Inspection · 2022-10-21

Based on a review of records, 1 staff record does not contain documentation of a completed nationwide fingerprint search, prior to employment.
Evidence:
1 of 2 staff files reviewed did not contain an acceptable result from a nationwide fingerprint search prior to employment. A search was done; however, not for this Limited Liability Corporation (LLC). These results are not transferrable. (Staff B- Date of Hire (DOH): 10/3/22)

Based on a review of records, 1 staff record does not contain documentation of a completed Child Abuse and Neglect Search result for a residence outside of the state of Virginia in the past 5 years.
Evidence:
1 staff person who has resided outside of Virginia in the past 5 years, did not have a completed Child Abuse and Neglect search result on file within 45 days of employment for that residence. (Staff A ? DOH:9/9/22)

Based on a review of records, 1 staff record did not contain accurate information documented on the Sworn Disclosure Statement (SDS).
Evidence:
1 of 2 staff records reviewed, had an SDS on file that did not accurately reflect any residences outside of Virginia in the past 5 years. (Staff A)

Based on a review of records, 1 staff record did not contain documentation of a completed Central Registry Search (CRS) for Virginia within 30 days of employment.
Evidence:
1 of 2 staff records reviewed had no CRS result on file, past 30 days of employment. (Staff A- DOH 9/9/22)

Based on a review of records, staff records did not contain documentation of a negative TB screening result provided at employment, and completed within the last 30 days.
Evidence:
2 of 2 records reviewed did not contain documentation in the allowable time frame for the TB screening results.
*Results are dated 10/10/22. After employment date of 9/9/22 (Staff A)
*Results are dated 11/27/21, more than 30 days prior to employment date of 10/3/22. (Staff B)

Documentation of orientation available for review does not include all required components/policies.
Evidence:
2 of 2 staff records reviewed did not contain documentation of orientation training on all required policies and procedures that went into effect 1/13/22. Missing information includes: *Policy for prevention of Abusive Head Trauma.
*Prevention of and response to emergencies due to food allergies and other allergic reactions
*Prevention and Control of Disease.
The form available for review is outdated (Staff A, B)

Based on multiple interviews, it was determined that behavior guidance was not constructive in nature and intended to redirect children.
Evidence:
A staff person did not attempt to redirect a child that was uncooperative during snack regarding eating their snack and following directions.
The staff attempted to physically remove the child from the area without attempting to redirect the child?s behavior and resolving the conflict, escalating the situation. (Staff B)

Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child?s behavior issue.
Evidence:
Staff B roughly handled a child when she attempted to pick up the child from the snack table by lifting them under the arms and around their chest. The child wrapped their legs around the leg of the table and held on to the edge of the table resisting being moved. The staff person pulled on the child attempting to remove the child from the table.

Based on multiple interviews, it was determined that a staff member used a forbidden action when dealing with a child.
Evidence:
Staff B used verbal remarks that were demeaning to a child. The staff person told the child to ?stop acting like a baby? when the child was upset and crying.

Based on a review of records, one child record does not contain all required components.
Evidence:
1 child record was reviewed. Missing information includes:
*Complete addresses for emergency contacts. (Child 1)

Based on observation, written attendance was not kept for each group of children.
Evidence:
2 of 5 room?s attendance sheets were not accurate at the time of inspection.
The Ants attendance was not completed. The Elephants attendance sheet reflected 12 children; however, there were 17 children present.