MarSal Inc.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for two months, did not have documentation of requesting a central registry check, criminal history check, or sex offender check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-60-A

“A written care plan is required 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 #5, who has been enrolled for eleven days, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-A

“Based on record review and staff interview the center did not ensure The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff confirmed that Staff #3 (date of hire 2/15/2023) had not completed the preservice training.”

Rule 8VAC20-780-240-A.

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The school age room had an allergy list hanging on the wall. The list was not kept confidential as staff confirmed that parents are allowed in the room.”

Rule 8VAC20-780-40-M.

8VAC20-780-240-E

“Based on record review and staff interview the center did not ensure within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: The director confirmed that the files for staff #4, 5, & 6 did not contain documentation of First Aid and CPR orientation.”

Rule 8VAC20-780-240-E.

Based on a review of 5 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration.

“Evidence: The record for Staff #2 (date of hire 7-11-2022) did not include documentation of the required CPR certification.”

Rule 8VAC20-790-600-D-1.

Based on a review of 5 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have obtained within 90 days of the date of hire a current certification in first aid appropriate to the ages of children in care.

“Evidence: The record for Staff #2 (date of hire 7-11-2022) did not include documentation of the required First Aid certification.”

Rule 8VAC20-790-600-D-2.

Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment.

“Evidence: The record for Staff #2 did not include results of an out of state CRC for the state of Illinois where they had lived within the last 5 years. Staff #2 was observed working during the inspection the first date of employment was 7-11-2022.”

Rule 22.1-289.035-B-4.

Based on documentation review and staff interviews, the licensee did not ensure the center had obtained an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection available for review during inspection was dated 2-16-2021.”

Rule 8VAC20-780-260-A.

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on record review and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: In the Pre-K room, Three’s room and in the Young Four’s room there was a written list of all children’s allergies, sensitivities, and dietary restrictions observed and the list was not kept in a confidential manner as it was posted in the classroom and visible to the public. Center Staff confirmed the list was not maintained in a confidential manner.”

Rule 8VAC20-780-40-M.

Based on review of documentation and staff interviews, the licensee did not ensure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: An inhaler was observed and it did not have the child’s name, the dosage amount, and the time or times to be given. Center staff confirmed the inhaler belonged to Child #2.”

Rule 8VAC20-780-510-G.

Based on a record review and staff interviews, the licensee did not ensure to obtain documentation of the screening at the time of employment and prior to coming into contact with children.

“Evidence: The record for staff #1 does not include a TB screening. Date of hire 1-3-2022.”

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