The Light Academy

22.1-289.031-B-4

“Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. Evidence: 1. The record for child 1 documents the first date of attendance as 8/9/23. There is no documentation of immunizations in child 1's record. 2. Staff 6 verified the center does not have immunization records for child 1.”

8VAC20-770-40-D-2

“Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: 1. The record for staff 1 documents the first day of employment as 10/1/22. The record did not contain a sworn disclosure statement and results of a central registry record check. 2. The record for staff 4 documents the first day of employment as 5/30/23. The record did not contain a sworn disclosure statement and results of a central registry record check. 3. Staff 6 verified the center did not have sworn disclosure statement and results of a central registry record check for staff 1 and staff 4.”

22.1-289.036-B-2

“Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. The file for staff 1, hire date 11/17/21, contained a fingerprint-based criminal history check determination letters dated 12/21/21. 2. The director verified the dates.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her prior to the first day of employment. Evidence: 1. The sworn statement for staff 3 documents staff 3 resided in Hawaii within the last five years. 2. The start date for staff 3 was 2/1/22. The record did not contain documentation of a search of child abuse and neglect registry or equivalent registry from Hawaii. 3. The director verified a Hawaii search of child abuse and neglect registry or equivalent registry was not completed for staff 3.”

8VAC20-770-40-D-2

“Based on record review and interview, the center failed to have a completed central registry record check by the end of the 30th day of employment. Evidence: 1. The record for staff 1, hire date 11/17/21, did not contain the results of a central registry background check. 2. The record for staff 2, hire date 8/23/21, did not contain the results of a central registry background check. 3. The record for staff 3, hire date 2/1/22, did not contain the results of a central registry background check. 4. The director verified the central registry background checks were not processed until 7/22. The results have not been received as of the date of the inspection.”