Inspection · 2023-07-10

Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility.
Evidence:
1. The most recent monitoring inspection, dated July 6, 2022, was not posted in the facility.
2. Staff #1 confirmed that the most recent inspection was not posted in the facility.

Based on record review and interview, it was determined that the center failed to ensure that the Virginia central registry results are obtained by the end of the 30th day of employment.
Evidence:
1. Four of the five staff records reviewed did not have results of the Virginia Central Registry in their records.
a. Staff #2 (date of hire 12/15/2022) did not have results of the Virginia Central Registry in their record.
b. Staff #3 (date of hire 10/22/2022) did not have results of the Virginia Central Registry in their record.
c. Staff #4 (date of hire 05/14/2021) did not have results of the Virginia Central Registry in their record.
d. Staff #6 (date of hire 04/17/2023) did not have results of the Virginia Central Registry in their record.
2. Staff #1 confirmed that there were no Central Registry results for Staff #2, Staff #3, Staff #4, and Staff #6 in their records.

Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence:
1. Staff #5 (date of hire 7/10/2023) has a tuberculosis screening dated June 29, 2021 which was not completed within the last 30 calendar days of the date of employment.
2. Staff #1 confirmed that Staff #5 did not submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.

8VAC20-780-160.C.
Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening.
Evidence:
1. Staff #4 (date of hire 05/14/21) had an expired tuberculosis screening dated April 15, 2021.
2. Staff #1 confirmed that Staff #4?s tuberculosis screening was expired.

8VAC20-780-270. A.
Based on observation and interview, it was determined that areas and equipment of the center shall be maintained in a safe and operable condition.
Evidence:
1. In the preschool room, the children?s table has three damaged area of deterioration that poses as an injury hazard to the children in care.
2. Staff #1, the owner, confirmed that the children?s table in the preschool room is damaged.

Based on observation and interview, it was determined that the center did not ensure that there shall be a posted daily schedule.
Evidence:
1. In 2 of the 4 classrooms at the center, there were no posted daily schedules in the two classroom.
2. Staff #1 and Staff #2 both confirmed that there were no daily schedules posted for two of the classrooms.

Based on observation and interview, it was determined that the center did not ensure that the diapering area shall have a nonabsorbent surface for diapering or changing.
Evidence:
1. The changing pad in the children?s bathroom has tears to the waterproof lining making it an absorbent surface for diapering and changing.
2. Staff #2 confirmed the tears to the changing pad and that it is currently being used at the center.

Based on record review, it was determined that the center did not ensure that at least one staff in each classroom or area where children are present shall have, within 90 days of October 13, 2021: Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.
Evidence:
1. Staff #4, lead teacher, did not have a current certification in CPR and the most current certification has an expiration date listed as June 2023.
2. Staff #4 is the only teacher in the classroom with no other staff members in the classroom that are CPR certified.
3. Staff #1 confirmed that Staff #4?s CPR certification is expired dated June 2023.

Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation.
Evidence:
1. The emergency evacuation drill log has documentation of January 2023 and March 2023 drills. February 2023, April 2023, May 2023, and June 2023 were not documented to the emergency evacuation drill log.
2. Staff #2 confirmed that the drills from this year were not all documented.