Abundant Love Learning Center - West End

22.1-289.020

“Based on observation and interview, the center did not ensure a copy of the provisional license was prominently displayed by the provider at each public entrance of the subject facility and shall be printed in a clear and legible size and style. In addition, the facility shall be required to prominently display next to the posted provisional license a notice with a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility and on the facility's website, if applicable. Evidence: 1. The Licensing Inspector observed the license that was posted expired on March 6, 2024 2. The Provisional license which was issued on March 7, 2024 was not posted in the center.”

8VAC20-780-350-B-3 Complaint related: No

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 2 years old. Evidence: 1. The required staff-to-children ratio for children 2 years of age is one staff for every eight children. At approximately 3:30 pm on April 2, 2024, 14 children were observed in care with staff #3 supervising. 2. Staff #3 stated all the children were 2 years in age. One additional staff was required. 3. The director acknowledged the two’s classroom was out of ratio and confirmed no additional staff was available.”

8VAC20-780-350-B-4 Complaint related: No

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 3 years old and up to school age eligible. Evidence: 1. The required staff-to-children ratio for children 3 years of age to school age eligibility is one staff for every ten children. At approximately 3:30 pm on April 2, 2024, 11 children were observed in care with staff #4 supervising. 2. Staff #4 stated all the children were four years in age. One additional staff was required. 3. The director acknowledged the four’s classroom was out of ratio and confirmed no additional staff was available”

8VAC20-780-140-A Complaint related: No

“Based on review of two children’s records, the center did not obtain documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #1, enrolled 02/23/2022, did not contain documentation of a physical examination, exceeding 30 days from the date of enrollment. 2. The director stated she did not have documentation of a physical for child #1.”

8VAC20-780-410-1

“Based on interviews, the center did not ensure that staff did not use a forbidden action of rough handling a child. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 pushing child #1 away from her and into the infant room”

8VAC20-780-400-A

“Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 entering through the infant room door. Staff #1 was trying to place child #1 in the infant room because he had bit the child of staff #1. Child #1 was crying and trying to avoid going into the Infant room. Staff #1 was observed pushing child #1 away from her and into the infant room stating the child had bit her.”

8VAC20-790-600-F

“Based on review of ten staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The most recent completion of the department’s annual health and safety update course for staff #3 (employed 11/16/2022) was dated 11/17/2022. There was no current 2023 documentation of the health and safety updated training. 2. The most recent completion of the department’s annual health and safety update course for staff #5 (employed 11/14/2022) was dated 08/28/2022. There was no current 2023 documentation of the health and safety updated training. 3 The most recent completion of the department’s annual health and safety update course for staff #9 (employed 08/09/2021) was dated 08/10/2021. There was no current 2023 documentation of the health and safety updated training.”

8VAC20-790-600-D-1

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of CPR certification that expired on 11/13/2023. The director stated the staff members had not renewed the CPR certification.”

8VAC20-790-600-D-2

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of first aid certification that expired on 11/13/2023. The director stated staff #3 had not renewed the first aid certification.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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. Evidence: 1. The center’s allergies, sensitivities, and dietary restriction list was not dated. 2. Laminated copies of the allergy, sensitivities, and dietary restriction list were observed sitting on top of a table at the entrance of the center, outside the door to the office. The list was not kept confidential nor were they in each room or area where children were in care. 3. Staff #7 stated she had one child with a milk sensitivity however she did not have a copy of the allergy, sensitivities, and dietary restriction list in the classroom. Staff #7 stated the allergy list was kept upfront of the center.”

8VAC20-780-160-C

“Based on review of ten staff records, the center did not obtain the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing for two staff members. Evidence: 1. The most recent tuberculosis screening for staff #6, employed 02/17/2022, was dated 02/06/2022 exceeding two years. 2. The most recent tuberculosis screening for staff #9, employed 08/09/2024, was dated 09/08/2021 exceeding two years.”

8VAC20-780-160-A

“Repeat/Repeat Violation Based on review of ten staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #1, employed 11/20/2023, contained documentation of a tuberculosis screening with positive results dated 11/16/2023. There was no additional documentation.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up within 14 days will be disposed of by the center. Evidence: The medication authorization for child #7 expired on 09/20/2023. The medication was on-site, exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-350-C

“Repeat Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (four months to three years of age) were being supervised by Staff #8. Staff #8 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio was one staff member for every four children present. 2. The director arrived at approximately 11:20 am and stepped into the infant room as the second staff. 3. The director acknowledged the infant class was out of ratio”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 16 months to 24 months of age. Evidence: 1. The required staff-to-children ratio for children 16 months to 24 months of age is one staff for every five children. At approximately 11:15 am on February 16, 2024, seven children ages 18 months through two years were observed in care with staff #7 supervising. One additional staff was required. 2. The director acknowledged the toddler class was out of ratio and confirmed no additional staff was available.”

8VAC20-780-70

“Repeat Based on review of ten staff records, the center did not obtain all required information for one staff member’s record. Evidence: 1. Staff #3 (employment 11/16/2022) was identified as a program leader during the inspection. 2. The records for Staff #3 did not contain documentation of education required for the job position. 3. The director confirmed documentation of education for staff 3 had not been obtained.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt is fastened securely. Evidence: 1. As the Licensing inspector was entering the infant room, child #2, twelve months in age, was observed standing in the highchair with one foot in the seat and one foot on the highchair tray. 2. The Inspector called out to staff #8, who ran across the room and grabbed the child. 3. The protective belt had been fastened however it was not secure. The belt had a knot that prevented the belt from fitting snuggly.”

8VAC20-780-410-1

“Based on interviews, the center did not ensure that staff did not use a forbidden action of rough handling a child. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 pushing child #1 away from her and into the infant room”

8VAC20-780-400-A

“Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 entering through the infant room door. Staff #1 was trying to place child #1 in the infant room because he had bit the child of staff #1. Child #1 was crying and trying to avoid going into the Infant room. Staff #1 was observed pushing child #1 away from her and into the infant room stating the child had bit her.”

8VAC20-790-600-F

“Based on review of ten staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The most recent completion of the department’s annual health and safety update course for staff #3 (employed 11/16/2022) was dated 11/17/2022. There was no current 2023 documentation of the health and safety updated training. 2. The most recent completion of the department’s annual health and safety update course for staff #5 (employed 11/14/2022) was dated 08/28/2022. There was no current 2023 documentation of the health and safety updated training. 3 The most recent completion of the department’s annual health and safety update course for staff #9 (employed 08/09/2021) was dated 08/10/2021. There was no current 2023 documentation of the health and safety updated training.”

8VAC20-790-600-D-1

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of CPR certification that expired on 11/13/2023. The director stated the staff members had not renewed the CPR certification.”

8VAC20-790-600-D-2

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of first aid certification that expired on 11/13/2023. The director stated staff #3 had not renewed the first aid certification.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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. Evidence: 1. The center’s allergies, sensitivities, and dietary restriction list was not dated. 2. Laminated copies of the allergy, sensitivities, and dietary restriction list were observed sitting on top of a table at the entrance of the center, outside the door to the office. The list was not kept confidential nor were they in each room or area where children were in care. 3. Staff #7 stated she had one child with a milk sensitivity however she did not have a copy of the allergy, sensitivities, and dietary restriction list in the classroom. Staff #7 stated the allergy list was kept upfront of the center.”

8VAC20-780-160-C

“Based on review of ten staff records, the center did not obtain the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing for two staff members. Evidence: 1. The most recent tuberculosis screening for staff #6, employed 02/17/2022, was dated 02/06/2022 exceeding two years. 2. The most recent tuberculosis screening for staff #9, employed 08/09/2024, was dated 09/08/2021 exceeding two years.”

8VAC20-780-160-A

“Repeat/Repeat Violation Based on review of ten staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #1, employed 11/20/2023, contained documentation of a tuberculosis screening with positive results dated 11/16/2023. There was no additional documentation.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up within 14 days will be disposed of by the center. Evidence: The medication authorization for child #7 expired on 09/20/2023. The medication was on-site, exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-350-C

“Repeat Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (four months to three years of age) were being supervised by Staff #8. Staff #8 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio was one staff member for every four children present. 2. The director arrived at approximately 11:20 am and stepped into the infant room as the second staff. 3. The director acknowledged the infant class was out of ratio”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 16 months to 24 months of age. Evidence: 1. The required staff-to-children ratio for children 16 months to 24 months of age is one staff for every five children. At approximately 11:15 am on February 16, 2024, seven children ages 18 months through two years were observed in care with staff #7 supervising. One additional staff was required. 2. The director acknowledged the toddler class was out of ratio and confirmed no additional staff was available.”

8VAC20-780-70

“Repeat Based on review of ten staff records, the center did not obtain all required information for one staff member’s record. Evidence: 1. Staff #3 (employment 11/16/2022) was identified as a program leader during the inspection. 2. The records for Staff #3 did not contain documentation of education required for the job position. 3. The director confirmed documentation of education for staff 3 had not been obtained.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt is fastened securely. Evidence: 1. As the Licensing inspector was entering the infant room, child #2, twelve months in age, was observed standing in the highchair with one foot in the seat and one foot on the highchair tray. 2. The Inspector called out to staff #8, who ran across the room and grabbed the child. 3. The protective belt had been fastened however it was not secure. The belt had a knot that prevented the belt from fitting snuggly.”

8VAC20-780-410-1

“Based on interviews, the center did not ensure that staff did not use a forbidden action of rough handling a child. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 pushing child #1 away from her and into the infant room”

8VAC20-780-400-A

“Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 entering through the infant room door. Staff #1 was trying to place child #1 in the infant room because he had bit the child of staff #1. Child #1 was crying and trying to avoid going into the Infant room. Staff #1 was observed pushing child #1 away from her and into the infant room stating the child had bit her.”

8VAC20-790-600-F

“Based on review of ten staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The most recent completion of the department’s annual health and safety update course for staff #3 (employed 11/16/2022) was dated 11/17/2022. There was no current 2023 documentation of the health and safety updated training. 2. The most recent completion of the department’s annual health and safety update course for staff #5 (employed 11/14/2022) was dated 08/28/2022. There was no current 2023 documentation of the health and safety updated training. 3 The most recent completion of the department’s annual health and safety update course for staff #9 (employed 08/09/2021) was dated 08/10/2021. There was no current 2023 documentation of the health and safety updated training.”

8VAC20-790-600-D-1

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of CPR certification that expired on 11/13/2023. The director stated the staff members had not renewed the CPR certification.”

8VAC20-790-600-D-2

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of first aid certification that expired on 11/13/2023. The director stated staff #3 had not renewed the first aid certification.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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. Evidence: 1. The center’s allergies, sensitivities, and dietary restriction list was not dated. 2. Laminated copies of the allergy, sensitivities, and dietary restriction list were observed sitting on top of a table at the entrance of the center, outside the door to the office. The list was not kept confidential nor were they in each room or area where children were in care. 3. Staff #7 stated she had one child with a milk sensitivity however she did not have a copy of the allergy, sensitivities, and dietary restriction list in the classroom. Staff #7 stated the allergy list was kept upfront of the center.”

8VAC20-780-160-C

“Based on review of ten staff records, the center did not obtain the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing for two staff members. Evidence: 1. The most recent tuberculosis screening for staff #6, employed 02/17/2022, was dated 02/06/2022 exceeding two years. 2. The most recent tuberculosis screening for staff #9, employed 08/09/2024, was dated 09/08/2021 exceeding two years.”

8VAC20-780-160-A

“Repeat/Repeat Violation Based on review of ten staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #1, employed 11/20/2023, contained documentation of a tuberculosis screening with positive results dated 11/16/2023. There was no additional documentation.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up within 14 days will be disposed of by the center. Evidence: The medication authorization for child #7 expired on 09/20/2023. The medication was on-site, exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-350-C

“Repeat Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (four months to three years of age) were being supervised by Staff #8. Staff #8 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio was one staff member for every four children present. 2. The director arrived at approximately 11:20 am and stepped into the infant room as the second staff. 3. The director acknowledged the infant class was out of ratio”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 16 months to 24 months of age. Evidence: 1. The required staff-to-children ratio for children 16 months to 24 months of age is one staff for every five children. At approximately 11:15 am on February 16, 2024, seven children ages 18 months through two years were observed in care with staff #7 supervising. One additional staff was required. 2. The director acknowledged the toddler class was out of ratio and confirmed no additional staff was available.”

8VAC20-780-70

“Repeat Based on review of ten staff records, the center did not obtain all required information for one staff member’s record. Evidence: 1. Staff #3 (employment 11/16/2022) was identified as a program leader during the inspection. 2. The records for Staff #3 did not contain documentation of education required for the job position. 3. The director confirmed documentation of education for staff 3 had not been obtained.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt is fastened securely. Evidence: 1. As the Licensing inspector was entering the infant room, child #2, twelve months in age, was observed standing in the highchair with one foot in the seat and one foot on the highchair tray. 2. The Inspector called out to staff #8, who ran across the room and grabbed the child. 3. The protective belt had been fastened however it was not secure. The belt had a knot that prevented the belt from fitting snuggly.”

8VAC20-780-410-1

“Based on interviews, the center did not ensure that staff did not use a forbidden action of rough handling a child. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 pushing child #1 away from her and into the infant room”

8VAC20-780-400-A

“Based on interview, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On February 14, 2024, staff #2 and staff #3 observed Staff #1 entering through the infant room door. Staff #1 was trying to place child #1 in the infant room because he had bit the child of staff #1. Child #1 was crying and trying to avoid going into the Infant room. Staff #1 was observed pushing child #1 away from her and into the infant room stating the child had bit her.”

8VAC20-790-600-F

“Based on review of ten staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The most recent completion of the department’s annual health and safety update course for staff #3 (employed 11/16/2022) was dated 11/17/2022. There was no current 2023 documentation of the health and safety updated training. 2. The most recent completion of the department’s annual health and safety update course for staff #5 (employed 11/14/2022) was dated 08/28/2022. There was no current 2023 documentation of the health and safety updated training. 3 The most recent completion of the department’s annual health and safety update course for staff #9 (employed 08/09/2021) was dated 08/10/2021. There was no current 2023 documentation of the health and safety updated training.”

8VAC20-790-600-D-1

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of CPR certification that expired on 11/13/2023. The director stated the staff members had not renewed the CPR certification.”

8VAC20-790-600-D-2

“Based on review of ten staff records, the center did not ensure all staff who work directly with children obtained current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: The record of staff #3 contained documentation of first aid certification that expired on 11/13/2023. The director stated staff #3 had not renewed the first aid certification.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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. Evidence: 1. The center’s allergies, sensitivities, and dietary restriction list was not dated. 2. Laminated copies of the allergy, sensitivities, and dietary restriction list were observed sitting on top of a table at the entrance of the center, outside the door to the office. The list was not kept confidential nor were they in each room or area where children were in care. 3. Staff #7 stated she had one child with a milk sensitivity however she did not have a copy of the allergy, sensitivities, and dietary restriction list in the classroom. Staff #7 stated the allergy list was kept upfront of the center.”

8VAC20-780-160-C

“Based on review of ten staff records, the center did not obtain the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing for two staff members. Evidence: 1. The most recent tuberculosis screening for staff #6, employed 02/17/2022, was dated 02/06/2022 exceeding two years. 2. The most recent tuberculosis screening for staff #9, employed 08/09/2024, was dated 09/08/2021 exceeding two years.”

8VAC20-780-160-A

“Repeat/Repeat Violation Based on review of ten staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #1, employed 11/20/2023, contained documentation of a tuberculosis screening with positive results dated 11/16/2023. There was no additional documentation.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up within 14 days will be disposed of by the center. Evidence: The medication authorization for child #7 expired on 09/20/2023. The medication was on-site, exceeding 14 days from the date the authorization expired. The medication had not been administered.”

8VAC20-780-350-C

“Repeat Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (four months to three years of age) were being supervised by Staff #8. Staff #8 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio was one staff member for every four children present. 2. The director arrived at approximately 11:20 am and stepped into the infant room as the second staff. 3. The director acknowledged the infant class was out of ratio”

8VAC20-780-350-B-2

“Based on observation and interview, the center did not maintain the required staff to children ratio for children 16 months to 24 months of age. Evidence: 1. The required staff-to-children ratio for children 16 months to 24 months of age is one staff for every five children. At approximately 11:15 am on February 16, 2024, seven children ages 18 months through two years were observed in care with staff #7 supervising. One additional staff was required. 2. The director acknowledged the toddler class was out of ratio and confirmed no additional staff was available.”

8VAC20-780-70

“Repeat Based on review of ten staff records, the center did not obtain all required information for one staff member’s record. Evidence: 1. Staff #3 (employment 11/16/2022) was identified as a program leader during the inspection. 2. The records for Staff #3 did not contain documentation of education required for the job position. 3. The director confirmed documentation of education for staff 3 had not been obtained.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or highchair, the protective belt is fastened securely. Evidence: 1. As the Licensing inspector was entering the infant room, child #2, twelve months in age, was observed standing in the highchair with one foot in the seat and one foot on the highchair tray. 2. The Inspector called out to staff #8, who ran across the room and grabbed the child. 3. The protective belt had been fastened however it was not secure. The belt had a knot that prevented the belt from fitting snuggly.”

8VAC20-780-160-A

“Based on the review of five staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member within the required time frame. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) contained documentation of a negative tuberculosis screening dated 03/28/2023. 2.Tuberculosis screenings are required to obtained within 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-530-A-2

“Based on review of five staff records, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current certification in first aid. 2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-530-A-1

“Based on review of five staff records, the center did not ensure that at least one staff with each group of children had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current CPR certification. 2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain the required information for one staff member. Evidence: 1. Staff #2 (Date of Employment 11/16/2022) was identified as a program leaders during the inspection. 2. The records for Staff #2 did not contain documentation of education required for the job position. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-350-C

“Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (18 months to two years of age) were being supervised by Staff #4. Staff #4 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every five children present. 2. A member of management confirmed no additional staff was available for the classroom.”

8VAC20-780-340-D

“Based on review of five staff records and observation, the center did not ensure at least one staff member who meets the qualifications of program leader or program director was regularly present in each grouping of children during the required times. Evidence: 1. Staff #1 (Date of Employment 05/01/2023) was observed supervising nine children in the Three’s Classroom. 2. Staff #1 is assigned as the regular staff member supervising the three-year-old children. 3. A member of management confirmed Staff #1 does not meet the program leader or program director qualifications.”

8VAC20-770-60-B

“Based on the review of five staff records, the center did not obtain a completed sworn statement or affirmation before two staff members began employment. Evidence: 1. The records for Staff #1 (Date of Employment 05/01/2023) and Staff #3 (Date of Employment 11/28/2022) each contained a signature on the Sworn Statement or Affirmation form. The portion of the form indicating the date staff signed the document was blank. 2. A member of management confirmed this information during the inspection.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center did not obtain documentation of central registry findings within 30 days of employment one staff member. Evidence: 1. The record of Staff #3 (date of employment 11/28/2022) contained documentation of central registry findings dated 05/19/2023. 2. A member of management confirmed this information during the inspection”

22.1-289.035-B-4

“Based on review of five staff records, the center did not obtain a sex offender registry check, a search of the child abuse and neglect registry, and a criminal history check from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for Staff #1 (Date of employment 05/01/2023) and Staff #4 (Date of employment 11/24/2022) indicated each staff member had resided in another state outside of Virginia within the last five years. 2. The records for Staff #1 and Staff #4 did not contain documentation of a sex offender registry check and documentation of a request for an out of state child abuse and neglect search. 3. The record of staff #4 did not contain documentation of an out of state criminal history check. 3. A member of management confirmed this information during the inspection. 4. Documentation of an out of state sex offender registry and an out of state criminal history check are required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.”

8VAC20-780-160-A

“Based on the review of five staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member within the required time frame. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) contained documentation of a negative tuberculosis screening dated 03/28/2023. 2.Tuberculosis screenings are required to obtained within 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-530-A-2

“Based on review of five staff records, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current certification in first aid. 2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-530-A-1

“Based on review of five staff records, the center did not ensure that at least one staff with each group of children had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current CPR certification. 2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain the required information for one staff member. Evidence: 1. Staff #2 (Date of Employment 11/16/2022) was identified as a program leaders during the inspection. 2. The records for Staff #2 did not contain documentation of education required for the job position. 3. A member of management confirmed this information during the inspection.”

8VAC20-780-350-C

“Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained. Evidence: 1. Eight children (18 months to two years of age) were being supervised by Staff #4. Staff #4 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every five children present. 2. A member of management confirmed no additional staff was available for the classroom.”

8VAC20-780-340-D

“Based on review of five staff records and observation, the center did not ensure at least one staff member who meets the qualifications of program leader or program director was regularly present in each grouping of children during the required times. Evidence: 1. Staff #1 (Date of Employment 05/01/2023) was observed supervising nine children in the Three’s Classroom. 2. Staff #1 is assigned as the regular staff member supervising the three-year-old children. 3. A member of management confirmed Staff #1 does not meet the program leader or program director qualifications.”

8VAC20-770-60-B

“Based on the review of five staff records, the center did not obtain a completed sworn statement or affirmation before two staff members began employment. Evidence: 1. The records for Staff #1 (Date of Employment 05/01/2023) and Staff #3 (Date of Employment 11/28/2022) each contained a signature on the Sworn Statement or Affirmation form. The portion of the form indicating the date staff signed the document was blank. 2. A member of management confirmed this information during the inspection.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center did not obtain documentation of central registry findings within 30 days of employment one staff member. Evidence: 1. The record of Staff #3 (date of employment 11/28/2022) contained documentation of central registry findings dated 05/19/2023. 2. A member of management confirmed this information during the inspection”

22.1-289.035-B-4

“Based on review of five staff records, the center did not obtain a sex offender registry check, a search of the child abuse and neglect registry, and a criminal history check from any state in which the individual has resided in the preceding five years. Evidence: 1. The record for Staff #1 (Date of employment 05/01/2023) and Staff #4 (Date of employment 11/24/2022) indicated each staff member had resided in another state outside of Virginia within the last five years. 2. The records for Staff #1 and Staff #4 did not contain documentation of a sex offender registry check and documentation of a request for an out of state child abuse and neglect search. 3. The record of staff #4 did not contain documentation of an out of state criminal history check. 3. A member of management confirmed this information during the inspection. 4. Documentation of an out of state sex offender registry and an out of state criminal history check are required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.”

8VAC20-780-240-A

“Based on review of five staff records, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record of staff #1, employed 01/13/2022, had documentation of completion of the Virginia Department of Education-sponsored training dated 04/18/2022, exceeding 90 days from employment.”

8VAC20-780-160-A

“Based on review of five staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #4, employed 08/19/2022, did not contain the results of a tuberculosis screening exceeding the first day of employment.”

8VAC20-780-210-A-4-a

“Based on review of five staff records, the center did not ensure one staff, assigned as a program leader, met program leader qualifications. Evidence: 1. Staff #3, employed 09/21/2022 as a program leader, had documentation 18 hours of training that was completed prior to six months before beginning work when 24 hours is required within six months of beginning work or within 30 days after being promoted or beginning work. 2. The record of #3, identified as a program leader and in charge of a group of children, did not have documentation of having fulfilled a high school program or the equivalent”

8VAC20-780-240-A

“Based on review of five staff records, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record of staff #1, employed 01/13/2022, had documentation of completion of the Virginia Department of Education-sponsored training dated 04/18/2022, exceeding 90 days from employment.”

8VAC20-780-160-A

“Based on review of five staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for one staff member. Evidence: The record of staff #4, employed 08/19/2022, did not contain the results of a tuberculosis screening exceeding the first day of employment.”

8VAC20-780-210-A-4-a

“Based on review of five staff records, the center did not ensure one staff, assigned as a program leader, met program leader qualifications. Evidence: 1. Staff #3, employed 09/21/2022 as a program leader, had documentation 18 hours of training that was completed prior to six months before beginning work when 24 hours is required within six months of beginning work or within 30 days after being promoted or beginning work. 2. The record of #3, identified as a program leader and in charge of a group of children, did not have documentation of having fulfilled a high school program or the equivalent”

8VAC20-780-140-A

“Based on review of four children's records, the center did not obtain documentation of a physical for two children's records before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #3, enrolled 02/07/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance. 2. The record of child #4, enrolled 02/07/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-780-70

“Based on review of seven staff records, the center did not obtain all required documentation for one staff record. Evidence: The record for staff #2, hired 10/12/2021, did not contain documentation of a tuberculosis screening. Staff hired prior to 10/13/2021 were required to obtain a tuberculosis screening within 21 days of hire.”

8VAC20-770-60-C-2

“Description: Based on a review of seven staff records, the center did not ensure that five staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for staff #1, hired on 09/13/21, contained the results of a central registry finding dated 12/15/2021, exceeding 30 days from hire. 2. The record for staff #2, hired 10/12/2021, contained the results of a central registry finding dated 12/07/2021, exceeding 30 days from hire. 3. The record for staff #3, hired 01/13/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 4. The record of staff #5, hired 01/25/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 5. The record of staff #6, hired 02/17/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 5.”

8VAC20-780-130-A

“Based on review of four children's records, the center did not obtain documentation of immunizations for two children's records before the children attended the center. Evidence: 1. The record for child #3, enrolled 02/07/2022, did not contain documentation of immunizations. 2. The record for child #4, enrolled 02/07/2022, did not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on review of four children's records, the center did not obtain documentation of a physical for two children's records before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #3, enrolled 02/07/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance. 2. The record of child #4, enrolled 02/07/2022, did not have documentation of a physical exceeding 30 days from the first day of attendance.”

8VAC20-780-70

“Based on review of seven staff records, the center did not obtain all required documentation for one staff record. Evidence: The record for staff #2, hired 10/12/2021, did not contain documentation of a tuberculosis screening. Staff hired prior to 10/13/2021 were required to obtain a tuberculosis screening within 21 days of hire.”

8VAC20-770-60-C-2

“Description: Based on a review of seven staff records, the center did not ensure that five staff member had a central registry finding within 30 days of employment. Evidence: 1. The record for staff #1, hired on 09/13/21, contained the results of a central registry finding dated 12/15/2021, exceeding 30 days from hire. 2. The record for staff #2, hired 10/12/2021, contained the results of a central registry finding dated 12/07/2021, exceeding 30 days from hire. 3. The record for staff #3, hired 01/13/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 4. The record of staff #5, hired 01/25/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 5. The record of staff #6, hired 02/17/2022, did not contain documentation of a central registry finding, exceeding 30 days from hire. The center did not have any further documentation of contact to follow up on the status of the finding. 5.”

8VAC20-780-130-A

“Based on review of four children's records, the center did not obtain documentation of immunizations for two children's records before the children attended the center. Evidence: 1. The record for child #3, enrolled 02/07/2022, did not contain documentation of immunizations. 2. The record for child #4, enrolled 02/07/2022, did not contain documentation of immunizations.”