The Nansemond-Suffolk Academy Association, Incorporated

Based on review, facility did not ensure required out of state background checks are completed when an individual has lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #2 (start date 4/17/2023) had documentation that they had lived in two other states within the past 5 years prior to beginning employment. There was not a completed criminal history search for one state and a central registry search for the other state.”

Rule 22.1-289.035-B-4.

Based on review, facility did not ensure 2 of 5 child records have documentation of required information.

“Evidence: The records for child #4 and child #5 did not have parent’s place of employment.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 5 of 5 staff have acceptable forms of documentation of tuberculosis screening.

“Evidence: The records for staff #1, staff #2, staff # 3, staff # 4 and staff #5 had documentation of tuberculosis screenings that were signed by a RN however it was not a physician, physician’s designee or an official of the local health department as required.”

Rule 8VAC20-780-160-B.

Based on review, facility did not ensure required information is documented when a child sustains an injury.

“Evidence: The following was found during record review: 1. The record for child #4 had documentation of 3 injury reports that did not document the date and time parent was notified. 2. The record for child #5 had documentation of 1 injury report that did not document the date and time parent was notified.”

Rule 8VAC20-780-550-P.

Based on review, facility did not ensure required information is documented when a child sustains an injury.

“Evidence: The record for child #3 had an injury report completed on 11/14/2022 that did not document the staff present, date/time/method of parent notification and two signatures.”

Rule 8VAC20-780-550-P.

Based on interview, review of documentation and observation of photographs, facility did not ensure staff do not engage, by action or threat, in any forbidden action to include forcing rest.

Rule 8VAC20-780-410-5. From a complaint.

Based on review, facility did not ensure required background checks are completed for an individual has lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #3 (start date 8/15/2022) did not have a completed child abuse and neglect registry search for a state listed as having lived in within the past 5 years.”

Rule 22.1-289.035-B-4.

Based on review and interview, facility did not ensure staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of beginning employment.

“Evidence: The records for staff #3 (start date 8/15/2022), staff #4 (start date 9/13/2022) and staff #5 (start date 8/15/2022) did not have documentation of completing the VDOE-sponsored orientation training. Director confirmed the training has not been completed by these staff.”

Rule 8VAC20-780-240-A.

Based on observation and interview, facility did not ensure there is a current list of all children’s allergies, sensitivities, and dietary restrictions kept confidential in each area where children are present.

“Evidence: There was not a written list of children’s allergies, sensitivities and dietary restrictions maintained in each classroom where children are present. Staff confirmed they are aware of the information but did not have a list available in the room.”

Rule 8VAC20-780-40-M.