Andy Taylor Center for Early Childhood Development

8VAC20-780-330-B

“Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The resilient surfacing (mulch) under the climbing equipment measured approximate one inch at the trajectory of all three slides. Grass was visible in multiple areas of the fall zone. The requirement is at least 6 inches of resilient surfacing.”

8VAC20-780-160-C

“Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 5 was dated 07/05/2022: there was not a follow-up test/screening for 2024 available for review. Agent 1 confirmed there was no 2024 test/ screening available for review.”

8VAC20-770-60-C-2

“SECOND REPEAT Based on record review, observation, and interviews with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: Staff 1 has been employed for approximately 11 months. There were no central registry search results in the record. Staff 1 was observed working during the inspection.”

22.1-289.035-B-2

“THIRD REPEAT Based on record review, observation, and interviews with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: Staff 1 has been employed for approximately 11 months. There was no employment eligibility letter in the record. Staff 1 was observed working during the inspection.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The resilient surfacing (mulch) under the climbing equipment measured approximate one inch at the trajectory of all three slides. Grass was visible in multiple areas of the fall zone. The requirement is at least 6 inches of resilient surfacing.”

8VAC20-780-160-C

“Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 5 was dated 07/05/2022: there was not a follow-up test/screening for 2024 available for review. Agent 1 confirmed there was no 2024 test/ screening available for review.”

8VAC20-770-60-C-2

“SECOND REPEAT Based on record review, observation, and interviews with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: Staff 1 has been employed for approximately 11 months. There were no central registry search results in the record. Staff 1 was observed working during the inspection.”

22.1-289.035-B-2

“THIRD REPEAT Based on record review, observation, and interviews with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: Staff 1 has been employed for approximately 11 months. There was no employment eligibility letter in the record. Staff 1 was observed working during the inspection.”

22.1-289.035-B-2

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of eight staff records, the center failed to ensure that no person shall be hired for compensated for employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 2 had a documented hire date of 7/10/2023. The fingerprint letter of eligibility was dated 09/27/2023. 2.Staff # 5 had a documented hire date of 8/10/2023. The fingerprint letter of eligibility was dated 10/03/2023.”

8VAC20-770-60-B

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure each staff person has a signed sworn disclosure statement prior to the 1st day of employment. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023. The date of the sworn statement was 07/26/2023. 2.Staff # 5 had a documented employment date of 08/10/2023. The date of the sworn statement was 09/25/2023.”

8VAC20-770-60-C-2

“REPEAT VIOLATION SYSTEMIC DEFICIENCY center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023. A completed search of the central registry was dated 10/10/2023. 2.Staff # 4 had a documented employment date of 10/25/2023. A completed search of the central registry was dated 02/09/2024. 3.Staff # 5 had a documented employment date of 08/10/2023. A completed search of the central registry was dated 10/05/2023.”

8VAC20-780-130-A

“SYSTEMIC DEFICIENCY Based on review of children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 4 contained documentation that the first day of attendance for Child # 4 was 7/11/2022. The date of the immunization record was 11/21/2023.”

8VAC20-780-160-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff record, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: 1. Staff # 2 started employment on 07/10/2023 and was working with children on the day of the inspection without a TB screening. In the record was a letter stating that Staff # 2 had an Xray in 2013. 2. Staff # 3 started employment on 12/11/2023 and the TB screening/test was completed on 12/13/2023. 3. Staff # 4 started employment on 08/10/2023 and the TB screening/test was completed on 10/05/2023.”

8VAC20-780-40-K

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of policies and procedures, the center failed to ensure that the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The plan that was given to the LI by staff # 6 did not contain policies and procedures to prevent shaken baby syndrome, abusive head trauma, coping with crying children and safe sleep.”

8VAC20-780-40-M

“SYSTEMIC DEFICIENCY Based on review of the allergy list, the center failed to ensure that a current written list of all children’s allergies that are documented in the allergy plan was accessible to all staff who work with children. Evidence: Child # 4 was in the Maple room. Child # 4 was not written on the allergy list for that the Maple Room. The child’s documented first day of enrollment is 07/11/2022.”

8VAC20-780-60-A

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1.The record for Child #1 did not include the following information: Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2.The record for Children # 2 and # 5 did not include the following information: Chronic physical problems and pertinent developmental information and any special accommodations needed.”

8VAC20-780-70

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023 and the documented date of the two required references were 09/21/2023. 2.Staff # 4 did not have the one of the two required references. The documented date of hire is 10/22/2023. Staff #4 was observed working with children during the inspection. 3.Staff # 5 with the documented hire date of 08/10/2023 did not have the required reference checks prior to employment. Staff #5 was observed working with children during the inspection.”

8VAC20-780-90-A

“SYSTEMIC DEFICIENCY Based on review of children’s records, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance and be signed by the parent. Evidence: The record for child # 3 did not contain a signed copy of the three agreements required by the standard.”

8VAC20-780-210-A

“SYSTEMIC DEFICIENCY Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1.Staff # 2 was observed working as a program leader on the day of the inspection. In staff # 2 record, there was no documentation of the educational requirements for a program leader position.”

8VAC20-780-240-A

“SYSTEMIC DEFICIENCY Based on review of staff’s records, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff # 5 did not have documentation of the Virginia Department of Education sponsored orientation course (Preservice 10- hour training). Staff # 5 first day of employment was 08/10/2023.”

8VAC20-780-245-A

“SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that 16 hours of annual training hours were obtained. Evidence: Staff # 1 had no hours toward the required 16 hours of annual training for 2022 and 12 hours for 2023.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1. In the Maple room above the sink the cabinet door was unlocked with several containers of chemicals.”

8VAC20-780-550-E

“Based on record review and interviews, the center failed to ensure that all shelter in place drill were practiced a minimum of twice a year. Evidence: The center did not have documentation of two shelter in place drill for 2023.”

8VAC20-780-550-F

“Based on record review and interviews, the center failed to ensure that all lock down procedures were practiced at least annually. Evidence: The center did not have documentation of a lock down in place drill for 2023.”

8VAC20-780-140-A

“SYSTEMIC DEFICIENCY Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child # 4 contained documentation that the first date of attendance for Child # 4 was 07/11/2022; the date on the physical exam was 11/21/2023.”

22.1-289.035-B-2

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of eight staff records, the center failed to ensure that no person shall be hired for compensated for employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 2 had a documented hire date of 7/10/2023. The fingerprint letter of eligibility was dated 09/27/2023. 2.Staff # 5 had a documented hire date of 8/10/2023. The fingerprint letter of eligibility was dated 10/03/2023.”

8VAC20-770-60-B

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure each staff person has a signed sworn disclosure statement prior to the 1st day of employment. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023. The date of the sworn statement was 07/26/2023. 2.Staff # 5 had a documented employment date of 08/10/2023. The date of the sworn statement was 09/25/2023.”

8VAC20-770-60-C-2

“REPEAT VIOLATION SYSTEMIC DEFICIENCY center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023. A completed search of the central registry was dated 10/10/2023. 2.Staff # 4 had a documented employment date of 10/25/2023. A completed search of the central registry was dated 02/09/2024. 3.Staff # 5 had a documented employment date of 08/10/2023. A completed search of the central registry was dated 10/05/2023.”

8VAC20-780-130-A

“SYSTEMIC DEFICIENCY Based on review of children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 4 contained documentation that the first day of attendance for Child # 4 was 7/11/2022. The date of the immunization record was 11/21/2023.”

8VAC20-780-160-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff record, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: 1. Staff # 2 started employment on 07/10/2023 and was working with children on the day of the inspection without a TB screening. In the record was a letter stating that Staff # 2 had an Xray in 2013. 2. Staff # 3 started employment on 12/11/2023 and the TB screening/test was completed on 12/13/2023. 3. Staff # 4 started employment on 08/10/2023 and the TB screening/test was completed on 10/05/2023.”

8VAC20-780-40-K

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of policies and procedures, the center failed to ensure that the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The plan that was given to the LI by staff # 6 did not contain policies and procedures to prevent shaken baby syndrome, abusive head trauma, coping with crying children and safe sleep.”

8VAC20-780-40-M

“SYSTEMIC DEFICIENCY Based on review of the allergy list, the center failed to ensure that a current written list of all children’s allergies that are documented in the allergy plan was accessible to all staff who work with children. Evidence: Child # 4 was in the Maple room. Child # 4 was not written on the allergy list for that the Maple Room. The child’s documented first day of enrollment is 07/11/2022.”

8VAC20-780-60-A

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1.The record for Child #1 did not include the following information: Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2.The record for Children # 2 and # 5 did not include the following information: Chronic physical problems and pertinent developmental information and any special accommodations needed.”

8VAC20-780-70

“2nd REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 2 had a documented employment date of 07/10/2023 and the documented date of the two required references were 09/21/2023. 2.Staff # 4 did not have the one of the two required references. The documented date of hire is 10/22/2023. Staff #4 was observed working with children during the inspection. 3.Staff # 5 with the documented hire date of 08/10/2023 did not have the required reference checks prior to employment. Staff #5 was observed working with children during the inspection.”

8VAC20-780-90-A

“SYSTEMIC DEFICIENCY Based on review of children’s records, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance and be signed by the parent. Evidence: The record for child # 3 did not contain a signed copy of the three agreements required by the standard.”

8VAC20-780-210-A

“SYSTEMIC DEFICIENCY Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1.Staff # 2 was observed working as a program leader on the day of the inspection. In staff # 2 record, there was no documentation of the educational requirements for a program leader position.”

8VAC20-780-240-A

“SYSTEMIC DEFICIENCY Based on review of staff’s records, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff # 5 did not have documentation of the Virginia Department of Education sponsored orientation course (Preservice 10- hour training). Staff # 5 first day of employment was 08/10/2023.”

8VAC20-780-245-A

“SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that 16 hours of annual training hours were obtained. Evidence: Staff # 1 had no hours toward the required 16 hours of annual training for 2022 and 12 hours for 2023.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1. In the Maple room above the sink the cabinet door was unlocked with several containers of chemicals.”

8VAC20-780-550-E

“Based on record review and interviews, the center failed to ensure that all shelter in place drill were practiced a minimum of twice a year. Evidence: The center did not have documentation of two shelter in place drill for 2023.”

8VAC20-780-550-F

“Based on record review and interviews, the center failed to ensure that all lock down procedures were practiced at least annually. Evidence: The center did not have documentation of a lock down in place drill for 2023.”

8VAC20-780-140-A

“SYSTEMIC DEFICIENCY Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child # 4 contained documentation that the first date of attendance for Child # 4 was 07/11/2022; the date on the physical exam was 11/21/2023.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: Behind the sink in the infant room there was a chemical spray bottle that was unlocked and accessible to the children.”

8VAC20-780-240-B

“REPEAT VIOLATON Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 8/10/2023. Staff # 2 was hired on 10/25/2023. Staff # 4 was hired on 8/25/2023. Staff # 4 was hired on 8/10/2023. Staff # 5 was hired on 8/10/2023. These staff records reviewed lacked documentation that all parts of the orientation had been completed. The model form was placed in each staff person’s record and the last page was not in the record.”

8VAC20-780-130-E

“REPEAT VIOLATIONS SYSTEMIC DEFICIENCY Based on review of five children’s records, the center failed to ensure that all children had the immunization updated every 6 months for children under the age of 2 years. Evidence: The record for Child # 5, with documented first day of attendance of 08/01/2023, did not have the 6-month updated immunization. The date on the immunization was 5/17/2023 and the child is under the age of 2 years.”

8VAC20-780-140-B

“SYSTEMIC VIOLATION Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance and within three months prior to attendance for children aged seven months through 18 months. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance for Child # 1 was 01/09/2023; the date on the physical exam for Child 1 was 08/03/2022. The physical exam should not be more that three months old per the age of the child.”

8VAC20-780-70

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 1 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/20/2023. 2.Staff # 3 had a documented employment date of 08/25/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/21/2023. 3.Staff # 4 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/23/2023. 4.Staff # 5 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. The references were dated 09/29/2023 and there was no documented date on the second reference.”

8VAC20-780-160-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: 1.Staff # 2 had a documented employment date of 10/25/2023 and the TB was completed on 11/08/2023. 2.Staff # 3 had a documented employment date of 8/25/2023 and the TB was completed on 3/10/2023.”

8VAC20-780-40-I

“SYSTEMIC VIOLATION Based on review of the injury prevention plan, the center failed to ensure that a written injury plan was established. Evidence: Staff #6 confirmed that written injury plan could not be located.”

8VAC20-780-60-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems and allergies with actions to be taken. 2. The record for Child # 2 was missing the address for both required emergency contacts when parents can not be reached and a first day of enrollment. 3. The record for Child #3 was missing the address for both required emergency contacts when parents cannot be reached and previous childcare. 4. Child # 4 was missing the action allergy plan for a diagnosed food allergy. The child had an EPI pen at the center for a food allergy. 5. The record for Child # 5 was missing the name of the physician and a contact phone number.”

8VAC20-780-40-N

“SYSTEMIC VIOLATION Based on document review and staff interviews, the center failed to develop written playground safety procedures that shall include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children and method of maintaining resilient surfacing. Evidence: The playground safety procedures did not include the following: provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children and method of maintaining resilient surfacing. Staff 6 confirmed that the playground safety procedures could not be located.”

8VAC20-780-40-K

“SYSTEMIC VIOLATION Based on review of required policies, the center failed to ensure that all components were developed in writing. Evidence: Staff 6 confirmed that the written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness was not able to be located.”

22.1-289.035-B-2

“REPEAT VIOLATION/SYTEMIC DEFICIENCY Based on review of six staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 4 had a documented hire date of 8/10/2023 and the first print eligibility letter was dated 08/31/2023”

8VAC20-770-60-B

“Systemic Deficiency Based on review of six staff records, the center failed to ensure that all sworn disclosures were completed prior to hire. Evidence: 1.Staff # 4 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/25/2023. 2.Staff # 5 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/29/2023.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 4 to administer prescription Benadryl was signed by the parent on 3/28/2023 and expired on 3/14/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the inspection.”

22.1-289-036-B-4

“SYSTEMIC DEFICIENCY Based on review of three staff’s records, the center failed to ensure that all required out of state background checks were obtained. Evidence: Staff # 1 had a documented employment date of 08/10/2023. Staff # 1 indicated on the sworn statement that they have lived in three states outside of the state of Virginia in the past five years. Two states of the three states noted do not participate in the National Fingerprint File which requires a criminal check prior to starting and a CPS check in those states. The third state participates in the National Fingerprint File and only requires a CPS check from that state.”

8VAC20-780-340-D

“Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1. Staff # 1 was observed working with children as a program leader in the toddler room on the day of the inspection. Staff # 1 stated she was the program lead. After review of Staff # 1 record, there was no documentation of the 6 months experience and educational requirements for a program leader position. 2. Staff # 2 was observed working with children in the young infant area as a program lead on the day of the inspection. Staff # 2 did not have the experience and educational requirements for program leader position.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: Behind the sink in the infant room there was a chemical spray bottle that was unlocked and accessible to the children.”

8VAC20-780-240-B

“REPEAT VIOLATON Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 8/10/2023. Staff # 2 was hired on 10/25/2023. Staff # 4 was hired on 8/25/2023. Staff # 4 was hired on 8/10/2023. Staff # 5 was hired on 8/10/2023. These staff records reviewed lacked documentation that all parts of the orientation had been completed. The model form was placed in each staff person’s record and the last page was not in the record.”

8VAC20-780-130-E

“REPEAT VIOLATIONS SYSTEMIC DEFICIENCY Based on review of five children’s records, the center failed to ensure that all children had the immunization updated every 6 months for children under the age of 2 years. Evidence: The record for Child # 5, with documented first day of attendance of 08/01/2023, did not have the 6-month updated immunization. The date on the immunization was 5/17/2023 and the child is under the age of 2 years.”

8VAC20-780-140-B

“SYSTEMIC VIOLATION Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance and within three months prior to attendance for children aged seven months through 18 months. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance for Child # 1 was 01/09/2023; the date on the physical exam for Child 1 was 08/03/2022. The physical exam should not be more that three months old per the age of the child.”

8VAC20-780-70

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 1 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/20/2023. 2.Staff # 3 had a documented employment date of 08/25/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/21/2023. 3.Staff # 4 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/23/2023. 4.Staff # 5 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. The references were dated 09/29/2023 and there was no documented date on the second reference.”

8VAC20-780-160-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: 1.Staff # 2 had a documented employment date of 10/25/2023 and the TB was completed on 11/08/2023. 2.Staff # 3 had a documented employment date of 8/25/2023 and the TB was completed on 3/10/2023.”

8VAC20-780-40-I

“SYSTEMIC VIOLATION Based on review of the injury prevention plan, the center failed to ensure that a written injury plan was established. Evidence: Staff #6 confirmed that written injury plan could not be located.”

8VAC20-780-60-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems and allergies with actions to be taken. 2. The record for Child # 2 was missing the address for both required emergency contacts when parents can not be reached and a first day of enrollment. 3. The record for Child #3 was missing the address for both required emergency contacts when parents cannot be reached and previous childcare. 4. Child # 4 was missing the action allergy plan for a diagnosed food allergy. The child had an EPI pen at the center for a food allergy. 5. The record for Child # 5 was missing the name of the physician and a contact phone number.”

8VAC20-780-40-N

“SYSTEMIC VIOLATION Based on document review and staff interviews, the center failed to develop written playground safety procedures that shall include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children and method of maintaining resilient surfacing. Evidence: The playground safety procedures did not include the following: provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children and method of maintaining resilient surfacing. Staff 6 confirmed that the playground safety procedures could not be located.”

8VAC20-780-40-K

“SYSTEMIC VIOLATION Based on review of required policies, the center failed to ensure that all components were developed in writing. Evidence: Staff 6 confirmed that the written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness was not able to be located.”

22.1-289.035-B-2

“REPEAT VIOLATION/SYTEMIC DEFICIENCY Based on review of six staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 4 had a documented hire date of 8/10/2023 and the first print eligibility letter was dated 08/31/2023”

8VAC20-770-60-B

“Systemic Deficiency Based on review of six staff records, the center failed to ensure that all sworn disclosures were completed prior to hire. Evidence: 1.Staff # 4 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/25/2023. 2.Staff # 5 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/29/2023.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 4 to administer prescription Benadryl was signed by the parent on 3/28/2023 and expired on 3/14/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the inspection.”

22.1-289-036-B-4

“SYSTEMIC DEFICIENCY Based on review of three staff’s records, the center failed to ensure that all required out of state background checks were obtained. Evidence: Staff # 1 had a documented employment date of 08/10/2023. Staff # 1 indicated on the sworn statement that they have lived in three states outside of the state of Virginia in the past five years. Two states of the three states noted do not participate in the National Fingerprint File which requires a criminal check prior to starting and a CPS check in those states. The third state participates in the National Fingerprint File and only requires a CPS check from that state.”

8VAC20-780-340-D

“Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1. Staff # 1 was observed working with children as a program leader in the toddler room on the day of the inspection. Staff # 1 stated she was the program lead. After review of Staff # 1 record, there was no documentation of the 6 months experience and educational requirements for a program leader position. 2. Staff # 2 was observed working with children in the young infant area as a program lead on the day of the inspection. Staff # 2 did not have the experience and educational requirements for program leader position.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: Behind the sink in the infant room there was a chemical spray bottle that was unlocked and accessible to the children.”

8VAC20-780-240-B

“REPEAT VIOLATON Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 8/10/2023. Staff # 2 was hired on 10/25/2023. Staff # 4 was hired on 8/25/2023. Staff # 4 was hired on 8/10/2023. Staff # 5 was hired on 8/10/2023. These staff records reviewed lacked documentation that all parts of the orientation had been completed. The model form was placed in each staff person’s record and the last page was not in the record.”

8VAC20-780-130-E

“REPEAT VIOLATIONS SYSTEMIC DEFICIENCY Based on review of five children’s records, the center failed to ensure that all children had the immunization updated every 6 months for children under the age of 2 years. Evidence: The record for Child # 5, with documented first day of attendance of 08/01/2023, did not have the 6-month updated immunization. The date on the immunization was 5/17/2023 and the child is under the age of 2 years.”

8VAC20-780-140-B

“SYSTEMIC VIOLATION Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance and within three months prior to attendance for children aged seven months through 18 months. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance for Child # 1 was 01/09/2023; the date on the physical exam for Child 1 was 08/03/2022. The physical exam should not be more that three months old per the age of the child.”

8VAC20-780-70

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 1 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/20/2023. 2.Staff # 3 had a documented employment date of 08/25/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/21/2023. 3.Staff # 4 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. Both references were dated 09/23/2023. 4.Staff # 5 had a documented employment date of 08/10/2023 and did not have the two required reference checks prior to employment. The references were dated 09/29/2023 and there was no documented date on the second reference.”

8VAC20-780-160-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: 1.Staff # 2 had a documented employment date of 10/25/2023 and the TB was completed on 11/08/2023. 2.Staff # 3 had a documented employment date of 8/25/2023 and the TB was completed on 3/10/2023.”

8VAC20-780-40-I

“SYSTEMIC VIOLATION Based on review of the injury prevention plan, the center failed to ensure that a written injury plan was established. Evidence: Staff #6 confirmed that written injury plan could not be located.”

8VAC20-780-60-A

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems and allergies with actions to be taken. 2. The record for Child # 2 was missing the address for both required emergency contacts when parents can not be reached and a first day of enrollment. 3. The record for Child #3 was missing the address for both required emergency contacts when parents cannot be reached and previous childcare. 4. Child # 4 was missing the action allergy plan for a diagnosed food allergy. The child had an EPI pen at the center for a food allergy. 5. The record for Child # 5 was missing the name of the physician and a contact phone number.”

8VAC20-780-40-N

“SYSTEMIC VIOLATION Based on document review and staff interviews, the center failed to develop written playground safety procedures that shall include provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities, and circulating among children and method of maintaining resilient surfacing. Evidence: The playground safety procedures did not include the following: provision for active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children and method of maintaining resilient surfacing. Staff 6 confirmed that the playground safety procedures could not be located.”

8VAC20-780-40-K

“SYSTEMIC VIOLATION Based on review of required policies, the center failed to ensure that all components were developed in writing. Evidence: Staff 6 confirmed that the written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness was not able to be located.”

22.1-289.035-B-2

“REPEAT VIOLATION/SYTEMIC DEFICIENCY Based on review of six staff's records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 4 had a documented hire date of 8/10/2023 and the first print eligibility letter was dated 08/31/2023”

8VAC20-770-60-B

“Systemic Deficiency Based on review of six staff records, the center failed to ensure that all sworn disclosures were completed prior to hire. Evidence: 1.Staff # 4 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/25/2023. 2.Staff # 5 with a documented start date of 8/10/2023 and a signed sworn disclosure dated 08/29/2023.”

8VAC20-780-510-P

“Based on observation and review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center. Evidence: Medication authorization for Child # 4 to administer prescription Benadryl was signed by the parent on 3/28/2023 and expired on 3/14/2023. The medication had not been returned to the parent. The medication was observed in the center on the day of the inspection.”

22.1-289-036-B-4

“SYSTEMIC DEFICIENCY Based on review of three staff’s records, the center failed to ensure that all required out of state background checks were obtained. Evidence: Staff # 1 had a documented employment date of 08/10/2023. Staff # 1 indicated on the sworn statement that they have lived in three states outside of the state of Virginia in the past five years. Two states of the three states noted do not participate in the National Fingerprint File which requires a criminal check prior to starting and a CPS check in those states. The third state participates in the National Fingerprint File and only requires a CPS check from that state.”

8VAC20-780-340-D

“Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1. Staff # 1 was observed working with children as a program leader in the toddler room on the day of the inspection. Staff # 1 stated she was the program lead. After review of Staff # 1 record, there was no documentation of the 6 months experience and educational requirements for a program leader position. 2. Staff # 2 was observed working with children in the young infant area as a program lead on the day of the inspection. Staff # 2 did not have the experience and educational requirements for program leader position.”

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing documentation of father’s address and work information, one of the two required emergency contacts and the one emergency contact documented did not have an address, allergies and step to be take and chronic physical problems. 2. The record for Child # 5 was missing documentation of the father’s information both parents work and phone number, both of the required emergency contacts with address, allergies and action to take, chronic physical problems and physician’s name and contact phone number.”

22.1-289.035-B-2

“Based on review of five staff records, the center failed to ensure that no person shall be hired for compensated for employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 2 had a documented hire date of 01/10/2023. The fingerprint letter of eligibility was dated 01/25/2023. 2.Staff # 3 had a documented hire date of 02/10/2023. The fingerprint letter of eligibility was dated 02/23/2023.”

8VAC20-780-70

“Based on review of five staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 3 had a documented employment date of 02/10/2023 and did not have the two required reference checks prior to employment.”

8VAC20-780-240-B

“Based on review of all staff’s policies and procedures, the center failed to ensure that all required components were given to staff in writing prior to working alone with children and within seven days of the first day of employment. Evidence: 1.Staff # 1 with the documented hire date of 01/09/2023 and the date of that orientation was completed was 02/17/2023.”

8VAC20-780-560-F-4

“Based on observation of snack time, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: 1.Observed in the toddler room, 2 year old room and the 3 year old the children were served raw whole baby carrots. The carrots were not cut up to prevent a choking hazard.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 1 had a documented employment date of 01/09/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector. 2.Staff # 2 had a documented employment date of 01/10/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector. 3.Staff # 3 had a documented employment date of 02/10/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector.”

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing documentation of father’s address and work information, one of the two required emergency contacts and the one emergency contact documented did not have an address, allergies and step to be take and chronic physical problems. 2. The record for Child # 5 was missing documentation of the father’s information both parents work and phone number, both of the required emergency contacts with address, allergies and action to take, chronic physical problems and physician’s name and contact phone number.”

22.1-289.035-B-2

“Based on review of five staff records, the center failed to ensure that no person shall be hired for compensated for employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.Staff # 2 had a documented hire date of 01/10/2023. The fingerprint letter of eligibility was dated 01/25/2023. 2.Staff # 3 had a documented hire date of 02/10/2023. The fingerprint letter of eligibility was dated 02/23/2023.”

8VAC20-780-70

“Based on review of five staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 3 had a documented employment date of 02/10/2023 and did not have the two required reference checks prior to employment.”

8VAC20-780-240-B

“Based on review of all staff’s policies and procedures, the center failed to ensure that all required components were given to staff in writing prior to working alone with children and within seven days of the first day of employment. Evidence: 1.Staff # 1 with the documented hire date of 01/09/2023 and the date of that orientation was completed was 02/17/2023.”

8VAC20-780-560-F-4

“Based on observation of snack time, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: 1.Observed in the toddler room, 2 year old room and the 3 year old the children were served raw whole baby carrots. The carrots were not cut up to prevent a choking hazard.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 1 had a documented employment date of 01/09/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector. 2.Staff # 2 had a documented employment date of 01/10/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector. 3.Staff # 3 had a documented employment date of 02/10/2023. A completed search of the central registry was not in the record. Staff # 6 was unable to provide documentation when requested by the inspector.”

8VAC20-780-150-B

“Based on review of five children’s records, the center failed to ensure that all physicals obtained were dated by the physician or designee. Evidence: The review of record for child #2 showed the physical was not dated by a physician or designee.”

8VAC20-780-60-A

“Based on review of five children’s record, the center failed to ensure that all records were complete per the requirement of the standard. Evidence: Child #5 did not have a documented start date in the record. 1. The review of records for child #5 showed no start date was documented.”

8VAC20-780-70

“Based on review of five staff’s records, the center failed to ensure that all information for staff was obtained per the standard. Evidence: The review of records for staff #3 showed no references were documented. 1. Staff #3 was hired on 9/7/2020 and on the day of the inspection did not have the two required references documented.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all chemicals were locked and not accessible to children in care. Evidence: Cabinets with cleaning materials in two rooms above the counter were not secured with locks. 1. The cabinet in the infant room was unlocked and accessible to children. 2. The cabinet in the 16 month to 24 month room was unlocked and accessible to the children.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that the required amount of resilient surfacing was maintained throughout the playground. Evidence: Observed weeds and grass in the fall zones of the climbing equipment and areas of the weed barrier were exposed.”

8VAC20-780-140-A

“Based on review of five children’s records, the center failed to ensure that each child had a physical within the required 30 day enrollment period. Evidence: The review of records for child #3 showed no physical was obtained. 1. Child #3 started on 3/22/2021 and on the day of the inspection did not have the required physical.”

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

“Based on staff interviews, the center failed to ensure that all children were within sight and sound supervision at all times. Evidence: 1. On April 11, 2022 child # 1 was left on the playground for approximately 5 minutes. Staff # 1 stated that all of the older children (ages 2-5) were lining up at the door and head counts were not completed. Normally they enter one class at a time and on this day a staff person opened the door and all three classes entered at one time. A parent entering the center saw the child on the playground. The child was standing behind a brick wall that was six feet deep and three foot wide that allowed the child to hide without the staff being able to see the child.”

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

“Based on interviews with staff, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On April 8, 2022 child # 1 left the building. Child # 1 was wearing noise cancelling head phones and was in the back hallway that was used for a gathering space in the mornings. Child # 1 left the area and passed the staff # 1?s office. Staff # 1 came out of the office while staff # 4 was rounding the corner of the hallway and saw staff # 1 come out of the office. The child went through the first door and continued to the main entrance door. Staff # 1 then went to follow child # 1. A college employee was entering the building as the child was exiting. The child then proceeded to run approximately 200 yards up two flights of outdoor stairs. A few seconds later another college employee/parent was exiting the building after the staff # 1 and child # 1. Staff # 1 was not able to run after the child due to a medical condition. Staff # 1 continued to yell at the child to stop. The child was not able to hear any one because of the head phones. The two college employees caught up to the child prior to the child entering another building and carried the child back to the center.”

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

“Based on staff interviews, the center failed to ensure that all children were within sight and sound supervision at all times. Evidence: 1. On April 11, 2022 child # 1 was left on the playground for approximately 5 minutes. Staff # 1 stated that all of the older children (ages 2-5) were lining up at the door and head counts were not completed. Normally they enter one class at a time and on this day a staff person opened the door and all three classes entered at one time. A parent entering the center saw the child on the playground. The child was standing behind a brick wall that was six feet deep and three foot wide that allowed the child to hide without the staff being able to see the child.”

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

“Based on interviews with staff, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On April 8, 2022 child # 1 left the building. Child # 1 was wearing noise cancelling head phones and was in the back hallway that was used for a gathering space in the mornings. Child # 1 left the area and passed the staff # 1?s office. Staff # 1 came out of the office while staff # 4 was rounding the corner of the hallway and saw staff # 1 come out of the office. The child went through the first door and continued to the main entrance door. Staff # 1 then went to follow child # 1. A college employee was entering the building as the child was exiting. The child then proceeded to run approximately 200 yards up two flights of outdoor stairs. A few seconds later another college employee/parent was exiting the building after the staff # 1 and child # 1. Staff # 1 was not able to run after the child due to a medical condition. Staff # 1 continued to yell at the child to stop. The child was not able to hear any one because of the head phones. The two college employees caught up to the child prior to the child entering another building and carried the child back to the center.”