Hopkins House - Helen Day Preschool Academy

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff C’s updated screening was due over 3 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

REPEAT VIOLATION: The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In the classroom serving children ages 2 to 3 years, approximately four feet of tape was peeling from the floor near the exit door and was accessible to children.”

Rule 8VAC20-780-270-A.

Documentation, with all components required by the standards, shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.

“The center did not maintain documentation of emergency evacuation drills for the months of April, May, June, July and August of 2026.”

Rule 8VAC20-780-550-G.

The center must maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child A’s record did not contain a written care plan for the child’s diagnosed food allergy. The center had a medication authorization form for the child’s food allergy. The director confirmed that a written allergy care plan was not obtained.”

Rule 8VAC20-780-60-A-8.

The required ratio for children that are two years old is one staff per eight children.

“On September 1, 2026, the center was out of ratio in the two year old classroom, with as many as ten children in care with one staff member. The classroom was out of ratio from 2:56pm to 3:58pm and again from 4:12pm to 4:26pm, for a total of 76 minutes.”

Rule 8VAC20-780-350-B-3.

Repeat violation systemic deficiency

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff A, employed for fifty days, did not have documentation of requesting or completing a sex offender registry search from one state.”

Rule 22.1-289.035-B-4.

Areas and equipment of the center shall be maintained in a clean, safe and operable condition.

“1. The changing table pad in the toddler’s class had a tear of approximately 1/2 an inch. 2. The utility door to the air conditioning unit in the toddler’s class was unlocked and the door handle was within reach and able to be opened children. 3. The cabinets in the infant’s classroom had peeling/chipped paint. 4. The cabinets, doors, and wall in the two’s and three’s classrooms had peeling/chipped paint. 5. There was a missing Formica strip along the countertop in the three’s classroom, leaving engineered wood fibers exposed.”

Rule 8VAC20-780-270-A.

Hazardous substances must be in a locked place that prevents access by children.

“In the toddler’s classroom, the cleaning solution and sanitizing solution were stored in an unlocked cabinet, within reach of children.”

Rule 8VAC20-780-280-B.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The list of children with known allergies in the two’s room was posted on the wall in view of anyone entering the room.”

Rule 8VAC20-780-40-M.

SYSTEMIC DEFICIENCY No child day center shall hire for compensated employment or continue to employ any person who has been convicted of a barrier crime.

“The national criminal background check (applicant screening request) completed for Staff #3 was returned with a result that the individual was not eligible as employee. Staff #3?s employment was not immediately terminated when the not eligible result was received 26 days after the first day of employment. Staff #3 was employed by the Center for six months with the ineligible background.”

Rule 22.1-289.035-A. From a complaint.

SYSTEMIC DEFICIENCY Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #3, who was actively working at the center for six months, did not have a completed national criminal background check prior to the first day of employment. The national criminal background check was dated 26 days after Staff #3?s first day of employment.”

Rule 22.1-289.035-B-2. From a complaint.

REPEAT VIOLATION SYSTEMIC DEFICIENCY The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #3, employed for 6 months, did not have completed central registry checks and criminal history checks from two different states.”

Rule 22.1-289.035-B-4. From a complaint.

REPEAT VIOLATION SYSTEMIC DEFICIENCY Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment.

“Staff #3 who had been in contact with children, had documentation of TB screening dated four days after date of hire.”

Rule 8VAC20-780-160-A. From a complaint.

SYSTEMIC DEFICIENCY Staff are to complete orientation training no later than seven days of the date of assuming job responsibilities.

“Staff #3, employed for 6 months, did not have record of orientation.”

Rule 8VAC20-780-240-B. From a complaint.

COMPLAINT RELATED When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On February 10, 2026, Staff #1 roughly handled and threw a blanket at Child A in a manner that did not ensure their care, protection, and guidance.”

Rule 8VAC20-780-340-A. From a complaint.

COMPLAINT RELATED Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On February 10, 2026, during naptime, Staff #1 physically moved Child A by the back of their pants and their arm, when Child A was off their cot and near another sleeping child in the classroom. The distance Child A was moved was approximately 15 feet.”

Rule 8VAC20-780-400-B. From a complaint.

COMPLAINT RELATED The following action is forbidden: roughly handling a child.

“On February 10, 2026, during naptime, Staff #1 was observed picking up Child A by the back of their pants and then their right arm to move Child A to the other side of the classroom, approximately 15 feet. Staff #1 then threw Child A’s blanket at them, after they were on their cot.”

Rule 8VAC20-780-410-1. From a complaint.

REPEAT VIOLATION Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of Child D had not been updated in over 15 months which is overdue by three months.”

Rule 8VAC20-780-420-E-3. From a complaint.

SYSTEMIC DEFICIENCY Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, employed for 6 months, did not have record of reference verifications.”

Rule 8VAC20-780-70. From a complaint.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff 2, employed for 26 days, did not have documentation of requesting a central registry check or criminal history check from a different state.”

Rule 22.1-289.035-B-4.

Documentation of a negative tuberculosis (TB) screening must be submitted, before coming into contact with children.

“Board Members 1 and 2, who visit the facility weekly to read to the children in the classrooms did not have a current TB screening results available for review. This information was confirmed by the director.”

Rule 8VAC20-780-160-A.

Staff are to complete orientation within 7 days of hire.

“Staff 1 and 2 did not have documentation of orientation on file for review at the time of inspection. Staff 1 had been employed for 26 days and staff 2 had been employed for 8 days.”

Rule 8VAC20-780-240-D.

The center will ensure annually that parent confirmation of the required information in the child record is up to date.

“Four of five child files reviewed, did not contain evidence of an annual update by parent, since the date of enrollment of the child.”

Rule 8VAC20-780-420-E-3.

The center is required to have employees undergo background checks every five years.

“The most recent criminal background check for staff #2 was overdue by two years. There is no central registry documentation available for review for same staff member.”

Rule 22.1-289.035-A.

REPEAT VIOLATION SYSTEMIC DEFICIENCY Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The TB test for Staff 1 was completed two months after hire.”

Rule 8VAC20-780-160-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff 2’s updated screening was due 2 years ago, Staff 3’s updated screening was due 13 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

REPEAT VIOLATION SYSTEMIC DEFICIENCY When staff are supervising children, they shall always ensure their care, protection, and guidance.

“In the infant classroom, the egress door was blocked by three cribs. During the time of the inspection, there were no children asleep in the cribs.”

Rule 8VAC20-780-340-A.

Each child shall have a physical examination by or under the direction of a physician: Before the child’s attendance; or within 30 days after the first day of attendance.

“Child B and C, both in attendance for over 6 months, have no record of a physical available for review.”

Rule 8VAC20-780-140-A. From a complaint.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Caregiver 1, did not have a completed national criminal background check until 2 days after hire date.”

Rule 22.1-289.036-B-2.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff 1 had documentation of Tb screening 90 days prior to date of hire.”

Rule 8VAC20-780-160-A.

Areas and equipment of the center, shall be maintained in a clean, safe and operable condition.

“Wall in the upstairs bathroom, behind the toilet was repaired with duct tape, the toilet in the downstairs class bathroom was repaired with duct tape, both of which pose a health risk with maintaining cleanliness and sanitization.”

Rule 8VAC20-780-270-A.

REPEAT VIOLATION: Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“A bucket labeled “Bleach” was on the kitchen counter accessible to children, as the kitchen area is open (there is no door).”

Rule 8VAC20-780-280-B.

Repeat violation

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. A child was observed picking up cereal from the floor and eating it. 2. Teacher was observed standing in hall with 4 children in the classroom while one child was in the bathroom. This resulted in children not being under direct supervision.”

Rule 8VAC20-780-340-A.

REPEAT VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance.

“Child A was running on the basketball court on the local playground, when they tripped and fell, scraping their forehead over and under the left eye. Staff 1 stated that the child got up and continued to play, so no first aid was given. Staff also stated that abrasions were noted after the child woke up from naptime, and no first aid was given at that time.”

Rule 8VAC20-780-340-A. From a complaint.

An ice pack or cooling agent is required to be available on field trips.

“Staff 1 confirmed that there was not an ice pack in the 1st aid bag at the playground with the children at the time that Child A was injured. Staff 1 stated that the ice pack had been used and not replaced yet.”

Rule 8VAC20-780-540-D. From a complaint.

Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“1. Cleaning material bottles were observed on a shelf in the hallway children’s bathroom. 2. A bucket labeled “Bleach” was on the kitchen counter accessible to children, as the kitchen area is open (there is no door). 3. Air Freshener noted to be on the changing table in the two-year old classroom, accessible to children.”

Rule 8VAC20-780-280-B.

If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“Two unlabeled spray bottles were noted in the bathroom used by the K-Prep class. Teacher confirmed they were cleaning fluids.”

Rule 8VAC20-780-280-G.

Each restroom area provided for children shall: Be equipped with soap, toilet paper, and disposable towels within reach of children.

“The upstairs children’s bathroom did not have paper towels within reach of the children. The director confirmed that they are kept inside the classroom door to keep the children from flushing them down the toilet.”

Rule 8VAC20-780-320-B.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Four children from the K-Prep class were observed in the hallway and bathroom, (adjacent to the open kitchen area) outside of the classroom, without a staff member present.”

Rule 8VAC20-780-340-F.

The required ratio for children ages birth to 15 months is one staff per four children.

“~ The fifth infant was signed in on the Child Supervision Record (CSR) at 8:29am. The second staff member signed into the CSR at 8:36am. ~At 11:00am, staff 6, who was signed into the infant CSR at 9:49am, was observed upstairs in the kitchen. When questioned, the director confirmed that the staff member left the infant class out of ratio to prepare lunch for the center.”

Rule 8VAC20-780-350-B-1.

After each day’s use, portable wading pools shall be emptied, sanitized, and stored in a position to keep them clean and dry.

“A portable wading pool was observed outside of the classroom, in the area that is used for evacuation. The pool was full of dirty water.”

Rule 8VAC20-780-470-F.

1. Children’s hands shall be washed with soap and running water after diapering. 2. Staff shall wash their hands with soap and running water, before and after a diaper change.

“Staff 7 was observed changing an infant’s diaper, then laying the child down on the floor and immediately picking up another infant, without washing their own hands or the child’s hands.”

Rule 8VAC20-780-500-A.

~The diapering area shall have the following: a. A sink with running warm water not to exceed 120?F; b. Soap, and disposable towels.

“~The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. 1.The Mixed-Age Group classroom was noted to have the diapering area in another area, outside of the classroom, without a sink, soap, or towels. 2.It was observed in the Infant Class that Staff 7 did not clean and sanitize the changing table after changing an infant’s diaper.”

Rule 8VAC20-780-500-B.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“In the Infant Classroom, a bottle was observed in the warmer without a date or the child’s name.”

Rule 8VAC20-780-570-E.

Notice of the Superintendent’s intent shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“The Notice of the Superintendent’s intent was posted in the office, not in a prominent place at each entrance.”

Rule 22.1-289.023-A.

When a child is placed in a high chair, the protective belt shall be fastened securely .

“Child #1 (age 17 months), Child #2 (age 10 months) and Child #3 (age 12 months), were eating in high chairs with none of the safety belts engaged.”

Rule 8VAC20-780-570-A.

Staff employed by a child day program who have reason to suspect that a child has been hurt through the actions of an adult will report the matter immediately to the local department’s toll-free child abuse hotline.

“Staff were aware of the burn incident, and no one from the center reported it to CPS .”

Rule 63.2-1509-A.

The center will ensure that all areas of the center are maintained in a safe condition.

“Child A was burned by hot coffee brought into the classroom and left in an area accessible to children. Child A received medical care from a physician.”

Rule 8VAC20-780-270-A.

When staff are supervising children, they will always ensure their care, protection, and guidance.

“1. On 10/17/2024, Child A (age 28 months) knocked over a mug of hot coffee that was placed, by a staff member, on a surface within reach of children. 2. Staff did not immediately perform first aid for Child A although blisters started to form on child’s arm and chest.”

Rule 8VAC20-780-340-A.

If ointment or cream is used, the following requirements will be met: 1. Written parent authorization will be obtained; 2. These products shall be in the original container and labeled with the child’s name; 3. A record will be kept that includes the child’s name, date of use, frequency of application and any adverse reactions.

“As noted on the incident report and confirmed with the director, the staff applied Vaseline ointment to the child’s blisters 20 minutes after the burns occurred. There was no written permission given for the treatment by the parent.”

Rule 8VAC20-780-520-C.

The center will notify the parent immediately when a child sustains a serious injury.

“The parent was not notified of the child’s injury until 20 minutes after the serious injury occurred.”

Rule 8VAC20-780-550-N.

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1’s record (Date of hire-01/08/2024) did not contain documentation to demonstrate the individual possesses the education , certification, and experience required by the job position.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

8VAC20-780-240-I

“Based on record review, documentation of orientation training was not kept by the center. Evidence: 1. Staff #1’s record (Start date-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #6 received staff orientation, but documentation was not available. 2. Staff #2’s record (Date of hire-10/11/2023) did not contain documentation of orientation training. Staff #6 confirmed that Staff #2 received staff orientation, but documentation was not available.”

Rule 8VAC20-780-240-I.

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle of bleach was located in low unlocked cabinet in the bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water. Evidence: 1. Staff #3 (Date of hire-08/17/2022) did not wash their hands before feeding an infant. 2. Staff #6 (Date of hire-12/07/2020) did not wash their hands after wiping a child’s nose.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview, after diapering, staff did not sanitized the diapering surface after each use. Evidence: 1. Staff #1 was diapering a child. After diapering, Staff #1 cleaned the diapering surface with soap and water, but did not sanitize the diapering surface after. Staff #1 confirmed that the diapering surface was cleaned with soap and water, but not sanitized after each use.”

Rule 8VAC20-780-500-B.

8VAC20-780-520-C

“Based on documentation review, written parent authorization of diaper ointment was not obtained. Evidence: 1. Child #1 has Triple Paste diaper ointment located in the classroom. Documentation of the written authorization of the diaper ointment was not available at the time of the inspection.”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #1’s record (Start date-10/11/2022) did not contain documentation of child’s updates and confirmation of up to date information in the child’s record. 2. Child #2’s record (Start date-10/10/2023) did not contain the addresses of two emergency contacts and names of persons authorized to pick up the child. 3. Child #6’s record did not contain a written care plan for each child with a diagnosed with a food allergy.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1’s record (Date of hire-10/11/2023) contained documentation of one reference to character and reputation as well as competency checked after the first day of employment. The second reference check was conducted on 10/18/2023.”

Rule 8VAC20-780-70.

8VAC20-780-90-A

“Based on record review, a written agreement between the parent and the center was not in each child’s record by the first day of the child’s attendance. Evidence: 1. Child #3’s record (Start date-11/6/2023) did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.”

Rule 8VAC20-780-90-A.

22.1-289.035-B-2

“Based on record review and interview, the center did not obtain fingerprint results prior to the first day of employment. Evidence: 1. Staff #1’s record (Date of hire-03/13/2023) contained documentation of fingerprint results after the first day of employment. The fingerprint results were dated 03/16/2023. The record contained documentation of a Sworn Statement dated 03/13/2023 and staff orientation dated 03/13/2023. 2. Staff #1 confirmed that the fingerprint results were obtained after the first day of employment.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-140-A

“Based on record review, children’s records did not contain a physical examination under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. Child #1’s record (Start date-01/17/2023) did not contain documentation of a physical examination. 2. Child #5’s record (Start date-03/13/2023) did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle labeled bleach and water and soap and water were sitting on a high shelf and not kept in in a locked place using a safe locking method.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were not stored in areas separate from food. Evidence: 1. In the Infant classroom, a container of bleach sanitizing wipes was located in a cabinet with containers of applesauce, infant formula, plates, bowls, and spoons.”

Rule 8VAC20-780-280-D.

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water before or after a diaper change. Evidence: 1. In the two year old classroom, Staff #6 (Date of hire 08/17/2022) did not wash their hands before or after a diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-60-A

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #3’s record (Start date-04/06/2022) did not contain the name, address, and phone number of a second emergency contact.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review and staff interview, the center did not conduct a fingerprint based criminal history check prior to the first day of employment. Evidence: 1. Staff #1(Date of hire-04/29/22) did not have documentation of fingerprint results in the record. 2. Staff #2 (Date of hire-04/19/22) did not have documentation of fingerprint results in the record. 3. Staff #3 (Date of hir-04/21/22) did not have documentation of fingerprint results in the record. 4. Staff #4 confirmed that fingerprint results had not been obtained and returned for Staff #1,#2.and #3.”

Rule 22.1-289.035-B-2. From a complaint.

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of an out of state criminal history check prior to the first day of employment. Evidence: 1. Staff #1 (Date of hire-04/29/22) lives in Washington DC. Documentation of an out of state background check was not in the record.”

Rule 22.1-289.035-B-4. From a complaint.

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis screening. Evidence: 1. Staff #1’s (Date of hire-04/29/22) record did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A. From a complaint.

8VAC20-780-240-B

“Based on record review, three of three staff members did not complete orientation training. Evidence: 1. Staff #1, Staff #2, and Staff #3 did not have documentation of completed orientation training in the records.”

Rule 8VAC20-780-240-B. From a complaint.

8VAC20-780-70

“Based on record review, required records were not kept for each staff. Evidence: 1. Staff #1’s record did not contain documentation of a second reference check. 2. Staff #2’s record did not contain documentation of a second reference check. 3. Staff #3’s record did not contain documentation of two reference checks.”

Rule 8VAC20-780-70. From a complaint.

22.1-289.035-A

“Based on record review, the center did not conduct a five year repeat check for Central Registry results. Evidence: 1. Staff #3’s (Date of rehire-12/13/21) record did not have documentation of a five year repeat Central Registry results. The Central Registry results was dated 04/21/2017.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on record review, staff did not submit to fingerprinting prior to the first day of employment. Evidence: 1. Staff #1 (Date of hire-3/23/22) did not have documentation of fingerprint results in the record. 2. Staff #3 (Date of hire-12/13/21) did not have documentation of fingerprint results in the record.”

Rule 22.1-289.035-B-2.

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination by or under the direction of a physician. Evidence: 1. Child #1 (Start date-5/20/19) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-500-B

“Based on observation, it was determined that the facility did not ensure that a nonabsorbent surface for diapering or changing is used. Evidence: 1. In the Toddler classroom, the changing pad had three one inch tears on the surface.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-D

“Based on record review and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1. The evacuation drill log did not have documentation of a monthly evacuation drill for the months of January, March, and April. 2. Staff #4 confirmed that a practice evacuation drill was not conducted for the months of January, March, and April.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-M

“Based on observation, a child was allowed to drink or eat while walking around. Evidence: 1.In the Toddler classroom, a child was allowed to walk around while drinking a bottle.”

Rule 8VAC20-780-560-M.

8VAC20-780-570-A

“Based on observation, children using infant seats or high chairs shall be supervised during snacks and meals. Evidence: 1. In the Infant 2 classroom, two older infants were seated at a table eating while unsupervised. One older infant was seated in a highchair while eating unsupervised.”

Rule 8VAC20-780-570-A.

8VAC20-780-570-E

“Based on observation, a prepared infant bottle was not dated. Evidence: 1. Two bottles located in the refrigerator in the Infant 2 room were not dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on record review, children’s records did not contain required information. Evidence: 1. Child #2’s record did not contain a second emergency contact. 2. Child #1’s record and Child #3’s record did not contain documentation of an annual update.”

Rule 8VAC20-780-60-A.

Based on record review, staff was not evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening was not submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff #2’s record (Date of hire-09/21/2021) contained documentation of a TB test results dated 09/24/2021. The TB results were obtained after the date of hire.”

Rule 22VAC40-665-540-A.

22VAC40-665-540-B

“Based on record review, the center did not obtain subsequent TB screenings at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: 1. Staff #1’s record (Date of hire-09/28/2020) contained documentation of an expired tuberculosis screening dated 09/18/2019. Documentation of a subsequent tuberculosis screening was not available for review.”

Rule 22VAC40-665-540-B.

22VAC40-665-580-B

“Based on record review, Within the first 90 days of employment all staff who work directly with children did not complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Staff #3’s record (Date of hire 08/30/2021) did not contain documentation of the Virginia Preservice Training for Child Care Staff. At the time of the inspection, documentation was not available.”

Rule 22VAC40-665-580-B.

22.1-289.035-A

“Based on record review and interview, two of three records did not contain documentation of fingerprint results. Evidence: 1. Staff #2’s record (Date of hire-09/21/2021) did not contain documentation of fingerprint results. 2. Staff #3’s record (Date of hire-08/30/2021) did not contain documentation of fingerprint results. 3. Staff #4 stated that the central office processes staff background checks and documentation of fingerprint results was not available at the time of inspection.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

22VAC40-185-550-B

“Based on record review, the center did not ensure that the emergency plan was reviewed and updated annually. Evidence: 1. The Emergency Plan had not been updated to reflect new staff and management. The plan was last updated on 03/12/2020.”

Rule 22VAC40-185-550-B.

8VAC20-770-60-C-2

Rule 8VAC20-770-60-C-2.

8VAC20-780-160-A-1

“Based on record review, the center did not obtain documentation of tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #3’s record (Date of hire-08/30/21) did not contain documentation of a tuberculosis screening.”

Rule 8VAC20-780-160-A-1.

8VAC20-780-240-B

“Based on record review, two of three staff records was missing documentation of receiving orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #2’s record (Date of hire- 09/21/2021) did not contain documentation of a completed orientation and child abuse and neglect training. 2. Staff #3’s record (Date of hire- 08/30/2021) did not contain documentation of a completed orientation and child abuse and neglect training.”

Rule 8VAC20-780-240-B.

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff # 2’s record (Date of hire-09/21/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection. 2. Staff #3’s record (Date of hire-08/30/2021) did not contain documentation of two or more reference checks prior to employment. Documentation was not available during the time of the inspection.”

Rule 8VAC20-780-70.