A Child's Place at Hollin Hall

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. On 1/15/25, Child #3 fell during a dance activity after bumping into another child. There were 3 staff present at the time of the accident and all staff stated they did not inquire to see why the child was crying or what hurt and acknowledged they did not provide first aid to the child. Child #3 was picked up 19 minutes after the accident at which time staff provided the parent with an incomplete verbal accounting of the accident. The parent observed the child crying and not being able to put any weight on the wrist and called back to the center for additional details, as a written injury report was not provided to the parent at pickup. The child's injury required outside medical care.”

8VAC20-780-160-C

“At least every 2 years from the date of the first initial screening/testing, staff members shall obtain and submit the results of a follow-up TB screening. The most recent TB test for Staff #3 was dated as completed in June 2022.”

8VAC20-780-440-E

“There shall be at least 12" of space between occupied cots. A total of 13 occupied cots, in one classroom, were observed to have less than 12" of space between them. Some cots were touching end-to-end.”

8VAC20-780-550-F

“Based on records reviewed, a minimum of 1 lock-down drill was not practiced in the last year. Evidence: Since January 2023, 0 of 1 drills were practiced and recorded.”

8VAC20-780-500-B

“Based on observations made, the diaper changing surface in one classroom was not cleaned with soap + water and then sanitized with a bleach + water solution after each use/diaper change. Evidence: Staff #4 was observed changing 6 consecutive children's diapers and not cleaning + sanitizing the surface after each diaper change. The staff person was observed spraying the surface one time and wiping the diaper changing surface after one of the diaper changes.”

8VAC20-780-500-A

“Repeat violation. Based on observations made, staff did not wash their hands before and after each diaper change in one classroom. Evidence: Staff #4 was observed changing 6 consecutive children's diapers and not washing her hands before/after each diaper change. The staff person was observed washing her hands one time throughout the diaper changing.”

8VAC20-780-580-B

“Based on observations made, 3 of 4 vehicles/buses used by the center for transportation of children do not currently meet the safety standards set by the Virginia DMV. Evidence: 1. Bus #1 and Bus #2-The annual safety inspection expired 2/2024. 2. Bus #3 - The annual safety inspection expired 10/2023.”

8VAC20-780-340-A

“Repeat violation. Based on observations made, staff supervising one class did not always ensure their care and guidance. Evidence: 1. There were 4 staff and 19 2-year-old children in the Preschool 1 class present during lunch today. 2. 2 of the 4 staff were sitting with the children while they were eating but were not engaged with the children nor assisting them to eat, or responding to their requests. The 3rd of the 4 staff was focused on recording what food the children liked that was on their plates. The 4th of 4 staff was changing diapers. 3. During the lunch, a child was observed pouring the contents of her milk cup over her head, which then ran down her face and into her eyes. Staff #10 was sitting directly across the table from the child, who was wiping her face and eyes with her hands, and did not respond to the situation. 4. During the lunch, another child was observed asking repeatedly for milk, which was never given to the child. 5. Conversations between staff and children were minimal and mostly directive in nature, not conversational or guiding in nature. Children were told "sit down...wash your hands..." 6. There was minimal to no verbal or physical assistance and guidance provided to children who were struggling to eat an uncut chicken breast that was served for lunch. 7. Considerable focus was given by staff to prompt children to stop eating lunch and go have their diaper changed mid-meal. Children were observed chewing food when prompted by staff to go get their diaper changed, and then walking to the diaper changing area while chewing food.”

8VAC20-780-280-B

“Repeat violation. Based on observations made, hazardous substances in one classroom were not kept in a locked place. Evidence: 1. Multiple lotions, some labeled "keep out of reach of children" were being stored on an open shelf above the sink where children wash their hands in the Preschool-1 room. 2. A spray bottle containing a bleach + water solution was being stored on a window ledge above the diaper changing table in the Preschool-1 room.”

8VAC20-780-245-A

“Repeat violation. Based on records reviewed, 2 of 6 staff records did not include documentation of a minimum of 16 hours of annual training for the 2022-2023 period. Evidence: 1. Staff #7- 0 of 16 hours of annual training was recorded for the period of 6/2022-5/2023. 2. Staff #8 - 11.5 of 16 hours of annual training was recorded for the period of 8/2022-9/2023.”

8VAC20-780-550-E

“Based on records reviewed, a minimum of 2 shelter-in-place drills were not practiced in the last year. Evidence: Since January 2023, 0 of 2 drills were practiced and recorded.”

8VAC20-780-560-F-4

“Based on observations made, children under the age of 3 years old were offered food considered to be a potential choking hazard. Evidence: Children in a 2 year-old class were served an entire chicken breast that was not cut up into bite-size pieces. The children were observed biting and pulling on the chicken with their teeth and getting large chunks of meat that they struggled to chew. Some took bites of the chicken, attempted to chew it and then spit it out.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on observations made, 1:8 staff-to-child ratios were not maintained in the Preschool-1 classroom today for a period of less than 2 minutes. Evidence: 1. At approximately 12:35pm, there were 3 staff, 1 staff trainee (not counted in the ratios) and 21 children present in the Preschool-1 classroom when Staff #10 exited the room. 2. When Staff #10 left the classroom the ratios became 2 staff to 21 children. 3. Children were having diapers changed and eating lunch at this time, while 1 of the 2 remaining staff was changing diapers in the diaper changing area the entire time.”

8VAC20-780-560-L Complaint related: No

“Based on observations made, staff did not sit with the children during lunch in 2 of 3 classrooms. Evidence: 1. None of the 4 staff sat with the children during lunch in the Preschool-1 class. 2. None of the 2 staff sat with the children during lunch in the Pre-K class (today the Pre-K classes were combined into one class).”

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

“Based on observations made, a staff person and a child did not wash as required after diapering and before eating lunch. Evidence: 1. Staff #4 was observed changing 6 children's diapers and assisting an additional child in the bathroom without washing her hands between each diapering/toileting. The staff wore and changed disposable gloves. 2. A child in the Preschool-1 class was observed having their diaper changed and when finished walked to a table in the classroom where they sat down and began eating lunch. 3. The child did not wash their hands and none of the staff prompted the child to do so.”

22.1-289.011-F Complaint related: No

“Repeat violation and systemic deficiency. Based on observations made, the findings from the most recent inspection were not posted on the licensed premises. Evidence: The findings from the complaint investigation report dated 9/27/23-10/6/23 were not posted on the licensed premises.”

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

“Repeat violation. Based on records reviewed, staff did not ensure that a written injury report was written to document facial scratches on 10/6/23. Evidence: 1. A parent observed facial scratches on their child when they picked up the child on 10/6/23. 2. When the parent asked staff how the child got scratched, staff stated they did not know. 3. There was no documentation of a written injury report given to the parent on 10/6/23.”

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

“Repeat violation. Based on records reviewed, staff did not ensure that a written injury report was written to document facial scratches on 10/6/23. Evidence: 1. A parent observed facial scratches on their child when they picked up the child on 10/6/23. 2. When the parent asked staff how the child got scratched, staff stated they did not know. 3. There was no documentation of a written injury report given to the parent on 10/6/23.”

8VAC20-780-340-A Complaint related: No

“Repeat violation. Based on observations made, the supervising staff did not ensure the care of 4 of the 21 children in the Preschool-1 classroom today. Evidence: 4 children were observed to have runny noses. The mucus from their noses was running from their nose to their mouths while eating lunch. At no time did the supervising staff attempt to wipe the children's noses.”

8VAC20-780-340-F Complaint related: No

“Based on observations made, staff failed to ensure that a child under the age of 10 years old was maintained in sight and sound supervision of staff. Evidence: 1. At 7:51am, the inspector observed a 4 year-old child (Child #5) being told to go to a classroom located next to the one they were in. Child #5 followed the instructions and left their assigned classroom, went into the hallway and then entered the adjacent classroom. No staff from either room were in the hallway and the child was not in sight supervision. 2. Seconds later, Child #5 left the adjacent classroom, entered the hallway and returned to the assigned classroom. No staff from either room were in the hallway and the child was not in sight supervision. 3. At 7:52am, Child #5 left the assigned classroom for a 2nd time, entered the hallway and then the adjacent classroom. No staff from either room were in the hallway and the child was not in sight supervision. 4. The distance between the classroom doors was approximately 12-15' and there were many other children and parents in the hallway at the time.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews conducted and photographic evidence obtained, staff failed to ensure the care and protection of the children when propping open an exterior building door. Evidence: 1. On 9/21/23, an exterior building door was found open by parents. [See photo #1] 2. When interviewed, staff reported finding an exterior building door propped open on 9/26/23.”

8VAC20-780-350-Q Complaint related: Yes

“Repeat violation. Based on observations made and interview conducted, staff temporarily assigned a child to a different age class in an effort to maintain ratios on 9/27/23. Evidence: 1. A 4 year-old child was moved to a 3 year-old class for approximately 4 minutes. 2. Staff told the inspector the reason the child was moved to another class was because of ratios.”

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

“Repeat violation. Based on observations made, 1:10 staff-to-child ratios were not maintained in one classroom on 9/27/23 for a period of minutes. Evidence: 1. At 7:51am, the inspector observed 1 staff person with 13 children in the PreK-2 classroom. 2. At 7:54am, the inspector observed a 2nd staff person arrive to the PreK-2 classroom.”

8VAC20-780-40-E Complaint related: No

“Based on observations made and interviews conducted, Staff #4 did not ensure that medication administered to Child #5 was done so in accordance with the center's medication policies. Evidence: 1. Staff #4 was observed by the inspector taking a pill from what appeared to be a personal bag stored in a classroom cabinet and giving it to Child #5. 2. When asked, Staff #4 told the inspector that she gave Child #5 a "Tylenol" pill. 3. The center's policy for medication administration policy does not include over-the-counter medications. 4. There was no written medication authorization for center staff to administer medication to Child #5.”

8VAC20-780-80-A Complaint related: Yes

“Based on observations made, records reviewed and staff interviewed, staff failed to maintain a written record of daily attendance that documented the arrival of each child in care as it occurred on 9/27/23. Evidence: 1. At 7:23am, the inspector observed 2 staff with 12 preschool-age children in the Preschool-1 classroom. The written attendance records for the classes that arrive to this room in the early morning hours (before individual classrooms are opened for Preschool-1, Preschool-2, PreK-1, and PreK-2 classes) indicated there were 2 children present at that time. 2. At 7:36am, the inspector observed 2 staff with 14 preschool-age children in the Preschool-1 classroom. The written attendance records for the classes that arrive to this room in the early morning hours (before individual classrooms are opened for Preschool-1, Preschool-2, PreK-1, and PreK-2 classes) indicated there were 2 children present at that time. 3. At 7:38am, the inspector observed 2 staff with 15 preschool-age children in Room 6. The written attendance records for the classes that arrive to the Preschool-1 classroom in the early morning hours (before individual classrooms are opened for Preschool-1, Preschool-2, PreK-1, and PreK-2 classes) indicated there were 2 children present at that time.”

8VAC20-780-280-B Complaint related: No

“Based on observations made, a hazardous substance was not kept in a locked place. Evidence: A spray air freshener product was found on a window sill above a diaper changing area in the Preschool-1 classroom.”

22.1-289.035-A Complaint related: No

“Repeat violation and systemic deficiency. Based on records reviewed, 2 of 2 staff records did not include documentation of completed background checks in the past 5 years. Evidence: 1. The employment record for Staff #7did not include a current criminal record check or central registry search. The previous criminal record check was dated as completed 5/17/18, and the previous central registry search was dated as completed 7/10/18. 2. The employment record for Staff #8 did not include a current criminal record check. The previous criminal record check was dated as completed 3/8/18.”

22.1-289.011-F Complaint related: No

“Repeat violation. Based on observations made, the findings from the most recent inspection was not posted on the licensed premises. Evidence: On 9/27/23, the inspection report dated 8/30/23-9/20/23 was not posted on the licensed premises.”

8VAC20-780-400-A Complaint related: Yes

“Based on interviews conducted, staff failed to ensure that their decision to place children in a cubby closet promoted the child's physical, intellectual, emotional and social well-being and growth. Evidence: 1. Between 8/21/23-8/30/23, at least 2 children had been placed in a cubby closet during naptime. 2. When staff were asked by the inspector why children were placed in the cubby closet for naptime they reported reasons to include: (1) it being a reduced sensory area, (2) to avoid toileting accidents, (3) it being a place for children that make noises, (4) that it was dependent on the child's needs, and (5) for no reason, it is a free-for-all with regard to where children sleep at naptime. 3. When staff were asked by the inspector why Child #3 was placed in the cubby closet for naptime they reported reasons to include: (1) because the child has toileting accidents, (2) because the child makes noises, and (3) for no reason. 4. When staff were asked by the inspector why Child #4 was placed in the cubby closet for naptime they reported reasons to include: (1) no reason, the child didn't have any issues, (2) the child might have been loud and bothered others, and (3) not really sure, staff decide which child is placed there. 5. There was no documentation on-file that supported the decision to place Child #3 and #4 in the cubby closet. This includes no documentation of either child having developmental needs or behavioral issues, medical reasons, or parental involvement.”

8VAC20-780-270-A Complaint related: Yes

“Based on interviews conducted and observations made, staff failed to ensure that areas of the center were maintained in a clean and safe condition. Evidence: 1. On 8/21/23, in the Preschool-2 classroom, Child #4 was placed on a cot in the cubby closet which also serves as a pass-thru entrance/exit to a bathroom. This area is a small confined space for a cot and simultaneous safe access to cubbies and the bathroom. 2. On 8/30/23, in the Preschool-2 classroom, Child #3 was placed on a cot in the cubby closet and as a result other children were unable to access their cots and were climbing onto a low-level cubby shelf and sliding across to their respective cubbies, with belongings in their hands, while additional children were made to step around the cot with minimal space to safely enter/exit the bathroom. 3. On 8/30/23, paper trash and food were observed on the floor in the Preschool-1 classroom. The inspector observed pumpkin seeds scattered on the rugs and was told that the seeds were from the breakfast served the day prior on 8/29/23. [Note: Children from multiple classrooms arriving prior to 8:30am combine in the Preschool-1 room.]”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on interviews conducted and record reviewed, staff failed to ensure that ratios were maintained in accordance with the youngest age child in one classroom on 8/21/23. The staff-to-child ratios for 2 year-old children is 1 staff to 8 children. Evidence: 1. Child #4, a 2 year-old, was enrolled in the Preschool-2 class and in attendance on 8/21/23 from approximately 8:20am-1:06pm. 2. The Preschool-2 class is programmed for 3-4 year-old children with a 1 staff-to-10 children ratio. 3. The Preschool-2 classroom was opened at approximately 8:30am on that date and at that time there was 1 staff person and 9 children present. 4. From approximately 8:30am and until a second staff person arrived to the classroom at approximately 9:30am an additional 8 children arrived. During that time period the ratios increased to 1 staff person and 17 children being present. 5. From approximately 9:30am and until a third staff person arrived to the classroom at approximately 10:00am no additional children arrived. During that time period there were 2 staff persons and 17 children present.”

8VAC20-780-350-Q Complaint related: Yes

“Based on interviews conducted and records reviewed, staff failed to ensure that a written assessment and written parent permission was completed to assign a child to a different age group and a higher staff-to-child ratio. Evidence: 1. Beginning 8/21/23, Child #4, a 2 year-old, was enrolled in the Preschool-2 class for (3-4 year old), which operates with a higher staff-to-child ratio (1:10). 2. There was no documentation of an assessment being completed for Child #4 by the program director and a program lead teacher. 3. There was no documentation of written parental permission.”

8VAC20-780-340-D Complaint related: Yes

“Based on records reviewed and interviews conducted, staff failed to ensure that a lead teacher qualified staff person in each group of children on 8/21/23. Evidence: 1. From approximately 8:30am-9:30am in the Preschool-2 class there was not a qualified lead teacher/staff person. 2. During this time Staff #2 was working alone and supervising up to 17 children. 3. There was no documentation that Staff #2 was qualified as a lead teacher.”

8VAC20-780-420-E-3

“Based on records reviewed, staff failed to ensure that 2 of 3 children's records included documentation of the parents reviewing/signing that their child's information was up to date. Evidence: 1. Child #1 - Parents last signed the record 1/21/22. 2. Child #3 - Parents last signed the record 6/9/22.”

8VAC20-780-550-P

“Based on records reviewed, management did not ensure that 5 of 5 written injury reports included required documentation. Evidence: 5 of 5 reports did not document the date, time and how the parent was notified of their child's injury.”

8VAC20-780-290-A-3

“Repeat violation. Based on observations made, staff failed to ensure that all electrical outlets had protective covers. Evidence: An outlet in the Preschool-1 classroom, children ages 2-3 years old, did not have a protective safety cover.”

8VAC20-780-70

“Based on records reviewed, management failed to ensure that 1 of 6 staff records include required documentation. Evidence: 1. Staff #4 - There was no documentation of the date when this staff person was promoted from Aide to Lead Teacher. The training certificate used to provide required training for the promotion was not signed by the trainer.”

22.1-289.011-F

“Based on observations made, staff did not ensure that the findings from the most recent inspection were posted in the facility. Evidence: The inspection report from 7/14/22 was posted.”

8VAC20-780-270-A

“Based on observations made, staff failed to ensure that areas of the center were maintained in a clean and safe condition. Evidence: 1. The floor in the hall cot closet (for Preschool 2 class) was dirty with trash and flaking black paint. 2. The floor just inside the doors used to go to/from the playground was dirty with grass, dirt and trash. 3. Two rubber stair riser treads on the steps leading to the doors to go to/from the playground were torn/broken and missing. 4. Paper trash and discarded water bottles were observed on the playground. 5. Carpet/rugs in the Preschool-2 classroom were stained and dirty.”

8VAC20-780-90-A

“Based on records reviewed, it was determined that 1 of 3 children's records did not include documentation of required immunizations. Evidence: Child #1 - The immunization record, signed by the physician, stated the child was to obtain additional immunizations after 12/25/22, though there was no documentation that these immunizations were obtained. The physican documented "CONDITIONAL ENROLLMENT: As specified in the Code of Virginia ? 22.1-271.2, B."”

8VAC20-780-60-A

“Based on records reviewed, staff failed to ensure that 1 of 3 children's records included required information. Evidence: Child #2- There was no documentation of the emergency medical authorization.”

8VAC20-780-160-C

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of a TB screening every 2 years. Evidence: Staff #5-The date of the last TB screening was 4/1/21.”

8VAC20-770-60-C-2

“Repeat violation. Based on records reviewed, management failed to ensure that 1 of 6 staff records included documentation of a completed in-state central registry search within the 1st 30-days of employment. Evidence: Staff #6-The 1st day of employment was in June 2023 and to-date there was not a completed central registry search on-file.”

8VAC20-780-240-A

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of the Virginial Preservice Training class (10 hours) within the first 90-days of employment. Evidence: Staff #1-The 1st day of employment (most recent rehire) was 10/4/21 and to-date there was no documentation of the 10-hour training class being completed.”

8VAC20-770-60-B

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of a completed sworn disclosure statement prior to the 1st day of employment. Evidence: 1. Staff #1-The sworn disclosure statement (SDS) signed and dated at the time of hire in 2021 did not include true information. Staff #1 indicated that there was no out-of-state residency in the previous 5 years however, according to the central registry search ( CPS ) dated 2022 the staff person had lived in Maryland in 2017.”

22.1-289.035-B-4

“Based on records reviewed, management failed to ensure that 2 of 2 staff records included an out-of-state central registry search within the 1st 30-days of employment. Evidence: 1. Staff #1 - Date of hire was in October 2021 and to-date there was not a completed out-of-state central registry search on-file. 2. Staff #6 - Date of hire was in June 2023 and to-date there was not a completed out-of-state central registry search on-file.”

8VAC20-780-245-A

“Based on records reviewed, staff failed to ensure that 3 of 6 staff records included documentation of a minimum of 16 hours of annual training. Evidence: 1. Staff #2-There were 0 of 16 hours of annual training documented in the last year. The last training on-file was dated 2/7/21. 2. Staff #3-There were 12 hours of annual training documented since 12/16/21. 3. Staff #5-There were 3 hours of annual training documented since 12/17/21.”

8VAC20-780-400-A Complaint related: Yes

“Based on interviews conducted, staff failed to ensure that their decision to place children in a cubby closet promoted the child's physical, intellectual, emotional and social well-being and growth. Evidence: 1. Between 8/21/23-8/30/23, at least 2 children had been placed in a cubby closet during naptime. 2. When staff were asked by the inspector why children were placed in the cubby closet for naptime they reported reasons to include: (1) it being a reduced sensory area, (2) to avoid toileting accidents, (3) it being a place for children that make noises, (4) that it was dependent on the child's needs, and (5) for no reason, it is a free-for-all with regard to where children sleep at naptime. 3. When staff were asked by the inspector why Child #3 was placed in the cubby closet for naptime they reported reasons to include: (1) because the child has toileting accidents, (2) because the child makes noises, and (3) for no reason. 4. When staff were asked by the inspector why Child #4 was placed in the cubby closet for naptime they reported reasons to include: (1) no reason, the child didn't have any issues, (2) the child might have been loud and bothered others, and (3) not really sure, staff decide which child is placed there. 5. There was no documentation on-file that supported the decision to place Child #3 and #4 in the cubby closet. This includes no documentation of either child having developmental needs or behavioral issues, medical reasons, or parental involvement.”

8VAC20-780-270-A Complaint related: Yes

“Based on interviews conducted and observations made, staff failed to ensure that areas of the center were maintained in a clean and safe condition. Evidence: 1. On 8/21/23, in the Preschool-2 classroom, Child #4 was placed on a cot in the cubby closet which also serves as a pass-thru entrance/exit to a bathroom. This area is a small confined space for a cot and simultaneous safe access to cubbies and the bathroom. 2. On 8/30/23, in the Preschool-2 classroom, Child #3 was placed on a cot in the cubby closet and as a result other children were unable to access their cots and were climbing onto a low-level cubby shelf and sliding across to their respective cubbies, with belongings in their hands, while additional children were made to step around the cot with minimal space to safely enter/exit the bathroom. 3. On 8/30/23, paper trash and food were observed on the floor in the Preschool-1 classroom. The inspector observed pumpkin seeds scattered on the rugs and was told that the seeds were from the breakfast served the day prior on 8/29/23. [Note: Children from multiple classrooms arriving prior to 8:30am combine in the Preschool-1 room.]”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on interviews conducted and record reviewed, staff failed to ensure that ratios were maintained in accordance with the youngest age child in one classroom on 8/21/23. The staff-to-child ratios for 2 year-old children is 1 staff to 8 children. Evidence: 1. Child #4, a 2 year-old, was enrolled in the Preschool-2 class and in attendance on 8/21/23 from approximately 8:20am-1:06pm. 2. The Preschool-2 class is programmed for 3-4 year-old children with a 1 staff-to-10 children ratio. 3. The Preschool-2 classroom was opened at approximately 8:30am on that date and at that time there was 1 staff person and 9 children present. 4. From approximately 8:30am and until a second staff person arrived to the classroom at approximately 9:30am an additional 8 children arrived. During that time period the ratios increased to 1 staff person and 17 children being present. 5. From approximately 9:30am and until a third staff person arrived to the classroom at approximately 10:00am no additional children arrived. During that time period there were 2 staff persons and 17 children present.”

8VAC20-780-350-Q Complaint related: Yes

“Based on interviews conducted and records reviewed, staff failed to ensure that a written assessment and written parent permission was completed to assign a child to a different age group and a higher staff-to-child ratio. Evidence: 1. Beginning 8/21/23, Child #4, a 2 year-old, was enrolled in the Preschool-2 class for (3-4 year old), which operates with a higher staff-to-child ratio (1:10). 2. There was no documentation of an assessment being completed for Child #4 by the program director and a program lead teacher. 3. There was no documentation of written parental permission.”

8VAC20-780-340-D Complaint related: Yes

“Based on records reviewed and interviews conducted, staff failed to ensure that a lead teacher qualified staff person in each group of children on 8/21/23. Evidence: 1. From approximately 8:30am-9:30am in the Preschool-2 class there was not a qualified lead teacher/staff person. 2. During this time Staff #2 was working alone and supervising up to 17 children. 3. There was no documentation that Staff #2 was qualified as a lead teacher.”

8VAC20-780-420-E-3

“Based on records reviewed, staff failed to ensure that 2 of 3 children's records included documentation of the parents reviewing/signing that their child's information was up to date. Evidence: 1. Child #1 - Parents last signed the record 1/21/22. 2. Child #3 - Parents last signed the record 6/9/22.”

8VAC20-780-550-P

“Based on records reviewed, management did not ensure that 5 of 5 written injury reports included required documentation. Evidence: 5 of 5 reports did not document the date, time and how the parent was notified of their child's injury.”

8VAC20-780-290-A-3

“Repeat violation. Based on observations made, staff failed to ensure that all electrical outlets had protective covers. Evidence: An outlet in the Preschool-1 classroom, children ages 2-3 years old, did not have a protective safety cover.”

8VAC20-780-70

“Based on records reviewed, management failed to ensure that 1 of 6 staff records include required documentation. Evidence: 1. Staff #4 - There was no documentation of the date when this staff person was promoted from Aide to Lead Teacher. The training certificate used to provide required training for the promotion was not signed by the trainer.”

22.1-289.011-F

“Based on observations made, staff did not ensure that the findings from the most recent inspection were posted in the facility. Evidence: The inspection report from 7/14/22 was posted.”

8VAC20-780-270-A

“Based on observations made, staff failed to ensure that areas of the center were maintained in a clean and safe condition. Evidence: 1. The floor in the hall cot closet (for Preschool 2 class) was dirty with trash and flaking black paint. 2. The floor just inside the doors used to go to/from the playground was dirty with grass, dirt and trash. 3. Two rubber stair riser treads on the steps leading to the doors to go to/from the playground were torn/broken and missing. 4. Paper trash and discarded water bottles were observed on the playground. 5. Carpet/rugs in the Preschool-2 classroom were stained and dirty.”

8VAC20-780-90-A

“Based on records reviewed, it was determined that 1 of 3 children's records did not include documentation of required immunizations. Evidence: Child #1 - The immunization record, signed by the physician, stated the child was to obtain additional immunizations after 12/25/22, though there was no documentation that these immunizations were obtained. The physican documented "CONDITIONAL ENROLLMENT: As specified in the Code of Virginia ? 22.1-271.2, B."”

8VAC20-780-60-A

“Based on records reviewed, staff failed to ensure that 1 of 3 children's records included required information. Evidence: Child #2- There was no documentation of the emergency medical authorization.”

8VAC20-780-160-C

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of a TB screening every 2 years. Evidence: Staff #5-The date of the last TB screening was 4/1/21.”

8VAC20-770-60-C-2

“Repeat violation. Based on records reviewed, management failed to ensure that 1 of 6 staff records included documentation of a completed in-state central registry search within the 1st 30-days of employment. Evidence: Staff #6-The 1st day of employment was in June 2023 and to-date there was not a completed central registry search on-file.”

8VAC20-780-240-A

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of the Virginial Preservice Training class (10 hours) within the first 90-days of employment. Evidence: Staff #1-The 1st day of employment (most recent rehire) was 10/4/21 and to-date there was no documentation of the 10-hour training class being completed.”

8VAC20-770-60-B

“Based on records reviewed, management did not ensure that 1 of 6 staff records included documentation of a completed sworn disclosure statement prior to the 1st day of employment. Evidence: 1. Staff #1-The sworn disclosure statement (SDS) signed and dated at the time of hire in 2021 did not include true information. Staff #1 indicated that there was no out-of-state residency in the previous 5 years however, according to the central registry search ( CPS ) dated 2022 the staff person had lived in Maryland in 2017.”

22.1-289.035-B-4

“Based on records reviewed, management failed to ensure that 2 of 2 staff records included an out-of-state central registry search within the 1st 30-days of employment. Evidence: 1. Staff #1 - Date of hire was in October 2021 and to-date there was not a completed out-of-state central registry search on-file. 2. Staff #6 - Date of hire was in June 2023 and to-date there was not a completed out-of-state central registry search on-file.”

8VAC20-780-245-A

“Based on records reviewed, staff failed to ensure that 3 of 6 staff records included documentation of a minimum of 16 hours of annual training. Evidence: 1. Staff #2-There were 0 of 16 hours of annual training documented in the last year. The last training on-file was dated 2/7/21. 2. Staff #3-There were 12 hours of annual training documented since 12/16/21. 3. Staff #5-There were 3 hours of annual training documented since 12/17/21.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the PS-2 classroom, there were air fresheners in each of the bathrooms.”

8VAC20-770-60-C-2

“Based on a review of staff records, the center failed to ensure that staff members have a central registry finding within 30 days of employment. Evidence: Staff member # 3 did not have documentation of a central registry finding within 30 days of employment. (DOH - 06/07/2022)”

8VAC20-780-290-A-2

“Based on observation, the center failed to ensure that when a fan is used, it shall be out of reach of children and cords shall be secure so as not create a tripping hazard. Evidence: The fan in room 8 was sitting on a shelf and the cord was not secured.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that electrical outlets have protective covers that are of a size that can not be swallowed by children. Evidence: Room 8 had an outlet cover missing. The office/school age room had an outlet cover missing”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were cleaning materials in a cabinet in the kitchen with the kitchen door unlocked and open. Room 8 had air freshener in the bathrooms and Lysol and other cleaning products in an unlocked closet. Room 8 had Lysol and Clorox wipes in an unlocked closet. Room 2 had cleaning supplies in an unlocked closet/”