Inspection · 2022-10-26

Based on a review of five staff records, the center did not ensure one staff obtained the required staff health report within the required timeframe.

Evidence: 1) The staff health report in the record of Staff #1, employed 09/16/22, was completed on 10/02/22. The staff health report should have been obtained prior to the staff beginning employment.

Based on interviews, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily.

Evidence: During interviews, management was not able to identify a staff member who is trained to perform daily health screening and exclusion of sick children.

Based on a review of five children's records and interview, the center did not implement the center's procedure to ensure that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases.

Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. The center is required to obtain documentation of immunizations prior to the child's first day of attendance. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.

Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member.

Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17,
expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.

Based on a review of five staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe.

Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.

Based on a review of five staff records and interview, the center did not obtain the required out-of-state background checks from one state in which one staff member had resided in the preceding fiver years within the required timeframes.

Evidence: 1) The record for Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment. The central registry search should have been requested within 30 days of employment.

Based on a review of five staff records and interview, the center did not ensure three staff had the results of the central registry check within 30 days of the individuals beginning employment.

Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the
central registry check.

2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20.

3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check.

4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.