Sons & Daughters

8VAC20-790-600-B

“Based on record review and interview, the center failed to ensure staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence:”

8VAC20-790-560-A

“Based on record review and interview, the center failed to ensure within the last 30 calendar days of the date of employment staff were evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: The records for staff 2, employment date 1/29/24, and staff 4, employment date 5/7/24, do not have TB results. The director verified they do not have TB results for staff 2 and 4.”

8VAC20-790-550-2-a

“Based on record review and interview, the center failed to obtain results of child protective services central registry check ( CPS ) within 30 days of beginning work for new staff. Evidence: The record for staff 5, start date 1/24/24, did not contain a completed CPS check. The director verified the center did not have a completed CPS check for staff”

8VAC20-790-540-B

“Based on record review and interview, the center failed to obtain all the required information for a child's record. Evidence: The record for child 1 did not contain emergency contacts.”

8VAC20-790-600-D-2

“Based on record review and interview, the center failed to ensure all staff obtained certification in first aid certification within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for first aid. The director verified staff 2 and staff 3 do not have certification in first aid.”

8VAC20-790-600-D-1

“Based on record review and interview, the center failed to ensure all staff obtained certification in CPR within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for CPR. The director verified staff 2 and staff 3 do not have certification in CPR.”

8VAC20-790-600-C

“Based on record review and interview, the center failed to ensure staff members who work alone with children and within seven days of the date of employment complete orientation training. Evidence: The record for staff 4, start date 5/7/24, did not contain documentation regarding completing orientation training. Staff 4 was unable to answer questions regarding emergency evacuations.”

8VAC20-770-40-D-2

“Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: The record for staff 5, start date 1/24/24, did not contain a central registry background check. The director verified the center did not have a completed central registry background check.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision. Evidence: The record for staff 4, hire date 5/7/24, did not contain a staff health report. The director verified the center did not obtain a staff health report for staff 4.”

8VAC20-790-600-B

“Based on record review and interview, the center failed to ensure staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence:”

8VAC20-790-560-A

“Based on record review and interview, the center failed to ensure within the last 30 calendar days of the date of employment staff were evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: The records for staff 2, employment date 1/29/24, and staff 4, employment date 5/7/24, do not have TB results. The director verified they do not have TB results for staff 2 and 4.”

8VAC20-790-550-2-a

“Based on record review and interview, the center failed to obtain results of child protective services central registry check ( CPS ) within 30 days of beginning work for new staff. Evidence: The record for staff 5, start date 1/24/24, did not contain a completed CPS check. The director verified the center did not have a completed CPS check for staff”

8VAC20-790-540-B

“Based on record review and interview, the center failed to obtain all the required information for a child's record. Evidence: The record for child 1 did not contain emergency contacts.”

8VAC20-790-600-D-2

“Based on record review and interview, the center failed to ensure all staff obtained certification in first aid certification within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for first aid. The director verified staff 2 and staff 3 do not have certification in first aid.”

8VAC20-790-600-D-1

“Based on record review and interview, the center failed to ensure all staff obtained certification in CPR within 90 days of the date of employment. Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for CPR. The director verified staff 2 and staff 3 do not have certification in CPR.”

8VAC20-790-600-C

“Based on record review and interview, the center failed to ensure staff members who work alone with children and within seven days of the date of employment complete orientation training. Evidence: The record for staff 4, start date 5/7/24, did not contain documentation regarding completing orientation training. Staff 4 was unable to answer questions regarding emergency evacuations.”

8VAC20-770-40-D-2

“Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: The record for staff 5, start date 1/24/24, did not contain a central registry background check. The director verified the center did not have a completed central registry background check.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision. Evidence: The record for staff 4, hire date 5/7/24, did not contain a staff health report. The director verified the center did not obtain a staff health report for staff 4.”

8VAC20-790-760-A-3

“Based on observation, the center staff did not wash their hands with soap and running water after changing a diaper. Evidence: In the room a staff member was observed changing two children's diapers. The staff member did not wash hands between changing diapers.”

8VAC20-790-780-C-1

“Based on observation and interview, the center failed to have a working, battery-operated flashlight. Evidence: 1. The flashlight did not work. 2. Staff 6 stated the center did not have extra batteries.”

8VAC20-790-600-C

“Based on record review and interview, the center failed to ensure staff received orientation training prior to staff working alone with children and within seven days of the date of employment. Evidence: 1. The record for staff 3 documents the employment date as 7/25/22. The orientation date is documented as 9/23/22. 2. Staff 6 verified staff 3's start date and orientation date.”

8VAC20-790-600-B

“Based on record review and interview, the center failed to ensure staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record for staff 5 documents the employment date as 1/14/22. The date of the preservice training is documented as 5/27/22. 2. Staff 6 verified staff 5's employment date and date of preservice training.”

8VAC20-790-770-D

“Based on observation, the center failed to keep prescription in a locked place using a safe locking method to prevent access by children. Evidence: 1. In the Fawn's room a prescription diaper cream was found on an open shelf. 2. In the Pups room a prescription diaper creams and a prescription diaper powder was found on an open shelf.”

8VAC20-790-580-B

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children less than two years of age. Evidence: 1. The record for child 2 documents the birth date as 1/27/22. The immunizations in the record are dated 3/28/22 and 6/2/22. 2. Staff 6 verified the center does not have any other immunization records for child 2.”

22.1-289.031-B-4

“Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure all children in the center are in compliance with immunization provisions of ? 32.1-46. Evidence: 1. The record for child 2 documented the firs date of attendance as 8/19/22 and the child's birth date as 1/27/22. The documentation of immunizations are dated 3/28/22 and 6/2/22. 2. Staff 6 stated the center does not have updated immunizations for child 2.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to request a search of central registry background check within the first 30 days of employment and a criminal history name check prior to the first day of employment for any state in which a staff member resided in the preceding five years. Evidence: 1. The record for staff 5 documented the employment date as 1/14/22. The sworn statement documents staff 5 lived in Arkansas within five years prior to hire. The record for staff 5 did not contain documentation of a central registry background check or criminal history record being completed in Arkansas. 2. Staff 6 verified out-of-state background checks were not completed for staff 5.”

8VAC20-790-760-A-3

“Based on observation, the center staff did not wash their hands with soap and running water after changing a diaper. Evidence: In the room a staff member was observed changing two children's diapers. The staff member did not wash hands between changing diapers.”

8VAC20-790-780-C-1

“Based on observation and interview, the center failed to have a working, battery-operated flashlight. Evidence: 1. The flashlight did not work. 2. Staff 6 stated the center did not have extra batteries.”

8VAC20-790-600-C

“Based on record review and interview, the center failed to ensure staff received orientation training prior to staff working alone with children and within seven days of the date of employment. Evidence: 1. The record for staff 3 documents the employment date as 7/25/22. The orientation date is documented as 9/23/22. 2. Staff 6 verified staff 3's start date and orientation date.”

8VAC20-790-600-B

“Based on record review and interview, the center failed to ensure staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record for staff 5 documents the employment date as 1/14/22. The date of the preservice training is documented as 5/27/22. 2. Staff 6 verified staff 5's employment date and date of preservice training.”

8VAC20-790-770-D

“Based on observation, the center failed to keep prescription in a locked place using a safe locking method to prevent access by children. Evidence: 1. In the Fawn's room a prescription diaper cream was found on an open shelf. 2. In the Pups room a prescription diaper creams and a prescription diaper powder was found on an open shelf.”

8VAC20-790-580-B

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children less than two years of age. Evidence: 1. The record for child 2 documents the birth date as 1/27/22. The immunizations in the record are dated 3/28/22 and 6/2/22. 2. Staff 6 verified the center does not have any other immunization records for child 2.”

22.1-289.031-B-4

“Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure all children in the center are in compliance with immunization provisions of ? 32.1-46. Evidence: 1. The record for child 2 documented the firs date of attendance as 8/19/22 and the child's birth date as 1/27/22. The documentation of immunizations are dated 3/28/22 and 6/2/22. 2. Staff 6 stated the center does not have updated immunizations for child 2.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to request a search of central registry background check within the first 30 days of employment and a criminal history name check prior to the first day of employment for any state in which a staff member resided in the preceding five years. Evidence: 1. The record for staff 5 documented the employment date as 1/14/22. The sworn statement documents staff 5 lived in Arkansas within five years prior to hire. The record for staff 5 did not contain documentation of a central registry background check or criminal history record being completed in Arkansas. 2. Staff 6 verified out-of-state background checks were not completed for staff 5.”

22.1-289.031-A-3-b Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to five children for ages 16 months to 24 months. Evidence: 1. Staff 3 stated during outside play the ratios were often doubled per center policy. Staff 3 stated, "One staff can go inside to set up for snack." 2. Staff 2 stated outside ratios were doubled so teachers could bring children inside to go to the bathroom without having to get coverage and to come in to clean up snack. 3. Staff 6 stated outside ratios were doubled so you did not have to get coverage to go inside to take children to the restroom. 4. The director stated she thought they were allowed to double ratios during outside play for all ages.”

22.1-289.031-A-3-c Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

22.1-289.031-A-3-d Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

22.1-289.031-A-3-a Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to four children for ages zero to 16 months. Evidence: 1. Staff 1 stated "No one has ever covered breaks. Started working here two years ago and it has always been that way. Even when ratios were not met. At one time had 16 infants with four staff and still no one covered breaks." 2. Staff 5 stated they do not get coverage for breaks to meet ratios. 3. Staff 4 stated they do not need to get coverage to go to the restroom. "That has never been a thing before." 4. Staff 1 and staff 5 stated naptime ratios in the infant room were always doubled during nap until recently.”

8VAC20-790-670-C-1

“Based on interview, the center failed to maintain ratios of one staff to four children for ages zero 16 months. Evidence: 1. Staff 1 stated "No one has ever covered breaks. Started working here two years ago and it has always been that way. Even when ratios were not met. At one time had 16 infants with four staff and still no one covered breaks." 2. Staff 5 stated they do not get coverage for breaks to meet ratios. 3. Staff 4 stated they do not need to get coverage to go to the restroom. "That has never been a thing before." 4. Staff 1 and staff 5 stated naptime ratios in the infant room were always doubled during nap until recently. 5. The director stated she, "didn?t realize ratios didn?t double at nap."”

8VAC20-790-670-C-3

“Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

8VAC20-790-670-C-2

“Based on interview, the center failed to maintain ratios of one staff to five children for ages 16 months to 24 months. Evidence: 1. Staff 3 stated during outside play the ratios were often doubled per center policy. Staff 3 stated, "One staff can go inside to set up for snack." 2. Staff 2 stated outside ratios were doubled so teachers could bring children inside to go to the bathroom without having to get coverage and to come in to clean up snack. 3. Staff 6 stated outside ratios were doubled so you did not have to get coverage to go inside to take children to the restroom. 4. The director stated she thought they were allowed to double ratios during outside play for all ages.”

8VAC20-790-670-C-4

“Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

8VAC20-790-690-D

“Based on interviews, the center failed to allow infants to sleep when needed. Evidence: 1. On 6/2/23, a visitor at the center was observing the infant room and stated the "children seemed tired and there was a lot of crying..." The visitor stated she questioned the staff on why they did not put the infants down for a nap and she stated, "All four teachers acknowledged that its their policy to keep the children awake until naptime which is 12:00 to 2:30." She was advised by the staff that at 6 months they were moved to one naptime and should be kept up until then. The visitor stated "By 10:15 the screaming was overwhelming." 2. Staff 1 stated that up until this week infants ages 6 months and up only had one nap. 3. Staff 2 stated that infants only took one big nap. 4. Staff 5 stated they were withholding nap until 11:00 for infants over 6 months. 5. Staff 4 stated in the 2 1/2 years she has been working at the center they have had scheduled naps for infants ages 6 months and up at 11:00. They could not sleep before then. 6. The director stated she was unaware, "that we couldn?t put infants on a schedule and that we needed to let them sleep at will."”

22.1-289.031-A-3-b Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to five children for ages 16 months to 24 months. Evidence: 1. Staff 3 stated during outside play the ratios were often doubled per center policy. Staff 3 stated, "One staff can go inside to set up for snack." 2. Staff 2 stated outside ratios were doubled so teachers could bring children inside to go to the bathroom without having to get coverage and to come in to clean up snack. 3. Staff 6 stated outside ratios were doubled so you did not have to get coverage to go inside to take children to the restroom. 4. The director stated she thought they were allowed to double ratios during outside play for all ages.”

22.1-289.031-A-3-c Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

22.1-289.031-A-3-d Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

22.1-289.031-A-3-a Complaint related: No

“Based on interview, the center failed to maintain ratios of one staff to four children for ages zero to 16 months. Evidence: 1. Staff 1 stated "No one has ever covered breaks. Started working here two years ago and it has always been that way. Even when ratios were not met. At one time had 16 infants with four staff and still no one covered breaks." 2. Staff 5 stated they do not get coverage for breaks to meet ratios. 3. Staff 4 stated they do not need to get coverage to go to the restroom. "That has never been a thing before." 4. Staff 1 and staff 5 stated naptime ratios in the infant room were always doubled during nap until recently.”

8VAC20-790-670-C-1

“Based on interview, the center failed to maintain ratios of one staff to four children for ages zero 16 months. Evidence: 1. Staff 1 stated "No one has ever covered breaks. Started working here two years ago and it has always been that way. Even when ratios were not met. At one time had 16 infants with four staff and still no one covered breaks." 2. Staff 5 stated they do not get coverage for breaks to meet ratios. 3. Staff 4 stated they do not need to get coverage to go to the restroom. "That has never been a thing before." 4. Staff 1 and staff 5 stated naptime ratios in the infant room were always doubled during nap until recently. 5. The director stated she, "didn?t realize ratios didn?t double at nap."”

8VAC20-790-670-C-3

“Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

8VAC20-790-670-C-2

“Based on interview, the center failed to maintain ratios of one staff to five children for ages 16 months to 24 months. Evidence: 1. Staff 3 stated during outside play the ratios were often doubled per center policy. Staff 3 stated, "One staff can go inside to set up for snack." 2. Staff 2 stated outside ratios were doubled so teachers could bring children inside to go to the bathroom without having to get coverage and to come in to clean up snack. 3. Staff 6 stated outside ratios were doubled so you did not have to get coverage to go inside to take children to the restroom. 4. The director stated she thought they were allowed to double ratios during outside play for all ages.”

8VAC20-790-670-C-4

“Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

8VAC20-790-690-D

“Based on interviews, the center failed to allow infants to sleep when needed. Evidence: 1. On 6/2/23, a visitor at the center was observing the infant room and stated the "children seemed tired and there was a lot of crying..." The visitor stated she questioned the staff on why they did not put the infants down for a nap and she stated, "All four teachers acknowledged that its their policy to keep the children awake until naptime which is 12:00 to 2:30." She was advised by the staff that at 6 months they were moved to one naptime and should be kept up until then. The visitor stated "By 10:15 the screaming was overwhelming." 2. Staff 1 stated that up until this week infants ages 6 months and up only had one nap. 3. Staff 2 stated that infants only took one big nap. 4. Staff 5 stated they were withholding nap until 11:00 for infants over 6 months. 5. Staff 4 stated in the 2 1/2 years she has been working at the center they have had scheduled naps for infants ages 6 months and up at 11:00. They could not sleep before then. 6. The director stated she was unaware, "that we couldn?t put infants on a schedule and that we needed to let them sleep at will."”

22VAC40-665-560-A

“Based on record review and interview, the center failed to obtain immunization records prior to the first date of attendance for two out of three children's records reviewed. Evidence: 1. Child 2's first date of attendance, per the director, was 1/25/22. There was no immunization record in child 2's file. 2. Child 3's first date of attendance, per the director, was 12/1/21. There was no immunization record in child 3's file. 3. The director verified the center did not have immunization records for child 2 and child 3.”

22VAC40-665-610-A

“Based on observation, the center failed to maintain all areas of the center in a clean, safe and operable condition. Evidence: The diapering pad in the changing room is torn exposing the absorbent sponge.”

22VAC40-665-740-A

“Based on observation, the center failed to ensure children's hands were washed after diapering. Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old's diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”

22VAC40-665-540-A

“Based on record review and interview, the center failed to obtain a statement determining new staff are free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: 1. Per the director, staff 3's hire date was 3/7/22. There was no documentation of TB results in staff 3's file. 2. The director contacted staff 3. Staff 3 stated she had not obtained a TB yet due to difficulty with her doctor.”

22.1-289.031-A

“Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the qualifications of personnel. Evidence: The director stated the parent handbook does not contain the qualifications of personnel.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date. Evidence: 1. Staff 3's date of hire was 3/4/22. The record of staff 3 did not contain a staff health report. 2. The director contacted staff 3 who verified she had not obtained a staff health report.”

22.1-289.031-A-6

“Based on observations, a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the health requirements of staff and public liability insurance. Evidence: The director verified the information required is not posted for the public or provided in writing for parents.”

22.1-289.031-B-4

“Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. 1. The parent handbook states upon the first date of care shot records are required. 2. The director verified the center policy is immunization records are required before children are allowed to attend. 3. Child 2's first date of attendance, per the director, was 1/25/22. There was no immunization record in child 2's file. 4. Child 3's first date of attendance, per the director, was 12/1/21. There was no immunization record in child 3's file. 5. The director verified the center did not have immunization records for child 2 and child 3.”

22.1-289.031-B-1

“Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure for hand washing by children after diapering. Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old's diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”

22VAC40-665-560-A

“Based on record review and interview, the center failed to obtain immunization records prior to the first date of attendance for two out of three children's records reviewed. Evidence: 1. Child 2's first date of attendance, per the director, was 1/25/22. There was no immunization record in child 2's file. 2. Child 3's first date of attendance, per the director, was 12/1/21. There was no immunization record in child 3's file. 3. The director verified the center did not have immunization records for child 2 and child 3.”

22VAC40-665-610-A

“Based on observation, the center failed to maintain all areas of the center in a clean, safe and operable condition. Evidence: The diapering pad in the changing room is torn exposing the absorbent sponge.”

22VAC40-665-740-A

“Based on observation, the center failed to ensure children's hands were washed after diapering. Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old's diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”

22VAC40-665-540-A

“Based on record review and interview, the center failed to obtain a statement determining new staff are free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: 1. Per the director, staff 3's hire date was 3/7/22. There was no documentation of TB results in staff 3's file. 2. The director contacted staff 3. Staff 3 stated she had not obtained a TB yet due to difficulty with her doctor.”

22.1-289.031-A

“Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the qualifications of personnel. Evidence: The director stated the parent handbook does not contain the qualifications of personnel.”

22.1-289.031-A-4

“Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date. Evidence: 1. Staff 3's date of hire was 3/4/22. The record of staff 3 did not contain a staff health report. 2. The director contacted staff 3 who verified she had not obtained a staff health report.”

22.1-289.031-A-6

“Based on observations, a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the health requirements of staff and public liability insurance. Evidence: The director verified the information required is not posted for the public or provided in writing for parents.”

22.1-289.031-B-4

“Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. 1. The parent handbook states upon the first date of care shot records are required. 2. The director verified the center policy is immunization records are required before children are allowed to attend. 3. Child 2's first date of attendance, per the director, was 1/25/22. There was no immunization record in child 2's file. 4. Child 3's first date of attendance, per the director, was 12/1/21. There was no immunization record in child 3's file. 5. The director verified the center did not have immunization records for child 2 and child 3.”

22.1-289.031-B-1

“Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure for hand washing by children after diapering. Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old's diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”