Inspection · 2023-11-06

Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years.

Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 08/21/2023. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.

Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.

Evidence:
1. The record for Staff 1 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 1 was dated 08/22/2023.
2. The record for Staff 2 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 2 was dated 08/22/2023.
3. The record for Staff 3 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 3 was dated 08/22/2023.
4. The record for Staff 4 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 4 was dated 08/22/2023.
5. The record for Staff 5 contained a documented hire date of 08/21/2023. The sworn statement in the record for Staff 5 was dated 08/22/2023.

Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment.

Evidence:
1. The record for Staff 3 contained a documented hire date of 08/21/2023. There were no findings from a search of the central registry for Staff 3 available for review during the 11/06/2023 inspection. Staff 3 was observed working during the inspection.
2. The record for Staff 4 contained a documented hire date of 08/21/2023. The search of the central registry for Staff 4 was dated 10/16/2023; the findings were not obtained within 30 days of employment.
3. The record for Staff 5 contained a documented hire date of 08/21/2023. There were no findings from a search of the central registry for Staff 5 available for review during the 11/06/2023 inspection. Staff 5 was observed working during the inspection.

Based on staff interviews, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The records for Child 1, 2, 3 and 4 did not contain physical examinations. Staff 6 verified that 08/21/2023 was the first date of attendance for all four of the children.

Based on record review, the center failed to ensure that each immunization/physical examination report shall include the date of the physical examination and dates immunization were received and shall be signed by a physician, his designee, or an official of the local health department.

Evidence: The immunization records in the record for Child 1, 2 and 3 were not signed by a physician, his designee, or an official of the local health department.

Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.

Evidence:
1. The record for Staff 1 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/13/2023; the screening was not completed prior to coming into contact with children.
2. The record for Staff 2 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/16/2023; the screening was not completed prior to coming into contact with children.
3. The record for Staff 3 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/19/2023; the screening was not completed prior to coming into contact with children.
4. The record for Staff 4 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/17/2023; the screening was not completed prior to coming into contact with children.
5. The record for Staff 5 contained a documented hire date of 08/21/2023. The tuberculosis screening was dated 10/12/2023; the screening was not completed prior to coming into contact with children.

Based on observations, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: Child 5 was observed being taken out of their classroom to receive services from an outside organization. During that time Child 1 was not within actual sight and sound supervision of staff.

Based on document review, the center failed to ensure that the documentation of emergency evacuation drills contain all of the elements as required by the standards.

Evidence: The documentation of the emergency evacuation drills did not contain the following information: identity of the person conducting the drill; the method used for notification of the drill; number of staff participating; any special conditions simulated; and problems encountered if any.

Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

Evidence:
1. The record for Child 1 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance.
2. The record for Child 2 did not contain the following information: when applicable, work phone number and play of employment of each parent who has custody; name and phone number of the child?s physician; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were not designated people listed); names of person authorized to pick up the child; allergies and intolerances to medication or any other substances, and actions to take in an emergency situation; written agreements between the parent and the center as required by the standards; and first date of attendance.
3. The record for Child 3 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance.
4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (both designated people listed were the child?s parents); written agreements between the parent and the center as required by the standards; and first date of attendance.
5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; when applicable, work phone number and play of employment of each parent who has custody; the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was no addressed provided for either designated person); written agreements between the parent and the center as required by the standards; and first date of attendance.

Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards.

Evidence:
1. The record for Staff 1 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check); and documentation that the individual possesses the education, certification, and experience required by the job title.
2. The record for Staff 2 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check).
3. The record for Staff 3 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check).
4. The record for Staff 4 did not contain the following information: job title; and documentation that the individual possesses the education, certification, and experience required by the job title.
5. The record for Staff 5 did not contain the following information: job title; and documentation that two or more references as to character and reputation as well as competency were checked before employment (the reference check did not include the results of the telephone reference check).