The Learning Experience

8VAC20-780-160-A

“(Repeat Violation) Based on a review of eight staff records and interviews, the center did not ensure three staff members shall submit documentation of a negative tuberculosis screening within the required time frames. Evidence: 1. The tuberculosis screening in the record of Staff #5, employed on 05/20/24, was completed on 06/26/23. 2. The record of Staff #6, employed on 05/31/24, did not contain documentation of a negative tuberculosis screening. 3. The tuberculosis screening in the record of Staff #8, employed on 05/20/24, was completed on 09/15/22. 4. During interview, a member of management confirmed the tuberculosis screening for Staff #5 and Staff #8 were completed more than 30 days prior to employment and a negative tuberculosis screening for Staff #6 could not be located. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of eight staff records and interviews, the center did not ensure three staff members shall submit documentation of a negative tuberculosis screening within the required time frames. Evidence: 1. The tuberculosis screening in the record of Staff #5, employed on 05/20/24, was completed on 06/26/23. 2. The record of Staff #6, employed on 05/31/24, did not contain documentation of a negative tuberculosis screening. 3. The tuberculosis screening in the record of Staff #8, employed on 05/20/24, was completed on 09/15/22. 4. During interview, a member of management confirmed the tuberculosis screening for Staff #5 and Staff #8 were completed more than 30 days prior to employment and a negative tuberculosis screening for Staff #6 could not be located. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of eight staff records and interviews, the center did not ensure three staff members shall submit documentation of a negative tuberculosis screening within the required time frames. Evidence: 1. The tuberculosis screening in the record of Staff #5, employed on 05/20/24, was completed on 06/26/23. 2. The record of Staff #6, employed on 05/31/24, did not contain documentation of a negative tuberculosis screening. 3. The tuberculosis screening in the record of Staff #8, employed on 05/20/24, was completed on 09/15/22. 4. During interview, a member of management confirmed the tuberculosis screening for Staff #5 and Staff #8 were completed more than 30 days prior to employment and a negative tuberculosis screening for Staff #6 could not be located. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-40-E

“Based on a review of documentation and interviews, the center did not maintain compliance with the center's own policies and procedures that are required by these standards regarding discipline policies. Evidence: The center's policy on behavior management was not followed on 03/01/2024 when Staff #1 spanked Child #1 (3-year-old) when Child #1 was not ready to nap. The center's Behavior Management policy was reviewed. The policy states, ?Staff must model positive behavior and use only methods of discipline which encourage self-control, self-direction, self-esteem, and cooperation among children displaying a respect for themselves, their environment, and others with whom they come in contact? and ?Under no circumstances is any kind of abuse, physical punishment, deprivation, or ridicule used as a form of discipline.?”

8VAC20-780-410-1

“Based on interviews and a review of documentation, the center did not ensure that the following actions of physical punishment or striking a child are forbidden. Evidence: 1) During interviews, Staff #2 and Staff #3 reported that on 03/01/2024, between approximately 1:45pm-1:48pm, they observed through the center’s live-feed camera Staff #1 spanking Child #1 on his back, while the child was laying on his cot. Management removed Staff #1 from the classroom immediately and Staff #1 stated Child #1 woke the other children in the classroom from their nap, so she spanked him. 2) A Termination Notice dated 03/01/2024, in Staff #1?s file, stated: ?I am writing to inform you of our decision to terminate your employment with The Learning Experience effective immediately. This decision follows a thorough review of the recent incident involving inappropriate Handling with a child in the classroom.?”

8VAC20-780-400-B

“Based on interviews and a review of documentation, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1) During interviews, it was reported that on 03/01/2024, between approximately 1:45pm-1:48pm, Staff #1 was observed by Staff #2 and Staff #3 through the center's live-feed camera spanking Child #1 on his back, while the child was laying on his cot. Staff #1 reported to management that Child #1 woke the other children in the classroom from their nap, so she spanked him. 2) Management acknowledged that Staff #1's actions were not age and stage appropriate, and went against center's behavior management policy and Staff #1 was terminated as a result of her actions.”

8VAC20-780-40-E

“Based on a review of documentation and interviews, the center did not maintain compliance with the center's own policies and procedures that are required by these standards regarding discipline policies. Evidence: The center's policy on behavior management was not followed on 03/01/2024 when Staff #1 spanked Child #1 (3-year-old) when Child #1 was not ready to nap. The center's Behavior Management policy was reviewed. The policy states, ?Staff must model positive behavior and use only methods of discipline which encourage self-control, self-direction, self-esteem, and cooperation among children displaying a respect for themselves, their environment, and others with whom they come in contact? and ?Under no circumstances is any kind of abuse, physical punishment, deprivation, or ridicule used as a form of discipline.?”

8VAC20-780-410-1

“Based on interviews and a review of documentation, the center did not ensure that the following actions of physical punishment or striking a child are forbidden. Evidence: 1) During interviews, Staff #2 and Staff #3 reported that on 03/01/2024, between approximately 1:45pm-1:48pm, they observed through the center’s live-feed camera Staff #1 spanking Child #1 on his back, while the child was laying on his cot. Management removed Staff #1 from the classroom immediately and Staff #1 stated Child #1 woke the other children in the classroom from their nap, so she spanked him. 2) A Termination Notice dated 03/01/2024, in Staff #1?s file, stated: ?I am writing to inform you of our decision to terminate your employment with The Learning Experience effective immediately. This decision follows a thorough review of the recent incident involving inappropriate Handling with a child in the classroom.?”

8VAC20-780-400-B

“Based on interviews and a review of documentation, the center did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1) During interviews, it was reported that on 03/01/2024, between approximately 1:45pm-1:48pm, Staff #1 was observed by Staff #2 and Staff #3 through the center's live-feed camera spanking Child #1 on his back, while the child was laying on his cot. Staff #1 reported to management that Child #1 woke the other children in the classroom from their nap, so she spanked him. 2) Management acknowledged that Staff #1's actions were not age and stage appropriate, and went against center's behavior management policy and Staff #1 was terminated as a result of her actions.”

8VAC20-780-550-P

“(Repeat Violation) Based on a review of documentation, the center did not ensure that written injury records contained the required information. Evidence: Two written injury records were reviewed. The following documentation was missing - Injury record #1 did not contain documentation of the date and time when parents were notified; any future action to prevent reoccurrence of the injury; and documentation on how parent was notified. The injury was documented as occurring on 01/17/24, but the written record was completed on 01/18/24. Injury record #2 did not contain documentation of any future action to prevent reoccurrence of the injury. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a central registry finding within 30 days of employment. Evidence: The central registry finding in the record of Staff #5, employed on 04/11/22, was dated 08/02/23. During interview, a member of management confirmed the results of the central registry finding for Staff #5 were not received within 30 days of employment. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.”

8VAC20-780-240-A

“(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure five staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: The following staff records did not contain documentation that the staff completed the VDOE-sponsored orientation course - Staff #1 (DOE: 09/12/23); Staff #3 (DOE: 04/26/23); Staff #4 (DOE: 09/25/23); and Staff #5 (DOE: 04/11/22). During interview, a member of management reported the center did not have documentation that the staff completed the VDOE-sponsored orientation course. The certificate of completion of the VDOE-sponsored orientation course in record of Staff #6 (DOE: 06/19/23) was dated 11/28/23, exceeding 90 calendar days of employment.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record of Staff #4, employed on 09/25/23, was dated 06/29/23. 3) The TB screening in the record of Staff #6, employed on 06/19/23, was dated 05/19/22. The documentation shall have been completed within the last 30 calendar days of the date of employment. During interview, management confirmed the documentation was not received within the required time frame.”

8VAC20-770-60-B

“(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Staff #4, employed on 09/25/23, was dated 09/26/23. During interview, a member of management confirmed the sworn statement was dated after employment but was unsure if it was completed after employment.”

8VAC20-780-60-A-8

“Based on a review of nine children’s records and interview, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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 of Child #4 indicated the child has a diagnosed food allergy, but the center did not have a written allergy care plan for the child. During interview, a member of management confirmed the child’s record indicated a food allergy, but a written allergy care plan had not been obtained for the child.”

8VAC20-790-600-D-1

“Based on a review of nine staff records and interview, the vendor did not ensure five staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation that the staff has current certification in CPR. 2) The record of Staff #2, employed on 07/27/23, did not contain documentation that the staff has current certification in CPR. 3) The record of Staff #3, employed on 04/26/23, did not contain documentation that the staff has current certification in CPR. 4) The record of Staff #4, employed on 09/25/23, did not contain documentation that the staff has current certification in CPR. 5) The record of Staff #7, employed on 08/07/23, did not contain documentation that the staff has current certification in CPR. 6) During interview, a member of management reported the center does not have documentation that the staff have current certification in CPR.”

8VAC20-790-600-F

“Based on a review of nine staff records and interview, the vendor did not ensure two staff members who work directly with children completed the department's health and safety update course annually. Evidence: The records of Staff #5, employed on 04/11/22, and Staff #8, employed on 08/07/09, did not have documentation that the staff completed the department's health and safety update course annually. During interview, a member of management reported the documentation that the staff completed the course could not be located.”

8VAC20-790-600-D-2

“Based on a review of nine staff records and interview, the vendor did not ensure five staff members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation that the staff has current certification in first aid. 2) The record of Staff #2, employed on 07/27/23, did not contain documentation that the staff has current certification in first aid. 3) The record of Staff #3, employed on 04/26/23, did not contain documentation that the staff has current certification in first aid. 4) The record of Staff #4, employed on 09/25/23, did not contain documentation that the staff has current certification in first aid. 5) The record of Staff #7, employed on 08/07/23, did not contain documentation that the staff has current certification in first aid. 6) During interview, a member of management reported the center does not have documentation that the staff have current certification in first aid.”

8VAC20-780-550-P

“(Repeat Violation) Based on a review of documentation, the center did not ensure that written injury records contained the required information. Evidence: Two written injury records were reviewed. The following documentation was missing - Injury record #1 did not contain documentation of the date and time when parents were notified; any future action to prevent reoccurrence of the injury; and documentation on how parent was notified. The injury was documented as occurring on 01/17/24, but the written record was completed on 01/18/24. Injury record #2 did not contain documentation of any future action to prevent reoccurrence of the injury. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a central registry finding within 30 days of employment. Evidence: The central registry finding in the record of Staff #5, employed on 04/11/22, was dated 08/02/23. During interview, a member of management confirmed the results of the central registry finding for Staff #5 were not received within 30 days of employment. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.”

8VAC20-780-240-A

“(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure five staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: The following staff records did not contain documentation that the staff completed the VDOE-sponsored orientation course - Staff #1 (DOE: 09/12/23); Staff #3 (DOE: 04/26/23); Staff #4 (DOE: 09/25/23); and Staff #5 (DOE: 04/11/22). During interview, a member of management reported the center did not have documentation that the staff completed the VDOE-sponsored orientation course. The certificate of completion of the VDOE-sponsored orientation course in record of Staff #6 (DOE: 06/19/23) was dated 11/28/23, exceeding 90 calendar days of employment.”

8VAC20-780-160-A

“(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record of Staff #4, employed on 09/25/23, was dated 06/29/23. 3) The TB screening in the record of Staff #6, employed on 06/19/23, was dated 05/19/22. The documentation shall have been completed within the last 30 calendar days of the date of employment. During interview, management confirmed the documentation was not received within the required time frame.”

8VAC20-770-60-B

“(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Staff #4, employed on 09/25/23, was dated 09/26/23. During interview, a member of management confirmed the sworn statement was dated after employment but was unsure if it was completed after employment.”

8VAC20-780-60-A-8

“Based on a review of nine children’s records and interview, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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 of Child #4 indicated the child has a diagnosed food allergy, but the center did not have a written allergy care plan for the child. During interview, a member of management confirmed the child’s record indicated a food allergy, but a written allergy care plan had not been obtained for the child.”

8VAC20-790-600-D-1

“Based on a review of nine staff records and interview, the vendor did not ensure five staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation that the staff has current certification in CPR. 2) The record of Staff #2, employed on 07/27/23, did not contain documentation that the staff has current certification in CPR. 3) The record of Staff #3, employed on 04/26/23, did not contain documentation that the staff has current certification in CPR. 4) The record of Staff #4, employed on 09/25/23, did not contain documentation that the staff has current certification in CPR. 5) The record of Staff #7, employed on 08/07/23, did not contain documentation that the staff has current certification in CPR. 6) During interview, a member of management reported the center does not have documentation that the staff have current certification in CPR.”

8VAC20-790-600-F

“Based on a review of nine staff records and interview, the vendor did not ensure two staff members who work directly with children completed the department's health and safety update course annually. Evidence: The records of Staff #5, employed on 04/11/22, and Staff #8, employed on 08/07/09, did not have documentation that the staff completed the department's health and safety update course annually. During interview, a member of management reported the documentation that the staff completed the course could not be located.”

8VAC20-790-600-D-2

“Based on a review of nine staff records and interview, the vendor did not ensure five staff members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation that the staff has current certification in first aid. 2) The record of Staff #2, employed on 07/27/23, did not contain documentation that the staff has current certification in first aid. 3) The record of Staff #3, employed on 04/26/23, did not contain documentation that the staff has current certification in first aid. 4) The record of Staff #4, employed on 09/25/23, did not contain documentation that the staff has current certification in first aid. 5) The record of Staff #7, employed on 08/07/23, did not contain documentation that the staff has current certification in first aid. 6) During interview, a member of management reported the center does not have documentation that the staff have current certification in first aid.”

8VAC20-790-600-B

“Based on a review of ten staff records and interview, the vendor did not ensure one staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1) The record of Staff #1, employed 06/01/21, did not contain documentation that the staff completed the Virginia Preservice Training for Child Care Staff. 2) During interview, a member of management confirmed the Virginia Preservice Training for Staff #1 could not be located. Subsidy vendor staff that were hired prior to 10/13/2021 were required to complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.”

8VAC20-790-600-D-1

“Based on a review of ten staff records and interview, the vendor did not ensure four staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 06/01/21, did not contain documentation that the staff has current certification in CPR. 2) The record of Staff #7, employed on 08/22/22, did not contain documentation that the staff has current certification in CPR. 3) The record of Staff #8, employed on 11/01/22, did not contain documentation that the staff has current certification in CPR. 4) The record of Staff #10, employed on 02/13/23, did not contain documentation that the staff has current certification in CPR. 5) During interview, a member of management reported the center does not have documentation that the staff have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of ten staff records and interview, the vendor did not ensure four staff members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 06/01/21, did not contain documentation that the staff has current certification in first aid. 2) The record of Staff #7, employed on 08/22/22, did not contain documentation that the staff has current certification in first aid. 3) The record of Staff #8, employed on 11/01/22, did not contain documentation that the staff has current certification in first aid. 4) The record of Staff #10, employed on 02/13/23, did not contain documentation that the staff has current certification in first aid. 5) During interview, a member of management reported the center does not have documentation that the staff have current certification in first aid.”

8VAC20-790-600-F

“Based on a review of ten staff records and interview, the vendor did not ensure three staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1) The most recent health and safety update course in the record of Staff #1, employed on 06/01/21, was completed on 03/23/21. The health and safety update course was not completed annually. 2) The record of Staff #2, employed on 04/25/22, did not contain the department's health and safety update course. The course should have been completed no later than 04/25/23. 3) The record of Staff #4, employed on 06/06/22, did not contain the department's health and safety update course. The course should have been completed no later than 06/06/23. 4) During interview, a member of management reported the documentation that staff completed the course could not be located.”

8VAC20-780-160-C

“Based on a review of ten staff records and interview, the center did not ensure one staff obtained the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record of Staff #1, employed on 06/01/21, was completed on 05/19/21 and expired on 05/19/23. 2) During interview, a member of management confirmed the center does not have documentation of a current negative TB screening on file for Staff #1.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure seven staff members submitted documentation of a negative tuberculosis (TB) screening within the required timeframe. Evidence: 1) The record of Staff #2, employed on 04/25/22, did not contain documentation of a negative TB screening. 2) The record of Staff #3, employed on 06/12/23, did not contain documentation of a negative TB screening. 3) The record of Staff #6, employed on 06/12/23, did not contain documentation of a negative TB screening. 4) The record of Staff #7, employed on 08/22/22, did not contain documentation of a negative TB screening. 5) The record of Staff #8, employed on 11/01/22, contained a TB screening that was completed on 11/21/22. 6) The record of Staff #9, employed on 11/21/22, did not contain documentation of a negative TB screening. 7) The record of Staff #10, employed on 02/13/23, did not contain documentation of a negative TB screening. 8) During interview, a member of management confirmed the TB screenings were not obtained within the required timeframe. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interview, the center did not ensure seven staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record of Staff #1, employed on 06/01/21, was completed on 01/19/22. The record did not contain documentation that the center followed up with the Office of Background Investigation within 30 days of employment. 2) The records of Staff #4 (DOE: 06/06/22); Staff #5 (DOE: 05/04/23); Staff #7 (DOE: 08/22/22); Staff #8 (DOE: 11/01/22); Staff #9 (DOE: 11/21/22); and Staff #10 (DOE: 02/13/23) did not contain a central registry finding within 30 days of employment. 3) During interview, a member of management confirmed the results of the central registry finding for the staff were not received. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment for Staff #5, Staff #8, Staff #9, or Staff #10.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: 1) The record of Staff #10, employed on 02/13/23, did not contain a completed sworn statement or affirmation. 2) During interview, a member of management confirmed the center did not have a completed sworn statement or affirmation on file for Staff #10.”

8VAC20-780-240-A

“Based on a review of ten staff records and interview, the center did not ensure five staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: 1) The following staff records did not contain documentation that the staff completed the VDOE-sponsored orientation course - Staff #2 (DOE: 04/25/22); Staff #7 (DOE: 08/22/22); Staff #8 (DOE: 11/01/22); Staff #9 (DOE: 11/21/22); and Staff #10 (DOE: 02/13/23). 2) During interview, a member of management reported the center did not have documentation that the staff completed the VDOE-sponsored orientation course.”

8VAC20-780-240-B

“Based on a review of ten staff records, the center did not ensure four staff completed orientation training prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1) The orientation training in the record of Staff #2, employed on 04/25/22, was completed on 12/29/22. 2) The orientation training in the record of Staff #8, employed on 11/01/22, was completed on 11/11/22. 3) The orientation training in the record of Staff #9, employed on 11/21/22, was completed on 06/15/23. 4) The orientation training in the record of Staff #10, employed on 02/13/23, was completed on 02/28/23.”

8VAC20-780-240-E

“Based on a review of ten staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: Staff #2, employed on 04/25/22, completed the first and CPR orientation training on 12/29/22.”

22.1-289.035-B-4

“Based on a review of ten staff records and interview, the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which one individual had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #4, employed on 06/06/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry or equivalent registry from the state. 2) During interview, a member of management confirmed the required out-of-state background checks were not obtained for Staff #4. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to employment. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.”

8VAC20-780-245-A

“Based on a review of ten staff records, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The documentation of training in the record of Staff #1, employed on 06/01/21, did not contain sufficient documentation to show the staff completed 16 hours of annual training from 06/2022-06/2023. 2) The documentation of training in the record of Staff #2, employed on 04/25/22, did not contain sufficient documentation to show the staff completed 16 hours of annual training from 04/2022-04/2023.”

8VAC20-780-280-B

“Based on observations, the center did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Preppers classroom, a bottle of bleach/water solution was observed in an unlocked cabinet. 2) In the PreK-1 classroom, two bottles of cleaning materials were observed in an unlocked cabinet.”

8VAC20-780-280-H

“Based on observation and interview, the center did not ensure purses were not accessible to children. Evidence: 1) In the Preschool 2 classroom, two staff purses were observed on a countertop within the reach of children. 2) In the School Age classroom, a staff purse was observed in an area that was accessible to children. 3) A member of management acknowledged the purses belonged to staff members and they should have been locked to ensure cosmetics, medications, or other harmful agents were not accessible to children.”

8VAC20-780-70

“Based on a review of ten staff records and interview, the center did not ensure two staff records contained the required information. Evidence: 1) During interview, Staff #2 was identified as a program leader, but the staff record did not contain documentation that the staff possesses the education, certification, and experience required by the job position. 2) During interview, Staff #8 was identified as a program leader, but the staff record did not contain documentation that the staff possesses the education, certification, and experience required by the job position.”

8VAC20-780-550-P

“Based on a review of documentation,, the center did not ensure that written injury records contained the required information. Evidence: Three written injury records were reviewed. The following documentation was missing - Injury record #1 did not contain documentation of the date and time when parents were notified; any future action to prevent reoccurrence of the injury; and documentation on how parent was notified. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not maintain documentation of an emergency evacuation drill that included the required components. Evidence: 1) The emergency evacuation drill noted for May 23, 2023, only included the date, and time of the drill, and the number of staff and children participating. Documentation should include: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. 2) During interview, a member of management confirmed the evacuation drill was not documented with the required information.”

8VAC20-780-550-E

“Based on a review of documentation and interview, the center did not ensure shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: 1) The center's emergency drill log for 2022 was reviewed. The most recent shelter-in-place procedures were practiced on 07/29/22. 2) During interview, a member of management reported the shelter-in-place procedures were not practiced a second time in 2022.”

8VAC20-780-530-A

“Based on observation, a review of records, and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1) Staff #10, employed on 02/13/23, was the only staff member present in the Preppers classroom. 2) The record did not contain documentation that the staff has current certification in CPR and first aid. 3) During interview, a member of management confirmed Staff #10 does not have current certification in CPR and first aid. 4) Staff #3, employed on 06/12/23, and Staff #8, employed on 11/01/22, were the only staff members present in the Preschool 2 classroom. 5) Their records did not contain documentation that the staff have current certification in CPR and first aid. 6) During interview, a member of management confirmed the staff do not have current certification in CPR and first aid.”

8VAC20-780-520-C

“Based on observation and interview, the center did not ensure all requirements were met when diaper ointment or cream is used. Evidence: 1) In the Preppers classroom, a diaper ointment was observed for Child #11. 2) During interview, a member of management reported the center did not have written parent authorization noting any adverse reactions. 3) Diaper ointment and creams were observed next to the changing table in the Preppers classroom. They were accessible to children and seven of them were not labeled with the child's name. If diaper ointment or cream is used, the following requirements shall be met: 1. Written parent authorization noting any known adverse reactions shall be obtained; 2. These products shall be in the original container and labeled with the child's name; 3. These products do not need to be kept locked but shall be inaccessible to children; 4. A record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions; and 5. Staff members without medication administration training may apply diaper ointment, unless it is prescription diaper ointment, in which case the storing and application of diaper ointment must meet medication-related requirements.”

8VAC20-780-510-P

“Based on a review of documentation, medication review, observation, and interview, the center did not ensure when an authorization for medication expired, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1) A medication authorization for a long-term prescription medication was observed on 06/15/23 for Child #14. The authorization was signed on 10/11/21 and expired within six months. The medication was observed on site at the time of the inspection. 2) During interview, a member of management acknowledged the authorization has not been renewed and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: During the inspection of the classrooms, the inspector observed the following - 1) In the Preppers classroom, one electrical outlet did not have a protective cover. 2) In the Infant B classroom, one electrical outlet did not have a protective cover. 3) In the Toddler A classroom, two electrical outlets did not have protective covers. 4) In the Toddler B classroom, three electrical outlets did not have protective covers. 5) In the Twaddlers classroom, two electrical outlets did not have protective covers. 6) In the Preschool 1 classroom, one electrical outlet did not have a protective cover. 7) In the Preschool 2 classroom, one electrical outlet did not have a protective cover.”

8VAC20-780-500-B

“Based on observation, and interview, the center did not ensure the diapering area in one classroom had a nonabsorbent surface for diapering or changing. Evidence: 1) The top portion of the diaper changing pad in the Twaddler classroom had a tear on it, therefore it is no longer non-absorbent. 2) During interview, a member of management confirmed the diaper changing pad in the Twaddler classroom is torn.”

8VAC20-790-600-B

“Based on a review of ten staff records and interview, the vendor did not ensure one staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1) The record of Staff #1, employed 06/01/21, did not contain documentation that the staff completed the Virginia Preservice Training for Child Care Staff. 2) During interview, a member of management confirmed the Virginia Preservice Training for Staff #1 could not be located. Subsidy vendor staff that were hired prior to 10/13/2021 were required to complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.”

8VAC20-790-600-D-1

“Based on a review of ten staff records and interview, the vendor did not ensure four staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 06/01/21, did not contain documentation that the staff has current certification in CPR. 2) The record of Staff #7, employed on 08/22/22, did not contain documentation that the staff has current certification in CPR. 3) The record of Staff #8, employed on 11/01/22, did not contain documentation that the staff has current certification in CPR. 4) The record of Staff #10, employed on 02/13/23, did not contain documentation that the staff has current certification in CPR. 5) During interview, a member of management reported the center does not have documentation that the staff have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of ten staff records and interview, the vendor did not ensure four staff members had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record of Staff #1, employed on 06/01/21, did not contain documentation that the staff has current certification in first aid. 2) The record of Staff #7, employed on 08/22/22, did not contain documentation that the staff has current certification in first aid. 3) The record of Staff #8, employed on 11/01/22, did not contain documentation that the staff has current certification in first aid. 4) The record of Staff #10, employed on 02/13/23, did not contain documentation that the staff has current certification in first aid. 5) During interview, a member of management reported the center does not have documentation that the staff have current certification in first aid.”

8VAC20-790-600-F

“Based on a review of ten staff records and interview, the vendor did not ensure three staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1) The most recent health and safety update course in the record of Staff #1, employed on 06/01/21, was completed on 03/23/21. The health and safety update course was not completed annually. 2) The record of Staff #2, employed on 04/25/22, did not contain the department's health and safety update course. The course should have been completed no later than 04/25/23. 3) The record of Staff #4, employed on 06/06/22, did not contain the department's health and safety update course. The course should have been completed no later than 06/06/23. 4) During interview, a member of management reported the documentation that staff completed the course could not be located.”

8VAC20-780-160-C

“Based on a review of ten staff records and interview, the center did not ensure one staff obtained the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record of Staff #1, employed on 06/01/21, was completed on 05/19/21 and expired on 05/19/23. 2) During interview, a member of management confirmed the center does not have documentation of a current negative TB screening on file for Staff #1.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure seven staff members submitted documentation of a negative tuberculosis (TB) screening within the required timeframe. Evidence: 1) The record of Staff #2, employed on 04/25/22, did not contain documentation of a negative TB screening. 2) The record of Staff #3, employed on 06/12/23, did not contain documentation of a negative TB screening. 3) The record of Staff #6, employed on 06/12/23, did not contain documentation of a negative TB screening. 4) The record of Staff #7, employed on 08/22/22, did not contain documentation of a negative TB screening. 5) The record of Staff #8, employed on 11/01/22, contained a TB screening that was completed on 11/21/22. 6) The record of Staff #9, employed on 11/21/22, did not contain documentation of a negative TB screening. 7) The record of Staff #10, employed on 02/13/23, did not contain documentation of a negative TB screening. 8) During interview, a member of management confirmed the TB screenings were not obtained within the required timeframe. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interview, the center did not ensure seven staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record of Staff #1, employed on 06/01/21, was completed on 01/19/22. The record did not contain documentation that the center followed up with the Office of Background Investigation within 30 days of employment. 2) The records of Staff #4 (DOE: 06/06/22); Staff #5 (DOE: 05/04/23); Staff #7 (DOE: 08/22/22); Staff #8 (DOE: 11/01/22); Staff #9 (DOE: 11/21/22); and Staff #10 (DOE: 02/13/23) did not contain a central registry finding within 30 days of employment. 3) During interview, a member of management confirmed the results of the central registry finding for the staff were not received. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment for Staff #5, Staff #8, Staff #9, or Staff #10.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: 1) The record of Staff #10, employed on 02/13/23, did not contain a completed sworn statement or affirmation. 2) During interview, a member of management confirmed the center did not have a completed sworn statement or affirmation on file for Staff #10.”

8VAC20-780-240-A

“Based on a review of ten staff records and interview, the center did not ensure five staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: 1) The following staff records did not contain documentation that the staff completed the VDOE-sponsored orientation course - Staff #2 (DOE: 04/25/22); Staff #7 (DOE: 08/22/22); Staff #8 (DOE: 11/01/22); Staff #9 (DOE: 11/21/22); and Staff #10 (DOE: 02/13/23). 2) During interview, a member of management reported the center did not have documentation that the staff completed the VDOE-sponsored orientation course.”

8VAC20-780-240-B

“Based on a review of ten staff records, the center did not ensure four staff completed orientation training prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1) The orientation training in the record of Staff #2, employed on 04/25/22, was completed on 12/29/22. 2) The orientation training in the record of Staff #8, employed on 11/01/22, was completed on 11/11/22. 3) The orientation training in the record of Staff #9, employed on 11/21/22, was completed on 06/15/23. 4) The orientation training in the record of Staff #10, employed on 02/13/23, was completed on 02/28/23.”

8VAC20-780-240-E

“Based on a review of ten staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: Staff #2, employed on 04/25/22, completed the first and CPR orientation training on 12/29/22.”

22.1-289.035-B-4

“Based on a review of ten staff records and interview, the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which one individual had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #4, employed on 06/06/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry or equivalent registry from the state. 2) During interview, a member of management confirmed the required out-of-state background checks were not obtained for Staff #4. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to employment. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.”

8VAC20-780-245-A

“Based on a review of ten staff records, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1) The documentation of training in the record of Staff #1, employed on 06/01/21, did not contain sufficient documentation to show the staff completed 16 hours of annual training from 06/2022-06/2023. 2) The documentation of training in the record of Staff #2, employed on 04/25/22, did not contain sufficient documentation to show the staff completed 16 hours of annual training from 04/2022-04/2023.”

8VAC20-780-280-B

“Based on observations, the center did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Preppers classroom, a bottle of bleach/water solution was observed in an unlocked cabinet. 2) In the PreK-1 classroom, two bottles of cleaning materials were observed in an unlocked cabinet.”

8VAC20-780-280-H

“Based on observation and interview, the center did not ensure purses were not accessible to children. Evidence: 1) In the Preschool 2 classroom, two staff purses were observed on a countertop within the reach of children. 2) In the School Age classroom, a staff purse was observed in an area that was accessible to children. 3) A member of management acknowledged the purses belonged to staff members and they should have been locked to ensure cosmetics, medications, or other harmful agents were not accessible to children.”

8VAC20-780-70

“Based on a review of ten staff records and interview, the center did not ensure two staff records contained the required information. Evidence: 1) During interview, Staff #2 was identified as a program leader, but the staff record did not contain documentation that the staff possesses the education, certification, and experience required by the job position. 2) During interview, Staff #8 was identified as a program leader, but the staff record did not contain documentation that the staff possesses the education, certification, and experience required by the job position.”

8VAC20-780-550-P

“Based on a review of documentation,, the center did not ensure that written injury records contained the required information. Evidence: Three written injury records were reviewed. The following documentation was missing - Injury record #1 did not contain documentation of the date and time when parents were notified; any future action to prevent reoccurrence of the injury; and documentation on how parent was notified. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not maintain documentation of an emergency evacuation drill that included the required components. Evidence: 1) The emergency evacuation drill noted for May 23, 2023, only included the date, and time of the drill, and the number of staff and children participating. Documentation should include: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. 2) During interview, a member of management confirmed the evacuation drill was not documented with the required information.”

8VAC20-780-550-E

“Based on a review of documentation and interview, the center did not ensure shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: 1) The center's emergency drill log for 2022 was reviewed. The most recent shelter-in-place procedures were practiced on 07/29/22. 2) During interview, a member of management reported the shelter-in-place procedures were not practiced a second time in 2022.”

8VAC20-780-530-A

“Based on observation, a review of records, and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1) Staff #10, employed on 02/13/23, was the only staff member present in the Preppers classroom. 2) The record did not contain documentation that the staff has current certification in CPR and first aid. 3) During interview, a member of management confirmed Staff #10 does not have current certification in CPR and first aid. 4) Staff #3, employed on 06/12/23, and Staff #8, employed on 11/01/22, were the only staff members present in the Preschool 2 classroom. 5) Their records did not contain documentation that the staff have current certification in CPR and first aid. 6) During interview, a member of management confirmed the staff do not have current certification in CPR and first aid.”

8VAC20-780-520-C

“Based on observation and interview, the center did not ensure all requirements were met when diaper ointment or cream is used. Evidence: 1) In the Preppers classroom, a diaper ointment was observed for Child #11. 2) During interview, a member of management reported the center did not have written parent authorization noting any adverse reactions. 3) Diaper ointment and creams were observed next to the changing table in the Preppers classroom. They were accessible to children and seven of them were not labeled with the child's name. If diaper ointment or cream is used, the following requirements shall be met: 1. Written parent authorization noting any known adverse reactions shall be obtained; 2. These products shall be in the original container and labeled with the child's name; 3. These products do not need to be kept locked but shall be inaccessible to children; 4. A record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions; and 5. Staff members without medication administration training may apply diaper ointment, unless it is prescription diaper ointment, in which case the storing and application of diaper ointment must meet medication-related requirements.”

8VAC20-780-510-P

“Based on a review of documentation, medication review, observation, and interview, the center did not ensure when an authorization for medication expired, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1) A medication authorization for a long-term prescription medication was observed on 06/15/23 for Child #14. The authorization was signed on 10/11/21 and expired within six months. The medication was observed on site at the time of the inspection. 2) During interview, a member of management acknowledged the authorization has not been renewed and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: During the inspection of the classrooms, the inspector observed the following - 1) In the Preppers classroom, one electrical outlet did not have a protective cover. 2) In the Infant B classroom, one electrical outlet did not have a protective cover. 3) In the Toddler A classroom, two electrical outlets did not have protective covers. 4) In the Toddler B classroom, three electrical outlets did not have protective covers. 5) In the Twaddlers classroom, two electrical outlets did not have protective covers. 6) In the Preschool 1 classroom, one electrical outlet did not have a protective cover. 7) In the Preschool 2 classroom, one electrical outlet did not have a protective cover.”

8VAC20-780-500-B

“Based on observation, and interview, the center did not ensure the diapering area in one classroom had a nonabsorbent surface for diapering or changing. Evidence: 1) The top portion of the diaper changing pad in the Twaddler classroom had a tear on it, therefore it is no longer non-absorbent. 2) During interview, a member of management confirmed the diaper changing pad in the Twaddler classroom is torn.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure two staff members who works directly with children completed the department's health and safety update course annually. Evidence: 1) The record of Staff #2, employed on 12/06/21, did not have documentation of the department's health and safety update course. 2) The record of Staff #5, employed on 08/07/09, did not have documentation of the department's health and safety update course. 3) During interview, management reported the center does not have documentation that the staff completed the training.”

8VAC20-780-520-A

“Based on a review of medications and interview, the center did not ensure non-prescription drugs and over-the-counter skin products were kept or used beyond the expiration date of the product. Evidence: 1) An over-the-counter medication for Child #13 was observed at the center on 12/06/2022. The medication expired on 10/2022 and it had not been returned to the child's parent. 2) During interview, management acknowledged the medication was expired, but reported it had not been administered to Child #13.”

8VAC20-780-130-E

“Based on a review of eight children's records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1) The most recent immunization documentation in the record of Child #2 (19-month-old), date of attendance 05/02/22, is dated 04/18/22. 2) During interview, management confirmed the records did not contain additional immunizations.”

8VAC20-780-60-A-8

“Based on a review of record, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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 of Child #9 indicated the child has a diagnosed food allergy. The written allergy care plan in the record did not 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.”

8VAC20-780-160-C

“Based on a review of eight staff records and interview, the center did not ensure one staff submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record of Staff #4, employed on 02/17/14, was dated 05/29/20. The TB screening expired on 05/29/22. 2) During interview, management confirmed Staff #4 does not have an updated TB screening on file.”

22.1-289.035-A

“Based on a review of eight staff records, the center did not obtain a required repeat background check for one staff member every five years. Evidence: The most recent central registry finding in the record of Staff #4, employed on 02/17/14, was dated 05/12/22. The previous central registry finding was dated 04/21/17.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record of Staff #7, employed on 11/21/22, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record of Staff #8, employed on 10/31/22, was dated 11/16/21. The documentation shall have been completed within the last 30 calendar days of the date of employment. 3) During interview, management confirmed the documentation was not received within the required time frame.”

8VAC20-780-70

“Based on a review of eight staff records and interview, the center did not ensure that one staff record contained all the required information. Evidence: 1) The record of Staff #1, employed on 07/25/22, did not contain documentation to demonstrate that the individual possesses the education required by the job position. 2) During interview, Staff #1 was identified as a program leader. Management acknowledged documentation of the staff member's education was not on file.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure two staff members who works directly with children completed the department's health and safety update course annually. Evidence: 1) The record of Staff #2, employed on 12/06/21, did not have documentation of the department's health and safety update course. 2) The record of Staff #5, employed on 08/07/09, did not have documentation of the department's health and safety update course. 3) During interview, management reported the center does not have documentation that the staff completed the training.”

8VAC20-780-520-A

“Based on a review of medications and interview, the center did not ensure non-prescription drugs and over-the-counter skin products were kept or used beyond the expiration date of the product. Evidence: 1) An over-the-counter medication for Child #13 was observed at the center on 12/06/2022. The medication expired on 10/2022 and it had not been returned to the child's parent. 2) During interview, management acknowledged the medication was expired, but reported it had not been administered to Child #13.”

8VAC20-780-130-E

“Based on a review of eight children's records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1) The most recent immunization documentation in the record of Child #2 (19-month-old), date of attendance 05/02/22, is dated 04/18/22. 2) During interview, management confirmed the records did not contain additional immunizations.”

8VAC20-780-60-A-8

“Based on a review of record, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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 of Child #9 indicated the child has a diagnosed food allergy. The written allergy care plan in the record did not 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.”

8VAC20-780-160-C

“Based on a review of eight staff records and interview, the center did not ensure one staff submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record of Staff #4, employed on 02/17/14, was dated 05/29/20. The TB screening expired on 05/29/22. 2) During interview, management confirmed Staff #4 does not have an updated TB screening on file.”

22.1-289.035-A

“Based on a review of eight staff records, the center did not obtain a required repeat background check for one staff member every five years. Evidence: The most recent central registry finding in the record of Staff #4, employed on 02/17/14, was dated 05/12/22. The previous central registry finding was dated 04/21/17.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record of Staff #7, employed on 11/21/22, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record of Staff #8, employed on 10/31/22, was dated 11/16/21. The documentation shall have been completed within the last 30 calendar days of the date of employment. 3) During interview, management confirmed the documentation was not received within the required time frame.”

8VAC20-780-70

“Based on a review of eight staff records and interview, the center did not ensure that one staff record contained all the required information. Evidence: 1) The record of Staff #1, employed on 07/25/22, did not contain documentation to demonstrate that the individual possesses the education required by the job position. 2) During interview, Staff #1 was identified as a program leader. Management acknowledged documentation of the staff member's education was not on file.”

8VAC20-780-130-E

“Based on a review of ten children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #4 (12-month-old), enrolled on 08/16/21, is dated 09/27/21. 2) During interview, a member of management confirmed the records did not contain additional immunizations.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The TB screening in the record for Staff #2, hired on 04/11/22, was dated 04/13/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #10, hired on 04/18/22, was dated 12/14/21. The documentation shall have been completed within the last 30 calendar days of the date of employment. 3) During interview, a member of management confirmed the documentation was not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 04/04/22, did not contain a second emergency. 2) During interview, a member of management confirmed the record did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for two staff members prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain a sworn statement. 2) The sworn statement in the record for Staff #9, hired on 01/04/22, was dated 01/07/22. 3) During interview, a member of management reported the sworn statement for Staff #3 could not be located and the sworn statement for Staff #9 was completed after hire.”

8VAC20-780-70

“Based on a review of ten staff records and interviews, the center did not ensure that six staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 03/04/22, were taken over the phone. The references do not contain dates of contact and one of the references does not have documentation on signature of person making the call. 2) The references in the record for Staff #2, hired on 04/11/22, were taken over the phone. The references do not contain dates of contact and one reference does not have documentation on signature of person making the call. 3) The record for Staff #3, hired on 11/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) The record for Staff #6, hired on 01/04/22, were taken over the phone. The references do not contain dates of contact. 5) The record for Staff #7, hired on 04/12/22, were taken over the phone. One of the references does not contain dates of contact. 6) The record for Staff #8, hired on 02/16/22, were taken over the phone. The references do not contain dates of contact.”

8VAC20-780-240-A

“Based on a review of ten staff records and interviews, the center did not ensure one staff had completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #8, hired on 02/16/22, did not contain documentation that the staff had completed the Virginia Department of Education-sponsored orientation course. 2) During interviews, a member of management reported Staff #8 did not complete the course within 90 calendar days of employment.”

8VAC20-780-280-B

“Based on observations at the center on 06/01/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Preschool 1B classroom, the licensing inspector observed unlocked cleaning supplies. A bottle of bleach/water solution was observed in the bathroom, unlocked.”

22.1-289.035-B-4

“Based on a review of ten staff records, the center did not obtain the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #5, hired on 03/22/21, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #9, hired on 01/04/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #5 or Staff #9 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

22.1-289.035-B-2

“Based on a review of ten staff records and interview, the center did not ensure that one out of ten staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, had fingerprint results that were dated 06/09/21. 2) During interview, a member of management reported Staff #3 was terminated from employment in October 2021 and rehired on 11/08/21, but new fingerprint results were not obtained.”

8VAC20-780-550-H

“Based on a review of documents and interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021 and 2022. An evacuation drill was not documented for the month of May 2022. 2) During interview, a member of management reported the drill was conducted, but it was not documented as required.”

8VAC20-780-510-F

“Based on a review of eight medications and interviews on 06/01/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for three out of five children. Evidence: 1) Two medications were observed for Child #2, but no medication authorizations were present for the medications. 2) One of the medications observed for Child #5 did not have a medication authorization present. 3) Two medications were observed for Child #7, but no medication authorizations were present for the medications. 4) During interview, a member of management reported the authorizations for these medications were not present.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 03/04/21, was dated 04/18/22. 2) The central registry finding in the record for Staff #3, hired on 11/08/21, was dated 01/19/22. 3) The record for Staff #9, hired on 01/04/22, did not contain a central registry finding. A member of management reported the central registry finding for Staff #9 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1 and Staff #3 were not received and the center did not follow up within 30 days of employment.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current first aid certification.”

8VAC20-790-600-F

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children completed the department’s health and safety update course annually. Evidence: 1) The record for Staff #5, hired on 03/22/21, did not contain documentation that the staff has completed the department’s health and safety update course.”

8VAC20-780-130-E

“Based on a review of ten children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #4 (12-month-old), enrolled on 08/16/21, is dated 09/27/21. 2) During interview, a member of management confirmed the records did not contain additional immunizations.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The TB screening in the record for Staff #2, hired on 04/11/22, was dated 04/13/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #10, hired on 04/18/22, was dated 12/14/21. The documentation shall have been completed within the last 30 calendar days of the date of employment. 3) During interview, a member of management confirmed the documentation was not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 04/04/22, did not contain a second emergency. 2) During interview, a member of management confirmed the record did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for two staff members prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain a sworn statement. 2) The sworn statement in the record for Staff #9, hired on 01/04/22, was dated 01/07/22. 3) During interview, a member of management reported the sworn statement for Staff #3 could not be located and the sworn statement for Staff #9 was completed after hire.”

8VAC20-780-70

“Based on a review of ten staff records and interviews, the center did not ensure that six staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 03/04/22, were taken over the phone. The references do not contain dates of contact and one of the references does not have documentation on signature of person making the call. 2) The references in the record for Staff #2, hired on 04/11/22, were taken over the phone. The references do not contain dates of contact and one reference does not have documentation on signature of person making the call. 3) The record for Staff #3, hired on 11/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) The record for Staff #6, hired on 01/04/22, were taken over the phone. The references do not contain dates of contact. 5) The record for Staff #7, hired on 04/12/22, were taken over the phone. One of the references does not contain dates of contact. 6) The record for Staff #8, hired on 02/16/22, were taken over the phone. The references do not contain dates of contact.”

8VAC20-780-240-A

“Based on a review of ten staff records and interviews, the center did not ensure one staff had completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #8, hired on 02/16/22, did not contain documentation that the staff had completed the Virginia Department of Education-sponsored orientation course. 2) During interviews, a member of management reported Staff #8 did not complete the course within 90 calendar days of employment.”

8VAC20-780-280-B

“Based on observations at the center on 06/01/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Preschool 1B classroom, the licensing inspector observed unlocked cleaning supplies. A bottle of bleach/water solution was observed in the bathroom, unlocked.”

22.1-289.035-B-4

“Based on a review of ten staff records, the center did not obtain the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #5, hired on 03/22/21, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #9, hired on 01/04/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #5 or Staff #9 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

22.1-289.035-B-2

“Based on a review of ten staff records and interview, the center did not ensure that one out of ten staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, had fingerprint results that were dated 06/09/21. 2) During interview, a member of management reported Staff #3 was terminated from employment in October 2021 and rehired on 11/08/21, but new fingerprint results were not obtained.”

8VAC20-780-550-H

“Based on a review of documents and interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021 and 2022. An evacuation drill was not documented for the month of May 2022. 2) During interview, a member of management reported the drill was conducted, but it was not documented as required.”

8VAC20-780-510-F

“Based on a review of eight medications and interviews on 06/01/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for three out of five children. Evidence: 1) Two medications were observed for Child #2, but no medication authorizations were present for the medications. 2) One of the medications observed for Child #5 did not have a medication authorization present. 3) Two medications were observed for Child #7, but no medication authorizations were present for the medications. 4) During interview, a member of management reported the authorizations for these medications were not present.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 03/04/21, was dated 04/18/22. 2) The central registry finding in the record for Staff #3, hired on 11/08/21, was dated 01/19/22. 3) The record for Staff #9, hired on 01/04/22, did not contain a central registry finding. A member of management reported the central registry finding for Staff #9 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1 and Staff #3 were not received and the center did not follow up within 30 days of employment.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current first aid certification.”

8VAC20-790-600-F

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children completed the department’s health and safety update course annually. Evidence: 1) The record for Staff #5, hired on 03/22/21, did not contain documentation that the staff has completed the department’s health and safety update course.”

8VAC20-780-130-E

“Based on a review of ten children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #4 (12-month-old), enrolled on 08/16/21, is dated 09/27/21. 2) During interview, a member of management confirmed the records did not contain additional immunizations.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The TB screening in the record for Staff #2, hired on 04/11/22, was dated 04/13/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record for Staff #10, hired on 04/18/22, was dated 12/14/21. The documentation shall have been completed within the last 30 calendar days of the date of employment. 3) During interview, a member of management confirmed the documentation was not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 04/04/22, did not contain a second emergency. 2) During interview, a member of management confirmed the record did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for two staff members prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain a sworn statement. 2) The sworn statement in the record for Staff #9, hired on 01/04/22, was dated 01/07/22. 3) During interview, a member of management reported the sworn statement for Staff #3 could not be located and the sworn statement for Staff #9 was completed after hire.”

8VAC20-780-70

“Based on a review of ten staff records and interviews, the center did not ensure that six staff records contained all the required information. Evidence: 1) The references in the record for Staff #1, hired on 03/04/22, were taken over the phone. The references do not contain dates of contact and one of the references does not have documentation on signature of person making the call. 2) The references in the record for Staff #2, hired on 04/11/22, were taken over the phone. The references do not contain dates of contact and one reference does not have documentation on signature of person making the call. 3) The record for Staff #3, hired on 11/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4) The record for Staff #6, hired on 01/04/22, were taken over the phone. The references do not contain dates of contact. 5) The record for Staff #7, hired on 04/12/22, were taken over the phone. One of the references does not contain dates of contact. 6) The record for Staff #8, hired on 02/16/22, were taken over the phone. The references do not contain dates of contact.”

8VAC20-780-240-A

“Based on a review of ten staff records and interviews, the center did not ensure one staff had completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The record for Staff #8, hired on 02/16/22, did not contain documentation that the staff had completed the Virginia Department of Education-sponsored orientation course. 2) During interviews, a member of management reported Staff #8 did not complete the course within 90 calendar days of employment.”

8VAC20-780-280-B

“Based on observations at the center on 06/01/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Preschool 1B classroom, the licensing inspector observed unlocked cleaning supplies. A bottle of bleach/water solution was observed in the bathroom, unlocked.”

22.1-289.035-B-4

“Based on a review of ten staff records, the center did not obtain the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #5, hired on 03/22/21, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #9, hired on 01/04/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #5 or Staff #9 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

22.1-289.035-B-2

“Based on a review of ten staff records and interview, the center did not ensure that one out of ten staff obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #3, hired on 11/08/21, had fingerprint results that were dated 06/09/21. 2) During interview, a member of management reported Staff #3 was terminated from employment in October 2021 and rehired on 11/08/21, but new fingerprint results were not obtained.”

8VAC20-780-550-H

“Based on a review of documents and interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021 and 2022. An evacuation drill was not documented for the month of May 2022. 2) During interview, a member of management reported the drill was conducted, but it was not documented as required.”

8VAC20-780-510-F

“Based on a review of eight medications and interviews on 06/01/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for three out of five children. Evidence: 1) Two medications were observed for Child #2, but no medication authorizations were present for the medications. 2) One of the medications observed for Child #5 did not have a medication authorization present. 3) Two medications were observed for Child #7, but no medication authorizations were present for the medications. 4) During interview, a member of management reported the authorizations for these medications were not present.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 03/04/21, was dated 04/18/22. 2) The central registry finding in the record for Staff #3, hired on 11/08/21, was dated 01/19/22. 3) The record for Staff #9, hired on 01/04/22, did not contain a central registry finding. A member of management reported the central registry finding for Staff #9 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1 and Staff #3 were not received and the center did not follow up within 30 days of employment.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain current first aid certification.”

8VAC20-790-600-F

“Based on a review of ten staff records, the vendor did not ensure one staff who works directly with children completed the department’s health and safety update course annually. Evidence: 1) The record for Staff #5, hired on 03/22/21, did not contain documentation that the staff has completed the department’s health and safety update course.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain the results of a central registry finding. 2) The record for Staff #2, hired on 12/06/21, did not contain the results of a central registry finding. 3) The record for Staff #5, hired on 11/08/21, did not contain the results of a central registry finding. 4) During interviews, a member of management reported the central registry finding for Staff #1, Staff #2 and for Staff #5 had not been received. The records did not contain documentation of any further contact, and the staff has been continuously employed.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the last five years within the required time frames. Evidence: 1) The record for Staff #1, hired on 08/30/21, indicated the staff has resided in another stated outside of Virginia within the last five years. The record did not contain a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry. 2) The record for Staff #2, hired on 12/06/21, indicated the staff has resided in another stated outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry. An out-of-state criminal history record information check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #1 or Staff #2 within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #3, hired on 06/14/21, did not contain documentation of current certification in CPR. 2) During interview, a member of management confirmed the record for Staff #3 did not contain documentation of current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #3, hired on 06/14/21, did not contain documentation of current certification in first aid. 2) During interview, a member of management confirmed the record for Staff #3 did not contain documentation of current certification in first aid.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain the results of a central registry finding. 2) The record for Staff #2, hired on 12/06/21, did not contain the results of a central registry finding. 3) The record for Staff #5, hired on 11/08/21, did not contain the results of a central registry finding. 4) During interviews, a member of management reported the central registry finding for Staff #1, Staff #2 and for Staff #5 had not been received. The records did not contain documentation of any further contact, and the staff has been continuously employed.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the last five years within the required time frames. Evidence: 1) The record for Staff #1, hired on 08/30/21, indicated the staff has resided in another stated outside of Virginia within the last five years. The record did not contain a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry. 2) The record for Staff #2, hired on 12/06/21, indicated the staff has resided in another stated outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry. An out-of-state criminal history record information check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #1 or Staff #2 within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #3, hired on 06/14/21, did not contain documentation of current certification in CPR. 2) During interview, a member of management confirmed the record for Staff #3 did not contain documentation of current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #3, hired on 06/14/21, did not contain documentation of current certification in first aid. 2) During interview, a member of management confirmed the record for Staff #3 did not contain documentation of current certification in first aid.”

8VAC20-780-500-B Complaint related: No

“Based on interviews, the center did not ensure a nonabsorbent surface for diapering or changing was used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Evidence: 1) Staff interviewed reported it was common practice for the children in the Preppers classroom, ages 2 to 3 years old, to have their pull-ups or diapers changed while the children were standing up. Staff reported children would only be changed on a changing station if staff "needed to do anything extensive," but were otherwise changed while they were standing up.”

8VAC20-780-400-A Complaint related: No

“Based on interviews and documentation reviewed, the center did not ensure that in order to promote a child's physical, intellectual, emotional, and social well-being and growth, staff interacted with children and one another to provide needed respect of personal privacy and promote ways of getting along. Evidence: 1) Staff interviewed reported that "several times" Staff #1 and Staff #3 got "into a little bit of an altercation" in front of the children in care. Staff interviewed reported management was contacted to "de-escalate the situation" because Staff #1 "was going off the chain" and the children were there. 2) A written document signed by Staff #5 indicated Staff #1 was "losing her temper in her classroom in front of the kids (yelling...)." 3) Staff interviewed reported that during toilet training, children in the Preppers classroom, ages 2-3 years old, were asked to "bend over" and would "hunch over a stool" for staff to wipe their bottom when they required a diaper change. Staff interviewed reported other children were present in the same bathroom while the diaper changes took place.”

8VAC20-780-570-D Complaint related: Yes

“Based on a review of documentation and interviews, the center did not ensure infants were fed in accordance with parental instructions. Evidence: 1) The Infant Feeding Plan for Child #1 (3-month-old) had written instructions from the parent to feed Child #1 between 5.0oz-6.5oz of prepared formula. 2) The Infant Feeding log reviewed for Child #1 indicated that on 11/19/21, Child #1 was fed 8.0oz of formula. 3) The staff interviewed acknowledged Child #1 was fed 8oz of formula on 11/19/21. On a written statement dated 11/19/21, Staff #4 wrote "At 10:31 [am] when I fed [Child #1], there was 8oz, not 6.5 in his bottle. Perhaps someone added more water." The staff were unaware of who added more water to the bottle and fed it to Child #1.”