Inspection · 2024-10-22

Staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. The record for Staff #4 contained documentation of a TB screening that was dated six after beginning employment.

Within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. The record for Staff #4 did not contain documentation of a completed Virginia Preservice Training for Child Care Staff. Staff #4 has been employed at the center for 12 months.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The records for Staff #3 and Staff #4 did not contain documentation of current CPR certification. Staff #3 has been employed at the center for six months. Staff #4 has been employed at the center for 12 months.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. The records for Staff #3 and Staff #4 did not contain documentation of current certification in first aid. Staff #3 has been employed at the center for six months. Staff #4 has been employed at the center for 12 months.

Staff who work directly with children shall, in addition to preservice and orientation, annually attend at least 16 hours of training and staff development activities, to include the department?s health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. The record for Staff #4 did not contain documentation of 16 hours of training, including the department?s health and safety update course. Staff #4 has been employed at the center for 12 months.

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. Cleaning chemicals were unlocked sitting on top of cabinets in two areas accessible to children.

The vendor shall ensure that all staff receives training regarding emergency evacuation, relocation, shelter-in-place, and lockdown procedures on an annual basis and at the end of each plan update. The emergency preparedness plan documentation indicated the plan was last reviewed and updated over two years ago.