Young Men’s Christian Association of the Virginia Peninsulas-R.F

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by five months.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 4 months ago and Staff #4 updated screening was due 8 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. In the classroom there were 2 bottles of hand sanitizer.”

Rule 8VAC20-780-280-B.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“There was a slide on the outdoor area there was no resilient surfacing. Center confirmed the slide is in use.”

Rule 8VAC20-780-330-B.

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 components.

Rule 8VAC20-780-550-P.

Menu listing foods to be served for meals and snacks during the current one-week period shall be dated and be posted in a location conspicuous to parents or given to parents.

“The menu was posted for the week of 08/24/2026. The inspection was conducted on 09/09/2026.”

Rule 8VAC20-780-560-F.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR). Staff #4 does not have a current CPR . The certification expired 4 months ago.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff #4 does not have a current certification in first aid. The certification expired 4 months ago.”

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

Staff who work directly with children shall, in addition to preservice and orientation training required in annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1 and Staff #2 did not complete the annual health and safety updated course with in year from the last time completing the course.”

Rule 8VAC20-790-600-F.

Background checks need to be completed every five years.

“Staff #1 sworn statement was more than five years.”

Rule 22.1-289.035-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.

“Child #2 did not have immunization documentation.”

Rule 8VAC20-780-130-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report . The center was not able to provide a fire inspection report during the inspection . Most recent fire inspection was 1 year and 8 months old.”

Rule 8VAC20-780-260-A.

Repeat violation

“Each restroom area provided for children have sinks located near the toilets and that are supplied with running warm water that does not exceed 120F. The center’s bathroom sink did not have running warm water. There was only cold water,”

Rule 8VAC20-780-320-B.

8VAC20-780-380-A

“There shall be a posted daily schedule that allows for flexibility as children’s needs require. The center did not have posted schedule.”

Rule 8VAC20-780-380-A.

Staff who work directly with children shall, in addition to preservice and orientation training required annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1 and staff #2 did not have documentation of completion of health and safety update for 2025.”

Rule 8VAC20-790-600-F.

8VAC20-780-240-I

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1’s record did not have documentation of orientation. Staff #1’s been working for 2 months.”

Rule 8VAC20-780-240-I.

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

“Staff #1 quickley patted child #3 hand away from a fan.”

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

Staff and children’s records shall be treated confidentially. Exception: Children’s records shall be made available to parents on request, unless otherwise ordered by the court.

“The center did not provide the record to Child #1 and Child #2’s parent when requested.”

Rule 8VAC20-780-50-A. From a complaint.

Each center shall maintain and keep at the center a separate record for each child enrolled with all required information.

“Record for child #2 did not have a 2nd emergency contact.”

Rule 8VAC20-780-60-A. From a complaint.

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 any future action to prevent recurrence of the injury;and staff and parent signatures or two staff signatures.

“There was not two signatures on the injury report provided and there was no future action to prevent occurence on injury report #1.”

Rule 8VAC20-780-550-P. From a complaint.

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training required annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #4 record did not have Health and safety updated course for 2024 year.”

Rule 8VAC20-790-600-F.

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. Child #3 attends the program but the center did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center. Staff #2 and Staff #3 did not have documentation of orientation in records provided during the inspection.”

Rule 8VAC20-780-240-I.

8VAC20-780-320-B

“Each restroom area provided for children have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. The center’s bathroom sink did not have running warm water. There was only cold water and hot water was turned off.”

Rule 8VAC20-780-320-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required documentation.

“Child#1 record was missing both emergency contact addresses. Child #3 record did not contain documentation of proof of identity and start date. Child #4 record did not have start date. Child #5 record did not have start date required”

Rule 8VAC20-780-60-A.

Based on documentation review and staff interview, the licensee did not ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: 1. Water supply; 2. Sewage disposal system; and 3. Food service, if applicable.

“Evidence: The center was able to provide the annual food service health inspection but was unable to provide the water supply and sewage disposal system inspection (Enviromental Sanitation inspection )”

Rule 8VAC20-780-260-B.

Based on observation, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: The outside area on the side of the building, there was a broken picnic table and two red plant boxes that had deteriorating wood, peeling paint, splintering wood and protruding nails.”

Rule 8VAC20-780-270-A.

Based on observation, the licensee did not ensure Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the preschool room, there was a spray bottle of a santizer. In the multipurpose, there was a door unlocked and the kitchen area there was sanitizer tablets. The hazordous substance was labled with keep out of reach of children and warning.”

Rule 8VAC20-780-280-B.

Based on documentation and staff interview, the licensee did not ensure the center has obtained written authorization from a parent or guardian.

“Evidence: Child #1 was administer medication during camp confirmed by medication log and staff. The staff was unable to locate the medication authorization form during inspeciton for Child #1.”

Rule 8VAC20-780-510-I.

Based on 4 of 5 injury report documentation reviewed, the licensee did not ensure the center maintained all required information for injury reports.

“Evidence: Injury reports for 08/02/2024, 07/18/2024 , 07/26/2024, and 08/21/2024 were missing the following information staff present, future preventiave action, how parent was notified, time and date parent was notified, and two signatures either from parent and staff or two staff.”

Rule 8VAC20-780-550-P.

Based on documentation review and staff interview, the licensee did not ensure 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: The staff confirmed they did not have a daily attendance in each group that documents the arrival and departure of child in care as it occurs.”

Rule 8VAC20-780-80-A.

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: Staff #2 verified they began working in July 2023 and they did not have a current CPR certification.”

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

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care.

“Evidence: Staff #2 verified they began working in July 2023 and they do not have a current First Aid certification.”

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

Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments updated Virginia Health and Safety Course.

“Evidence: The record for Staff #3 does not have documentation of obtaining an updated course.”

Rule 8VAC20-790-600-F.

Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment.

“Evidence: Staff #2 confirmed they began working in July 2023 there was not documentation of completing the VDOE orientation.”

Rule 8VAC20-780-240-A.

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

“Evidence: Staff #4 confirmed the most recent copy of the health inspection available for review was dated 12-7-2022.”

Rule 8VAC20-780-260-B.

Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, fans, when used, shall be out of reach of children and cords shall be secured so as not to create a tripping hazard.

“Evidence: There was a tall oscillating fan that was plugged into the wall and turned on and placed near the cubbies and table used for children’s activities. The fan was accessible to the children and the cord poses a tripping hazard.”

Rule 8VAC20-780-290-A-2.

Based on observation and staff interviews, the licensee did not ensure to follow the terms of the current license issued by the department.

Rule 8VAC20-780-40-E.

Based on staff interviews and children’s record review, the licensee did not ensure to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“Evidence: Child #4 has a documented food sensitivity from a physician (milk). Staff #1, Staff #2 and Staff# 3 who were all supervising Child #?4 were unaware of the child’s food sensitivity.”

Rule 8VAC20-780-40-L.

Based on observation 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: Child #5 has a documented food sensitivity (cow’s milk) and it was not on the list of children’s allergies, sensitivities and dietary restrictions”

Rule 8VAC20-780-40-M.

Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“Evidence: Two children out of twenty-five were observed sleeping without a bottom cover.”

Rule 8VAC20-780-450-A.

Based on observation and staff interviews, the licensee did not ensure children’s hands shall be washed with soap and running water or disposable wipes when required.

“Evidence: Children were observed eating snack and none of them washed their hands with soap and running water or disposable wipes before eating.”

Rule 8VAC20-780-500-A.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care.

“Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR or First Aid. There was not a staff member in the preschool with First Aid and CPR certification.”

Rule 8VAC20-780-530-A.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care

“Evidence: Staff #1 and Staff #2 were observed as the only persons supervising 25 children in the preschool and they do not have a certification in CPR.”

Rule 8VAC20-780-530-A-1.

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

“Evidence: Staff #4 confirmed they did not have documentation of conducting evacuation drills from September 2023 through March 2024.”

Rule 8VAC20-780-550-D.

Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure.

“Evidence: Center Staff #4 confirmed they did not have documentation of two shelter in place drills in 2023.”

Rule 8VAC20-780-550-E.

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of lockdown procedures practiced at least annually.

“Evidence: Staff #4 confirmed they did not have documentation of a lockdown drill in 2023.”

Rule 8VAC20-780-550-F.

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 most recent menu posted was for the week of March 11, 2024.”

Rule 8VAC20-780-560-F.

Based on observation and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around

“Evidence: Child #1 was observed walking around eating their snack (pretzels).”

Rule 8VAC20-780-560-M.

Repeat Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation.

“Evidence: Staff #4 verified the following items were missing from the staff records; 1.Staff #1, #2 #3 and #4 did not have documentation of any health-related problems that my interfere with the job. 2.Staff #4, the designated Program Director did not have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job.”

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: At approximately 3:20 PM, 25 children observed in the preschool room and 26 children were on the attendance list. Center staff verified, Child #4 had left around 12:30 PM and it had not been marked on the attendance list.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-B

“Based on record revies and staff interviews, the vendor did not ensure staff who work directly with children shall have completed Virginia Preservice Training. Evidence: The record for Staff #3 (date of hire 2-16-2018) did not include documentation of completing the required training.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-D-1

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The following records did not include CPR documentation as required 1. Staff #3?s CPR certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of CPR training.”

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

8VAC20-790-600-D-2

“Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care. Evidence: The following records did not include First Aid documentation as required 1. Staff #3?s First Aid certification expired April 24, 2023. 2. Staff #1 (date of hire 5-9-2023) did not include documentation of obtaining of First Aid.”

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

22.1-289.035-A

“Repeat 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 #3’s record did not include an updated sworn statement as the most recent was dated 9-26-2017.”

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Repeat Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: Staff #2’s record did not include documentation of obtaining a fingerprint check. Staff #2 was observed working during the inspection and confirmed they began employment in June of 2020.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to 1st day of employment. Evidence: Staff # 4?s date of hire August 3, 2023 did not have documentation of a completed Sworn Statement. Branch Executive confirmed missing information.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“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 date of hire August 3, 2023 did not have documentation of a CPS check conducted. Staff #4 was observed working on the day of the day of the inspection. Branch Executive confirmed missing information.”

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

8VAC20-770-70-A

Rule 8VAC20-770-70-A.

8VAC20-780-130-A

“Repeat 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 January 2023) did not include documentation of required immunizations prior to attendance.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Repeat Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received 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. Evidence: The record for Child #2, (first date of attendance January 2023) did not include documentation of a required physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure 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: Staff #2 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 2-2-2020.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1?s hire date was 5-9-2023 and there was not documentation of completing the VDOE orientation.”

Rule 8VAC20-780-240-A.

8VAC20-780-340-D

Rule 8VAC20-780-340-D.

8VAC20-790-600-D-1

“Based on record review of 3 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 9-12-2022) did not include documentation of CPR certification.”

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

8VAC20-790-600-D-2

“Based on record review 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 #4 (date of hire 9-12-2022) did not include documentation of First Aid certification”

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

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

22.1-289.035-B-2

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The following staff did not obtain a fingerprint as required. 1)Staff #1?s first date of employment was 6-1-2021 and there was not fingerprint check available for review. Staff #1 was observed working during the inspection. Staff #5 confirmed missing information.”

Rule 22.1-289.035-B-2.

8VAC20-770-40-D-1-b

“Based on record review and staff interviews, the licensee did not ensure, all staff obtained a sworn statement prior to the first day of employment Evidence: Staff #4 did not have documentation of sworn statement in their record. Staff #1 was observed working on the day of the inspection and their first date of employment was 6-1-2021. Staff #5 confirmed missing information.”

Rule 8VAC20-770-40-D-1-b.

8VAC20-780-130-A

“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 following records), did not include documentation of required immunizations prior to attendance. 1)Child #1, (first date of attendance 10-5-2022) 2)Child #2 (first date of attendance 8-29-22 3)Child #3 (first date attendance 8-29-22) 4)Child #4 (first date attendance 8-29-22) 5)Child #5 (first date attendance 1-9-23) Staff #5 confirmed missing information.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“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: Staff #3 did not have documentation of a TB screening and the first date of employment was 9-12-22. Staff #5 confirmed missing information.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“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 staff did not have documentation in their record for an updated TB screening as listed below; 1)Staff #1 most recent TB screening dated 12-1-2020 2)Staff #3 most recent TB screening dated 2-24-2021 Staff #5 confirmed missing information.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-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 #4 (date of hire 9-12-2022) did not include documentation of completing the required orientation. Staff #5 confirmed missing information.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-C

“Based on a review of 3 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 record for Staff #1 (hire date 9-12-22) did not include information indicating orientation training to include to prevention of abusive head trauma and safe sleeping practices. Staff #5 confirmed missing information.”

Rule 8VAC20-780-240-C.

8VAC20-780-245-A

“Based on record review and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The following staff did not have in their record documentation of 16 hours of annual training as listed below. 1)Staff #1 did not have any documentation of annual training. 2)Staff #2 only had 9 hours of annual training. 3)Staff #3 only had 9 hours of annual training. 4)Staff#5 did not have any documentation of annual training. Staff #5 confirmed missing information.”

Rule 8VAC20-780-245-A.

8VAC20-780-245-J-3

Rule 8VAC20-780-245-J-3.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

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 shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff #5 confirmed they do not have a policy available for review related to safe sleeping practices.”

Rule 8VAC20-780-40-K.

8VAC20-780-60-A

“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 following information was missing from the children’s records; 1)The records for child #1 and child #5 did not have emergency contacts listed to include name, address and phone number. Staff #5 confirmed missing information. 2)The record for child #5 did not include proof of identity”

Rule 8VAC20-780-60-A.

8VAC20-790-600-F

“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 completed the departments health and safety update course. Evidence: The record for Staff #2 and Staff #4 did not include the required annual 3 hour Health and Safety update course. The most recent Health and Safety course available for review for Staff #2 was dated 3-1-2020 and for Staff #4 it was dated 11-13-2019.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-A

“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 records for Child #3, (first date of attendance 10-11-2022) and Child #5 (first date of attendance was verified by Staff # 5 as September 2022), did not include documentation of required immunizations prior to attendance.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received 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. Evidence: The record for Child #3, (first date of attendance 10-11-2022) and Child #4 (first date of attendance 5-9-2022) did not include documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-260-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 for review was dated 4-20-2021.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“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 6-15-2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-280-B

“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: In the preschool room there were 2 containers of hand sanitizer, stored on the shelf on the back wall. These items are hazardous chemicals and they were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

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 #6 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-560-G

“Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the preschool classrooms 7 lunch boxes/containers were observed and 2 did not have dates and 2 did not have their name (identifiable information).”

Rule 8VAC20-780-560-G.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-820-120-E-2

“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 March 22, 2022 were not posted in a conspicuous place.”

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

Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of a sex offender registry check and a search of the child abuse and neglect registry ( CPS ) or equivalent registry from any state in which the individual has resided in the preceding five years. The results for the sex offender are to be obtained before reporting to the child day center. The CPS check is required to be submitted by the end of the 30th day of employment.

“Evidence: The record for staff #1, employment date 2-7-2022 did not include a sex offender check for South Carolina and Georgia, where staff #1 had lived within the last five years. There were not results for a CPS check from Georgia available for review.”

Rule 22.1-289.035-B-4.

Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained a copy of the search of central registry check ( CPS ) before five years since the date of the most recent central registry finding.

“Evidence: The record for staff #2, did not include an updated CPS check by the end of five years. The most recent one available for review was dated 7-20-2016.”

Rule 8VAC20-770-40-D-1-c.

Based on review of 2 staff records and staff interviews, the licensee did not ensure each employee obtained documentation of the tuberculosis screening (TB) at the time of employment and prior to coming into contact with children.

“Evidence: The record for staff #1, employment date 2-7-2022 did not include a TB screening and center staff confirmed they have been working with children.”

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

Based on review of center documentation and staff interviews, the licensee did not ensure to practice 2 shelter-n-place drills annually.

“Evidence: There was not documentation available for review that 2 shelter in place drills had been conducted in 2021.”

Rule 8VAC20-780-550-D.

Based on review of center documentation and staff interviews, the licensee did not ensure to operate within the terms of its license.

“Evidence: The center operated outside the terms of the license as they did not follow the established age rage for care, (care is for ages 3 years to age 12). Center documentation and center staff confirmed child #1, was age 2 when they entered the childcare program. Child #1 was in care as a two year beginning in November 1, 2021 until the child turned 3 years old on March 14, 2022.”

Rule 8VAC20-820-120-A-6.

Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were available for review.

“Evidence: The inspection finding posted were dated 9-24-2020. The most recent inspection was dated October 25, 2021.”

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