Inspection · 2023-01-19

Based on review of 5 staff files, the facility failed to obtain a fingerprint based national criminal check prior to employment for each staff as required. Evidence: Staff 1 (date of employment 6/6/2022) did not have a fingerprint result on file.

Based on review of five staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: Staff 2 (date of employment (8/29/2022) indicated on the sworn disclosure statement dated 8/24/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry was submitted within 30 days as required. The director verified that an out of state search of the child abuse and neglect registry (CPS check) were not completed for Staff 2

Based on review of seven children?s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 5 (date of enrollment 3/31/2022) and Child 6 (date of enrollment 8/23/2022) did not have documentation of a physical on file.

Based on review of 5 staff records and staff interview, the center failed to obtain documentation of a negative tuberculosis screening or test (TB) at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 6/6/2022) and Staff 4 (date of employment 1/20/2023) did not have documentation of a TB test or screening on file.

Based upon observation, the facility failed to have hand washing sinks that have warm water that does not exceed 120 degrees Fahrenheit. Evidence: The hot water temperature at the hand washing sink in the preschool classroom reached 133 degrees Fahrenheit.

Based on observation, the facility failed to provide equipment that is age and stage appropriate for the children. Evidence: the school age children ate afternoon snack in the gym. There was one table with 8 stools with 37 school age children present. The children were sitting on the floor eating snack. Staff stated that the children were not sitting at the tables because the floor in that room had just been mopped.

Based on observation, the facility failed to wash children?s hands with soap and running water before and after eating meals or snacks. Evidence: Children in the preschool class and the school age class did not wash hands immediately before or immediately after eating afternoon snack.

Based on review of two prescription medications, the facility failed to have written authorization from the child?s physician to administer medication. Evidence: There was no written physician authorization to administer a long term emergency medication to Child A.

Based on observation and staff interview, the facility failed to have a complete first aid kit wherever children are in care. Evidence: the first aid kit on Bus 7 did not have a thermometer or an ice pack. The bus transported 13 children from the public school to the center.

Based on observation, the facility failed to sanitize tables before and after each use for feeding. Sanitize is defined as " the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions." Evidence: the tables were wiped with a disinfecting wipe after the children had snack.