Dee Care, LLC.-Building 1

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. The sworn statement for Staff #5 was dated a day after their first day of employment.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #5 criminal background check was dated eighteen days after the first day of employment.”

Rule 22.1-289.035-B-2.

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 #5 central registry search was requested two days after the first day of employment.”

Rule 22.1-289.035-B-3.

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 #5 TB was dated 11 days after the date of employment.”

Rule 8VAC20-780-160-A.

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The most recent inspection was not posted.”

Rule 22.1-289.011-F.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-330-B

“A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. The fall zone did not meet compliance on the playground as there was a border within the fall zone of the permanent middle slide.”

Rule 8VAC20-780-330-B.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-130-A

“**REPEAT VIOLATION** Based on a review of records and interview, the licensee did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Five children’s records were reviewed. The record for child #5 who began attending the program 7/2/2020, did not contain any documentation of immunizations received. The program director confirmed that this documentation was not present in the record.”

Rule 8VAC20-780-130-A.

8VAC20-770-40-D-1-a

“Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a search of the central registry before 30 days of employment at the facility. Evidence: The director confirmed that Staff #2 (date of hire 9-19-2022) had no documentation of a central registry search.”

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

8VAC20-780-60-A

“Based on record review and licensee interview, the center did not maintain a record for each child that contained the following information: Evidence: The director confirmed the records for child #2 and child #3 did not include the employment name and employment phone # for one or more parents listed.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“Based on a review of records and interview, the licensee was unable to demonstrate that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Three children’s records were reviewed. The record for child #1 did not contain documentation of immunizations. The program Director was unable to find child #1’s immunization record during the inspection.”

Rule 8VAC20-780-130-A.

Based on a review of records and interview, the licensee was unable to demonstrate that 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 and individuals from independent contractors obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: Three staff records were reviewed. The record for staff #1 contained the most recent Tuberculosis screening which was dated 6/21/2020. More than 2 years have passed since the screening was conducted. The program Director confirmed that this was the last documented TB Screening she had for staff #1.”

Rule 8VAC20-780-160-C.