Inspection · 2022-10-10

Based on staff record review, the provider failed to have central registry findings within 30
days of employment.
Evidence:
The record for S2, employed 02/27/2023 did not contain findings of a central registry search
within 30 days of employment. Results dated 04/06/2023.
The record for S3, employed 12/07/2022 did not contain findings of a central registry search.
The record for S4, employed 11/11/2022 did not contain findings of a central registry search
within 30 days of employment. Results dated 01/04/2023.

Based on child record review, the provider failed to obtain documentation that each child
has received the immunizations required by the State Board of Health before the child can
attend the center.
Evidence:
The record for C5, enrolled 08/12/2022 failed to contain documentation of immunizations on
that date. The immunization documentation in the file was dated for 08/19/2022.

Based on record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.
Evidence:
The record for C2, enrolled 12/01/2022 did not contain a physical examination.

Based on record review, the provider failed to ensure that staff shall complete the Virginia
Department of Education-sponsored orientation course within 90 days of employment.
Evidence:
The record for S4, employed 11/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/18/2023.

Based on staff record review, the provider failed to ensure that a staff member completed orientation training within required time frame.
Evidence:
Record for S2, employed 02/27/2023 did not contain document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment. The training was completed 04/20/2023.

Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition.
Evidence:
The cork board in the toddler room was peeling within reach of the children in care.

Based on observation, the provider failed to keep confidential in each room where children are present a written list of all children?s allergies, sensitivities, and dietary restrictions.
Evidence:
Licensing inspector observed allergy lists posted in the toddler and infant classrooms in such a manner that it was not confidential. The list was posted on the wall of the classroom with no coversheet to protect the names of the children with allergies from view.

Based on observation, the provider failed to ensure that children?s hands shall be washed with soap and running water after toileting.
Evidence:
Licensing inspector observed a staff member in the toddler room failing to wash three children?s hands after each child was diapered.
Licensing inspector observed staff member in the infant room diapering an infant. The staff member failed to wash the child's hands after diapering and before placing the child in a highchair for self-feeding.

Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.
Evidence:
Licensing inspector observed staff member in the toddler room changing the diapers of three children. The staff member failed to clean the diapering surface with soap and water and then sanitize the surface after each diaper change.

Based on the review of emergency evacuation documents, the provider failed to ensure that
the center practiced annually it?s lockdown procedures.
Evidence:
Records did not document a lockdown drill during 2022.

Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes the required information.
Evidence:
The emergency drill documentation dated January 2023 ? April 2023 did not document the method used for notification of the drill, any special conditions simulated, and problems encountered, if any.

Based on child record review, the provider failed to ensure that three of five records contained required documentation.
Evidence:
Record for C1, enrolled 05/01/2023, did not contain documentation of a second emergency contact for the child if the child?s parents could not be located.
Record for C4, enrolled 08/29/2022, did not contain documentation of viewing proof of the child?s identity and age within 7 days enrollment. Proof of identity was completed 10/10/2022.
Record for C5, enrolled 10/24/22, did contain documentation two emergency contacts for the child if the child?s parents could not be located.

Based on staff record review, the provider failed to ensure that two of five records contained required information.
The record for S3, employed 12/07/2022 did not document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment.