Inspection · 2023-07-26

The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment.
Evidence:
The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022.
The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.

Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required.
Evidence:
S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.

Based on record review, the provider failed to ensure an employee not be employed until the
center has the person?s completed sworn statement.
Evidence:
The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).

Based on staff record review, the provider failed to have central registry findings within 30
days of employment.
Evidence:
The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023.
The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.

Based on child record review, the provider failed to obtain documentation of additional
immunizations once every six months for children under the age of two years.
Evidence:
The record for C9 did not contain immunizations due January 2023 before the
child became 2 years old.

Based on staff record review, the provider failed to ensure that three of nine staff submit
documentation of a negative tuberculosis screening at the time of employment or
documentation completed within the last 30 calendar days of the date of employment.
Evidence:
The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023.
The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021.
The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.

REPEAT VIOLATION
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 S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.

Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.

Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition.
Evidence:
Poison ivy was observed on the pre-K age playground where children were playing.
The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck.
A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building.
Broken bags of trash were observed on the pre-k and school age playgrounds.
Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.

Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children.
Evidence:
The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.

Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials.
Evidence:
Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.

REPEAT VIOLATION
Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence:
A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.

Based on observation, the provider failed to ensure that a child in the preschool
classroom had cots with linens consisting of a top cover and a bottom cover.
Evidence:
One cot used by a child during the rest period did not have a bottom covering.

Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained.
Evidence:
A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.

REPEAT VIOLATION
Based on child record review, the provider failed to ensure that one of eleven records
contained the required information for each child enrolled.
Evidence:
The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420.E-3.

REPEAT VIOLATION
Based on record review, the provider did not keep the required documentation for four of nine staff.
Evidence:
Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log.
The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities.
The record for S5 and did not document an emergency contact.