Noah's Ark Christian Preschool

8VAC20-780-160-C

“The center is required to obtain documentation from staff of a negative tuberculosis (TB) screening at least every two years The subsequent TB screening for Staff #3 was more than two weeks past due.”

8VAC20-780-40-M

“(Repeat Violation) The center is required to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions that is accessible to all staff who work with children. On 2/24/25, the allergy list in the Toddler room did not contain documentation of Child B’s food allergies. Child B is enrolled in the Toddler classroom and the allergy care plan for the child indicated allergies to more than seven foods.”

8VAC20-780-160-A

“(Repeat Violation) The center is required to obtain documentation of a negative tuberculosis (TB) screening from staff at the time of employment and prior to coming into contact with children. The documentation is required to have been completed within the last 30 calendar days of the date of employment. The TB screening on record for Staff #1 was dated more than 10 months prior to employment.”

22.1-289.035-A

“(Repeat Violation) The center is required to have employees and Board Officers undergo background checks every five years. The sworn statement on record for Board Officer #2 was past due by more than 23 months. The central registry results on record for Board Officer #2 were past due by five months.”

8VAC20-780-330-B

“(Repeat Violation) Playground equipment with moving parts or climbing apparatus is required to have a fall zone surrounding the equipment with resilient surfacing that meets requirements for depth for the resilient surfacing material. On 2/24/25, there was less than three inches of pea gravel around the yellow bus climber and at the front of the grey rock climber. Pea gravel requires a depth of six inches to be considered resilient.”

8VAC20-780-500-A

“(Repeat Violation) Staff are required to wash their hands with soap and running water after any contact with body fluids. On 2/24/25, a staff member was observed wiping the nose of a two-year-old, then using hand sanitizer.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a record for each child enrolled that contains all of the required information. The record for Child A was missing the home address of both emergency contacts. The record for Child E was missing both parents work phone numbers.”

8VAC20-780-160-C

“The center is required to obtain documentation from staff of a negative tuberculosis (TB) screening at least every two years The subsequent TB screening for Staff #3 was more than two weeks past due.”

8VAC20-780-40-M

“(Repeat Violation) The center is required to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions that is accessible to all staff who work with children. On 2/24/25, the allergy list in the Toddler room did not contain documentation of Child B’s food allergies. Child B is enrolled in the Toddler classroom and the allergy care plan for the child indicated allergies to more than seven foods.”

8VAC20-780-160-A

“(Repeat Violation) The center is required to obtain documentation of a negative tuberculosis (TB) screening from staff at the time of employment and prior to coming into contact with children. The documentation is required to have been completed within the last 30 calendar days of the date of employment. The TB screening on record for Staff #1 was dated more than 10 months prior to employment.”

22.1-289.035-A

“(Repeat Violation) The center is required to have employees and Board Officers undergo background checks every five years. The sworn statement on record for Board Officer #2 was past due by more than 23 months. The central registry results on record for Board Officer #2 were past due by five months.”

8VAC20-780-330-B

“(Repeat Violation) Playground equipment with moving parts or climbing apparatus is required to have a fall zone surrounding the equipment with resilient surfacing that meets requirements for depth for the resilient surfacing material. On 2/24/25, there was less than three inches of pea gravel around the yellow bus climber and at the front of the grey rock climber. Pea gravel requires a depth of six inches to be considered resilient.”

8VAC20-780-500-A

“(Repeat Violation) Staff are required to wash their hands with soap and running water after any contact with body fluids. On 2/24/25, a staff member was observed wiping the nose of a two-year-old, then using hand sanitizer.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a record for each child enrolled that contains all of the required information. The record for Child A was missing the home address of both emergency contacts. The record for Child E was missing both parents work phone numbers.”

22.1-289.035-B-4

“(Repeat Violation) Based on review of four staff records, the center did not obtain the results of a criminal history record check from all states in which a staff member had resided within the past five years prior to employment. Evidence: The record for Staff #4, with an employment date of 5/23/24, contained documentation that the staff member had resided in Kentucky within the past five years. The criminal history check results on record from Kentucky were dated 6/11/24.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: The TB screening on record for Staff #3, with an employment date of 5/29/24, was dated 5/26/23.”

8VAC20-780-40-L

“(Repeat Violation) Based on review of documentation and interview, the center did not ensure all staff who work with children were informed of children’s allergies, sensitivities, and dietary restrictions. Evidence: On 8/15/24, Staff #5 was alone with three children in the infant classroom. The Inspector asked Staff #5 if any of the children had food allergies and Staff #5 reported that none of the children had food allergies. Child D was present in the classroom and record review and interview with other staff revealed that Child D had documented food allergies to grains, seed oils, processed sugar, and soy.”

8VAC20-780-40-M

“Based on review of documentation, the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The record for Child D, (date of enrollment 7/10/23) contained documentation of diagnosed allergies to grains, seed oils, processed sugar, and soy. Child D’s allergies were not documented on the allergy list in the classrooms.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water after contact with body fluids, as required. Evidence: A staff member was observed wiping the nose of a two-year-old, then using hand sanitizer. Washing with soap and water is required when running water is available.”

8VAC20-780-550-F

“Based on review of documentation, the center did not ensure that lockdown procedures were practiced at least annually. Evidence: The most recent lockdown drill was documented on 2/8/23.”

8VAC20-780-80-A

“(Repeat Violation) Based on observation and review of documentation, the center did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 8/15/24 at approximately 9:31am, three children were observed in the Infant classroom. The attendance contained documentation of two children present.”

22.1-289.035-B-4

“(Repeat Violation) Based on review of four staff records, the center did not obtain the results of a criminal history record check from all states in which a staff member had resided within the past five years prior to employment. Evidence: The record for Staff #4, with an employment date of 5/23/24, contained documentation that the staff member had resided in Kentucky within the past five years. The criminal history check results on record from Kentucky were dated 6/11/24.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: The TB screening on record for Staff #3, with an employment date of 5/29/24, was dated 5/26/23.”

8VAC20-780-40-L

“(Repeat Violation) Based on review of documentation and interview, the center did not ensure all staff who work with children were informed of children’s allergies, sensitivities, and dietary restrictions. Evidence: On 8/15/24, Staff #5 was alone with three children in the infant classroom. The Inspector asked Staff #5 if any of the children had food allergies and Staff #5 reported that none of the children had food allergies. Child D was present in the classroom and record review and interview with other staff revealed that Child D had documented food allergies to grains, seed oils, processed sugar, and soy.”

8VAC20-780-40-M

“Based on review of documentation, the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The record for Child D, (date of enrollment 7/10/23) contained documentation of diagnosed allergies to grains, seed oils, processed sugar, and soy. Child D’s allergies were not documented on the allergy list in the classrooms.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water after contact with body fluids, as required. Evidence: A staff member was observed wiping the nose of a two-year-old, then using hand sanitizer. Washing with soap and water is required when running water is available.”

8VAC20-780-550-F

“Based on review of documentation, the center did not ensure that lockdown procedures were practiced at least annually. Evidence: The most recent lockdown drill was documented on 2/8/23.”

8VAC20-780-80-A

“(Repeat Violation) Based on observation and review of documentation, the center did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 8/15/24 at approximately 9:31am, three children were observed in the Infant classroom. The attendance contained documentation of two children present.”

8VAC20-790-600-D-2

“Based on review of five staff records, the vendor did not ensure that staff who work directly with children obtained and maintained current certification in first aid within 90 days of employment. . Evidence: 1. Staff #5, with an employment date of 10/2/23, did not have first aid certification. 2. The first aid certification for Staff #1 and Staff #4 expired on 1/22/24.”

8VAC20-790-600-D-1

“Based on review of five staff records, the vendor did not ensure that all staff who work directly with children obtained and maintained current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: 1. Staff #5, with an employment date of 10/2/23, did not have CPR certification. 2. The CPR certification for Staff #1 and Staff #4 expired on 1/22/24.”

8VAC20-780-160-C

“Based on review of five staff records, the center did not ensure that all staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the last screening or testing. Evidence: The most recent TB screening on record for Staff #2 was dated 12/22/21.”

8VAC20-780-40-L

“Based on observation and interview, the center did not ensure that all staff who work with children were informed of children’s allergies, sensitivities, and dietary restrictions. Evidence: On 2/6/24 Staff #2 was alone with eight children in the two-year-old classroom while the lead teacher was on break. The Licensing Inspector asked Staff #2 if any children in the room had food allergies. Staff #2 reported that no children had food allergies. Documentation and interview revealed that one of the children had emergency medication onsite for a peanut allergy.”

8VAC20-780-260-B

“Based on review of documentation, the center did not ensure that annual approval from the health department was provided. Evidence: The most recent health inspection provided was dated 8/25/22.”

8VAC20-780-330-B

“(REPEAT VIOLATION) Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under and around playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 2/6/24 the depth of the pea gravel under and around the yellow school bus climber was less than one inch deep. The pea gravel under and around the rock wall climber was approximately two to three inches deep. Resilient surfacing under and around the climbers is required to be at least six inches deep.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: On 2/6/24, two children from the four/five-year-old classroom were observed leaving the classroom and walking down a hallway and around a corner to use the restroom, out of the sight and sound supervision of the teacher.”

8VAC20-780-510-P

“Based on observation and review of documentation, the center did not ensure that when an authorization for medication expired, that the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization and medications that were not picked up by the parent within 14 days were disposed of by the center. Evidence: The medication authorization for two emergency medications for Child A expired on 1/19/24. Both medications were still observed onsite.”

22.1-289.035-A

“Based on review of five staff records, the center did not ensure that the results of a central registry check were obtained for one staff every five years. Evidence: The most recent central registry results on record for Staff #3 were dated 8/31/18.”

8VAC20-790-600-D-2

“Based on review of five staff records, the vendor did not ensure that staff who work directly with children obtained and maintained current certification in first aid within 90 days of employment. . Evidence: 1. Staff #5, with an employment date of 10/2/23, did not have first aid certification. 2. The first aid certification for Staff #1 and Staff #4 expired on 1/22/24.”

8VAC20-790-600-D-1

“Based on review of five staff records, the vendor did not ensure that all staff who work directly with children obtained and maintained current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: 1. Staff #5, with an employment date of 10/2/23, did not have CPR certification. 2. The CPR certification for Staff #1 and Staff #4 expired on 1/22/24.”

8VAC20-780-160-C

“Based on review of five staff records, the center did not ensure that all staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the last screening or testing. Evidence: The most recent TB screening on record for Staff #2 was dated 12/22/21.”

8VAC20-780-40-L

“Based on observation and interview, the center did not ensure that all staff who work with children were informed of children’s allergies, sensitivities, and dietary restrictions. Evidence: On 2/6/24 Staff #2 was alone with eight children in the two-year-old classroom while the lead teacher was on break. The Licensing Inspector asked Staff #2 if any children in the room had food allergies. Staff #2 reported that no children had food allergies. Documentation and interview revealed that one of the children had emergency medication onsite for a peanut allergy.”

8VAC20-780-260-B

“Based on review of documentation, the center did not ensure that annual approval from the health department was provided. Evidence: The most recent health inspection provided was dated 8/25/22.”

8VAC20-780-330-B

“(REPEAT VIOLATION) Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under and around playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 2/6/24 the depth of the pea gravel under and around the yellow school bus climber was less than one inch deep. The pea gravel under and around the rock wall climber was approximately two to three inches deep. Resilient surfacing under and around the climbers is required to be at least six inches deep.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: On 2/6/24, two children from the four/five-year-old classroom were observed leaving the classroom and walking down a hallway and around a corner to use the restroom, out of the sight and sound supervision of the teacher.”

8VAC20-780-510-P

“Based on observation and review of documentation, the center did not ensure that when an authorization for medication expired, that the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization and medications that were not picked up by the parent within 14 days were disposed of by the center. Evidence: The medication authorization for two emergency medications for Child A expired on 1/19/24. Both medications were still observed onsite.”

22.1-289.035-A

“Based on review of five staff records, the center did not ensure that the results of a central registry check were obtained for one staff every five years. Evidence: The most recent central registry results on record for Staff #3 were dated 8/31/18.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not obtain the results of a search of the central registry ( CPS ) within 30 days of employment for one staff. Evidence: The CPS check on record for Staff #1, with an employment date of 6/19/23, was dated 7/25/23.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 8/14/23 at approximately 10:16am, the attendance for the Infant classroom contained documentation of one child in attendance. There were three children present at the time. At approximately 10:46am, the attendance for the two-year-old classroom contained documentation of seven children in attendance. There were eight children present at the time.”

8VAC20-780-330-B

“(Repeat violation) Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 8/14/23 the depth of the pea gravel under and around the yellow school bus climber on the playground was approximately two inches deep, or less in some areas. The pea gravel under and around the rock wall climber was approximately three inches deep. Resilient surfacing under and around the climbers is required to be at least six inches deep.”

22.1-289.035-B-4

“Based on review of four staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the past five years prior to employment, or the results of a central registry check from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: The record for Staff #4 contained documentation that the staff member had resided in Texas and Wisconsin within the past five years. There were no criminal history or central registry checks from Texas or Wisconsin on record for the staff member.”

22.1-289.035-B-2

“(Repeat Violation) Based on review of four staff records, the center did not obtain the results of a national fingerprint-based criminal history record search prior to employment for one staff. Evidence: The fingerprints on record for Staff #1, with an employment date of 6/19/23, were dated 6/27/23.”

8VAC20-780-550-E

“Based on review of documentation and interview, the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: The emergency drill log contained documentation of the last shelter in place drill being conducted on 7/27/22.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #3, with an employment date of 7/12/23, contained documentation of references dated 7/21/23 and 7/26/23. Two references are required before employment. 2. The records for Staff #2 and Staff #4 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by their job position.”

8VAC20-780-60-A-8

“(Repeat violation) Based on review of five child records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child E contained documentation that the child has diagnosed allergies to eggs and peanuts. There was no allergy care plan on record for Child E.”

8VAC20-780-140-A

“Based on review of five child records, the center did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for two children. Evidence: There were no physicals on record for Child A, with a first day of attendance of 1/23/23, and Child C, with a first day of attendance of 6/5/23.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not obtain the results of a search of the central registry ( CPS ) within 30 days of employment for one staff. Evidence: The CPS check on record for Staff #1, with an employment date of 6/19/23, was dated 7/25/23.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 8/14/23 at approximately 10:16am, the attendance for the Infant classroom contained documentation of one child in attendance. There were three children present at the time. At approximately 10:46am, the attendance for the two-year-old classroom contained documentation of seven children in attendance. There were eight children present at the time.”

8VAC20-780-330-B

“(Repeat violation) Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 8/14/23 the depth of the pea gravel under and around the yellow school bus climber on the playground was approximately two inches deep, or less in some areas. The pea gravel under and around the rock wall climber was approximately three inches deep. Resilient surfacing under and around the climbers is required to be at least six inches deep.”

22.1-289.035-B-4

“Based on review of four staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the past five years prior to employment, or the results of a central registry check from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: The record for Staff #4 contained documentation that the staff member had resided in Texas and Wisconsin within the past five years. There were no criminal history or central registry checks from Texas or Wisconsin on record for the staff member.”

22.1-289.035-B-2

“(Repeat Violation) Based on review of four staff records, the center did not obtain the results of a national fingerprint-based criminal history record search prior to employment for one staff. Evidence: The fingerprints on record for Staff #1, with an employment date of 6/19/23, were dated 6/27/23.”

8VAC20-780-550-E

“Based on review of documentation and interview, the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: The emergency drill log contained documentation of the last shelter in place drill being conducted on 7/27/22.”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #3, with an employment date of 7/12/23, contained documentation of references dated 7/21/23 and 7/26/23. Two references are required before employment. 2. The records for Staff #2 and Staff #4 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by their job position.”

8VAC20-780-60-A-8

“(Repeat violation) Based on review of five child records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child E contained documentation that the child has diagnosed allergies to eggs and peanuts. There was no allergy care plan on record for Child E.”

8VAC20-780-140-A

“Based on review of five child records, the center did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for two children. Evidence: There were no physicals on record for Child A, with a first day of attendance of 1/23/23, and Child C, with a first day of attendance of 6/5/23.”

8VAC20-780-330-B

“Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 2/9/23 the depth of the pea gravel under and around the yellow school bus climber on the playground was approximately two inches deep, or less in some areas. Resilient surfacing under and around the climber is required to be at least six inches deep.”

8VAC20-780-245-J-3

“Based on interview, the center did not ensure that children for whom emergency medication has been prescribed were always in the care of a staff member who met the requirements for medication administration. Evidence: There were six emergency medications observed on-site for three children on 2/9/23. Interview revealed that for the past two weeks, the two staff with current Medication Administration Training (MAT) have left the center at approximately 12:30pm and 3:00pm each day. There were no staff on-site with MAT training from approximately 3:00pm-6:00pm each day.”

8VAC20-780-60-A-8

“Based on review of five child records and interview with the Director, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child has diagnosed allergies to eggs and peanuts. There was no allergy care plan on record for Child A.”

8VAC20-780-160-A

“Based on review of three staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The TB test on record for Staff #2, with an employment date of 11/7/22, was dated 1/11/23.”

22.1-289.036-B-2

“Based on review of three staff records, the center did not obtain the results of a national fingerprint-based criminal history record search prior to employment for one staff. Evidence: The record for Staff #1, with an employment date of 1/9/23, did not contain the results of a national fingerprint-based criminal history record search.”

8VAC20-780-440-H

“Based on observation, the center did not ensure that cribs met the Consumer Product Safety Commission Standards, as required. Evidence: On 2/9/23 a crib was observed in the Infant room with a manufactured date of 9/4/10. To meet the nationwide standards, cribs are required to be manufactured after 6/28/11.”

8VAC20-780-330-B

“Based on observation and inspection of the playground, the center did not ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. Evidence: On 2/9/23 the depth of the pea gravel under and around the yellow school bus climber on the playground was approximately two inches deep, or less in some areas. Resilient surfacing under and around the climber is required to be at least six inches deep.”

8VAC20-780-245-J-3

“Based on interview, the center did not ensure that children for whom emergency medication has been prescribed were always in the care of a staff member who met the requirements for medication administration. Evidence: There were six emergency medications observed on-site for three children on 2/9/23. Interview revealed that for the past two weeks, the two staff with current Medication Administration Training (MAT) have left the center at approximately 12:30pm and 3:00pm each day. There were no staff on-site with MAT training from approximately 3:00pm-6:00pm each day.”

8VAC20-780-60-A-8

“Based on review of five child records and interview with the Director, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child has diagnosed allergies to eggs and peanuts. There was no allergy care plan on record for Child A.”

8VAC20-780-160-A

“Based on review of three staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The TB test on record for Staff #2, with an employment date of 11/7/22, was dated 1/11/23.”

22.1-289.036-B-2

“Based on review of three staff records, the center did not obtain the results of a national fingerprint-based criminal history record search prior to employment for one staff. Evidence: The record for Staff #1, with an employment date of 1/9/23, did not contain the results of a national fingerprint-based criminal history record search.”

8VAC20-780-440-H

“Based on observation, the center did not ensure that cribs met the Consumer Product Safety Commission Standards, as required. Evidence: On 2/9/23 a crib was observed in the Infant room with a manufactured date of 9/4/10. To meet the nationwide standards, cribs are required to be manufactured after 6/28/11.”

8VAC20-780-60-A-8

“Based on review of four child records and interview with the director, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child is allergic to eggs. There was no written care plan for the child from the doctor regarding the steps to be taken in the event of an allergic reaction.”

8VAC20-780-40-M

“Based on documentation review and interview with program staff, the center did not ensure that they maintained a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Interview revealed that a toddler who was enrolled on 5/2/22 has an allergy to eggs. The child’s record contained documentation that they are allergic to eggs. The child was not listed on the center’s allergy list. The list also did not contain the date it was last updated.”

8VAC20-780-60-A-8

“Based on review of four child records and interview with the director, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child is allergic to eggs. There was no written care plan for the child from the doctor regarding the steps to be taken in the event of an allergic reaction.”

8VAC20-780-40-M

“Based on documentation review and interview with program staff, the center did not ensure that they maintained a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Interview revealed that a toddler who was enrolled on 5/2/22 has an allergy to eggs. The child’s record contained documentation that they are allergic to eggs. The child was not listed on the center’s allergy list. The list also did not contain the date it was last updated.”

8VAC20-780-510-B

“Based on documentation review and interview, the center did not ensure that they obtained written authorization from the parent for medication. Evidence: Two emergency medications were on site for Child A on 2/10/22. There was no written authorization from the parent on site.”

8VAC20-780-510-B

“Based on documentation review and interview, the center did not ensure that they obtained written authorization from the parent for medication. Evidence: Two emergency medications were on site for Child A on 2/10/22. There was no written authorization from the parent on site.”