Inspection · 2023-08-17

Based on observation and interviews it was determined the center did not ensure that the required documents related to the terms of the license are posted on the premises of each facility.
Evidence:
1. The most recently issued license and inspection findings were not posted in the facility.
3. Staff #5 (Program Director) confirmed the license and inspection findings were not posted.

Based on a review of 5 staff records and a review of the staff information sheet submitted with the renewal documents, it was determined the center did not ensure that an employee is not allowed to begin employment without a completed national criminal history record check (Repeat Violation).
Evidence:
1.The record for Staff #1 (DOH 11/16/2022) did not contain documentation of a completed national criminal history record check.

Based on a review of 5 staff records and a review of the staff information sheet submitted with renewal documents, it was determined the center did not deny continued employment of a staff member who did not have a central registry finding within 30 days of employment. (Repeat Violation)
Evidence:
1.The record for Staff #1, date of hire (DOH) 11/16/2022, did not contain a completed search of the central registry finding.
2.The record for Staff #2, DOH 11/16/2022, did not contain a completed search of the central registry finding.
3.The record for Staff #3, DOH 7/21/2023 did not contain a completed search of the central registry finding.
4.The record for Staff #5, DOH 6/30/2022, did not contain a completed search of the central registry finding.
5. Staff #5 (Program Director) confirmed the search of the central registry finding had not been completed.
6. Staff #7 (DOH 6/14/2022), #Staff 9 (DOH 6/12/2022), Staff #10 (DOH 8/5/2022), Staff #11 (DOH 3/7/2023), Staff #12 (DOH 1/17/2022), Staff #13 (DOH 3/15/2023) as reported on the supplemental staff information sheet, did not contain a completed search of the central registry finding.
7. Staff # 5 confirmed that the records for Staff #1, #2, #3, #5, #7, #9, #10, #11, #12, #13 did not contain a completed search of the central registry.

Based on observation and interviews, it was determined the center did not ensure that the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Evidence:
1. The record for Staff #1 (date of hire 11/16/2022) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course.
2. The record for Staff #2 (date of hire 11/16/2022) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course.
3. The record for Staff #4 (date of hire 4/6/2023) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course.

Based on observation and interviews it was determined the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.
Evidence:
1.Two of the vinyl stairs on the indoor play structure had rips approximately 4?-6? long where children climb, posing a tripping hazard.

Based on observation and interviews, it was determined the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1.In classroom #158 a bottle of bleach water was on a shelf, unlocked and accessible to children

Based on a review of the evacuation drill log and interview, it was determined the center did not ensure that a monthly practice evacuation drill is completed. (Repeat Violation)
Evidence:
1. The evacuation drill log did not have written documentation that an evacuation drill was completed for June.
2. Staff #5 (Program Director) confirmed an emergency evacuation drill was not conducted in June.

Based on the record review of the evacuation drill log and interview, it was determined the center did not ensure that all of the required documentation shall be maintained of emergency evacuation, shelter in place, and lockdown drills.
Evidence:
1. The evacuation drill log did not contain documentation of the number of staff participating.
2. The evacuation drill log did not contain documentation of the number of children participating.
3. The evacuation drill log did not contain documentation of any special conditions simulated.
4. The evacuation drill log did not contain documentation of weather conditions.
5. Staff #5 (Program Director) confirmed that the form the center used to document evacuation drills did not include all of the required information.

Based on observation and interviews, it was determined the center did not ensure that the written record of children?s serious and minor injuries contained all of the required information.
Evidence:
1. 17 injury reports for the month of August did not contain either the staff and parent signatures or two staff signatures.
2. Staff #5 (Program Director) confirmed the injury reports did not contain two signatures.

Based on observation and interviews, it was determined the center did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. (Repeat Violation)
Evidence:
1.There were 3 lunch boxes with no date on them in classroom #158
2.There were 3 lunchboxes with no date on them in classroom #157

Based on a review of 5 staff records and interviews, it was determined that the center did not ensure that a record was kept for each staff member with all the required information. (Repeat Violation)
Evidence:
1.The record for Staff #1 did not include two reference checks, and qualifications.
2.The record for Staff #2 did not include two reference checks and documentation of orientation.
3.The record for Staff #3 did not include two reference checks.
4.The record for Staff #4 did not include two reference checks.