Piper Ivy Preschool

8VAC20-780-245-A

“Based on a review of staff records, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #4 contained documentation of 8.5 hours of training from 02/15/22 to 02/14/23.”

8VAC20-780-60-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure that each child's record contained all the required information. Evidence: 1. The record of child #2, enrolled 02/05/24, did not contain documentation of a second emergency contact, names of persons authorized to pick up the child, and the previous child day care and schools attended by the child. 2. The record of child #3, enrolled 02/12/24, did not contain documentation of the previous child day care and schools attended by the child. 3. The record of child #5 did not contain documentation of the persons authorized to pick up the child, the first date of attendance, and the previous child day care and schools attended by the child. 4. Administration confirmed the information was missing.”

8VAC20-780-245-A

“Based on a review of staff records, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #4 contained documentation of 8.5 hours of training from 02/15/22 to 02/14/23.”

8VAC20-780-60-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure that each child's record contained all the required information. Evidence: 1. The record of child #2, enrolled 02/05/24, did not contain documentation of a second emergency contact, names of persons authorized to pick up the child, and the previous child day care and schools attended by the child. 2. The record of child #3, enrolled 02/12/24, did not contain documentation of the previous child day care and schools attended by the child. 3. The record of child #5 did not contain documentation of the persons authorized to pick up the child, the first date of attendance, and the previous child day care and schools attended by the child. 4. Administration confirmed the information was missing.”

8VAC20-780-80-B-2 Complaint related: No

“Based on interview, the center failed to inform the Department's representative of any injury that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: In an interview with staff #1 it was stated that the center received a message from a parent in the Bright Wheel app. on 08/02/23, that child #1 was taken to the emergency room. The center did not notify the Department of Education Office of Child Care Health and Safety that the child was taken for outside medical attention.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of records and interview, the licensee failed to ensure that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. In an interview with an outside witness it was stated that child #1 was unenrolled "unfairly" on 08/03/2023. 2. In an interview with staff #1 on 08/16/2023 it was confirmed that child #1 was terminated immediately due to a parent refusing an in-person meeting. 3. The center's policies regarding termination states "There are no limits to the services that the Center can provide. At any time that the Center feels it is not able to meet the child's needs; the Center may give a two week notice to the parent/guardian to terminate services. In extreme circumstances, where the child is endangering him/herself or others, we reserve the right to waive the two-week dismissal notice." 4. The record of child #1 contained documentation of the last date of attendance dated 08/03/2023.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of first aid certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of first aid dated 04/08/2023. 3. Staff #6 confirmed the first aid certifications were not complete.”

8VAC20-790-600-D-1

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of CPR certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of CPR dated 04/08/2023. 3. Staff #6 confirmed the CPR certifications were not complete.”

22.1-289.035-B-2

“Repeat Violation Based on a review of staff records and interview, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of staff #3, hired 11/02/2022, contained fingerprint results dated 01/04/2023. Staff #6 acknowledged the results were late.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #3, hired 11/02/2022, contained central registry results dated 12/17/2022. 2. The record of staff #4, hired 10/01/2022, contained central registry results dated 11/12/2022. 3. Staff #6 acknowledged the central registry results were late.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/04/2023. 2. The record of staff #3, hired 11/02/2022, contained documentation of a tuberculosis screening dated 11/04/2022. 3. Staff #6 confirmed that staff #2 and staff #3 had late screenings and came into contact with children.”

8VAC20-780-60-A

“Based on a review of children’s records and staff interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #2, child #4, and child #5 did not contain documentation of addresses for two designated people to contact in an emergency if a parent cannot be reached. 2. The record of child #3, did not contain documentation of a name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 3. The record of child #5 did not contain documentation of a physical exam. 4. Staff #5 confirmed the documentation was missing in each record.”

8VAC20-780-70

“Repeat Violation Based on a review of records and interview, the center failed to ensure that each staff record contains all required documentation. Evidence: 1. The records of staff #3 and staff #4 did not contain documentation of orientation being completed. Staff #6 confirmed there was no documentation.”

8VAC20-780-90-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure a signed written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #4, enrolled 03/06/2023, did not contain the following signed agreements: An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds, a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. 2. Staff #6 confirmed the parent agreement was not signed.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: 1. The records of staff #3, hired 11/02/2022, and staff #4, hired 10/01/2022, did not contain documentation of the Virginia Department of Education sponsored orientation. 2. Staff #6 confirmed the VDOE orientation was not completed.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In the school age room there were several areas with chipped and peeling paint. There was a hole on the left wall, exposing the drywall, that was approximately 3x3 inches. There was a hole on the back wall, exposing the drywall, that was approximately 2x2 inches.”

8VAC20-780-450-A

“Based on observation and staff interview, the center failed to ensure cribs, cots, mats and beds 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. In the two year old classroom there was one occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover. 2. In the three year old classroom there was on occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In an unlocked cabinet in the two year classroom there was Clorox wipes and bleach water. The label on the Clorox wipes and on bleach states "keep out of reach of children" and "caution." Staff #3 indicated she didn't know the cabinet was not locked.”

8VAC20-780-440-E

“Based on observation and staff interview the center failed to ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Staff #6 confirmed there were approximately 2-4 inches between six children on cots in the two year old classroom.”

8VAC20-780-80-B-2 Complaint related: No

“Based on interview, the center failed to inform the Department's representative of any injury that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: In an interview with staff #1 it was stated that the center received a message from a parent in the Bright Wheel app. on 08/02/23, that child #1 was taken to the emergency room. The center did not notify the Department of Education Office of Child Care Health and Safety that the child was taken for outside medical attention.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of records and interview, the licensee failed to ensure that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. In an interview with an outside witness it was stated that child #1 was unenrolled "unfairly" on 08/03/2023. 2. In an interview with staff #1 on 08/16/2023 it was confirmed that child #1 was terminated immediately due to a parent refusing an in-person meeting. 3. The center's policies regarding termination states "There are no limits to the services that the Center can provide. At any time that the Center feels it is not able to meet the child's needs; the Center may give a two week notice to the parent/guardian to terminate services. In extreme circumstances, where the child is endangering him/herself or others, we reserve the right to waive the two-week dismissal notice." 4. The record of child #1 contained documentation of the last date of attendance dated 08/03/2023.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of first aid certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of first aid dated 04/08/2023. 3. Staff #6 confirmed the first aid certifications were not complete.”

8VAC20-790-600-D-1

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of CPR certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of CPR dated 04/08/2023. 3. Staff #6 confirmed the CPR certifications were not complete.”

22.1-289.035-B-2

“Repeat Violation Based on a review of staff records and interview, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of staff #3, hired 11/02/2022, contained fingerprint results dated 01/04/2023. Staff #6 acknowledged the results were late.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #3, hired 11/02/2022, contained central registry results dated 12/17/2022. 2. The record of staff #4, hired 10/01/2022, contained central registry results dated 11/12/2022. 3. Staff #6 acknowledged the central registry results were late.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/04/2023. 2. The record of staff #3, hired 11/02/2022, contained documentation of a tuberculosis screening dated 11/04/2022. 3. Staff #6 confirmed that staff #2 and staff #3 had late screenings and came into contact with children.”

8VAC20-780-60-A

“Based on a review of children’s records and staff interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #2, child #4, and child #5 did not contain documentation of addresses for two designated people to contact in an emergency if a parent cannot be reached. 2. The record of child #3, did not contain documentation of a name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 3. The record of child #5 did not contain documentation of a physical exam. 4. Staff #5 confirmed the documentation was missing in each record.”

8VAC20-780-70

“Repeat Violation Based on a review of records and interview, the center failed to ensure that each staff record contains all required documentation. Evidence: 1. The records of staff #3 and staff #4 did not contain documentation of orientation being completed. Staff #6 confirmed there was no documentation.”

8VAC20-780-90-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure a signed written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #4, enrolled 03/06/2023, did not contain the following signed agreements: An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds, a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. 2. Staff #6 confirmed the parent agreement was not signed.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: 1. The records of staff #3, hired 11/02/2022, and staff #4, hired 10/01/2022, did not contain documentation of the Virginia Department of Education sponsored orientation. 2. Staff #6 confirmed the VDOE orientation was not completed.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In the school age room there were several areas with chipped and peeling paint. There was a hole on the left wall, exposing the drywall, that was approximately 3x3 inches. There was a hole on the back wall, exposing the drywall, that was approximately 2x2 inches.”

8VAC20-780-450-A

“Based on observation and staff interview, the center failed to ensure cribs, cots, mats and beds 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. In the two year old classroom there was one occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover. 2. In the three year old classroom there was on occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In an unlocked cabinet in the two year classroom there was Clorox wipes and bleach water. The label on the Clorox wipes and on bleach states "keep out of reach of children" and "caution." Staff #3 indicated she didn't know the cabinet was not locked.”

8VAC20-780-440-E

“Based on observation and staff interview the center failed to ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Staff #6 confirmed there were approximately 2-4 inches between six children on cots in the two year old classroom.”

8VAC20-780-80-B-2 Complaint related: No

“Based on interview, the center failed to inform the Department's representative of any injury that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: In an interview with staff #1 it was stated that the center received a message from a parent in the Bright Wheel app. on 08/02/23, that child #1 was taken to the emergency room. The center did not notify the Department of Education Office of Child Care Health and Safety that the child was taken for outside medical attention.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of records and interview, the licensee failed to ensure that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. In an interview with an outside witness it was stated that child #1 was unenrolled "unfairly" on 08/03/2023. 2. In an interview with staff #1 on 08/16/2023 it was confirmed that child #1 was terminated immediately due to a parent refusing an in-person meeting. 3. The center's policies regarding termination states "There are no limits to the services that the Center can provide. At any time that the Center feels it is not able to meet the child's needs; the Center may give a two week notice to the parent/guardian to terminate services. In extreme circumstances, where the child is endangering him/herself or others, we reserve the right to waive the two-week dismissal notice." 4. The record of child #1 contained documentation of the last date of attendance dated 08/03/2023.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of first aid certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of first aid dated 04/08/2023. 3. Staff #6 confirmed the first aid certifications were not complete.”

8VAC20-790-600-D-1

“Repeat Violation Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #2, hired 03/27/2023 and staff #3, hired 11/02/2022, did not contain documentation of CPR certification. 2. The record of staff #4, hired 10/01/2022, contained documentation of CPR dated 04/08/2023. 3. Staff #6 confirmed the CPR certifications were not complete.”

22.1-289.035-B-2

“Repeat Violation Based on a review of staff records and interview, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of staff #3, hired 11/02/2022, contained fingerprint results dated 01/04/2023. Staff #6 acknowledged the results were late.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #3, hired 11/02/2022, contained central registry results dated 12/17/2022. 2. The record of staff #4, hired 10/01/2022, contained central registry results dated 11/12/2022. 3. Staff #6 acknowledged the central registry results were late.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2, hired 03/27/2023, contained documentation of a tuberculosis screening dated 04/04/2023. 2. The record of staff #3, hired 11/02/2022, contained documentation of a tuberculosis screening dated 11/04/2022. 3. Staff #6 confirmed that staff #2 and staff #3 had late screenings and came into contact with children.”

8VAC20-780-60-A

“Based on a review of children’s records and staff interview, the center failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #2, child #4, and child #5 did not contain documentation of addresses for two designated people to contact in an emergency if a parent cannot be reached. 2. The record of child #3, did not contain documentation of a name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached. 3. The record of child #5 did not contain documentation of a physical exam. 4. Staff #5 confirmed the documentation was missing in each record.”

8VAC20-780-70

“Repeat Violation Based on a review of records and interview, the center failed to ensure that each staff record contains all required documentation. Evidence: 1. The records of staff #3 and staff #4 did not contain documentation of orientation being completed. Staff #6 confirmed there was no documentation.”

8VAC20-780-90-A

“Repeat Violation Based on a review of children's records and interview, the center failed to ensure a signed written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #4, enrolled 03/06/2023, did not contain the following signed agreements: An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds, a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. 2. Staff #6 confirmed the parent agreement was not signed.”

8VAC20-780-240-A

“Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: 1. The records of staff #3, hired 11/02/2022, and staff #4, hired 10/01/2022, did not contain documentation of the Virginia Department of Education sponsored orientation. 2. Staff #6 confirmed the VDOE orientation was not completed.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: In the school age room there were several areas with chipped and peeling paint. There was a hole on the left wall, exposing the drywall, that was approximately 3x3 inches. There was a hole on the back wall, exposing the drywall, that was approximately 2x2 inches.”

8VAC20-780-450-A

“Based on observation and staff interview, the center failed to ensure cribs, cots, mats and beds 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. In the two year old classroom there was one occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover. 2. In the three year old classroom there was on occupied cot without a bottom cover. Staff #6 confirmed there was no bottom cover.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In an unlocked cabinet in the two year classroom there was Clorox wipes and bleach water. The label on the Clorox wipes and on bleach states "keep out of reach of children" and "caution." Staff #3 indicated she didn't know the cabinet was not locked.”

8VAC20-780-440-E

“Based on observation and staff interview the center failed to ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Staff #6 confirmed there were approximately 2-4 inches between six children on cots in the two year old classroom.”

8VAC20-780-140-A

“Based on the review of five child records, the program failed to ensure that each child have a physical examination within thirty days of first day of attendance. Evidence: 1. The first day of attendance for Child #2 was 11/11/21. The date the physical examination was received was 4/4/22. 2. The first day of attendance for Child #5 was 1/16/23. There was no physical examination in the child's record.”

8VAC20-780-160-A

“Based on the review of five staff records, the program failed to ensure that each staff member submit documentation of a negative tuberculosis screening within the last thirty days of the date of employment for two staff. Evidence: 1. The date of employment for Staff #4 was 11/1/22. The TB results in the file were dated 4/15/21. 2. The date of employment for Staff $5 was 10/1/22. The TB results in the file were dated 7/20/21.”

8VAC20-780-70

“Based on the review of five staff records, the program failed to ensure that two or more references as to character, reputation, and competency were checked prior to employment for one staff. Evidence: 1. The first day of employment for Staff #4 was 11.1.22. There were no references in the file. 2. The director confirmed that she did not obtain references.”

8VAC20-780-90-A

“Based on review of five child records, the program failed to ensure that the written agreement between the parent and center is completed by the first day of the child's attendance for two children. Evidence: 1. The first day of attendance for Child #4 was 1/9/23. There was no signed agreement in the file. 2. The first day of attendance for Child#5 was 1/16/23. There was no signed agreement in the file. 3. The director confirmed the agreements were unsigned.”

8VAC20-770-60-C-2

“Based on the review of five staff records, the program failed to ensure that the results of a central registry check were completed within 30 days of employment. Evidence: 1. The first day of employment for Staff #4 was 11/1/22. The result of the check was dated 3/12/23.”

8VAC20-780-140-A

“Based on the review of five child records, the program failed to ensure that each child have a physical examination within thirty days of first day of attendance. Evidence: 1. The first day of attendance for Child #2 was 11/11/21. The date the physical examination was received was 4/4/22. 2. The first day of attendance for Child #5 was 1/16/23. There was no physical examination in the child's record.”

8VAC20-780-160-A

“Based on the review of five staff records, the program failed to ensure that each staff member submit documentation of a negative tuberculosis screening within the last thirty days of the date of employment for two staff. Evidence: 1. The date of employment for Staff #4 was 11/1/22. The TB results in the file were dated 4/15/21. 2. The date of employment for Staff $5 was 10/1/22. The TB results in the file were dated 7/20/21.”

8VAC20-780-70

“Based on the review of five staff records, the program failed to ensure that two or more references as to character, reputation, and competency were checked prior to employment for one staff. Evidence: 1. The first day of employment for Staff #4 was 11.1.22. There were no references in the file. 2. The director confirmed that she did not obtain references.”

8VAC20-780-90-A

“Based on review of five child records, the program failed to ensure that the written agreement between the parent and center is completed by the first day of the child's attendance for two children. Evidence: 1. The first day of attendance for Child #4 was 1/9/23. There was no signed agreement in the file. 2. The first day of attendance for Child#5 was 1/16/23. There was no signed agreement in the file. 3. The director confirmed the agreements were unsigned.”

8VAC20-770-60-C-2

“Based on the review of five staff records, the program failed to ensure that the results of a central registry check were completed within 30 days of employment. Evidence: 1. The first day of employment for Staff #4 was 11/1/22. The result of the check was dated 3/12/23.”

22.1-289.035-B-2

“Based on record review, program did not ensure that a criminal history record check was completed prior to first day of employment. Evidence: 1. The first day of employment for Staff #5 is 2/15/2022. The results in the file were dated 2/28/2022.”

8VAC20-780-90-A

“Based on record review, program did not ensure required written agreements were signed by parent. Evidence: 1. The written agreements form in the file for Child #4 was not signed by the parent. 2. The administrator confirmed that it was not signed.”

22.1-289.035-B-4

“Based on record review, program did not ensure that the results were obtained from the child abuse and neglect registry from any state in which the applicant has resided in the preceding five years. Evidence: 1. The date of hire for Staff #3 was 6/14/2022. There were no central registry results in the file from previous state of residency.”

8VAC20-780-550-P

“Based on review of ten injury report,s program did not ensure that all required information was maintained. Evidence: 1. Seven of the ten injury reports did not include date and time that parents were informed of injury.”

8VAC20-790-600-D-1

“Based on record review, program did not ensure that all staff who work directly with children have current CPR certification within 90 days of employment. Evidence: 1. The date of employment for Staff #5 is 2/15/2022. There was not a current CPR certificate in the file.”

8VAC20-790-600-F

“Based on record review, program did not ensure that staff annually complete the department's health and safety update course. Evidence: 1. There were no certificates for the annual training in any of the five records reviewed. 2. Administrator confirmed that no one had completed the training.”

22.1-289.035-B-2

“Based on record review, program did not ensure that a criminal history record check was completed prior to first day of employment. Evidence: 1. The first day of employment for Staff #5 is 2/15/2022. The results in the file were dated 2/28/2022.”

8VAC20-780-90-A

“Based on record review, program did not ensure required written agreements were signed by parent. Evidence: 1. The written agreements form in the file for Child #4 was not signed by the parent. 2. The administrator confirmed that it was not signed.”

22.1-289.035-B-4

“Based on record review, program did not ensure that the results were obtained from the child abuse and neglect registry from any state in which the applicant has resided in the preceding five years. Evidence: 1. The date of hire for Staff #3 was 6/14/2022. There were no central registry results in the file from previous state of residency.”

8VAC20-780-550-P

“Based on review of ten injury report,s program did not ensure that all required information was maintained. Evidence: 1. Seven of the ten injury reports did not include date and time that parents were informed of injury.”

8VAC20-790-600-D-1

“Based on record review, program did not ensure that all staff who work directly with children have current CPR certification within 90 days of employment. Evidence: 1. The date of employment for Staff #5 is 2/15/2022. There was not a current CPR certificate in the file.”

8VAC20-790-600-F

“Based on record review, program did not ensure that staff annually complete the department's health and safety update course. Evidence: 1. There were no certificates for the annual training in any of the five records reviewed. 2. Administrator confirmed that no one had completed the training.”

22.1-289.035-B-2

“Based on record review, program did not ensure that results from a fingerprint based background check was completed prior to first date of employment. Evidence: 1. The date of employment for Staff #1 was 9/4/21. There were no results in file from the Office of Background Investigations (OBI). 2. The date of employment for Staff # 2 was 6/20/21. There were no results in file from OBI. 3. Both staff had results from a FBI check through local police. While there was a process in place temporarily when field print offices were closed during the state of emergency, this process is no longer valid.”

22.1-289.035-B-4

“Based on record review, program did not ensure that the results were obtained from the child abuse and neglect registry, criminal history record check, and sex offender registry check from any state in which the applicant has resided in the preceding five years. Evidence: 1. The date of hire for Staff #1 was 9/4/21. 2. There were no background checks in file from previous state of residency.”