Inspection · 2023-08-14

Based on staff record review, the center failed to ensure that required background checks are repeated every 5 years per the Code of Virginia.

EVIDENCE:
The most recent Criminal Record Fingerprint Eligibility letter for Staff 4 was dated 7/18/2018.

Based on staff record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

EVIDENCE:
1. Staff 1 had a documented hire date of 6/21/2023 and there was no fingerprint letter of eligibility available for review. Staff 6 confirmed it was not in the record.

2. Staff 2 had a documented hire date of 3/17/2023 and the fingerprint letter of eligibility was dated 3/20/2023.

3. Staff 3 had a documented hire date of 2/23/2023 and the fingerprint letter of eligibility was dated2/28/2023.

Based on staff record review and interview, the center failed to obtain an out-of-state child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

EVIDENCE:
Staff 2 had a documented hire date of 3/17/2023. The record contained documentation that Staff 2 had resided outside of the state within the preceding five years. There was no child abuse and neglect registry check from the state in which Staff 2 resided. Staff 6 confirmed it was not in the record.

Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

EVIDENCE:
Staff 1 had a documented hire date of 6/21/2023. Results of the Virginia Central Registry check were not available for review. Staff 6 confirmed it was not in the record.

Based on staff record reviews, the center failed to obtain TB screenings for new staff prior to employment.

EVIDENCE:
1. Staff 1 had a documented hire date of 6/21/2023. The TB screening was dated 7/3/2023.

2. Staff 2 had a documented hire date of 3/17/2023. The TB screening was dated 3/24/2023.

3. Staff 3 had a documented hire date of 2/23/2023. The TB screening was dated 2/27/2023.

REPEAT VIOLATION

Based on record review and interview, the facility failed to ensure that a staff person completed a minimum of 16 hours of annual training appropriate to the age of children in care.

EVIDENCE:
The record for Staff 4 had no documentation to support that 16 hours of training had been completed in the past year.

Based on observation, the center failed to have hazardous substances kept in a locked place using a safe locking method that prevents access by children.

EVIDENCE:
1. The laundry room was unlocked and a shelf in the room had multiple containers of bleach and laundry detergent.

2. Toilet bowl cleaner, Soft Scrub, and disinfectant wipes were stored in a basket on a shelf in the unlocked children?s bathroom in the Maple room.

Based on observation, the center failed to ensure that medication for a child was labeled with all required elements.

EVIDENCE:
A prescription medication, EpiPen was in a plastic bag. The bag had the name of Child 4 written on it. The medication itself did not have the prescription label and was missing the child?s name, dosage amount, or the time or times to be given.

Based on child record review, the center failed to obtain a written allergy care plan for a child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

EVIDENCE:
The physical exam form for Child 3, signed by the physician on 6/8/2023, shows this child is allergic to eggs and peanuts. The record for Child 3 does not have a written allergy care plan.

Based on staff record review, the facility failed to have references for a staff person prior to beginning employment.

EVIDENCE:
Staff 1 had a documented hire date of 6/21/2023. References were obtained on 7/6/2023 and 7/14/2023.