The A.R.T.S. Community Center

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 over one year, did not have documentation of a central registry search request at the time of the inspection.”

Rule 22.1-289.035-B-3.

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

“Staff #1, employed for more than one year, did not have documentation of requesting a central registry check from one state and did not have documentation of requesting a central registry check from a different state.”

Rule 22.1-289.035-B-4.

Repeat Violation: Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“Child #2, who has been enrolled for over eight months, had a physical and immunization that was not signed and dated by a physician, his designee, or an official of a local health department. Child #5, who has been enrolled for over eight months, had a physical and immunization that was not signed and dated by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #1, employed for one year, did not have documentation of a completed Virginia Department of Education-sponsored orientation course and stated they have not completed the training.”

Rule 8VAC20-780-240-A.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements.

“There were no staff present with emergency medication training at the time of the inspection. There was emergency medication on site.”

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

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

“The current inspection was overdue by eight days.”

Rule 8VAC20-780-260-A.

An annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

“The current inspection was overdue by seven days.”

Rule 8VAC20-780-260-B.

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

“The center’s policy for ensuring methods to prevent use of outdated medication states, ?The Owners will regularly check and log all medications, ensuring expiration dates are valid.? Medication for child #4 expired one month ago and was on site at the time of the inspection.”

Rule 8VAC20-780-40-E.

Repeat Violation: 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.

“Child #3 has a diagnosed food allergy and there was no allergy care plan present from the physician at the time of the inspection. Child # 4 had a food related allergy listed and there was no allergy care plan present at the time of the inspection.”

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

Systemic Deficiency: Staff records shall be kept for each staff person that includes all required information.

“Staff #1, employed for over one year, did not have any completed reference verifications on file and did not contain documentation of annual training hours completed for 2025. Staff #4, employed for over one year, did not contain documentation of annual training hours completed for 2025. Staff #5, employed for over one year, did not contain documentation of annual training hours completed for 2025.”

Rule 8VAC20-780-70.

Systemic Deficiency: All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #2, staff #3, staff #4 and staff #5 had CPR certification that expired over two months ago. Documentation of renewal was not provided at the time of the inspection.”

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

Systemic Deficiency: All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“Staff #2, staff #3, staff #4 and staff #5 had first aid certification that expired over two months ago. Documentation of renewal was not provided at the time of the inspection.”

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

Systemic Deficiency: Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #2 had a health and safety update course that was due eight months ago. Staff #3, staff #4 and staff #5 did not have documentation of the most recent department’s health and safety update course available at the time of the inspection.”

Rule 8VAC20-790-600-F.

Repeat Violation: Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“Child #3, who had been enrolled for 12 months, did not have a physical examination on record at the time of inspection. Child #4, who had been enrolled for 12 months, did not have a physical examination on record at the time of inspection.”

Rule 8VAC20-780-140-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“Child #5, who has been enrolled for over 2 months, had a physical and immunization that was not signed and dated by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In classroom 1, a part of the wall had chipping paint and cracked and broken drywall exposing metal edges.”

Rule 8VAC20-780-270-A.

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.

“In classroom 1, two cans of cleaning materials were observed on the counter unlocked and accessible to children.”

Rule 8VAC20-780-280-B.

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.

“Child 1 has a diagnosed food allergy and there was no allergy care plan from the physician, which was overdue by three months.”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current CPR.

“Staff #1, employed for over 90 days, did not have a complete CPR certification.”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current First Aid certification.

“Staff #1, employed for over 90 days, did not have a complete First Aid certification.”

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

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

“Staff #1, employed for three months, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check from a different state.”

Rule 22.1-289.035-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.

“Child #3, who had been enrolled for five months, had documentation of an immunization record on file that was dated four months after the date of enrollment.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“Child #3, who had been enrolled for five months, had a physical examination that was dated four months after first day of attendance.”

Rule 8VAC20-780-140-A.

Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The center’s bus used to transport children had multiple seats with rips and tears, exposing the foam cushion. In classroom 1, there was a ceiling light that was missing the protective covering screen.”

Rule 8VAC20-780-270-A.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance.

“The record for child #1, enrolled for five months, did not have a signed agreement between the parent and the center in the child’s file by the first day of attendance. The record for child #3, enrolled for five months, had a signed agreement between the parent and the center that was completed one month after first day of attendance.”

Rule 8VAC20-780-90-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“Child #4 had an immunization form that was not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The center’s bus used to transport children had seats with multiple areas that were ripped and torn, exposing the foam cushioning. In classroom 1, there was a ceiling light that was missing the protective covering screen. In classroom 1, there was a hole in the wall exposing broken drywall.”

Rule 8VAC20-780-270-A.

The center is required to request a search of the central registry by the end of the 30th day of taking office for board officers/agents.

“Agent 1 and Agent 2, who have been agents for over 30 days, did not have a completed search of the central registry.”

Rule 22.1-289.036-B-3.

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.

“There was no updated TB screen for Staff #4 who has been employed for over two years.”

Rule 8VAC20-780-160-A.

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.

“There were no staff members on duty at the time of the inspection with a current daily health observation certification.”

Rule 8VAC20-780-245-L.

The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. The plan, which shall be developed in consultation with local or state authorities, shall include the most likely to occur emergency scenario or scenarios, including fire, severe storms, loss of utilities, natural disaster, chemical spills, intruder, violence at or near the center, terrorism specific to the locality, and other situations, including facility damage that requires evacuation, lockdown, or shelter-in-place.

“The center did not have a completed written emergency preparedness plan that contained all required components. The plan was not developed in consultation with local or state authorities.”

Rule 8VAC20-780-550-A.