YMCA Alexandria

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center shall obtain a complete sworn disclosure statement prior to the individuals first day of employment.

“Staff #1 was employed for 4 weeks before the center obtained a complete sworn disclosure statement.”

Rule 22.1-289.035-B-1.

SYSTEMIC DEFICIENCY Each staff member shall submit documentation of a negative tuberculosis (TB) screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician.

“Staff #1 had a TB screening dated June 2024, almost 2 years prior to employment. Staff #2 did not submit documentation of a new TB screening after being rehired.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the place of employment and work phone number for each parent who has custody.

“The record for Child #1 and Child #2, enrolled for 4 weeks, did not contain a work phone number for either parent.”

Rule 8VAC20-780-60-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include all required information.

“On 08/13/2026, Child #1 and Child #2 were having a verbal disagreement which resulted in a physical interaction between the two children. An incident/injury report was written for Child #1 but it did not contain the treatment provided, date and time when parents were notified, future action to prevent reoccurrence, or documentation of how parent was notified.”

Rule 8VAC20-780-550-P.

REPEAT VIOLATIONS AND SYSTEMIC DEFICIENCY A search of the Virginia central registry ( CPS ) shall be requested prior to the individuals first day of employment.

“Staff #2 was employed for 2 months before a search of the central registry was requested.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“The center did not request out of state background checks for Staff #1, employed for almost 2 months.”

Rule 22.1-289.035-B-4.

SYSTEMIC DEFICIENCY The center may administer prescription medication to a child provided: the center has obtained written authorization; the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“Child #2 had emergency medication intended to be administered in case of an allergen exposure. The center did not obtain written authorization to be able to administer the medication. Child #2 had additional medication that was not maintained in the original, labled container.”

Rule 8VAC20-780-510-I.

The center shall implement and maintain documentation of a monthly practice evacuation drill.

“The center did not have documentation of completing an evacuation drill for May, June, or July of the current year.”

Rule 8VAC20-780-550-G.

SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: name, address, and phone number of 2 designated people to call in an emergency if a parent cannot be reached.

“The record for Child #1 did not contain a complete address for one emergency contact.”

Rule 8VAC20-780-60-A.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY 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 steps to be taken during a suspected or confirmed exposure or reaction to the allergen.

“The record for Child #2 did not contain a written care plan for a confirmed food allergy.”

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

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY Staff records shall be kept for each staff person and include documentation that 2 or more references as to character, reputation, and competency were checked before employment.

“The center did not obtain at least 2 completed reference checks for Staff #2, employed for 2 months.”

Rule 8VAC20-780-70.

SYSTEMIC DEFICIENCY The center shall obtain a complete sworn disclosure statement prior to the individuals first day of employment.

“The center did not obtain a sworn disclosure statement from Staff #1, #2, #3, and #4 until after their first day of employment. Staff #1 was employed for 23 days, Staff #2 was employed for 19 days, Staff #3 was employed for 18 days, and Staff #4 was employed for 24 days before a sworn disclosure statement was completed.”

Rule 22.1-289.035-B-1.

SYSTEMIC DEFICIENCY The center shall obtain the results of a national criminal history record check prior to the individuals first day of employment.

“The center did not obtain results of a criminal history record check for Staff #1, #2, #3, and #4 prior to their first day of employment. Staff #1 had been employed for 7 days, Staff #2 had been employed for 17 days, Staff #3 had been employed for 16 days, and Staff #4 had been employed for 24 days before results were obtained.”

Rule 22.1-289.035-B-2.

SYSTEMIC DEFICIENCY A search of the Virginia central registry ( CPS ) shall be requested prior to the individuals first day of employment.

“A CPS search had not been requested for Staff #1, employed for 40 days. A CPS search was not requested for Staff #2, #3, and #4 until 16 days after first day of employment.”

Rule 22.1-289.035-B-3.

SYSTEMIC DEFICIENCY The center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“On the date of the inspection, the required out of state background checks had not been requested for Staff #2 and Staff #3, employed for 40 days. Both staff had been actively working with children.”

Rule 22.1-289.035-B-4.

REPEAT VIOLATION AND SYSTEMIC DEFICIENCY 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.

“The record for Child #1, enrolled for 6 days, did not contain documentation of immunizations. Child #2 was in attendance for 5 days before the center obtained documentation of immunizations.”

Rule 8VAC20-780-130-A.

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

“The record for Staff #1 contained results of a TB screening that was dated 18 days after date of hire. Staff #2 TB results were 19 days after hire, Staff #3 results were 21 days after hire, and Staff #4 results were 24 days after date of hire.”

Rule 8VAC20-780-160-A.

SYSTEMIC DEFICIENCY The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present.

“The center did not have a written list of childrens allergies, sensitivities, and dietary restrictions accessible to staff in each room where children are present.”

Rule 8VAC20-780-40-M.

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

“On 6/24/2026, Staff #1 failed to provide appropriate behavioral guidance after being pushed by Child #1, age 10. Staff #1 stated after being pushed by Child #1 multiple times, Staff #1 told Child #1 “if you do that again I’ll have to write you up” and made other verbal remarks. Child #1 began crying and was comforted by a different staff member.”

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: verbal remarks which are demeaning to the child.

“On 6/24/2026, Staff #1 made threatening remarks and used an intimidating movement with their body towards Child #1, age 10, after being pushed by Child #1. Interviews and documentation revealed after Child #1 had pushed Staff #1 multiple times, Staff #1 “bucked up” and said “if I was your age I would swing”. Staff #1 continued to make remarks and said “if I was their age things would go differently”. Child #1 was close enough to hear the remarks and began to cry.”

Rule 8VAC20-780-410-6.

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

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

SYSTEMIC DEFICIENCY Staff records shall be kept for each staff person and include documentation that 2 or more references as to character, reputation, and competency were checked before employment.

“The center did not obtain at least 2 completed reference checks for Staff #1, #2, and #4 until after their first day of employment. Staff #1 was employed for 16 days, Staff #2 was employed for 23 days, and Staff #4 was employed for 16 days before their reference checks were completed. The record for Staff #3 did not contain documentation that any reference checks had been completed.”

Rule 8VAC20-780-70.

SYSTEMIC DEFICIENCY 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.

“The record for Child #1 did not contain immunizations. Based on center documentation, the child has attended the program 4 times in the last 2 and a half months.”

Rule 8VAC20-780-130-A.

SYSTEMIC DEFICIENCY Each child shall have a physical examination by or under the direction of a physician before the childs attendance or within 30 days after the first day of attendance.

“The record for Child #1, enrolled for more than 2 months, did not contain a physical.”

Rule 8VAC20-780-140-A.

The following actions or threats thereof are forbidden: roughly handling or shaking a child.

“On 4/21/2026, Staff #1 was observed roughly handling a child when they grabbed Child #1, age 8, by the shirt collar and pushed them towards the wall and into a sitting position after the child had used profanity towards the staff member.”

Rule 8VAC20-780-410-1.

SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following:name and phone number of each parents place of employment; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; previous child day care and schools child has attended; and documentation of viewing proof of the childs identity and age.

“On the date of the inspection, the record for Child #1, enrolled for more than 2 months, did not contain employment information for each parent, emergency contacts that are not parents, proof of verifying the childs identity, or previous day care or schools the child has attended.”

Rule 8VAC20-780-60-A.

The child day center shall obtain the results of a criminal history record check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“On the date of the inspection, Agent #3, employed for more than 5 months, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.”

Rule 22.1-289-036-B-4.

The child day center shall obtain the results of: a sex offender registry check for each state the individual has resided in the preceding 5 years, and every 5 years thereafter.

“The sex offender registry check for Agent #2 had been expired for more than 30 days before a re-check was done.”

Rule 22.1-289.036-A.

The child day center shall obtain prior to the individuals first day of employment: a complete sworn statement and three reference letters for any new individual listed as an agent of the business entity.

“On the date of the inspection, a sworn statement had not been completed for Agent #3, employed for more than 5 months. 2 out of 3 references for Agent #3 were dated more than 4 months after date of employment. The third reference was not dated to confirm when it was received.”

Rule 22.1-289.036-B-1.

The child day center shall obtain the results of a criminal history record check prior to the individuals first day of employment.

“On the date of the inspection, a criminal history record check had not been requested for Agent #3, employed for more than 5 months.”

Rule 22.1-289.036-B-2.

A search of the central registry ( CPS ) shall be requested prior to the individuals first day of employment.

“On the date of the inspection, a CPS check had not been requested for Agent #3, employed for more than 5 months.”

Rule 22.1-289.036-B-3.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“On the date of the inspection, the record for Staff #1 and Staff #2 did not contain documentation of annual training for the year 2025.”

Rule 8VAC20-780-245-A.

Annual approval from the health department shall be provided for meeting requirements for: water supply, sewage disposal system, and food service.

“The most recent environmental sanitation inspection, for water and sewage disposal, was dated 02/21/2025.”

Rule 8VAC20-780-260-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: work phone and place of employment for each parent; two emergency contacts.

“On the date of the inspection, the record for Child #1, enrolled for 6 months, did not contain a second emergency contact. The record for Child #2, enrolled for 6 months, did not contain a work phone number for one parent and a phone number for the second emergency contact.”

Rule 8VAC20-780-60-A.

Staff who work with children shall complete the departments health and safety update course annually.

“On the date of the inspection, the child day center did not have documentation that Staff #1 completed the departments health and safety update course for 2025.”

Rule 8VAC20-790-600-F.

The center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years.

“The record for Staff #1 contained results of an out of state sex offender search that was dated 11 days after date of hire.”

Rule 22.1-289-036-B-4.

The center is required to obtain a completed national criminal background check prior to the employees first day of employment.

“The record for Staff #1 had results of a criminal background check that was dated 4 days after their date of hire.”

Rule 22.1-289.036-B-2.

Each child shall have a physical examination completed by a physician before the childs attendance or within 30 days after the first day of attendance.

“The record for Child #1, enrolled for more than 1 year, did not contain a physical examination.”

Rule 8VAC20-780-140-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all childrens allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present.

“A written list of allergies, sensitivities, and dietary restrictions was posted in the main office but not in each classroom or areas where children are present.”

Rule 8VAC20-780-40-M.

Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“The record for Staff #1 contained TB results that were dated 12 days after date of hire.”

Rule 8VAC20-820-160-A-1.

REPEAT VIOLATION The center is required to have employees undergo a background check every 5 years.

“At the time of the inspection, a recheck of the central registry had not been requested for Staff #2 and was overdue by 7 months.”

Rule 22.1-289.035-A.

REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment and obtain results within 30 days.

“The record for Staff #1 contained results of a CPS check that were dated 16 months after the date of hire.”

Rule 22.1-289.035-B-3.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The center did not have documentation of an annual fire inspection.”

Rule 8VAC20-780-260-A.

REPEAT VIOLATION The child day center is required to obtain background checks from any state in which the individual has resided in the presceding 5 years.

“Staff #2, employed for 1 year, did not have results of an out of state sex offender or child abuse and neglect registry search.”

Rule 22.1-289-036-B-4.

REPEAT VIOLATION The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The record for Staff #1, employed for more than 2 months, did not contain a sworn statement.”

Rule 22.1-289.035-B-1.

REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment.

“The record for Staff #1, employed for more than 2 months, did not contain documentation or results of a central registry search.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION The center is required to obtain a completed national criminal background check prior to the employees first day of employment.

“The record for Staff #1, employed for more than 2 months, did not contain results of a criminal background check.”

Rule 22.1-289.036-B-2.

REPEAT VIOLATION The center shall obtain documentation that each child has received immunizations required by the State Board of Health before the chid can attend the center.

“The record for Child #1, enrolled for 2 weeks, did not contain immunizations.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination completed by a physician before the childs attendance or within 30 days after the first day of attendance.

“The record for Child #2, enrolled for 11 months, did not contain a physical.”

Rule 8VAC20-780-140-A.

Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #1, employed for more than 2 months and working with children, did not have documentation of a TB screening.”

Rule 8VAC20-780-160-A.

Staff shall complete orientation training prior to working alone with children and no later than 7 days of the date of assuming job responsibilities.

“Staff #1, employed for more than 2 months and Staff #2, employed for 1 year, did not have documentation of completing orientation.”

Rule 8VAC20-780-240-B.

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all required information.

“The record for Child #1, enrolled for 2 weeks, did not contain proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Staff records shall contain documentation that at least 2 references to character, reputation, and competency were checked prior to employment.

“Staff #1, employed for more than 2 months, did not have documentation of references.”

Rule 8VAC20-780-70.

REPEAT VIOLATION The center is required to obtain a completed sworn disclosure statement prior to the employee’s first day of employment.

“On the date of the inspection, the record for Staff #2, employed for more than 30 days, and Staff #3, employed for almost 30 days, did not contain a sworn disclosure statement.”

Rule 22.1-289.035-B-1.

REPEAT VIOLATION The center must request a search of the central registry ( CPS ) prior to the employees first day of employment.

“At the time of the inspection, the record for Staff #1 and #2, employed for more than 30 days, did not contain documentation of a request or results of a central registry search. The record for Staff #3, employed for less than 30 days, did not contain documentation that a request had been submitted.”

Rule 22.1-289.035-B-3.

REPEAT VIOLATION The center is required to obtain a completed national criminal background check prior to the employees first day of employment.

“At the time of the inspection, the record for Staff #1, #2, and #3 did not contain results of a criminal background check. Staff #1 and #2 had been working for more than 30 days. Staff #3 had been working for less than 30 days.”

Rule 22.1-289.036-B-2.

REPEAT VIOLATION Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician.

“The record for Staff #2 did not contain documentation of a TB screening. The record for Staff #3 contained a TB questionnaire that was dated 5 months prior to hire and not signed by a physician.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION Staff shall complete orientation training prior to the staff member working alone with chidlren and no later than 7 days of the date of assuming job responsibilities.

“The record for Staff #1, #2, and #3 did not contain documentation of orientation. The record for Staff #1 and #3 did not contain documentation of child abuse and neglect training.”

Rule 8VAC20-780-240-B.

Staff shall always ensure the care, protection, and guidance of children.

“On 7/18/2025, a 5 year old child that was attending summer camp was left unattended on the community playground for approximately 10-15 minutes. Center staff were unaware the child was left behind, resulting in an unknown father returning the child to a custodial worker.”

Rule 8VAC20-780-340-A.

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

“Multiple staff interviews revealed Child #1, age 5 years, was not within actual sight and sound supervision for approximately 10-15 minutes.. Child #1 was left outside on the playground while the rest of the group went inside.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the centers activities, services, and facilities are maintained in compliance with the center’s own policies and procedures.

“Staff #1, #2, and #3 failed to follow the centers Name-to-Face procedures on 7/18/2025 when returning from the playground which resulted in a 5 year old child being left outside and unattended for approximately 10-15 minutes.”

Rule 8VAC20-780-40-E.

For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At 1:40pm on the date of the inspection, Staff #1 stated there were 13 children present but only nine were signed in on the attendance log.”

Rule 8VAC20-790-530-C.

REPEAT VIOLATION The child day center shall obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #1, employed for almost two years, did not have a results of an out of state sex offender check or a search of the child abuse and neglect registry. Staff #2, employed for almost three years, did not have results of an out of state child abuse and neglect registry search.”

Rule 22.1-289-036-B-4.

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.

“The record for Child #1 contained immunizations dated 24 days from the first date of attendance. The record for Child #3, enrolled for almost eight months, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all required information.

“The record for Child #2, enrolled for eight months, did not contain complete employment information for each parent. The record for Child #4 did not contain the first date of attendance, complete employment information for each parent, or an address for the second emergency contact. The record for Child #5 did not contain the first date of attendance.”

Rule 8VAC20-780-60-A.

The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Staff #1, employed for more than two years, and Staff #2, employed for more than one year, did not have results of an out of state sex offender registry check or a search of the child abuse and neglect registry.”

Rule 22.1-289-036-B-4.

At the time of employment and before coming into contact with children, each staff member shall submit documentation of a negative tuberculosis (TB) screening.

“The TB screening for Staff #2 is dated almost 3 months after the date of employment.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

“The record for Staff #1 contained subsequent TB results dated almost one month after expiration.”

Rule 8VAC20-780-160-C.

After the first license, annual approval from the health department shall be provided for meeting requirements for: water supply, sewage disposal system, and food service (if applicable).

“The child day center did not have documentation of a health inspection. The Virginia Department of Health confirmed that the centers last health inspection was conducted in 2021.”

Rule 8VAC20-780-260-B.

The center shall implement a monthly practice evacuation drill.

“The center did not practice an evacuation drill for the month of November.”

Rule 8VAC20-780-550-D.

The center shall maintain a record of the dates of the practice drills for one year.

“The center did not have a record of practice drills for January - August 2024.”

Rule 8VAC20-780-550-H.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain: documentation of viewing proof of the child’s identity and age and the first and last dates of attendance.

“The record for Child #1 did not contain documentation of viewing proof of age and identity or the first date of attendance. The record for Child #2 did not contain the first date of attendance.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-C

“Based on staff reords, the center did not maintain doucmentation at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members obtain and submit the results of a follow-up tuberculosis screening. Evidence: Staff 1 tuberculosis screeening expired on 8/15/2023.”

Rule 8VAC20-780-160-C.

Based on interview, the facility did not maintain a record of attendance.

“Evidence: Staff A stated that there was no attendance available.”

Rule 8VAC20-790-530-C.

Based on record review, the sponsor did not maintain liability insurance.

“Evidence: The liability insure certificate on site expired 10/01/2023.”

Rule 8VAC20-780-40-H.

Based on observation, medication was not kept in a locked place.

“Evidence: The medicine was located in an unlocked trunk in the main office.”

Rule 8VAC20-780-510-L.

Based on record review, staff who work directly with children have not completed the health and safety update trainings.

“Evidence: Staff C did not complete the health and safety update training for 2022 and 2023.”

Rule 8VAC20-790-600-F.

Based on record review, the appropriate background searches have not been completed for each staff.

“Evidence: 1) An out of state central registry search was not completed for Staff B. 2) An out of state sex offender search was not completed for Staff B.”

Rule 22.1-289.035-B-4.

Based on observation, a child under the age of 10 was not within sight and sound supervision at all times.

“Evidence: For approximately 1 minute a child was in the main child care area outside of actual sight and sound supervision of the staff that was taking the rest of the children to a restroom break.”

Rule 8VAC20-780-340-F.

Based on record review, the minor injury prevention plan was not updated annually.

“Evidence: The minor injury prevention plan was last updated in 2021.”

Rule 8VAC20-780-40-J.

Based on record review, a child’s record was missing required information.

“Evidence: The health record of Child A was missing a parent’s signature.”

Rule 8VAC20-780-60-A.

Based on record review, staff records were missing required information.

“Evidence: The record of Staff A was missing credentials to support their current title.”

Rule 8VAC20-780-70.

Based on record review, an out of state central registry search was not available for a staff member who has lived outside of Virginia within the last 5 years.

“Evidence: Staff B has lived outside of Virginia within the last 5 years and central registry findings have not been initiated for that previous state of residence.”

Rule 22.1-289.035-B-4.

Based on record review, central registry findings were not available with 30 days of employment.

“Evidence: 1) Staff A was hired 5/2022 and central registry findings were not available as of 9/2022. 2) Staff B was hired 6/2022 and central registry findings were not available as of 9/2022.”

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

Based on record review, the minor injury records were missing required information.

“Evidence: 2 of 2 minor injury reports reviewed were missing two required signatures.”

Rule 8VAC20-780-550-P.

Based on record review, the record of a child enrolled was missing required information.

“Evidence: Child A was missing the first day of attendance and proof of identification.”

Rule 8VAC20-780-60-A.

Based on record review, staff records were incomplete.

“Evidence: Staff A was missing the date of hire, employee application, and proof of credentials.”

Rule 8VAC20-780-70.

Based on interview, when staff are supervising children, they did not always ensure their care, protection, and guidance.

“Evidence: 1) Staff A stated that Staff B pushed Child A.”

Rule 8VAC20-780-340-A.

Based on record review, a staff member did not have complete central registry results.

“Evidence: Staff A was hired 11/2021 and did not have complete central registry results.”

Rule 22.1-289.036-A.