First Baptist Church Denbigh Child Development Center andAcademy

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector. At the time of the inspection, there was no carbon monoxide detector in the gym where preschool-aged children were present.”

Rule 22.1-289.058.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Two bottles of sanitizer were in an unlocked cabinet in the gym. Bleach and disinfectant spray were also found in an unlocked closet in the two year old classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. During the inspection, seventeen preschool-aged children were in the gym playing where twenty-four uncovered outlets were within their reach.”

Rule 8VAC20-780-290-3.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #2, certification expired eight months ago.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment have current certification in first aid appropriate to the ages of children in care. Staff # 2, certification expired eight months ago.”

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

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Each report shall include dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record for Child #4, immunization record was not signed by a physician.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-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 #4, in attendance for more than two months, did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“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 TB was dated five months prior to date of employment, Staff #4 TB was dated 14 months prior to date of employment, and Staff #5 TB was dated eight months prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 had 8.5 hours out of the 16 required hours of training in 2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-60-A

“(Repeat) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, was missing the work phone number and place of employment for both parents. The record for Child #2, was missing the work phone number for one parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR). Staff #1 employed for 4 months did not have CPR certification.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. Staff #1 employed for 4 months did not have first aid certification.”

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

22.1-289.011-F

“Documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection notice was not posted in the facility.”

Rule 22.1-289.011-F.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. There was no sworn statement for Staff #3, who had been employed for two days.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1, who had been employed for four months, did not have a central registry search requested. Staff #3, who had been employed for two days, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“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. Staff #3 had no documentation and had been working for two days.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. Two bottles of hand sanitizer, and one bottle of body spray marked, ?Keep out of reach of children,? were on the desk in the three-year-old classroom, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-H

“Evidence of insurance coverage shall be made available to the department’s representative upon request. Evidence was not made available.”

Rule 8VAC20-780-40-H.

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There was no annual update completed.”

Rule 8VAC20-780-40-J.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter in place drills.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no documentation of a lockdown drill.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There was no attendance sheet for one of the groups where five 3-year-old children were present.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the health and safety update course. Staff #2 and #3 have not completed the most recent update course within the timeframe required.”

Rule 8VAC20-790-600-F.

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #2 did not have central registry search results during the inspection and has been employed for over 14 months. Staff #4 central registry search results were obtained 90 days after date of hire.”

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

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Several bottles of cleaning and sanitizing solution with warning labels, ?Keep out of reach of children,? were unlocked in the three and four-year-old classroom closets.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. The children in the three-year-old classroom did not wash their hands before morning snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-560-F

“Centers shall follow the most recent, age-appropriate nutritional requirements of the Child Care Food Program of the United States Department of Agriculture (USDA) which requires two food groups shall be served as snack. The snack provided consisted of only one food group.”

Rule 8VAC20-780-560-F.

Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

“Evidence: The most recent inspection results dated November 8, 2023 were not posted in a conspicuous place.”

Rule 22.1-289.011-F.

Repeat Based on record review and staff interviews, the licensee did not ensure all staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: Center Director verified the records for Staff #1 (date of hire, DOH 11-20-23), Staff #2 (DOH 9-8-2022) Staff #3, (DOH 8-21-23) and Staff #4 (DOH 8-21-23) did not include information indicating orientation training had been completed as required on all topics.”

Rule 8VAC20-780-240-C.

Based on documentation review and staff interviews, the licensee did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was not a staff member at the center during the inspection who had obtained DHO training within the last 3 years”

Rule 8VAC20-780-245-L.

Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that includes all required information.

“Evidence: Three out of three injury reports reviewed were missing information to include future action to prevent injury, the date, time and how the parent was notified of the injury”

Rule 8VAC20-780-550-P.

Repeat Based on observation and staff interviews, the licensee did not ensure all the required information was in transportation vehicles.

“Evidence: Staff #1 confirmed they did not have a list of the names of the children that had been transported in the vehicle that week to and from school.”

Rule 8VAC20-780-580-C.

Repeat Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The record for Child #2 did not include the employment information for both parents listed and it did not include the home addresses for both emergency contacts listed.”

Rule 8VAC20-780-60-A.

Repeat Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.

“Evidence: Center Director verified Staff #1, #3 and #5 did not have documentation of an emergency contact in their record.”

Rule 8VAC20-780-70.

Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: Two out of two classrooms did not have the attendance list as required. Room #103 had only 4 children on the list and 11 children were observed in the classroom. Room #105 did not have an attendance list for the 9 children in the classroom”

Rule 8VAC20-780-80-A.

Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course.

“Evidence: Center Director confirmed that Staff #1 did not have documentation for their 2022 annual health and safety update course.”

Rule 8VAC20-790-600-F.

Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check.

“Evidence: Staff #1?s most recent CRC was dated 9-26-2018.”

Rule 22.1-289.035-A.

Based on 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 # 4?s, hire date 8-9-2023 and Staff #5?s hire date 9-26-23 did not have documentation of CPS results.”

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

Repeat Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1) Staff #1 came in contact with children 8-22-23 (verified by Center Director) and TB screening was dated 10-13-23 2) Staff #5 came in contact with children 9-26-23 (verified by Center Director) and TB screening was dated 9-27-23”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.

“Evidence: The records for Staff #1 did not include updated TB screening as the most recent screening for was dated 5-25-23.”

Rule 8VAC20-780-160-C.

Repeat Based on record review and staff interviews, the licensee did not ensure all staff shall complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: Center Director verified the records for Staff #2 (date of hire, DHO 8-22-23), Staff #3, (DHO 8-22-23) Staff #4 (DHO 8-9-23) and Staff #5 (DHO 9-26-23) did not include information indicating orientation training had been completed on all required topics and no later than 7 days after assuming job responsibilities.”

Rule 8VAC20-780-240-C.

Based on record review and staff interviews, the licensee did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: Staff # 1 did not have 16 hours of annual training. Center Director verified Staff #1 was hired in 2018.”

Rule 8VAC20-780-245-A.

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

“Evidence: The most recent copy of the fire inspection available was dated 11-3-2022.”

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.

“Evidence: The following hazardous chemicals were observed, and they were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”. 1.In room #103, hand sanitizer was on the bathroom counter 2.In the fellowship/snack room on the snack table there 2 containers of hand sanitizer and a container of disinfectant wipes.”

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, the licensee did not ensure to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.

“Evidence: Staff #1 confirmed there was not a document in the vehicles that transported the before and after school children that had the required emergency procedures.”

Rule 8VAC20-780-550-K.

Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks .

“Evidence: The afternoon snack observed served to 10 children on 11-8-2023 was milk and Oreo cookies. This snack does not meet the USDA guidelines as 2 out of 5 of the food groups are required to be served.”

Rule 8VAC20-780-560-F.

Based on observation and staff interviews, the licensee did not ensure all the required information was in transportation vehicles.

“Evidence: Staff #1 confirmed they did not have the following information in the vehicle transporting the children to and from school. 1.Phone numbers for the police, fire and emergency medical services and the number of the regional poison control center 2. A list of the names of the children being transported”

Rule 8VAC20-780-580-C.

Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The record for Child #4 did not include the appropriate legal paperwork on file when the custodial parent requests the center not to release the child to the other parent.”

Rule 8VAC20-780-60-A.

Repeat Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.

“Evidence: Center Director verified the following items were missing from the following staff records; 1.Staff #1 and #4 are designated as program leader/ lead teachers there was not documentation they have the obtained all the required training/ certifications required for program leader. 2.Staff #1, #3, #4 and #5 did not have documentation of any health-related problems that my interfere with the job. 3. Staff #3, #4 and #5 did not have documentation of two references conducted prior to hire. 4. Staff #1 date of hire was not documented.”

Rule 8VAC20-780-70.

Based on video footage review, interviews, and documentation review, it was determined the licensee did not ensure the care and protection and guidance of children.

“Evidence: 1.On September 6, 2023, from approximately 9:36 AM until approximately 9:39 AM 5 children, age range 5 through 10, were left alone on the center’s van in a public school’s public parking lot. 2.At 9:39 the school’s security guard opened the door and let the children off the van. 3.The security guard verified the van’s engine was off, the windows were closed, and the driver’s side door was unlocked. 4.The temperature was approximately 85F at 9:34 AM on September 6, 2023 in Newport News Virginia.”

Rule 8VAC20-780-340-A.

Based on video footage review, interviews and documentation review, it was determined the licensee did not ensure children under 10 years of age were within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on video footage, interviews and documentation review it was determined, the licensee did not ensure children age 10 and older were within sight and sound supervision of staff.

Rule 8VAC20-780-340-G.

Based on documentation review and staff interviews, the licensee did not ensure that before the child’s first day of attending, parents shall be provided in writing the center’s transportation policy.

“Evidence: The Center Director verified the center did not have the required transportation policy on September 6, 2023.”

Rule 8VAC20-780-420-A.

Based on documentation review and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation.

“Evidence: The Center Director verified that Staff #1 did not have a record available for review to include but not limited to their background checks. Center Director confirmed Staff #1 was working on September 6, 2023 as the van driver for the before school program.”

Rule 8VAC20-780-70.

Based on record review and staff interview, the vendor did not ensure staff 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: Center Director confirmed there was not documentation that Staff #5 (date of hire 3-21-2022) has current certification in CPR.”

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

Based on record review and staff interview, the vendor did not ensure staff 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: Center Director confirmed there was not documentation that Staff #5 (date of hire 3-21-2022) has current certification in CPR.”

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

Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course.

“Evidence: Center Director confirmed that Staff #1 and Staff #3 did not have documentation for their 2022 annual health and safety update course.”

Rule 8VAC20-790-600-F.

Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check ( CRC ) prior to the first day of employment.

“Evidence: The record for Staff #2 (date of hire 4-4-2023) did not include a CRC . Staff #2 confirmed the missing information and that they were working on the day of the inspection.”

Rule 22.1-289.035-B-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 and an out of state child abuse and neglect search ( CPS ) request by the 30th day of employment.

“Evidence: The record for Staff #5 (date of hire 3-21-2022) did not include the CRC and a CPS for the state of Arizona where they had lived within the last 5 years. Staff #2 confirmed the missing information and that Staff #5 was working on the day of the inspection.”

Rule 22.1-289.035-B-4.

Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children.

“Evidence: The following staff did not have TB screenings as required. 1)Staff #2 did not have documentation of a TB screening conducted and the first date of employment was 4-4-2023. 2)Staff #5?s first date of employment was 3-21-2022 and TB screening was conducted 4-7-2022.”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the licensee did not ensure each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The record for Staff #3 (date of hire 3-21-2022) and Staff #5 (date of hire 11-2-2022) did not include documentation of completing the required orientation.”

Rule 8VAC20-780-240-A.

Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff #4 (hire date 11-2-22) did not include information indicating orientation training had been completed to include to prevention of abusive head trauma and safe sleeping practices.”

Rule 8VAC20-780-240-C.

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 safe sleep.”

Rule 8VAC20-780-40-K.

Based on review of 5 staff records and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check ( CRC ) prior to the first day of employment.

“Evidence: The record for Staff #3 (date of hire 10-31-2022) and Staff #4 (date of hire 9-19-2022) did not include a CRC . Staff #1 confirmed the missing information and that Staff #3 and Staff #4 were working on the day of the inspection”

Rule 22.1-289.035-B-2.

Based on review of 5 staff records 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 and an out of state child abuse and neglect search ( CPS ) request by the 30th day of employment.

“Evidence: The record for Staff #2 (date of hire 3-21-2022) did not include the CRC and a CPS for the state of Arizona where they had lived within the last 5 years. Staff #1 confirmed the missing information and that Staff #2 was working on the day of the inspection.”

Rule 22.1-289.035-B-4.

Based on a review of 5 staff records 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: The record for Staff #1 (date of hire 9-12-22) and Staff #3 (date of hire 10-31-22 does not have documentation of a CPS check conducted. Staff #1 confirmed both Staff #1 and Staff #3 were working on the day of inspection.”

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

Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child #2, (first date of attendance 1-9-2023) first date of attendance was verified by Staff # 1 did not include documentation of required immunizations prior to attendance.”

Rule 8VAC20-780-130-A.

Based on a review of 5 record and staff interviews, the licensee did not ensure each staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The records for Staff # 1 (hire date 9-12-2022), Staff #2 (date of hire 3-2-2022), Staff #3 (date of hire 10-31-22 and Staff #4 (date of hire 9-19-2022) did not include information indicating orientation had been completed. Staff #1 confirmed missing documentation.”

Rule 8VAC20-780-240-A.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The records for Staff # 1 (hire date 9-12-2022), Staff #2 (date of hire 3-2-2022), Staff #3 (date of hire 10-31-22 and Staff #4 (date of hire 9-19-2022) did not include information indicating orientation related abusive head trauma, including procedures to cope with distraught children was obtained. Staff #1 confirmed missing documentation.”

Rule 8VAC20-780-240-C.

Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.

“Evidence: The most recent copy of the health inspection available for review was date 4-26-2019.”

Rule 8VAC20-780-260-B.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Staff #1 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.

“Evidence: Staff #1 confirmed they did not have documentation of evacuation drills available for review for January 2022, July 2022 and August 2022 and lockdown drill conducted in 2022.”

Rule 8VAC20-780-550-G.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure the staff records were kept for each staff person with all required information.

“Evidence: The following information was not available during the record review and Staff #1 confirmed the missing information. 1)Staff #1, the designated Program Director does not have documentation to demonstrate they possesses the education, certification, and experience required by the job position. 2) There was not documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering for Staff #1, Staff #3 and Staff #4.”

Rule 8VAC20-780-70.

Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

“Evidence: The most recent inspection results dated January 28, 2022 were not posted in a conspicuous place. The inspection posted was dated April 4, 2021.”

Rule 8VAC20-820-120-E-2.

Based on record review and provider interviews, the provider did not ensure an employee of a licensed child day center had obtained fingerprinting /criminal records check prior to the 1st day of service.

“Evidence: The record for staff #1 and staff #2 who were both working during the inspection did not have documentation of obtaining a fingerprint check prior to employment.”

Rule 22.1-289.035-B-2.

Based on record review and staff interviews, 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.

“Evidence: The record for child #2 did not include allergy action plans for diagnosed food allergies listed are (raw peaches and raw tomatoes).”

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