Young Men's Christian Association of the Virginia Peninsulas-R.F

8VAC20-790-600-F

“Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments updated Virginia Health and Safety Course. Evidence: The record for Staff #3 does not have documentation of obtaining an updated course.”

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: Staff #2 verified they began working in July 2023 and they do not have a current First Aid certification.”

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #2 verified they began working in July 2023 and they did not have a current CPR certification.”

8VAC20-780-560-M

“Based on observation and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around Evidence: Child #1 was observed walking around eating their snack (pretzels).”

8VAC20-780-40-E

“Based on observation and staff interviews, the licensee did not ensure to follow the terms of the current license issued by the department. Evidence: The center’s license is for ages 2 years and 6 months through age 12 years and 11 months. The center had two children Child #1 and Child #5, who attended the center when they were less than 2 years 6 months old. Child #1 started attending the center on 8-28-2023 and they were age 2 and 1 month old and Child #5 started attending on 7-11-2023 and they were 23 months old. The center operated outside the terms of their license by providing care for children under age 2 years 6 months.”

8VAC20-780-40-L

“Based on staff interviews and children’s record review, the licensee did not ensure to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: Child #4 has a documented food sensitivity from a physician (milk). Staff #1, Staff #2 and Staff# 3 who were all supervising Child #?4 were unaware of the child's food sensitivity.”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child #5 has a documented food sensitivity (cow’s milk) and it was not on the list of children's allergies, sensitivities and dietary restrictions”

8VAC20-780-550-F

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of lockdown procedures practiced at least annually. Evidence: Staff #4 confirmed they did not have documentation of a lockdown drill in 2023.”

8VAC20-780-550-E

“Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure. Evidence: Center Staff #4 confirmed they did not have documentation of two shelter in place drills in 2023.”

8VAC20-780-550-D

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #4 confirmed they did not have documentation of conducting evacuation drills from September 2023 through March 2024.”

8VAC20-780-530-A-1

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR.”

8VAC20-780-70

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation. Evidence: Staff #4 verified the following items were missing from the staff records; 1.Staff #1, #2 #3 and #4 did not have documentation of any health-related problems that my interfere with the job. 2.Staff #4, the designated Program Director did not have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job.”

8VAC20-780-80-A

“Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: At approximately 3:20 PM, 25 children observed in the preschool room and 26 children were on the attendance list. Center staff verified, Child #4 had left around 12:30 PM and it had not been marked on the attendance list.”

8VAC20-780-530-A

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care. Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR or First Aid. There was not a staff member in the preschool with First Aid and CPR certification.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes when required. Evidence: Children were observed eating snack and none of them washed their hands with soap and running water or disposable wipes before eating.”

8VAC20-780-450-A

“Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: Two children out of twenty-five were observed sleeping without a bottom cover.”

8VAC20-780-290-A-2

“Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, fans, when used, shall be out of reach of children and cords shall be secured so as not to create a tripping hazard. Evidence: There was a tall oscillating fan that was plugged into the wall and turned on and placed near the cubbies and table used for children’s activities. The fan was accessible to the children and the cord poses a tripping hazard.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Staff #4 confirmed the most recent copy of the health inspection available for review was dated 12-7-2022.”

8VAC20-780-240-A

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #2 confirmed they began working in July 2023 there was not documentation of completing the VDOE orientation.”

8VAC20-780-560-F

“Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks. Evidence: The most recent menu posted was for the week of March 11, 2024.”

8VAC20-790-600-F

“Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments updated Virginia Health and Safety Course. Evidence: The record for Staff #3 does not have documentation of obtaining an updated course.”

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: Staff #2 verified they began working in July 2023 and they do not have a current First Aid certification.”

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #2 verified they began working in July 2023 and they did not have a current CPR certification.”

8VAC20-780-560-M

“Based on observation and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around Evidence: Child #1 was observed walking around eating their snack (pretzels).”

8VAC20-780-40-E

“Based on observation and staff interviews, the licensee did not ensure to follow the terms of the current license issued by the department. Evidence: The center’s license is for ages 2 years and 6 months through age 12 years and 11 months. The center had two children Child #1 and Child #5, who attended the center when they were less than 2 years 6 months old. Child #1 started attending the center on 8-28-2023 and they were age 2 and 1 month old and Child #5 started attending on 7-11-2023 and they were 23 months old. The center operated outside the terms of their license by providing care for children under age 2 years 6 months.”

8VAC20-780-40-L

“Based on staff interviews and children’s record review, the licensee did not ensure to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: Child #4 has a documented food sensitivity from a physician (milk). Staff #1, Staff #2 and Staff# 3 who were all supervising Child #?4 were unaware of the child's food sensitivity.”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child #5 has a documented food sensitivity (cow’s milk) and it was not on the list of children's allergies, sensitivities and dietary restrictions”

8VAC20-780-550-F

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of lockdown procedures practiced at least annually. Evidence: Staff #4 confirmed they did not have documentation of a lockdown drill in 2023.”

8VAC20-780-550-E

“Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure. Evidence: Center Staff #4 confirmed they did not have documentation of two shelter in place drills in 2023.”

8VAC20-780-550-D

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #4 confirmed they did not have documentation of conducting evacuation drills from September 2023 through March 2024.”

8VAC20-780-530-A-1

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR.”

8VAC20-780-70

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation. Evidence: Staff #4 verified the following items were missing from the staff records; 1.Staff #1, #2 #3 and #4 did not have documentation of any health-related problems that my interfere with the job. 2.Staff #4, the designated Program Director did not have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job.”

8VAC20-780-80-A

“Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: At approximately 3:20 PM, 25 children observed in the preschool room and 26 children were on the attendance list. Center staff verified, Child #4 had left around 12:30 PM and it had not been marked on the attendance list.”

8VAC20-780-530-A

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care. Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR or First Aid. There was not a staff member in the preschool with First Aid and CPR certification.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes when required. Evidence: Children were observed eating snack and none of them washed their hands with soap and running water or disposable wipes before eating.”

8VAC20-780-450-A

“Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: Two children out of twenty-five were observed sleeping without a bottom cover.”

8VAC20-780-290-A-2

“Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, fans, when used, shall be out of reach of children and cords shall be secured so as not to create a tripping hazard. Evidence: There was a tall oscillating fan that was plugged into the wall and turned on and placed near the cubbies and table used for children’s activities. The fan was accessible to the children and the cord poses a tripping hazard.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Staff #4 confirmed the most recent copy of the health inspection available for review was dated 12-7-2022.”

8VAC20-780-240-A

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #2 confirmed they began working in July 2023 there was not documentation of completing the VDOE orientation.”

8VAC20-780-560-F

“Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks. Evidence: The most recent menu posted was for the week of March 11, 2024.”

8VAC20-790-600-B

“Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed Virginia Preservice Training. Evidence: The record for Staff #3 (date of hire 2-16-2018) did not include documentation of completing the required training.”

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: The following records did not include First Aid documentation as required 1. Staff #3?s First Aid certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of First Aid.”

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The following records did not include CPR documentation as required 1. Staff #3?s CPR certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of CPR training.”

8VAC20-770-60-B

“Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment. Evidence: Staff # 4?s date of hire August 3, 2023 did not have documentation of a completed Sworn Statement. Branch Executive confirmed missing information.”

22.1-289.035-B-2

“Repeat Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: Staff #2's record did not include documentation of obtaining a fingerprint check. Staff #2 was observed working during the inspection and confirmed they began employment in June of 2020.”

8VAC20-780-340-D

“Based on observation, staff interviews and record reviews, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides. Evidence: 1) During the inspection 25 children, ages 2 to 4 were observed with 4 staff members. Staff #3 is the only staff that had documentation of meeting the program leader qualifications. Staff #1, #2 and #4 are assistants and therefore Staff #3 was supervising 3 aides/assistants. 2) Staff #2 was the only staff observed supervising Child #6 in the aquatics area. Staff #2 does not have documentation of meeting program leader qualifications.”

8VAC20-780-240-A

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1?s hire date was 5-9-2023 and there was not documentation of completing the VDOE orientation.”

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #2 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 2-2-2020.”

8VAC20-780-140-A

“Repeat Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #2, (first date of attendance January 2023) did not include documentation of a required physical.”

8VAC20-780-130-A

“Repeat Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child #2, (first date of attendance January 2023) did not include documentation of required immunizations prior to attendance.”

8VAC20-770-70-A

“Repeat Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The following records were missing information as listed below; 1) The records for Staff #1, #2, #3, #4 and #5 were requested for review. Staff #1, #2, #3 and #4 were observed working during the inspection. 2) The record for Staff #4 was not available for review. 3) The required information to be kept at the center related to any health problems that may interfere with fulfilling the job responsibilities was not available for review for Staff #2 and #4. 4) The references were for Staff #2 were not available for review. Branch Executive confirmed, staff records are supposed to be kept on site.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 4?s date of hire August 3, 2023 did not have documentation of a CPS check conducted. Staff #4 was observed working on the day of the day of the inspection. Branch Executive confirmed missing information.”

22.1-289.035-A

“Repeat Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: Staff #3's record did not include an updated sworn statement as the most recent was dated 9-26-2017.”

8VAC20-790-600-B

“Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed Virginia Preservice Training. Evidence: The record for Staff #3 (date of hire 2-16-2018) did not include documentation of completing the required training.”

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: The following records did not include First Aid documentation as required 1. Staff #3?s First Aid certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of First Aid.”

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The following records did not include CPR documentation as required 1. Staff #3?s CPR certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of CPR training.”

8VAC20-770-60-B

“Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment. Evidence: Staff # 4?s date of hire August 3, 2023 did not have documentation of a completed Sworn Statement. Branch Executive confirmed missing information.”

22.1-289.035-B-2

“Repeat Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: Staff #2's record did not include documentation of obtaining a fingerprint check. Staff #2 was observed working during the inspection and confirmed they began employment in June of 2020.”

8VAC20-780-340-D

“Based on observation, staff interviews and record reviews, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides. Evidence: 1) During the inspection 25 children, ages 2 to 4 were observed with 4 staff members. Staff #3 is the only staff that had documentation of meeting the program leader qualifications. Staff #1, #2 and #4 are assistants and therefore Staff #3 was supervising 3 aides/assistants. 2) Staff #2 was the only staff observed supervising Child #6 in the aquatics area. Staff #2 does not have documentation of meeting program leader qualifications.”

8VAC20-780-240-A

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1?s hire date was 5-9-2023 and there was not documentation of completing the VDOE orientation.”

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #2 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 2-2-2020.”

8VAC20-780-140-A

“Repeat Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #2, (first date of attendance January 2023) did not include documentation of a required physical.”

8VAC20-780-130-A

“Repeat Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child #2, (first date of attendance January 2023) did not include documentation of required immunizations prior to attendance.”

8VAC20-770-70-A

“Repeat Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The following records were missing information as listed below; 1) The records for Staff #1, #2, #3, #4 and #5 were requested for review. Staff #1, #2, #3 and #4 were observed working during the inspection. 2) The record for Staff #4 was not available for review. 3) The required information to be kept at the center related to any health problems that may interfere with fulfilling the job responsibilities was not available for review for Staff #2 and #4. 4) The references were for Staff #2 were not available for review. Branch Executive confirmed, staff records are supposed to be kept on site.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 4?s date of hire August 3, 2023 did not have documentation of a CPS check conducted. Staff #4 was observed working on the day of the day of the inspection. Branch Executive confirmed missing information.”

22.1-289.035-A

“Repeat Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: Staff #3's record did not include an updated sworn statement as the most recent was dated 9-26-2017.”

8VAC20-790-600-F

“Based on record review and staff interview the vendor did not ensure staff who work directly with children shall, in addition to preservice and orientation training required, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: Staff #5 confirmed the following staff did not have any documentation of a health and safety update. 1)Staff #1 (date of hire 6-1-2021) 2)Staff #2 (date of hire 8-1990) 3)Staff #3 (date of hire 9-15-2020) 4) Staff #5's record included a health and safety update but he most recent was dated 12-6-21 and therefore had not been updated annually. .”

8VAC20-790-600-D-1

“Based on record review of 3 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration. Evidence: The record for Staff #2 (date of hire 9-12-2022) did not include documentation of CPR certification.”

8VAC20-790-600-D-2

“Based on record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care. Evidence: The record for Staff #4 (date of hire 9-12-2022) did not include documentation of First Aid certification”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: The staff did not have documentation in their record for an updated TB screening as listed below; 1)Staff #1 most recent TB screening dated 12-1-2020 2)Staff #3 most recent TB screening dated 2-24-2021 Staff #5 confirmed missing information.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The following records), did not include documentation of required immunizations prior to attendance. 1)Child #1, (first date of attendance 10-5-2022) 2)Child #2 (first date of attendance 8-29-22 3)Child #3 (first date attendance 8-29-22) 4)Child #4 (first date attendance 8-29-22) 5)Child #5 (first date attendance 1-9-23) Staff #5 confirmed missing information.”

8VAC20-770-40-D-1-b

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a sworn statement prior to the first day of employment Evidence: Staff #4 did not have documentation of sworn statement in their record. Staff #1 was observed working on the day of the inspection and their first date of employment was 6-1-2021. Staff #5 confirmed missing information.”

22.1-289.035-B-2

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The following staff did not obtain a fingerprint as required. 1)Staff #1?s first date of employment was 6-1-2021 and there was not fingerprint check available for review. Staff #1 was observed working during the inspection. Staff #5 confirmed missing information.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff #5 confirmed they do not have a policy available for review related to safe sleeping practices.”

8VAC20-780-60-A

“Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The following information was missing from the children’s records; 1)The records for child #1 and child #5 did not have emergency contacts listed to include name, address and phone number. Staff #5 confirmed missing information. 2)The record for child #5 did not include proof of identity”

8VAC20-780-240-A

“Based on record review and staff interviews, the licensee did not ensure each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff #4 (date of hire 9-12-2022) did not include documentation of completing the required orientation. Staff #5 confirmed missing information.”

8VAC20-780-240-C

“Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #1 (hire date 9-12-22) did not include information indicating orientation training to include to prevention of abusive head trauma and safe sleeping practices. Staff #5 confirmed missing information.”

8VAC20-780-245-A

“Based on record review and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The following staff did not have in their record documentation of 16 hours of annual training as listed below. 1)Staff #1 did not have any documentation of annual training. 2)Staff #2 only had 9 hours of annual training. 3)Staff #3 only had 9 hours of annual training. 4)Staff#5 did not have any documentation of annual training. Staff #5 confirmed missing information.”

8VAC20-780-245-J-3

“Based on record review and staff interviews, the licensee did not ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements for medication administration training/ certification. Evidence: Staff #5 confirmed child #6 arrived at approximately 7:05 am and they, Staff#5 did not arrive until approximately 8:00am. Staff #5 has obtained the required MAT training/certification and is designated staff to administer emergency medication for Child #6 if needed. Child #6 was in the center for approximately 55 minutes without a staff member who had obtained the MAT certification/ training.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee 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: The following hazardous chemicals were observed in the preschool room stored on the back shelf under the cabinets, accessible to children and in an unlocked manner (1 container of hand sanitizer, sunscreen, and disinfectant) These items are hazardous chemicals, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records did not include documentation of a physical within 30 days of attendance. 1)Child #1, (first date of attendance 10-5-2022) 2)Child #2 (first date of attendance 8-29-22 3)Child #3 (first date attendance 8-29-22) 4) Child #4 (first date attendance 8-29-22) 5)Child #5 (first date attendance 1-9-23 Staff #5 confirmed missing information.”

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #3 did not have documentation of a TB screening and the first date of employment was 9-12-22. Staff #5 confirmed missing information.”

8VAC20-790-600-F

“Based on record review and staff interview the vendor did not ensure staff who work directly with children shall, in addition to preservice and orientation training required, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: Staff #5 confirmed the following staff did not have any documentation of a health and safety update. 1)Staff #1 (date of hire 6-1-2021) 2)Staff #2 (date of hire 8-1990) 3)Staff #3 (date of hire 9-15-2020) 4) Staff #5's record included a health and safety update but he most recent was dated 12-6-21 and therefore had not been updated annually. .”

8VAC20-790-600-D-1

“Based on record review of 3 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration. Evidence: The record for Staff #2 (date of hire 9-12-2022) did not include documentation of CPR certification.”

8VAC20-790-600-D-2

“Based on record review and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care. Evidence: The record for Staff #4 (date of hire 9-12-2022) did not include documentation of First Aid certification”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: The staff did not have documentation in their record for an updated TB screening as listed below; 1)Staff #1 most recent TB screening dated 12-1-2020 2)Staff #3 most recent TB screening dated 2-24-2021 Staff #5 confirmed missing information.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The following records), did not include documentation of required immunizations prior to attendance. 1)Child #1, (first date of attendance 10-5-2022) 2)Child #2 (first date of attendance 8-29-22 3)Child #3 (first date attendance 8-29-22) 4)Child #4 (first date attendance 8-29-22) 5)Child #5 (first date attendance 1-9-23) Staff #5 confirmed missing information.”

8VAC20-770-40-D-1-b

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a sworn statement prior to the first day of employment Evidence: Staff #4 did not have documentation of sworn statement in their record. Staff #1 was observed working on the day of the inspection and their first date of employment was 6-1-2021. Staff #5 confirmed missing information.”

22.1-289.035-B-2

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The following staff did not obtain a fingerprint as required. 1)Staff #1?s first date of employment was 6-1-2021 and there was not fingerprint check available for review. Staff #1 was observed working during the inspection. Staff #5 confirmed missing information.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff #5 confirmed they do not have a policy available for review related to safe sleeping practices.”

8VAC20-780-60-A

“Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The following information was missing from the children’s records; 1)The records for child #1 and child #5 did not have emergency contacts listed to include name, address and phone number. Staff #5 confirmed missing information. 2)The record for child #5 did not include proof of identity”

8VAC20-780-240-A

“Based on record review and staff interviews, the licensee did not ensure each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff #4 (date of hire 9-12-2022) did not include documentation of completing the required orientation. Staff #5 confirmed missing information.”

8VAC20-780-240-C

“Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #1 (hire date 9-12-22) did not include information indicating orientation training to include to prevention of abusive head trauma and safe sleeping practices. Staff #5 confirmed missing information.”

8VAC20-780-245-A

“Based on record review and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The following staff did not have in their record documentation of 16 hours of annual training as listed below. 1)Staff #1 did not have any documentation of annual training. 2)Staff #2 only had 9 hours of annual training. 3)Staff #3 only had 9 hours of annual training. 4)Staff#5 did not have any documentation of annual training. Staff #5 confirmed missing information.”

8VAC20-780-245-J-3

“Based on record review and staff interviews, the licensee did not ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements for medication administration training/ certification. Evidence: Staff #5 confirmed child #6 arrived at approximately 7:05 am and they, Staff#5 did not arrive until approximately 8:00am. Staff #5 has obtained the required MAT training/certification and is designated staff to administer emergency medication for Child #6 if needed. Child #6 was in the center for approximately 55 minutes without a staff member who had obtained the MAT certification/ training.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee 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: The following hazardous chemicals were observed in the preschool room stored on the back shelf under the cabinets, accessible to children and in an unlocked manner (1 container of hand sanitizer, sunscreen, and disinfectant) These items are hazardous chemicals, and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records did not include documentation of a physical within 30 days of attendance. 1)Child #1, (first date of attendance 10-5-2022) 2)Child #2 (first date of attendance 8-29-22 3)Child #3 (first date attendance 8-29-22) 4) Child #4 (first date attendance 8-29-22) 5)Child #5 (first date attendance 1-9-23 Staff #5 confirmed missing information.”

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #3 did not have documentation of a TB screening and the first date of employment was 9-12-22. Staff #5 confirmed missing information.”

8VAC20-790-600-F

“Based on a review of 5 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course. Evidence: The record for Staff #2 and Staff #4 did not include the required annual 3 hour Health and Safety update course. The most recent Health and Safety course available for review for Staff #2 was dated 3-1-2020 and for Staff #4 it was dated 11-13-2019.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee 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: In the preschool room there were 2 containers of hand sanitizer, stored on the shelf on the back wall. These items are hazardous chemicals and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-560-G

“Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the preschool classrooms 7 lunch boxes/containers were observed and 2 did not have dates and 2 did not have their name (identifiable information).”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #6 confirmed there was not a policy available for review related to head trauma.”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In the Preschool classroom there was list posted on the wall with 7 children’s names listing their allergies and food sensitivities. The allergy was not dated and was for the public to view.”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #3, (first date of attendance 10-11-2022) and Child #4 (first date of attendance 5-9-2022) did not include documentation of a physical.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The records for Child #3, (first date of attendance 10-11-2022) and Child #5 (first date of attendance was verified by Staff # 5 as September 2022), did not include documentation of required immunizations prior to attendance.”

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection results dated March 22, 2022 were not posted in a conspicuous place.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: The most recent copy of the health inspection available for review was date 6-15-2021.”

8VAC20-780-260-A

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent copy of the fire inspection available for review was dated 4-20-2021.”

8VAC20-780-70

“Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: 1) The records for Staff #1, #2, #3, #4 and #5 were requested for review. 2) The records for Staff #2, #3 and #4 were not available for review to include but not limited to their background checks. 3) The required information to be kept at the center related to any health problems that may interfere with fulfilling the job responsibilities was not available for review for Staff #2, #3, #4 and #5. 4) Staff #6, confirmed, staff records are supposed to be kept on site, however Staff #6 ?has them because they are working on a scanning project for the records?. 5) Staff #1, #2, #3, #4 and were observed working during the inspection.”

8VAC20-790-600-F

“Based on a review of 5 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course. Evidence: The record for Staff #2 and Staff #4 did not include the required annual 3 hour Health and Safety update course. The most recent Health and Safety course available for review for Staff #2 was dated 3-1-2020 and for Staff #4 it was dated 11-13-2019.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee 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: In the preschool room there were 2 containers of hand sanitizer, stored on the shelf on the back wall. These items are hazardous chemicals and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-560-G

“Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the preschool classrooms 7 lunch boxes/containers were observed and 2 did not have dates and 2 did not have their name (identifiable information).”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #6 confirmed there was not a policy available for review related to head trauma.”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In the Preschool classroom there was list posted on the wall with 7 children’s names listing their allergies and food sensitivities. The allergy was not dated and was for the public to view.”

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance. Evidence: The record for Child #3, (first date of attendance 10-11-2022) and Child #4 (first date of attendance 5-9-2022) did not include documentation of a physical.”

8VAC20-780-130-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The records for Child #3, (first date of attendance 10-11-2022) and Child #5 (first date of attendance was verified by Staff # 5 as September 2022), did not include documentation of required immunizations prior to attendance.”

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection results dated March 22, 2022 were not posted in a conspicuous place.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: The most recent copy of the health inspection available for review was date 6-15-2021.”

8VAC20-780-260-A

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent copy of the fire inspection available for review was dated 4-20-2021.”

8VAC20-780-70

“Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: 1) The records for Staff #1, #2, #3, #4 and #5 were requested for review. 2) The records for Staff #2, #3 and #4 were not available for review to include but not limited to their background checks. 3) The required information to be kept at the center related to any health problems that may interfere with fulfilling the job responsibilities was not available for review for Staff #2, #3, #4 and #5. 4) Staff #6, confirmed, staff records are supposed to be kept on site, however Staff #6 ?has them because they are working on a scanning project for the records?. 5) Staff #1, #2, #3, #4 and were observed working during the inspection.”

8VAC20-820-120-A-6

“Based on review of center documentation and staff interviews, the licensee did not ensure to operate within the terms of its license. Evidence: The center operated outside the terms of the license as they did not follow the established age rage for care, (care is for ages 3 years to age 12). Center documentation and center staff confirmed child #1, was age 2 when they entered the childcare program. Child #1 was in care as a two year beginning in November 1, 2021 until the child turned 3 years old on March 14, 2022.”

8VAC20-780-550-D

“Based on review of center documentation and staff interviews, the licensee did not ensure to practice 2 shelter-n-place drills annually. Evidence: There was not documentation available for review that 2 shelter in place drills had been conducted in 2021.”

8VAC20-780-160-A-1

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained documentation of the tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. Evidence: The record for staff #1, employment date 2-7-2022 did not include a TB screening and center staff confirmed they have been working with children.”

8VAC20-770-40-D-1-c

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of the search of central registry check ( CPS ) before five years since the date of the most recent central registry finding. Evidence: The record for staff #2, did not include an updated CPS check by the end of five years. The most recent one available for review was dated 7-20-2016.”

22.1-289.035-B-4

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of a sex offender registry check and a search of the child abuse and neglect registry ( CPS ) or equivalent registry from any state in which the individual has resided in the preceding five years. The results for the sex offender are to be obtained before reporting to the child day center. The CPS check is required to be submitted by the end of the 30th day of employment. Evidence: The record for staff #1, employment date 2-7-2022 did not include a sex offender check for South Carolina and Georgia, where staff #1 had lived within the last five years. There were not results for a CPS check from Georgia available for review.”

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were available for review. Evidence: The inspection finding posted were dated 9-24-2020. The most recent inspection was dated October 25, 2021.”

8VAC20-820-120-A-6

“Based on review of center documentation and staff interviews, the licensee did not ensure to operate within the terms of its license. Evidence: The center operated outside the terms of the license as they did not follow the established age rage for care, (care is for ages 3 years to age 12). Center documentation and center staff confirmed child #1, was age 2 when they entered the childcare program. Child #1 was in care as a two year beginning in November 1, 2021 until the child turned 3 years old on March 14, 2022.”

8VAC20-780-550-D

“Based on review of center documentation and staff interviews, the licensee did not ensure to practice 2 shelter-n-place drills annually. Evidence: There was not documentation available for review that 2 shelter in place drills had been conducted in 2021.”

8VAC20-780-160-A-1

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained documentation of the tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. Evidence: The record for staff #1, employment date 2-7-2022 did not include a TB screening and center staff confirmed they have been working with children.”

8VAC20-770-40-D-1-c

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of the search of central registry check ( CPS ) before five years since the date of the most recent central registry finding. Evidence: The record for staff #2, did not include an updated CPS check by the end of five years. The most recent one available for review was dated 7-20-2016.”

22.1-289.035-B-4

“Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of a sex offender registry check and a search of the child abuse and neglect registry ( CPS ) or equivalent registry from any state in which the individual has resided in the preceding five years. The results for the sex offender are to be obtained before reporting to the child day center. The CPS check is required to be submitted by the end of the 30th day of employment. Evidence: The record for staff #1, employment date 2-7-2022 did not include a sex offender check for South Carolina and Georgia, where staff #1 had lived within the last five years. There were not results for a CPS check from Georgia available for review.”

8VAC20-820-120-E-2

“Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were available for review. Evidence: The inspection finding posted were dated 9-24-2020. The most recent inspection was dated October 25, 2021.”

63.2(17)-1720.1-B-4

“Based on record review and staff interviews, the licensee did not ensure the child day center, obtained 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 from any state in which the individual has resided in the preceding five years. Evidence: The following records did not include the required out of state background checks. 1) The record for staff #1 (date of hire 11-11-19) did not include a sex offender check from the state of Maryland. 2) The record for staff #3 (date of hire 8-16-21) did not include a Child protective Service check from the state of New Jersey and from the state of Texas.”