All Day Daycare & Learning Center

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The center did not have the most recent inspection violation notice posted.”

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. The record for staff #1, who has been employed for four months did not contain a completed sworn statement.”

8VAC20-780-430-A

“Furnishings, equipment, and materials shall be of an appropriate size for the child using it. Child #1, who was over three years of age was observed seated in a high chair eating lunch.”

8VAC20-780-240-B

“REPEAT VIOLATION Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #1, who has been employed for four months did not include a completed orientation.”

8VAC20-780-70

“REPEAT VIOLATION Staff records shall include references, emergency contacts and documentation of education. Staff #1, who has been actively working at the center for the past four months, did not have any completed references, required emergency contact information or documentation of education.”

8VAC20-790-600-B

“Based on record review and interview, the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for #2 did not contain documentation of the completed Virginia Preservice Training for Child Care Staff within 90 days of subsidy vendor approval. (Subsidy approval: 2/16/2022) 2. Staff #1 (director) confirmed that the record for staff #2 did not contain documentation of a completed Virginia Preservice Training for Child Care Staff.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The records for staff #2 and staff #3 who were currently working at the center did not contain two or more references. 2. The director, Staff #1 confirmed that the records did not have documentation of references.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that documentation to demonstrate that the individual possesses the education required by the job position. Evidence: 1. The record for staff #2 who was listed at program lead qualified did not have documentation of a high school diploma or college transcripts. 2. The director, staff #1 confirmed that the record for staff #2 did not include documentation of required education.”

8VAC20-780-270-A

“Based on record review and interview it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. There is a wooden perimeter around the outdoor play area with splintering pieces of wood creating a poking or snagging hazard. 2. The woodchips in the outdoor play area were not distributed evenly on parts of the ground to creating a tripping hazard. 3. The director, Staff #1 confirmed that areas and equipment listed were not maintained in a safe condition.”

8VAC20-780-240-B

“Based on record review and interview, it was determined that the center did not ensure that staff complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #2 (hired 9/30/2016), did not include documentation that a staff orientation training was completed prior to the staff member working alone with children. 2. The director, staff #1 confirmed that documentation of a completed orientation training was not included in the record for staff #2.”

8VAC20-780-245-A

“Based on record review and interview, it was determined that the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for #2 (hired 9/30/2016), did not have and documented training hours for 2023 in their record. 2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training was not in the record for staff #2.”

8VAC20-790-600-B

“Based on record review and interview, the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. The record for #2 did not contain documentation of the completed Virginia Preservice Training for Child Care Staff within 90 days of subsidy vendor approval. (Subsidy approval: 2/16/2022) 2. Staff #1 (director) confirmed that the record for staff #2 did not contain documentation of a completed Virginia Preservice Training for Child Care Staff.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The records for staff #2 and staff #3 who were currently working at the center did not contain two or more references. 2. The director, Staff #1 confirmed that the records did not have documentation of references.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that documentation to demonstrate that the individual possesses the education required by the job position. Evidence: 1. The record for staff #2 who was listed at program lead qualified did not have documentation of a high school diploma or college transcripts. 2. The director, staff #1 confirmed that the record for staff #2 did not include documentation of required education.”

8VAC20-780-270-A

“Based on record review and interview it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. There is a wooden perimeter around the outdoor play area with splintering pieces of wood creating a poking or snagging hazard. 2. The woodchips in the outdoor play area were not distributed evenly on parts of the ground to creating a tripping hazard. 3. The director, Staff #1 confirmed that areas and equipment listed were not maintained in a safe condition.”

8VAC20-780-240-B

“Based on record review and interview, it was determined that the center did not ensure that staff complete orientation training in prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #2 (hired 9/30/2016), did not include documentation that a staff orientation training was completed prior to the staff member working alone with children. 2. The director, staff #1 confirmed that documentation of a completed orientation training was not included in the record for staff #2.”

8VAC20-780-245-A

“Based on record review and interview, it was determined that the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for #2 (hired 9/30/2016), did not have and documented training hours for 2023 in their record. 2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training was not in the record for staff #2.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the emergency evacuation drill logs, the date and time of the drill were the only components listed to the log. 2. Staff #1 confirmed that on their emergency evacuation drill logs, it was missing the identity of the person conducting the drill, the method used to conduct the drill, the number of participants, the number of children participating, any special conditions, the time to complete the drill, and the weather conditions.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. All the lunch boxes in the refrigerator did not have a clearly labeled date. 2. Staff #1 confirmed that there were no dates on the children’s lunchboxes.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member 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. Evidence: 1. Staff #2 (date of hire 2/22/2023) did not have a negative tuberculosis screening document in their file. 2. Staff #1 stated that Staff #2 was a re-hire, and the tuberculosis screening document was not in their file.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area shall have a nonabsorbent surface for diapering or changing shall be used. Evidence: 1. The changing pad used for children in care has a large tear to the waterproof lining. Due to the tear, this is not a nonabsorbent surface for diapering. 2. The staff members in the classroom confirmed the tear to the waterproof lining.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the emergency evacuation drill logs, the date and time of the drill were the only components listed to the log. 2. Staff #1 confirmed that on their emergency evacuation drill logs, it was missing the identity of the person conducting the drill, the method used to conduct the drill, the number of participants, the number of children participating, any special conditions, the time to complete the drill, and the weather conditions.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. All the lunch boxes in the refrigerator did not have a clearly labeled date. 2. Staff #1 confirmed that there were no dates on the children’s lunchboxes.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member 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. Evidence: 1. Staff #2 (date of hire 2/22/2023) did not have a negative tuberculosis screening document in their file. 2. Staff #1 stated that Staff #2 was a re-hire, and the tuberculosis screening document was not in their file.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area shall have a nonabsorbent surface for diapering or changing shall be used. Evidence: 1. The changing pad used for children in care has a large tear to the waterproof lining. Due to the tear, this is not a nonabsorbent surface for diapering. 2. The staff members in the classroom confirmed the tear to the waterproof lining.”

8VAC20-780-410-1

“Based on record review and interview, it was determined that the center did not ensure that the following actions of physical punishment or striking a child are forbidden. Evidence: 1. On January 19, 2023, Staff #2 was in the bathroom assisting Child #1. Child #1 was wiggling and kicking the trash can. When the child was asked to stop, the child did not, and Staff #2 spanked the child on the wrist. 2. Staff #1, the center director, stated that during the internal investigation and interview, Staff #2 admitted to spanking the child on the wrist. Staff #1 terminated Staff #2 the same day of the incident.”

8VAC20-780-560-F

“Based on observation and interview, it was determined that the center did not ensure that a menu listing foods to be served for snacks during the current one-week period be posted in a location conspicuous to parents or given to parents. Evidence: 1. In walking throughout the center, there was no posting of the snack menu for the current one-week period in a location conspicuous to parents or given to parents. 2. Staff #1 and Staff #2 confirmed that there was no menu posted in the center.”

8VAC20-780-350-B-4

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for children ages 3 years old up to school age is at the ratio of 1:10 (staff:children). Evidence: 1. In the preschool classroom, there were 13 children to 1 staff member observed in which the required ratio is 10 children to 1 staff member. This room was out of ratio. 2. Staff #1 confirmed that the preschool classroom was out of ratio and that there were 13 children to 1 staff member.”

8VAC20-780-550-D

“Based on record review and interview, it was determined that the center did not ensure that they implement a monthly practice evacuation drill. Evidence: 1. There was no practice evacuation drill documented for January 2023. 2. Staff #1 confirmed that there was no practice evacuation drill conducted for January 2023.”

8VAC20-780-350-B-1

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for infants birth up to 16 months is at the ratio of 1:4 (staff:children). Evidence: 1. In the infant room, there were 10 infants observed and two staff members in which the ratio is to be 1 staff member to every 4 children in care. 2. Infant staff members confirmed that they were out of ratio. 3. Staff #1, the center director, confirmed that the infant room was out of ratio with 10 children to two staff members when the required ratio is one staff member to every 4 children in care.”

8VAC20-780-410-1

“Based on record review and interview, it was determined that the center did not ensure that the following actions of physical punishment or striking a child are forbidden. Evidence: 1. On January 19, 2023, Staff #2 was in the bathroom assisting Child #1. Child #1 was wiggling and kicking the trash can. When the child was asked to stop, the child did not, and Staff #2 spanked the child on the wrist. 2. Staff #1, the center director, stated that during the internal investigation and interview, Staff #2 admitted to spanking the child on the wrist. Staff #1 terminated Staff #2 the same day of the incident.”

8VAC20-780-560-F

“Based on observation and interview, it was determined that the center did not ensure that a menu listing foods to be served for snacks during the current one-week period be posted in a location conspicuous to parents or given to parents. Evidence: 1. In walking throughout the center, there was no posting of the snack menu for the current one-week period in a location conspicuous to parents or given to parents. 2. Staff #1 and Staff #2 confirmed that there was no menu posted in the center.”

8VAC20-780-350-B-4

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for children ages 3 years old up to school age is at the ratio of 1:10 (staff:children). Evidence: 1. In the preschool classroom, there were 13 children to 1 staff member observed in which the required ratio is 10 children to 1 staff member. This room was out of ratio. 2. Staff #1 confirmed that the preschool classroom was out of ratio and that there were 13 children to 1 staff member.”

8VAC20-780-550-D

“Based on record review and interview, it was determined that the center did not ensure that they implement a monthly practice evacuation drill. Evidence: 1. There was no practice evacuation drill documented for January 2023. 2. Staff #1 confirmed that there was no practice evacuation drill conducted for January 2023.”

8VAC20-780-350-B-1

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for infants birth up to 16 months is at the ratio of 1:4 (staff:children). Evidence: 1. In the infant room, there were 10 infants observed and two staff members in which the ratio is to be 1 staff member to every 4 children in care. 2. Infant staff members confirmed that they were out of ratio. 3. Staff #1, the center director, confirmed that the infant room was out of ratio with 10 children to two staff members when the required ratio is one staff member to every 4 children in care.”

8VAC20-780-410-1

“Based on record review and interview, it was determined that the center did not ensure that the following actions of physical punishment or striking a child are forbidden. Evidence: 1. On January 19, 2023, Staff #2 was in the bathroom assisting Child #1. Child #1 was wiggling and kicking the trash can. When the child was asked to stop, the child did not, and Staff #2 spanked the child on the wrist. 2. Staff #1, the center director, stated that during the internal investigation and interview, Staff #2 admitted to spanking the child on the wrist. Staff #1 terminated Staff #2 the same day of the incident.”

8VAC20-780-560-F

“Based on observation and interview, it was determined that the center did not ensure that a menu listing foods to be served for snacks during the current one-week period be posted in a location conspicuous to parents or given to parents. Evidence: 1. In walking throughout the center, there was no posting of the snack menu for the current one-week period in a location conspicuous to parents or given to parents. 2. Staff #1 and Staff #2 confirmed that there was no menu posted in the center.”

8VAC20-780-350-B-4

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for children ages 3 years old up to school age is at the ratio of 1:10 (staff:children). Evidence: 1. In the preschool classroom, there were 13 children to 1 staff member observed in which the required ratio is 10 children to 1 staff member. This room was out of ratio. 2. Staff #1 confirmed that the preschool classroom was out of ratio and that there were 13 children to 1 staff member.”

8VAC20-780-550-D

“Based on record review and interview, it was determined that the center did not ensure that they implement a monthly practice evacuation drill. Evidence: 1. There was no practice evacuation drill documented for January 2023. 2. Staff #1 confirmed that there was no practice evacuation drill conducted for January 2023.”

8VAC20-780-350-B-1

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements for infants birth up to 16 months is at the ratio of 1:4 (staff:children). Evidence: 1. In the infant room, there were 10 infants observed and two staff members in which the ratio is to be 1 staff member to every 4 children in care. 2. Infant staff members confirmed that they were out of ratio. 3. Staff #1, the center director, confirmed that the infant room was out of ratio with 10 children to two staff members when the required ratio is one staff member to every 4 children in care.”

8VAC20-780-60-A Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #1 (date of enrollment 10/10/2022) did not have the information of two designated people to call in case of an emergency. 2. Child #2 (date of enrollment 10/10/2022) did not have the information of two designated people to call in case of an emergency. 3. Staff #1 confirmed that Child #1 and Child #2 did not have two designated people to call in of an emergency to their records.”

8VAC20-780-550-H

“Based on record review and interview, it was determined that the center did not ensure that the center maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts. Evidence: 1. The last practice fire drill documented is dated March 28, 2022. 2. The practice drills for the past year have been conducted at the same times during the 10am hour. 3. Staff #1 confirmed the last documented drill was in March 2022 and that all drills were completed at the same 10am hour.”

8VAC20-780-570-A

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in a high chair the protective belt be fastened securely. Evidence: 1. Three children in the infant room were sitting at the feeding table without safety straps fastened. 2. A child in the infant room was sitting in a high chair without a fastened safety strap. 3. Staff #1 and Staff #2 confirmed that the children in the infant room did not have their safety straps fastened when in a high chair or feeding table.”

8VAC20-780-440-L

“Based on observation and interview, it was determined that the center did not ensure that in cribs that pillows and filled comforters not be used by children under two years of age. Evidence: 1. A crib was assigned to a 4 month old child was observed with a pillow inside the crib. 2. Staff #1 confirmed an infant child, age 4 months, is using the pillow in their crib. 3. Blankets were observed in 10 of the 12 cribs observed in the facility. 4. Staff #1 confirmed blankets are used in the cribs when the infant children sleep.”

8VAC20-780-330-F

“Based on observation and interview, it was determined that the center did not ensure a shady area be provided on playgrounds during the months of June, July, and August. Evidence: 1. In observation of the playground during the month of July, there was no shady area on the playground. 2. Staff #1 confirmed there was shady area on the playground.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the toddler room, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on a counter accessible to children. 2. In the toddler diaper changing area, there was a tube of diaper cream, in reach of children. 3. In the infant changing area, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on top of the cabinet. 4. Staff #1 confirmed the aerosol air fresheners were unlocked and accessible to children.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home the food container be dated and labeled in a way that identifies the owner. Evidence: 1. Of the 36 children in care, there were no names or dates to the children’s bottles and cups throughout the center. 2. Staff #1 confirmed that names and dates are not on bottles and cups that are brought from home.”

8VAC20-780-245-J-3

“Based on record review and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 and is appropriate trained to administer medications. Evidence: 1. Staff #1 is the only MAT certified staff member in the center and the certification expired on January 27, 2021. 2. Child #1 has emergency medication at the center and was present at the center during the time of the inspection. 3. Staff #1, owner, confirmed that their MAT certification was not renewed and there was no other MAT certified staff members able to administer the medication.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that there is documentation that two or more references were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include: a. Dates of contact; b. Names of persons contacted; c. The firms contacted; d. Results; and e. Signature of person making call. Evidence: 1. Four of the five records reviewed did not have reference checks documented. a. Staff #2 (date of hire: 11/2/20) has no documented reference checks in their record. b. Staff #3 (date of hire: 3/30/22) has no documented reference checks in their record. c. Staff #4 (date of hire: 6/24/22) has no documented reference checks in their record. d. Staff #5 (date of hire: 6/27/22) has no documented reference checks in their record. 2. Staff #1, owner, confirmed reference checks were not documented in staff record.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. 10 of the 12 cribs have loose fitting crib sheets that pose as a suffocation hazard to the infants. The cribs are assigned to children in care that were present at the time of the inspection. 2. Staff #1 confirmed the crib sheets were loose fitted on the mattresses.”

8VAC20-780-550-H

“Based on record review and interview, it was determined that the center did not ensure that the center maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts. Evidence: 1. The last practice fire drill documented is dated March 28, 2022. 2. The practice drills for the past year have been conducted at the same times during the 10am hour. 3. Staff #1 confirmed the last documented drill was in March 2022 and that all drills were completed at the same 10am hour.”

8VAC20-780-570-A

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in a high chair the protective belt be fastened securely. Evidence: 1. Three children in the infant room were sitting at the feeding table without safety straps fastened. 2. A child in the infant room was sitting in a high chair without a fastened safety strap. 3. Staff #1 and Staff #2 confirmed that the children in the infant room did not have their safety straps fastened when in a high chair or feeding table.”

8VAC20-780-440-L

“Based on observation and interview, it was determined that the center did not ensure that in cribs that pillows and filled comforters not be used by children under two years of age. Evidence: 1. A crib was assigned to a 4 month old child was observed with a pillow inside the crib. 2. Staff #1 confirmed an infant child, age 4 months, is using the pillow in their crib. 3. Blankets were observed in 10 of the 12 cribs observed in the facility. 4. Staff #1 confirmed blankets are used in the cribs when the infant children sleep.”

8VAC20-780-330-F

“Based on observation and interview, it was determined that the center did not ensure a shady area be provided on playgrounds during the months of June, July, and August. Evidence: 1. In observation of the playground during the month of July, there was no shady area on the playground. 2. Staff #1 confirmed there was shady area on the playground.”

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the toddler room, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on a counter accessible to children. 2. In the toddler diaper changing area, there was a tube of diaper cream, in reach of children. 3. In the infant changing area, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on top of the cabinet. 4. Staff #1 confirmed the aerosol air fresheners were unlocked and accessible to children.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home the food container be dated and labeled in a way that identifies the owner. Evidence: 1. Of the 36 children in care, there were no names or dates to the children’s bottles and cups throughout the center. 2. Staff #1 confirmed that names and dates are not on bottles and cups that are brought from home.”

8VAC20-780-245-J-3

“Based on record review and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 and is appropriate trained to administer medications. Evidence: 1. Staff #1 is the only MAT certified staff member in the center and the certification expired on January 27, 2021. 2. Child #1 has emergency medication at the center and was present at the center during the time of the inspection. 3. Staff #1, owner, confirmed that their MAT certification was not renewed and there was no other MAT certified staff members able to administer the medication.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that there is documentation that two or more references were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include: a. Dates of contact; b. Names of persons contacted; c. The firms contacted; d. Results; and e. Signature of person making call. Evidence: 1. Four of the five records reviewed did not have reference checks documented. a. Staff #2 (date of hire: 11/2/20) has no documented reference checks in their record. b. Staff #3 (date of hire: 3/30/22) has no documented reference checks in their record. c. Staff #4 (date of hire: 6/24/22) has no documented reference checks in their record. d. Staff #5 (date of hire: 6/27/22) has no documented reference checks in their record. 2. Staff #1, owner, confirmed reference checks were not documented in staff record.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. 10 of the 12 cribs have loose fitting crib sheets that pose as a suffocation hazard to the infants. The cribs are assigned to children in care that were present at the time of the inspection. 2. Staff #1 confirmed the crib sheets were loose fitted on the mattresses.”

8VAC20-780-520-C

“Based on observation, it was determined that the facility did not ensure that when diaper ointments are used, a record is kept that includes the child's name, date of use, frequency of application and adverse reactions. Evidence: There was no diaper ointment log available in the infant room.”

8VAC20-780-350-B-1

“Based on observation, it was determined that the facility did not ensure that a ratio of 1staff ffor every four children is maintained in a group where there are children under the age of 16 months in care. Evidence: Upon arrival at the facility (9:45 AM), it was observed that there were 11 children in care in the infant area with only two staff. An additional staff member was required to maintain the required ratio.”