Inspection · 2023-02-13

Based on record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
Evidence:
1. The record of staff #1 (employment date: 7/5/22) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
2. The record of staff #5 (employment date: 3/18/21) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
3. The record of staff #6 (employment date: 7/5/22) did not have documentation showing that they have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

Based on record review and an interview, the center did not ensure to have at least one person on staff that has been trained to conduct daily simple health screenings of children.
Evidence:
During the inspection of six staff records and an interview with the center representative, it was discovered there were no staff that received training in daily health screenings within the past three years. Religious exempt requirements stipulate that a staff should be able to conduct a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Daily health screenings should be completed every three years.

Based on observation, the center did not ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.
Evidence:
1. The record of child #5 (enrollment date: 12/19/2022) did not have documentation of immunizations.

Based on record review, the center did not ensure 3 of 6 staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (employment date: 7/5/2022) had documentation of fingerprint based national criminal history search results dated 7/7/2022.
2. The record of staff #3 (employment date: 11/14/2022) had documentation of fingerprint based national criminal history search results dated 2/6/2023.
3. The record of staff #4 (employment date: 3/23/2022) had documentation of fingerprint based national criminal history search results dated 4/6/2022.

Based on record review, the center did not ensure one of six staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.

Evidence:
1. The record of staff #1 (employment date: 7/5/2022) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
2. The record of staff #1 and an interview, indicated that the staff member has lived outside of Virginia within the last 5 years.

Based on observation and an interview, the center did not ensure that the building serving preschool aged children was equipped with at least one carbon monoxide detector.
Evidence:
The licensing inspector did not see a carbon monoxide detector installed in the center. The center?s administrator stated that a carbon monoxide detector is not currently installed in the building.

Based on record review, the provider did not ensure 6 of 6 staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (employment date: 7/5/22) did not have documentation of central registry results and a completed sworn statement or affirmation.
2. The record of staff #2 (employment date: 8/15/22) did not have documentation of central registry results.
3. The record of staff #3 (employment date: 11/14/22) did not have documentation of central registry results.
4. The record of staff #4 (employment date: 3/23/22) did not have documentation of central registry results.
5. The record of staff #5 (employment date: 3/18/21) did not have documentation of central registry results.
6. The record of staff #6 (employment date: 7/5/22) did not have documentation of central registry results.