YMCA of Metropolitan Washington - Reston

8VAC20-790-540-B-3

“Each child's record shall contain the Name, address, and telephone number for each custodial parent's place of employment or school attendance, if applicable. Children 2, 3, and 4's record did not contain the work addresses of each parent listed.”

8VAC20-780-500-B

“The diapering surface shall be used exclusively for changing children. The diapering surface in the infant room was observed with papers and a personal bag on it.”

8VAC20-780-510-P

“REPEAT VIOLATION 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 shall be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Two medications for Child 6 had authorizations that expired the previous month. The medications were still present at the center.”

22.1-289.035-B-2

“The center must obtain the results of a national criminal background check for staff prior to hire. The center did not obtain, for Staff 2, the results of a criminal record check or show documentation of a scheduled appointment for the staff to submit to fingerprinting. Staff 2 has been employed for 10 days.”

22.1-289.035-B-1

“All staff shall provide a sworn statement or affirmation disclosing whether they has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Staff 2 submitted the sworn statement 11 days after hire.”

22.1-289.035-B-4

“The center is required to obtain 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 the individual has resided in the preceding five years. On the date of inspection there was no documentation of the results or the request for the required checks for Staff 2's previous state of residence.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of hire. Staff 2 has been working for 10 days and does not have documentation of a negative Tuberculosis screening. Staff 1 was permitted to work for 7 days before a tuberculosis screening was obtained.”

22.1-289.035-A

“The center must obtain the results of a central registry background check for all staff every five years. A repeat background check for Staff 4 should have been obtained on 5/1/2023 to remain complaint. Staff 4 has been permitted to work for 16 months without the results of a new central registry check.”

8VAC20-780-40-G

“REPEAT VIOLATION The center shall verify proof of a child's age and identity within 7 days of enrollment or notify local law-enforcement of the failure of a family to provide the requested information. Child 4 has been enrolled for 78 days and does not have either documentation that the child's age and identity was verified or documentation that local law-enforcement was notified.”

8VAC20-780-240-B

“REPEAT VIOLATION Staff shall have an orientation on specific topics prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 2 has worked for 11 days before they signed off that they had completed the required orientation.”

8VAC20-780-140-A

“REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment. Child 4's record did not contain documentation of a physical. The child has been enrolled for 78 days.”

8VAC20-790-540-B-3

“Each child's record shall contain the Name, address, and telephone number for each custodial parent's place of employment or school attendance, if applicable. Children 2, 3, and 4's record did not contain the work addresses of each parent listed.”

8VAC20-780-500-B

“The diapering surface shall be used exclusively for changing children. The diapering surface in the infant room was observed with papers and a personal bag on it.”

8VAC20-780-510-P

“REPEAT VIOLATION 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 shall be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Two medications for Child 6 had authorizations that expired the previous month. The medications were still present at the center.”

22.1-289.035-B-2

“The center must obtain the results of a national criminal background check for staff prior to hire. The center did not obtain, for Staff 2, the results of a criminal record check or show documentation of a scheduled appointment for the staff to submit to fingerprinting. Staff 2 has been employed for 10 days.”

22.1-289.035-B-1

“All staff shall provide a sworn statement or affirmation disclosing whether they has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire. Staff 2 submitted the sworn statement 11 days after hire.”

22.1-289.035-B-4

“The center is required to obtain 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 the individual has resided in the preceding five years. On the date of inspection there was no documentation of the results or the request for the required checks for Staff 2's previous state of residence.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of hire. Staff 2 has been working for 10 days and does not have documentation of a negative Tuberculosis screening. Staff 1 was permitted to work for 7 days before a tuberculosis screening was obtained.”

22.1-289.035-A

“The center must obtain the results of a central registry background check for all staff every five years. A repeat background check for Staff 4 should have been obtained on 5/1/2023 to remain complaint. Staff 4 has been permitted to work for 16 months without the results of a new central registry check.”

8VAC20-780-40-G

“REPEAT VIOLATION The center shall verify proof of a child's age and identity within 7 days of enrollment or notify local law-enforcement of the failure of a family to provide the requested information. Child 4 has been enrolled for 78 days and does not have either documentation that the child's age and identity was verified or documentation that local law-enforcement was notified.”

8VAC20-780-240-B

“REPEAT VIOLATION Staff shall have an orientation on specific topics prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 2 has worked for 11 days before they signed off that they had completed the required orientation.”

8VAC20-780-140-A

“REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment. Child 4's record did not contain documentation of a physical. The child has been enrolled for 78 days.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff members had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of hire. Evidence: Staff 1, 2, 6, and 7's records did not contain a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: Staff 1, 2, and 8's records did not contain documentation of a a central registry finding within 30 days of employment or volunteer service.”

8VAC20-780-550-D

“Based on record review and staff statement, the center failed to implement a monthly practice evacuation drill. Evidence: Evacuation drills were not conducted during March, April, or June of 2023.”

8VAC20-780-510-P

“Based on a review of medication and medication documentation, the center failed to obtain a new authorization or dispose of medication not picked up by the parent within fourteen days of the medication authorization. Evidence: 1. Child 10 had medication present in the center on the date of inspection. The authorization for the medication expired 8/30/2022. 2. Child 17 had medication present in the center on the date of inspection. The authorization for the medication expired 5/28/2023.”

8VAC20-780-510-N

“Based on a review of medication and medication documentation, the center failed to keep a record of medication given to children. Evidence: Child 17 had a medication authorization for a prescription medication to be administered daily between 5/18/2023-5/28/2023. Attendance records document the child was in attendance on 5/19, 5/22, 5/24, and 5/25. There is no documentation to support that the child received his medication on these dates.”

8VAC20-780-240-B

“Based on record review, staff did not complete an orientation of all required topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 2, 3, and 6, were hired after the orientation requirements changed in October 2021. The orientation the staff members received did not contain all required topics.”

8VAC20-780-40-M

“Based on record review, the center failed to keep the current written list of all children's allergies, sensitivities, and dietary restrictions confidential. Evidence: Allergy lists were observed to be posted on public bulletin boards in the Yellow and Red classrooms.”

8VAC20-780-40-G

“Based on record review, the center failed to meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: Child 1 and Child 2's records did not contain documentation that the center had verified proof of the child's identity.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each enrolled child. Evidence: The records for Child 1 and Child 2 did not contain documentation of a physical examination by or under the direction of a physician for each enrolled child.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff members had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of hire. Evidence: Staff 1, 2, 6, and 7's records did not contain a current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: Staff 1, 2, and 8's records did not contain documentation of a a central registry finding within 30 days of employment or volunteer service.”

8VAC20-780-550-D

“Based on record review and staff statement, the center failed to implement a monthly practice evacuation drill. Evidence: Evacuation drills were not conducted during March, April, or June of 2023.”

8VAC20-780-510-P

“Based on a review of medication and medication documentation, the center failed to obtain a new authorization or dispose of medication not picked up by the parent within fourteen days of the medication authorization. Evidence: 1. Child 10 had medication present in the center on the date of inspection. The authorization for the medication expired 8/30/2022. 2. Child 17 had medication present in the center on the date of inspection. The authorization for the medication expired 5/28/2023.”

8VAC20-780-510-N

“Based on a review of medication and medication documentation, the center failed to keep a record of medication given to children. Evidence: Child 17 had a medication authorization for a prescription medication to be administered daily between 5/18/2023-5/28/2023. Attendance records document the child was in attendance on 5/19, 5/22, 5/24, and 5/25. There is no documentation to support that the child received his medication on these dates.”

8VAC20-780-240-B

“Based on record review, staff did not complete an orientation of all required topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 2, 3, and 6, were hired after the orientation requirements changed in October 2021. The orientation the staff members received did not contain all required topics.”

8VAC20-780-40-M

“Based on record review, the center failed to keep the current written list of all children's allergies, sensitivities, and dietary restrictions confidential. Evidence: Allergy lists were observed to be posted on public bulletin boards in the Yellow and Red classrooms.”

8VAC20-780-40-G

“Based on record review, the center failed to meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: Child 1 and Child 2's records did not contain documentation that the center had verified proof of the child's identity.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each enrolled child. Evidence: The records for Child 1 and Child 2 did not contain documentation of a physical examination by or under the direction of a physician for each enrolled child.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Staff 1, hired 6/17/2022, did not have a certificate of completion on file for the Virginia Department of Education-sponsored orientation course.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child 1's record did not contain the name, address, and phone number for one of two required emergency contacts.”

8VAC20-780-40-M

“Based on observation, the center did not maintain a staff accessible written list of all children's allergies, sensitivities, and dietary restrictions in a confidential location. Evidence: The Purple and Red classrooms had a current allergy list posted on an open bulletin board.”

8VAC20-780-40-G

“Based on record review, the center did not meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: The record for Child 5 does not contain documentation that the child's age and identity was verified.”

8VAC20-770-40-D-1-a

“Based on record review and staff statement, a renewal agent did not complete a Sworn Statement or Affirmation within 30 days of being appointed to the position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no sworn statement or affirmation was produced and email correspondence states that the document has not been received by the center.”

22.1-289.036-B-2

“Based on record review and staff statement, not all renewal applicants have a national criminal record check on file within 30 days of being appointed to their position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no criminal background check was produced and email correspondence states that the results have not been received.”

22.1-289.036-A

“Based on record review, not all renewal applicants had completed a central registry check withing the previous five years. Evidence: Applicant 1's Central Registry Check was last conducted 1/31/2018.”

22.1-289.035-B-4

“Based on record review, out of state background checks were not conducted for employees who have resided in a state other than Virginia within five years preceding their hire date. Evidence: Staff 3's record did not contain documentation of a criminal record check or a central registry check from a state the employee has listed as a previous state of residence.”

22.1-289-036-B-4

“Based on record review and staff statement, a renewal agent did not have the results of a central registry check within 30 days service. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no central registry background check was produced and email correspondence states that the results have not been received.”

8VAC20-780-570-E

“Based on observation, infant bottles were not dated and labeled with the child's name. Evidence: 1. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled date. 2. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled name.”

8VAC20-780-550-P

“Based on record review, the written record of serious and minor injuries did not contain all required information. Evidence: Child 8's record had one incident report that did not list the aid given to the student and one incident report that did not document how to prevent the incident from future occurances.”

8VAC20-780-510-P

“Based on record review, medication was present in the center more than 14 days after the medication authorization expiration. Evidence: 1. Child 1 has two medications present at the center, the expiration for each medication authorization from the parents expired on 8/30/2022. 2. Child 4's has a medication present at the center and the authorization expired on 8/30/2022.”

8VAC20-780-560-G

“Based on observation, when food was brought from home it was not properly labeled. Evidence: Two lunch bags were observed on the cubbies in the hallway without a labeled date.”

8VAC20-780-240-B

“Based on record review, staff members did not complete an orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1's record has no documentation of orientation training. 2. Staff 5's record has a blank copy of the orientation form, with no dates or signatures to verify completion.”

8VAC20-780-410-1

“Based on interviews and video footage, staff roughly handled a child and restricted a child's movement through binding. Evidence: On March 8th at approximately 10:50 am, Staff 2 witnessed Staff 1 roughly grabbing Child 8 and forcing the child into a chair. The child was observed struggling to get away.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Staff 1, hired 6/17/2022, did not have a certificate of completion on file for the Virginia Department of Education-sponsored orientation course.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child 1's record did not contain the name, address, and phone number for one of two required emergency contacts.”

8VAC20-780-40-M

“Based on observation, the center did not maintain a staff accessible written list of all children's allergies, sensitivities, and dietary restrictions in a confidential location. Evidence: The Purple and Red classrooms had a current allergy list posted on an open bulletin board.”

8VAC20-780-40-G

“Based on record review, the center did not meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: The record for Child 5 does not contain documentation that the child's age and identity was verified.”

8VAC20-770-40-D-1-a

“Based on record review and staff statement, a renewal agent did not complete a Sworn Statement or Affirmation within 30 days of being appointed to the position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no sworn statement or affirmation was produced and email correspondence states that the document has not been received by the center.”

22.1-289.036-B-2

“Based on record review and staff statement, not all renewal applicants have a national criminal record check on file within 30 days of being appointed to their position. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no criminal background check was produced and email correspondence states that the results have not been received.”

22.1-289.036-A

“Based on record review, not all renewal applicants had completed a central registry check withing the previous five years. Evidence: Applicant 1's Central Registry Check was last conducted 1/31/2018.”

22.1-289.035-B-4

“Based on record review, out of state background checks were not conducted for employees who have resided in a state other than Virginia within five years preceding their hire date. Evidence: Staff 3's record did not contain documentation of a criminal record check or a central registry check from a state the employee has listed as a previous state of residence.”

22.1-289-036-B-4

“Based on record review and staff statement, a renewal agent did not have the results of a central registry check within 30 days service. Evidence: Applicant 5 is listed on the renewal application dated 2/14/2023. As of 3/27/2023 no central registry background check was produced and email correspondence states that the results have not been received.”

8VAC20-780-570-E

“Based on observation, infant bottles were not dated and labeled with the child's name. Evidence: 1. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled date. 2. On the date of inspection 4 infant bottles were observed in the 'Purple Room" refrigerator with no labeled name.”

8VAC20-780-550-P

“Based on record review, the written record of serious and minor injuries did not contain all required information. Evidence: Child 8's record had one incident report that did not list the aid given to the student and one incident report that did not document how to prevent the incident from future occurances.”

8VAC20-780-510-P

“Based on record review, medication was present in the center more than 14 days after the medication authorization expiration. Evidence: 1. Child 1 has two medications present at the center, the expiration for each medication authorization from the parents expired on 8/30/2022. 2. Child 4's has a medication present at the center and the authorization expired on 8/30/2022.”

8VAC20-780-560-G

“Based on observation, when food was brought from home it was not properly labeled. Evidence: Two lunch bags were observed on the cubbies in the hallway without a labeled date.”

8VAC20-780-240-B

“Based on record review, staff members did not complete an orientation prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1's record has no documentation of orientation training. 2. Staff 5's record has a blank copy of the orientation form, with no dates or signatures to verify completion.”

8VAC20-780-410-1

“Based on interviews and video footage, staff roughly handled a child and restricted a child's movement through binding. Evidence: On March 8th at approximately 10:50 am, Staff 2 witnessed Staff 1 roughly grabbing Child 8 and forcing the child into a chair. The child was observed struggling to get away.”

8VAC20-780-550-E

“Based on record review shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: One shelter-in-place drill was documented in 2022.”

8VAC20-780-550-D

“Based on record review, an evacuation drill was not practiced monthly. Evidence: There was no documentation of a monthly evacuation drill conducted from July through December of 2022.”

8VAC20-780-550-D

“Based on record review, an evacuation drill was not practiced monthly. Evidence: There was no documentation of a monthly evacuation drill conducted from July through December of 2022.”

8VAC20-780-510-P

“Based on a review of medication and documentation, medication was not picked up within 14 days of the medication authorization's date of expiration. Medications that were not picked up were not disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1. Child 7's medications was present at the center on the date of inspection. The written authorizations for the medications expired on 8/30/2022. 2. Child 8's medication was present at the center on the date of inspection. The written authorization for the medication expired on 10/14/2022. 3. Child 9's medication was present at the center on the date of inspection. The written authorization for the medication expired on 8/30/2022.”

8VAC20-780-510-N

“Based on record review, a record of medication given to children was not kept. Evidence: Child 8 had a medication that was instructed to be administered one time per day between 10/6/2022 and 10/14/2022. There was no record that the child had received the medication on any of the dates authorized.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: A prescription ointment was observed in an open basket containing diaper ointment in the Blue room.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Blue room the was air freshener stored above the toilet paper dispenser and on an open shelf.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in as clean and operable condition. Evidence: The backsplash behind the sink in the Red room was observed to have peeling paint and signs of water damage.”

8VAC20-780-240-B

“Based on record review, staff did not complete orientation training in subsection prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: There is no documentation that Staff 5 has received an orientation. Staff 5 was hired in 10/2022.”

8VAC20-780-140-A

“Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician. Evidence: Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.”

8VAC20-780-140-A

“Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician. Evidence: Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 5's record contains an immunization record that was last updated when the child was six months old. Child 5 was aged 21 months on the date of inspection.”

8VAC20-770-60-C-2

“Based on record review, two staff did not not have a the results of a central registry background check within 30 days of employment or volunteer service. Evidence: Staff 3 and Staff 5's records did not contain the results of a Virginia central registry check. Both staff members have been employed for a period of more than 30 days.”

22.1-289.035-B-2

“Based on record review, one staff member did not have the results of a national criminal background check by their first date of employment. Evidence: On the date of inspection there were no criminal background checks available for review for Staff 5.”

8VAC20-780-70

“Based on record review, one staff record di not contain all required information. Evidence: Staff 5's record did not contain the name and contact information of a person to contact in the event of emergency.”

8VAC20-780-550-E

“Based on record review shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: One shelter-in-place drill was documented in 2022.”

8VAC20-780-550-D

“Based on record review, an evacuation drill was not practiced monthly. Evidence: There was no documentation of a monthly evacuation drill conducted from July through December of 2022.”

8VAC20-780-550-D

“Based on record review, an evacuation drill was not practiced monthly. Evidence: There was no documentation of a monthly evacuation drill conducted from July through December of 2022.”

8VAC20-780-510-P

“Based on a review of medication and documentation, medication was not picked up within 14 days of the medication authorization's date of expiration. Medications that were not picked up were not disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: 1. Child 7's medications was present at the center on the date of inspection. The written authorizations for the medications expired on 8/30/2022. 2. Child 8's medication was present at the center on the date of inspection. The written authorization for the medication expired on 10/14/2022. 3. Child 9's medication was present at the center on the date of inspection. The written authorization for the medication expired on 8/30/2022.”

8VAC20-780-510-N

“Based on record review, a record of medication given to children was not kept. Evidence: Child 8 had a medication that was instructed to be administered one time per day between 10/6/2022 and 10/14/2022. There was no record that the child had received the medication on any of the dates authorized.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: A prescription ointment was observed in an open basket containing diaper ointment in the Blue room.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Blue room the was air freshener stored above the toilet paper dispenser and on an open shelf.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in as clean and operable condition. Evidence: The backsplash behind the sink in the Red room was observed to have peeling paint and signs of water damage.”

8VAC20-780-240-B

“Based on record review, staff did not complete orientation training in subsection prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: There is no documentation that Staff 5 has received an orientation. Staff 5 was hired in 10/2022.”

8VAC20-780-140-A

“Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician. Evidence: Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.”

8VAC20-780-140-A

“Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician. Evidence: Child 2 and Child 3's record did not contain documentation of a physical examination by or under the direction of a physician.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 5's record contains an immunization record that was last updated when the child was six months old. Child 5 was aged 21 months on the date of inspection.”

8VAC20-770-60-C-2

“Based on record review, two staff did not not have a the results of a central registry background check within 30 days of employment or volunteer service. Evidence: Staff 3 and Staff 5's records did not contain the results of a Virginia central registry check. Both staff members have been employed for a period of more than 30 days.”

22.1-289.035-B-2

“Based on record review, one staff member did not have the results of a national criminal background check by their first date of employment. Evidence: On the date of inspection there were no criminal background checks available for review for Staff 5.”

8VAC20-780-70

“Based on record review, one staff record di not contain all required information. Evidence: Staff 5's record did not contain the name and contact information of a person to contact in the event of emergency.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 2 year old classroom, an air freshener spray was on top of a high cabinet, but was not kept locked. 2. In the 4 year old classroom, an air freshener spray was in an unlocked cabinet.”

8VAC20-780-260-A

“Based on interview, the center could not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. Staff A stated she did not have a copy of the annual fire inspection report during the inspection.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Toddler classroom, an outlet was loose on the wall. 2. On the playground, the large gate had rust on it. 3. In the 4 year old classroom, the lower sink cabinet corner was chipped and the play kitchen sink was missing a part..”

8VAC20-780-560-G

“Based on observation, the center failed to clearly date and label food containers when food is brought from home. Evidence: 1. Two food items from a child's home in the infant classroom refrigerator were not labeled with the child's name and date.”

8VAC20-780-245-L

“Based on interview the center did not have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Staff A stated they did not have anyone current in daily health observation.”

8VAC20-820-120-E-2

“Based on observation and interview, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The center had the inspection dated 11/10/2020 posted. The last inspection was on 3/01/2021 and was not posted.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #4 (date of hire 9/08/2012) did not have documentation of two or more references in the staff file. 2. Staff #1 (date of hire 2/03/2021), Staff #2 (date of hire 9/21/2013) and Staff #5 (date of hire 3/29/2021) did not have documentation of orientation training.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 2 year old classroom, an air freshener spray was on top of a high cabinet, but was not kept locked. 2. In the 4 year old classroom, an air freshener spray was in an unlocked cabinet.”

8VAC20-780-260-A

“Based on interview, the center could not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. Staff A stated she did not have a copy of the annual fire inspection report during the inspection.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Toddler classroom, an outlet was loose on the wall. 2. On the playground, the large gate had rust on it. 3. In the 4 year old classroom, the lower sink cabinet corner was chipped and the play kitchen sink was missing a part..”

8VAC20-780-560-G

“Based on observation, the center failed to clearly date and label food containers when food is brought from home. Evidence: 1. Two food items from a child's home in the infant classroom refrigerator were not labeled with the child's name and date.”

8VAC20-780-245-L

“Based on interview the center did not have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Staff A stated they did not have anyone current in daily health observation.”

8VAC20-820-120-E-2

“Based on observation and interview, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The center had the inspection dated 11/10/2020 posted. The last inspection was on 3/01/2021 and was not posted.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #4 (date of hire 9/08/2012) did not have documentation of two or more references in the staff file. 2. Staff #1 (date of hire 2/03/2021), Staff #2 (date of hire 9/21/2013) and Staff #5 (date of hire 3/29/2021) did not have documentation of orientation training.”