Inspection · 2023-06-26

Based on a record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.

Evidence: Staff # 1?s date of hire 5-27-2022 did not have results of a CPS check by the end of the 30th day of hire. The CPS check was dated 7-14-2022 and Center Director confirmed there was not documentation available for review related to obtaining the CPS check for staff #1 within the required timeframe.

Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening 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: Staff #1 date of hire was 5-27-2022 and the TB screening was dated 1-20-2022. Center Director confirmed there was not documentation of a TB screening conducted within the required timeframe.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

Evidence: Center Director confirmed the center does not have written procedures for abusive head trauma, safe sleep and coping with crying babies.

Based on observation and staff interviews, The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use.

Evidence: On the diaper changing table in the infant room a single infant toy and a bucket of toys were observed on the diaper changing table.

Based on observation and staff interviews, when centers choose to provide meals or snacks, centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) and children shall be allowed second helpings of food listed in the USDA's child and adult care meal patterns.

Evidence: During lunch in the orange room (children?s age range 3-4) one child was observed requesting a second serving of the cheese quesadilla and Staff #7 said ?we don?t have anymore?. Then 4 additional children requested a second serving and then under the direction of the Center Director additional quesadilla were obtained and all 5 children were then given 1/ 2 of the serving size of the cheese quesadilla. Staff #7 confirmed they were not aware they were supposed to give a second serving of items, that meet the USDA requirements when requested and Center owner confirmed they were not aware that the second serving shall meet the USDA serving size.

Based on a record review and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training and certification, required by the job position.

Evidence: The records for Staff #3, designated as a program lead, does not have documentation in their record to demonstrate they have the training/education required for program lead. Center Director confirmed the missing information.