 (date of hire 5/04/2023) did not have CPR certification. c. Staff #5 (date of hire 4/03/2023) did not have CPR certification. 3. Staff #1 confirmed Staff #2 , Staff #3 and Staff #5 do not have a current CPR certification and are working with children at the center.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center be maintained in a safe and operable condition. Evidence: 1. The entrance hallway and 2 year old classroom has loose baseboards in reach of children in care. This poses as injury and/or tripping hazard. 2. The doors to the 2 year old classroom and infant room have chipping paint in reach of children. 3. Staff #1 confirmed that there are loose baseboards and chipping paint in reach of children in care.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the children’s bathroom, there was disinfectant cleaner with a warning label, ?Keep out of reach of children? in a cabinet and not locked. 2. In the toddler classroom, there were two bottles of disinfectant cleaner unlocked in a cabinet with warning labels that state, ?Keep out of reach of children.? 3. Staff #1 confirmed that both the children’s bathroom and toddler classroom had disinfectant cleaners that were unlocked.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that for general physical plant requirements for centers serving children of preschool age or younger in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the 2 and 3 year old classrooms and the children’s bathroom, there were electrical outlet cover that did not have a protective cover in reach of children. 2. Staff #1 confirmed that the electrical outlet in the 2 and 3 year old classrooms and the children’s bathroom were not covered.”

8VAC20-780-440-G

“Based on observation and interview, it was determined that the center did not ensure that cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: 1. Three of the twelve children in the infant room are the age of 12 months and older and are sleeping in a crib. 2. The infant staff members confirmed that the three children that are 12 months of age or older are sleeping in cribs and not cots or rest mats. 3. Staff #1, the Director, confirmed that all the children in the infant room that are above the age of 12 months of age are sleeping in cribs.”

22.1-289.035-A

“Based on record review and interview, it was determined that the center failed to acknowledge that the background checks in the staff record show a disqualifying background which lists a barrier conviction, other felony conviction in the past 5 years, or knowledge of barrier for Virginia or elsewhere. Evidence: 1. Staff #5 (date of hire 4/03/2023) completed the background check for the State of Virginia and the documentation dated 4/12/2023, disqualifies the staff member to work in a daycare setting stating, ?Not Eligible.? 2. The center failed to acknowledge that the background check for Staff #5 dated April 12, 2023, disqualified them as the document states, ?Not Eligible.? 3. Staff #1 confirmed that the background check for the State of Virginia dated April 12, 2023, for Staff #5 disqualifies them from working in the center.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they 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 #4 (date of hire 8/15/2023) reported on their Sworn Statement Disclosure dated 08/15/2023, that they lived in another state outside of Virginia in the past five years. 2. Staff #1 confirmed that the out of state background check was not completed for Staff #2.”

8VAC20-770-60-C-2

“Based on record review and interview, it was determined that the center did not ensure that central registry results by the end of the 30th day of employment was completed. Evidence: 1. Staff #5 (date of hire 4/03/2023) did not have their results for the Virginia Central registry which is required by the end of the 30th day of employment. 2. Staff #3 (date of hire 5/04/2023) did not have their results for the Virginia Central registry which is required by the end of the 30th day of employment. 3. Staff #1, the director, confirmed that there the Virginia Central Registry results for both Staff #5 and Staff #3 were not completed by the end of the 30th day of employment.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the center did not ensure that the criminal history records check is received prior to the first day or employment. Evidence: 1. Staff #4 (date of hire 08/15/2023) was present at the center working with children and had a background check for Virginia dated on 8/22/2023, which is after the first day of employment. 2. Staff #1 confirmed that Staff #2 was a new hire and has been around children in the center starting the hire date of 08/15/2023.”

8VAC20-780-510-I

“Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container. Evidence: 1. There is an epipen being stored at the center that is not in the original, labeled container. 2. Staff 1 confirmed that the epipen is not being stored in it's original, labeled container.”

8VAC20-780-550-D

“Based on a review of emergency drill records and interview, the center did not ensured that practice evacuation drills are implemented monthly. Evidence: 1. There were no practice evacuation drills documented on the center's drill log for the months of March 2022 through August 2022. 2. Staff 1 confirmed that no practice emergency drills were conducted from March 2022 through August 2022.”

8VAC20-780-510-I

“Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container. Evidence: 1. There is an epipen being stored at the center that is not in the original, labeled container. 2. Staff 1 confirmed that the epipen is not being stored in it's original, labeled container.”

8VAC20-780-550-D

“Based on a review of emergency drill records and interview, the center did not ensured that practice evacuation drills are implemented monthly. Evidence: 1. There were no practice evacuation drills documented on the center's drill log for the months of March 2022 through August 2022. 2. Staff 1 confirmed that no practice emergency drills were conducted from March 2022 through August 2022.”

8VAC20-780-340-F

“Based on interviews and written statements, it was determined that the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. The center self-reported that on 3/17/22, child 1 (age 23 months) was left alone and unsupervised in the toddler classroom for an unknown period of time. a. Staff 1 reported that she found child 1 alone in the toddler classroom without any staff supervision. b. Staff members responsible for the direct care of child 1 confirmed that child 1 was found unsupervised in the toddler classroom. 2. The center self-reported that on 4/6/22, child 2 (age 2 years) was left alone and unsupervised on the playground for an unknown period of time. a. Staff 1 reported that she observed child 2 alone and unsupervised on the center’s playground. b. Staff members responsible for the direct care of child 2 confirmed that child 2 was found unsupervised on the playground.”

8VAC20-780-340-A

“Based on interviews and written statements, it was determined that the center did not ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 3/17/22, staff 1 observed child 1 (age 23 months) alone and unsupervised in the toddler classroom during a time when the rest of the children and staff in the center were participating in a Saint Patrick’s Day parade. a. Staff 1 stated she was passing out lunch to the classrooms at approximately 11:15 am and heard a child talking in the toddler classroom, which is at the back of the center. Staff 1 stated she looked in the classroom and saw child 1 playing by herself and there were no staff in the room. b. Staff 1 stated she took child 1?s hand and brought her to her class, who were up at the front of the center participating in the parade. c. Child 1?s teachers (staff 2, staff 3 and staff 4) all confirmed that they did not know child 1 was not with the rest of the class during the parade or that she had been left alone in the classroom. d. Center staff reported that the center was ?chaotic? during the time of the parade and that they did not know how long child 1 was left without staff supervision. 2. On 4/6/22 between 9:30am and 9:40am, staff 1 observed child 2 (age 2 years) outside on the playground alone and unsupervised. a. Staff 1 stated she was in the kitchen washing dishes at the sink when she saw child 1 on the playground through the window and that she could not see any staff outside. b. Staff 1 stated she went outside to the playground and brought child 2 back to the two’s classroom and that staff 5 (two’s classroom lead teacher) appeared to be ?startled? when she told her that child 2 was outside alone on the playground. c. Staff 5 and staff 6 (two’s classroom assistant teacher) stated that staff 5 took a group of children out on the playground while she wiped down the slides and staff 6 kept the remaining children in the classroom to use the restroom before going out on the playground. d. Staff 6 stated they had a total of 14 children in the classroom and that 8 children remained in the classroom with her while staff 5 took the other children outside. Staff 6 stated she had the children sit on the carpet and she counted 8 children. e. Staff 5 stated when she brought the children back in the classroom from the playground she ?glanced quickly? around the playground and counted 5 children when they went in the door to the classroom. Staff 5 stated the door did not close completely, leaving a small gap, and that she did not shut the door because they were going to be going right back outside. f. Neither staff 5 nor staff 6 were aware that child 2 was alone on the playground until staff 1 returned him to the classroom and neither could confirm how long child 2 was alone outside without staff supervision.”

8VAC20-780-350-C

“Based on staff interviews, it was determined that the center did not ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. On the morning of 3/17/22, the waddler and toddler classrooms were combined during a Saint Patrick’s Day parade, for a total of 13 children, ages 14 months to 2 years, with 3 staff. The number and ages of the children required four staff to be present at all times. 2. The waddler and toddler staff confirmed that they regularly combine the two classrooms and that there were only 3 staff present during the parade on 3/17/22 with 13 children, the youngest being 14 months.”

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. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 2 (date of hire: 2/9/22) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of negative tuberculosis screenings.”

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: 11/16/21) does not contain 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: 2/9/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 2's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader. 3. The record for staff 4 (date of hire: 12/13/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 4's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education or experience required for the job position of program leader. 4. The record for staff 5 (date of hire: 11/2/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The center director confirmed that the records for staff 1, staff 2, staff 4 and staff 5 are lacking required information.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that 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 is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 11/16/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of California within the past five years. The results of a criminal history record check, a sex offender registry check and a search of the child abuse and neglect registry were not available for staff 1 from the state of California. 2. Staff 2 has a hire date of 2/9/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of North Carolina within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of North Carolina. 3. The center director confirmed that the required out-of-state background checks were not completed for staff 1 or staff 2.”

8VAC20-780-510-I

“Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container. Evidence: 1. There is an epipen being stored at the center that is not in the original, labeled container. 2. The center director confirmed that the epipen is not being stored in it's original, labeled container.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that each staff person has a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 3 (date of hire: 9/20/21) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 3 are lacking the results of a central registry finding.”

8VAC20-780-330-B

“Based on playground observation and measurement, the center did not ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: The mulch surrounding the play structure on the playground measures approximately 1 inch in all areas, where 6 inches are required.”

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. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 2 (date of hire: 2/9/22) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of negative tuberculosis screenings.”

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: 11/16/21) does not contain 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: 2/9/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 2's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader. 3. The record for staff 4 (date of hire: 12/13/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 4's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education or experience required for the job position of program leader. 4. The record for staff 5 (date of hire: 11/2/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The center director confirmed that the records for staff 1, staff 2, staff 4 and staff 5 are lacking required information.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that 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 is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 11/16/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of California within the past five years. The results of a criminal history record check, a sex offender registry check and a search of the child abuse and neglect registry were not available for staff 1 from the state of California. 2. Staff 2 has a hire date of 2/9/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of North Carolina within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of North Carolina. 3. The center director confirmed that the required out-of-state background checks were not completed for staff 1 or staff 2.”

8VAC20-780-510-I

“Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container. Evidence: 1. There is an epipen being stored at the center that is not in the original, labeled container. 2. The center director confirmed that the epipen is not being stored in it's original, labeled container.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that each staff person has a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 3 (date of hire: 9/20/21) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 3 are lacking the results of a central registry finding.”

8VAC20-780-330-B

“Based on playground observation and measurement, the center did not ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: The mulch surrounding the play structure on the playground measures approximately 1 inch in all areas, where 6 inches are required.”

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. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 2 (date of hire: 2/9/22) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of negative tuberculosis screenings.”

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: 11/16/21) does not contain 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: 2/9/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 2's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader. 3. The record for staff 4 (date of hire: 12/13/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. a. Staff 4's job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education or experience required for the job position of program leader. 4. The record for staff 5 (date of hire: 11/2/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The center director confirmed that the records for staff 1, staff 2, staff 4 and staff 5 are lacking required information.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that 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 is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 11/16/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of California within the past five years. The results of a criminal history record check, a sex offender registry check and a search of the child abuse and neglect registry were not available for staff 1 from the state of California. 2. Staff 2 has a hire date of 2/9/22. Staff 2 indicated on her sworn statement or affirmation that she has resided in the state of North Carolina within the past five years. The results of a sex offender registry check were not available for staff 2 from the state of North Carolina. 3. The center director confirmed that the required out-of-state background checks were not completed for staff 1 or staff 2.”

8VAC20-780-510-I

“Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container. Evidence: 1. There is an epipen being stored at the center that is not in the original, labeled container. 2. The center director confirmed that the epipen is not being stored in it's original, labeled container.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that each staff person has a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 11/16/21) and staff 3 (date of hire: 9/20/21) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 3 are lacking the results of a central registry finding.”

8VAC20-780-330-B

“Based on playground observation and measurement, the center did not ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: The mulch surrounding the play structure on the playground measures approximately 1 inch in all areas, where 6 inches are required.”