A+ Childcare & Learning Center

8VAC20-780-500-A Complaint related: No

“Staff shall wash their hands with soap and running water before and after a diaper change. Children’s hands shall be washed with soap and running water after toileting/diapering. Staff # 1 changed 7 children's diapers consecutively and put on a new pair of gloves for each diaper change they did not wash their hands before or after each diaper change. Staff #1 did not ensure each child washed their hands after diapering.”

8VAC20-780-160-A

“Repeat Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and have been completed within the last 30 days of the date of employment. 1.Staff #1 TB screening was dated more than 30 days prior to employment began by approximately 6 months. 2. Staff #2 TB screening was dated more than 6 weeks after employment began.”

8VAC20-780-270-A

“Repeat Violation The areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The following were determined to be hazards 1.On the ?older children’s? playground a. There were 2 wooden balancing discs that were splintered and deteriorating b. One of the wooden support posts for the parallel bars had a section of concrete protruding from the ground next to the post and also a wooden board protruding from the post. 2. On the younger children’s playground the wooden train wheel was splintered with sharp edges.”

8VAC20-780-140-A

“Each child shall have 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. Child #1 did not have a copy of a physical examination in their record and has been attending for more than 2 months.”

22.1-289.035-B-1

“Repeat Violation The center is required to obtain a complete sworn statement prior to the employee's first day of employment. Staff #3, Staff #4, Staff #7, Staff #8 and Staff #9 did not have a complete sworn statement as they did not answer the question Have you lived outside of Virginia in the past five years?.”

8VAC20-780-440-E

“Repeat Violation There shall be at least 12 inches of space between occupied cots. In the toddler classroom there was between 4-7 inches observed between 9 occupied cots and in the 3 year old room there was 2 inches between 2 occupied cots.”

8VAC20-780-450-A

“Cots used by children 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. Three children in the Pre-K room and 3 children in the 3 year old room did not have both a top and bottom cover during their rest period.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the infant room there was not a trashcan with a lid for the soiled diapers.”

8VAC20-780-70

“Repeat Violation All required documentation shall be maintained for staff records related to documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone all documentation is required. 1.Staff #1 was working for one day and did not have documentation of 2 references conducted prior to hire. 2.Staff #3, has been working for approximately 2 months and Staff #5 has been working for approximately 3 weeks did not have completed references as they did not have all documentation from a phone reference to include date of contact, firm contacted and signature of person making the call. 3. Staff #2 references were obtained 2 months after hire.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The following records were missing information. 1.Child #1, Child #2, Child #3 an Child #5 were missing previous childcare information 2.Child #4 was missing proof of identity”

8VAC20-780-260-A

“The center shall provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The center’s most recent fire inspection available for review was overdue by 3 weeks.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medications (medication A and medication B) were stored in an unlocked backpack on a hook in Room D.”

8VAC20-780-340-D

“Repeat Violation In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. During the inspection the following rooms/ groups did not have a program lead qualified staff 1.Staff #6 was the designated program lead teacher working in Room B and there was no documentation to support qualifications 2. Staff #7 was the designated program lead teacher working in Room C and there was no documentation to support qualifications 3.Staff #4 was the only staff designated program working in Room D and there was no documentation to support qualifications”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There was not documentation of drills conducted in May, June and July 2025.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current one-week period shall be dated and posted in a location conspicuous to parents or given to parents. The menu posted was dated the week of October 13.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Staff #1, #2, #3, #4 and #5 have been working with children and do not have documentation of obtaining a TB screening. Staff #1 has been working for more than 3 months, Staff #2 has been employed for more than one month, Staff #3 employed for approximately 3 months and Staff #4 and Staff#5 have been employed for more two months.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.Child #1 record did not include the annual update, the second emergency contact name, address and phone number, the employment location and or phone number for both parents listed and the home address and phone number for one parent listed. Child #1 did not have a copy of a physical conducted by a physician. The physical is required within 30 days after the first day of attendance. Child #1 has been attending for more than 1 year. 2.Child #2 record did not include the annual update, employment location and phone number for both parents listed . 3. Child #4 record did not include the annual update, written agreements between the parent and the center, an immunization record required prior to attending or a copy of a physical conducted by a physician. The physical is required within 30 days after the first day of attendance. Child #4 has been attending for more than 2 1/2 years. 4.Child #5 and Child #7 record did not include the employment phone number for one parent listed.”

8VAC20-780-70

“Repeat Violation All required documentation shall be maintained for staff records. 1. Staff #2, # 3, #4 and #5 do not have documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #2 has been employed for more than one month, Staff #3 employed for approximately 3 months and Staff #4 and Staff#5 have been employed for more two months. 2 The records for Staff #4, #6 and #7 did include documentation to demonstrate that they possessed the education, certification, and experience required by the job position. Staff #4, #6 and #7 were designated program lead teachers.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The most recent inspection is dated 5-24-2025.”

8VAC20-780-270-A

“Repeat Violation The areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The following were determined to be hazards on the Pre-K playground: 1. One wooden balancing disc was broken, splintered and exposing sharp edges. 2. One of the wooden support posts for the metal parallel bars was splintered. 3 The wooden balance beam has areas that are cracked and splintered and there was a section approximately 18 inches long that is missing from the beam.”

8VAC20-780-550-P Complaint related: Yes

“Complaint Related The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Five injury reports were reviewed and two did not include the date and time the parent was notified of the injury.”

8VAC20-780-160-A Complaint related: Yes

“Complaint Related Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and shall have been completed within the last 30 days of the date of employment. Staff # 2 does not have documentation of TB screening and has been working for approximately 4 months.”

22.1-289.035-B-1 Complaint related: Yes

“Complaint Related The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have a completed sworn statement.”

8VAC20-780-280-D Complaint related: Yes

“Complaint Related Cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. On 7-8-2025, in the kitchen granola bars were observed stored next to bleach and water spray bottles and soap and water spray bottles”

8VAC20-780-240-E Complaint related: Yes

“Complaint Related Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Staff #2 has been employed for more than 3 months and Staff #5 has been employment for more than 5 months and both staff do not have documentation of orientation training in first aid and CPR.”

8VAC20-780-240-B Complaint related: Yes

“Complaint Related Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities. Staff #1 has been employed for more than 3 weeks, and Staff #2 has been employed for more than 3 months and both staff do not have documentation of a completed orientation.”

8VAC20-780-90-A Complaint related: Yes

“Complaint Related 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 agreements listed below shall be signed by the parent(s). 1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds. 2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center. 3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. Child #2 (attending for 2 days) did not have agreements 1, 2 and 3 signed in their record, Child #4 (attending for almost 3 months) and Child #5 (attending for over 1 month) did not have agreement 3 signed in their record.”

8VAC20-780-70 Complaint related: Yes

“Repeat Violation Complaint Related All required documentation shall be maintained for staff records. 1.Staff #1, Staff #2, Staff #3 and Staff #5 did not have documentation required to be kept at the center regarding any health problems that may interfere with fulfilling the job responsibilities. 2. Staff #2 and Staff #4 have been employed do not have documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-350-B-4 Complaint related: Yes

“Complaint Related The required ratio for children 3 year old up to school age eligible is 1:10. On 7-8-2025 the ratio was not met as follows: 1.Two staff (Staff #7 and Staff #8) were observed supervising 22 children, the youngest age 3. The group was out ratio for approximately 17 minutes in the morning. 2.Two staff (Staff #7 and Staff #9) were observed supervising 23 children, the youngest age 3. The group was out ratio for approximately 26 minutes in the morning.”

8VAC20-780-410-1

“The following acts are forbidden physical punishment, striking a child, roughly handling or shaking a child. On 6-26-2025, Staff #1 popped Child #1 with their open hand on the right part of their head near their eye. Child #1 immediately put their hands up to their face where they were struck.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Some children in Room C and Room E were observed during sleeping with only between 4 to 5 1/2 inches between their cots.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #9 was alone during naptime with a group of ten, three-year-old children and was not certified in CPR or first aid.”

8VAC20-780-70

“All required documentation shall be maintained for staff records. 1.Staff #1, Staff #2, Staff #4 and Staff #7 did not have documentation required to be kept at the center regarding any health problems that may interfere with fulfilling the job responsibilities and emergency contacts. 2. Staff #2 and Staff #7 have been employed do not have documentation that two or more references as to character and reputation as well as competency were checked before employment. 3.The record for Staff #9 was not available for review to include background checks. Staff #9 was observed working alone with children.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.Child #1?s record did not include the annual update, the second emergency contact name, address and phone number, the employment location and or phone number for both parents listed and the home address and phone number for one parent listed. Child #1 did not have a copy of a physical conducted by a physician. The physical is required within 30 days after the first day of attendance. Child #1 has been attending for more than 1 year. 2.Child #2?s record did not include the annual update, employment location and phone number for both parents listed . 3. Child #4?s record did not include the annual update, written agreements between the parent and the center, an immunization record required prior to attending or a copy of a physical conducted by a physician. The physical is required within 30 days after the first day of attendance. Child #4 has been attending for more than 2 1/2 years. 4.Child #5 and Child #7's record did not include the employment phone number for one parent listed.”

8VAC20-780-270-A

“The areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. 1.The following were determined to be hazards on the Pre-K playground: a. One wooden balancing disc was broken, splintered and exposing sharp edges and a protruding screw. b. One of the wooden support posts for the metal parallel bars was splintered and rotting at the bottom. c. The metal climber had flaking rust and peeling paint on the bottom bars and two of the metal bars at the base are missing exposing sharp edges. 4. One metal playground bolt was protruding from the playground boarder around the sand box. 2.The following were determined to be hazards on the Toddler playground: a. There were two plastic broken picnic tables with exposed sharp plastic edges. b. There was a metal red car with chipped and peeling paint and splintering wood.”

8VAC20-780-40-M

“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. Child #4 was in classroom E and has a dietary restriction (no pork) and it was not on the allergy/sensitivity/ dietary restriction list.”

8VAC20-780-340-D

“Repeat Violation In each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Staff #9 was the only staff designated to work in Room A and was observed alone supervising 10 children Staff #9 was an assistant teacher and does not have documentation to meet the program lead qualifications.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for more than 6 months, did not have documentation of requesting a central registry check from one state outside of Virginia. Staff #4 was observed working during the inspection.”

8VAC20-780-240-E

“Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Staff #3 has been employed for more than 4 months and does not have documentation of orientation training in first aid and CPR.”

22.1-289.035-B-3

“The center must request a search of the central registry ( CPS ) prior to the employee's first day of employment. If the results are not returned within 45 days of submitting the request, the program should follow up with the appropriate state agency and document the results. Staff #7 was observed working alone during the inspection and has been working for more than 8 weeks. There was no documentation of follow up on the request for CPS results.”

8VAC20-780-540-E

“The center did not have all required nonmedical emergency supplies. The center was missing one working, battery-operated radio.”

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. Staff #7, who was observed working, did not have a sworn statement and had been working for more than 8 weeks.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in Room F were observed eating and their hands were not washed before or after eating.”