Inspection · 2023-05-17

Based on record review and interview it was determined the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and 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.
Evidence:
1. The record for staff #3(hired 12/14/22) contained documentation that staff #3 had lived in California and Puerto Rico within the past five years.
2. The record for staff #3(hired 12/14/22) did not contain documentation of the results of a criminal history record information check, a sex offender registry check, and search of the child abuse and neglect registry or equivalent registry from California and Puerto Rico.
3. Staff confirmed that the these documents were not available during this inspection.

Based on record review and interview it was determined the center did not ensure each staff member does not have a central registry finding within 30 days of employment or volunteer service.
Evidence:
1. The staff record for staff #3(hired 12/14/22) did not contain documentation of a central registry search.
2. Staff confirmed these documents were not present during inspection.

Based on record review and interview, it was determined that the facility did not ensure that the center obtained documentation that each child had received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. The records for child #4, #9 and #9, present during the inspection, did not contain documentation of an immunization record.
2. Staff confirmed there were no immunization records available for these children during this inspection.

Based on record review and interview, it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician within the required timeframe.

Evidence:
1. The records for child #4, #9 and #9, present during the inspection, did not contain documentation of a physical exam.
2. Staff confirmed there were no physical exam records available for these children during this inspection.

Based on record review and interview it was determined the center did not ensure each staff member submitted documentation of a negative tuberculosis screening completed within the last 30 days at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for staff #3(hired 12/14/22) did not have dated documentation of a TB screening prior to coming into contact with children.
2. Staff confirmed this documentation was not available during this inspection.

Based on observation and interview it was determined the center did not 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 documented in the allergy plan required in 8VAC20-780-60 A 8.
Evidence:
1. There was no allergy list posted in the childcare area of this program.
2. Staff confirmed that there are children with food allergies, but there is no posted allergy list.

Based on record review and interview it was determined the center did not ensure there was at least two staff members who meet the requirements of subsection A of this section present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care.
Evidence:
1. There were two staff present during this inspection. Staff #1 did not have First aid and CPR certification.
2. Staff confirmed that Staff #2 was the only staff with current First aid and CPR certification during this inspection.

Based on record review and interview it was determined the center did not ensure that each child enrolled had a record containing all of the required information at the center.
Evidence:
1. There was no record available at the center for child #4, #9, and #10.
2. The records for child #1, #2, #3, #5, #6, #7, and #8 did not contain the following information:
a. Home address and home phone number of each parent;
b. Work phone number and place of employment of each parent;
c. Name and phone number of child's physician;
d. Name, address and phone number of two designated people to call in an emergency;
e. Names of persons authorized to pick up the child;
f. Allergies and intolerance to medication or any other substances;
g. Chronic physical problems and pertinent development information;
h. Previous child day care and schools attended.
3. Staff confirmed that these records were not available during this inspection.

Based on record review and interview it was determined the center did not ensure staff records contained all of the required information.
Evidence:
1. The record for staff #3(hired 12/14/22 did not contain the required emergency contact information and dated orientation documentation.
2. Staff confirmed this information was not available during this inspection.

Based on record review and interview it was determined the center did not ensure each child's record contained signed written agreements between the parent and the center by the child's first day of attendance as required.
Evidence:
1. The records for child #2, #4, #9, and #10, present during this inspection, did not contain documentation of the required written agreements.
2. Staff confirmed this information was not available during this inspection.