Apple Dumpling Learning Center

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child #2, Child #3 and Child #6 were missing the first day of attendance. The record for Child #7 was missing the following required components: first day of attendance, written agreement between the parent and the center as required, and documentation of viewing the child’s identity and age.”

8VAC20-780-260-B

“Repeat Violation Annual approval from the health department shall be provided. The annual health department inspection was ten months past due and had not been completed.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. Lockdown procedures had not been practiced within the last year.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals. Staff did not wash the children’s hands after morning snack in the Toddler 2 room.”

8VAC20-780-400-B

“Behavior guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflict. On August 5, 2025, Child #1 (two years old) was taking toys away from other children. To correct the behavior, Staff #1 stood beside the child and used their foot to hold Child #1 down on the ground while the child was crying and saying ?No?.”

8VAC20-780-400-B

“Behavior guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflict. On August 5, 2025, Child #1 (two years old) was taking toys away from other children. To correct the behavior, Staff #1 stood beside the child and used their foot to hold Child #1 down on the ground while the child was crying and saying ?No?.”

8VAC20-780-270-A Complaint related: No

“REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The playground turf contained a proud nail which caused an injury to a child on April 17, 2025 that required stitches.”

8VAC20-780-80-B-2 Complaint related: No

“The center shall inform the department’s representative as soon as practically possible but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On April 17, 2025, Child #1 slipped on the playground, cut their knee on a nail from the turf, which required emergency services to be contacted and four stitches. This injury was not reported to the department.”

8VAC20-780-270-A Complaint related: No

“REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The playground turf contained a proud nail which caused an injury to a child on April 17, 2025 that required stitches.”

8VAC20-780-80-B-2 Complaint related: No

“The center shall inform the department’s representative as soon as practically possible but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On April 17, 2025, Child #1 slipped on the playground, cut their knee on a nail from the turf, which required emergency services to be contacted and four stitches. This injury was not reported to the department.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. In Classroom #1, the children were observed playing with toys after lunch and they did washed their hands after eating.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The annual health inspection had not been conducted and was three months past due.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two. Child #3, age 2 years old, only had immunization records from two months of age on file.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In Classroom #2, cleaning materials were unlocked in a bottom cabinet, within reach of children.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination on file for Child #3, who had been enrolled for one year.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. In Classroom #1, the children were observed playing with toys after lunch and they did washed their hands after eating.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The annual health inspection had not been conducted and was three months past due.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two. Child #3, age 2 years old, only had immunization records from two months of age on file.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In Classroom #2, cleaning materials were unlocked in a bottom cabinet, within reach of children.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination on file for Child #3, who had been enrolled for one year.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #4, who had been attending for four months, did not have documentation of an immunization record on file.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #4, who had been attending for four months, did not have documentation of an immunization record on file.”

8VAC20-780-150-B

“Based on review of records and interview, the center failed to ensure that immunization records are signed by a physician, his designee, or an official of the local health department. Evidence: 1. Child #3?s immunization record dated 02/08/2024 did not contain a signature from a physician, his designee or an official of the local health department. 2. Staff #1 and #2 confirmed that the immunization record did not have the required signature.”

8VAC20-780-130-A

“Based on review of documentation and interview, the center failed to obtained documentation of additional immunizations once every six months for children under the age of two. Evidence: 1. Child #3?s date of birth was 01/13/2022. Child #3?s immunizations on file were dated 04/22/2022, 08/22/2023 and 02/08/2024. 2. Staff #2 confirmed that immunizations had not been obtained every six months for Child #3.”

8VAC20-780-150-B

“Based on review of records and interview, the center failed to ensure that immunization records are signed by a physician, his designee, or an official of the local health department. Evidence: 1. Child #3?s immunization record dated 02/08/2024 did not contain a signature from a physician, his designee or an official of the local health department. 2. Staff #1 and #2 confirmed that the immunization record did not have the required signature.”

8VAC20-780-130-A

“Based on review of documentation and interview, the center failed to obtained documentation of additional immunizations once every six months for children under the age of two. Evidence: 1. Child #3?s date of birth was 01/13/2022. Child #3?s immunizations on file were dated 04/22/2022, 08/22/2023 and 02/08/2024. 2. Staff #2 confirmed that immunizations had not been obtained every six months for Child #3.”

22.1-289.035-A

“Repeat Violation Systemic Violation Based on review of records and interview, the center failed to repeat background checks every five years. Evidence: 1. Staff #3?s criminal history background check on file was dated 09/28/2018. 2. Staff #4 confirmed that the criminal history background check had not been repeated every five years.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation Based on observation the center failed to ensure that areas and equipment of the center are maintained in a clean, safe and operable condition. Evidence: 1. In the two-year-old classroom, one highchair was observed to have dried food on the tray, the seat and sides of the highchair; crumbs and debris in the crevices; and missing a seatbelt.”

8VAC20-780-570-A

“Based on observation, the center failed to ensure that when a child is placed in a highchair, the protective belt is fastened. Evidence: 1. In the toddler classroom, three children were observed in highchairs and the protective belts were not fastened.”

8VAC20-780-350-B-3

“Systemic Violation Based on observation and interview, the center failed to maintain the required staff: children ratio of 1:8 for children two years old. Evidence: 1. 11 children and two staff were observed in the two-year-old classroom. Staff #1 left the classroom leaving Staff #2 alone will 11 children. 2. Staff #1 confirm that they had left Staff #2 alone with 11 children. 3. Staff #1 and Staff #2 confirmed that the age of the youngest child in the group was two years old.”

8VAC20-780-550-K

“REPEAT VIOLATION Based on interview and review of records, the center failed to prepare a document containing the required information to be kept in vehicles that centers use to transport children. Evidence: 1. The document kept on the vehicle used to transport children was missing potential shelters, hospitals and evacuation routes. 2. Staff #1 confirmed that the required items were missing from the document.”

8VAC20-780-90-A

“Based on review of records and interview, the center failed to ensure that a written agreement between the parent and the center was in each child’s record by the first day of attendance and included the required information. Evidence: 1. Child #4?s record did not contain a written agreement between the parent and the center. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the required written agreement was not in Child #4?s record.”

8VAC20-780-60-A

“Based on review of documentation and interview, the center failed to maintain and keep a separate record for each child which included the required information. Evidence: 1. Child #1?s record was missing the first day of attendance. Staff #3 confirmed that Child #1?s record was missing the first day of attendance. 2. Child #2?s record was missing the first day of attendance, the place of employment for each parent and a second designated person to call in case of an emergency if a parent cannot be reached. Staff #3 confirmed that the items were missing from Child #2?s record. 3. Child #3?s record was missing the first day of attendance, name, address, phone number of one parent, the phone number of the second parent, a phone number for a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the items were missing from Child #3?s record. 4. Child #4?s record was missing documentation of viewing proof of the child’s age and identity and a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the required items were missing from Child #4?s record. 5. Child #5?s record was missing the first day of attendance. Staff #3 confirmed that the first day of attendance was missing from Child #5?s record.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to obtain documentation that each child has received immunization as required by the State Board of Health before the child attends the center. Evidence 1. Child #4?s record did not contain a record of immunizations. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the center had not obtain documentation Child #4?s immunization before attendance.”

8VAC20-780-550-K

“REPEAT VIOLATION Based on interview and review of records, the center failed to prepare a document containing the required information to be kept in vehicles that centers use to transport children. Evidence: 1. The document kept on the vehicle used to transport children was missing potential shelters, hospitals and evacuation routes. 2. Staff #1 confirmed that the required items were missing from the document.”

8VAC20-780-90-A

“Based on review of records and interview, the center failed to ensure that a written agreement between the parent and the center was in each child’s record by the first day of attendance and included the required information. Evidence: 1. Child #4?s record did not contain a written agreement between the parent and the center. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the required written agreement was not in Child #4?s record.”

8VAC20-780-60-A

“Based on review of documentation and interview, the center failed to maintain and keep a separate record for each child which included the required information. Evidence: 1. Child #1?s record was missing the first day of attendance. Staff #3 confirmed that Child #1?s record was missing the first day of attendance. 2. Child #2?s record was missing the first day of attendance, the place of employment for each parent and a second designated person to call in case of an emergency if a parent cannot be reached. Staff #3 confirmed that the items were missing from Child #2?s record. 3. Child #3?s record was missing the first day of attendance, name, address, phone number of one parent, the phone number of the second parent, a phone number for a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the items were missing from Child #3?s record. 4. Child #4?s record was missing documentation of viewing proof of the child’s age and identity and a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the required items were missing from Child #4?s record. 5. Child #5?s record was missing the first day of attendance. Staff #3 confirmed that the first day of attendance was missing from Child #5?s record.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to obtain documentation that each child has received immunization as required by the State Board of Health before the child attends the center. Evidence 1. Child #4?s record did not contain a record of immunizations. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the center had not obtain documentation Child #4?s immunization before attendance.”

8VAC20-780-550-K

“REPEAT VIOLATION Based on interview and review of records, the center failed to prepare a document containing the required information to be kept in vehicles that centers use to transport children. Evidence: 1. The document kept on the vehicle used to transport children was missing potential shelters, hospitals and evacuation routes. 2. Staff #1 confirmed that the required items were missing from the document.”

8VAC20-780-90-A

“Based on review of records and interview, the center failed to ensure that a written agreement between the parent and the center was in each child’s record by the first day of attendance and included the required information. Evidence: 1. Child #4?s record did not contain a written agreement between the parent and the center. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the required written agreement was not in Child #4?s record.”

8VAC20-780-60-A

“Based on review of documentation and interview, the center failed to maintain and keep a separate record for each child which included the required information. Evidence: 1. Child #1?s record was missing the first day of attendance. Staff #3 confirmed that Child #1?s record was missing the first day of attendance. 2. Child #2?s record was missing the first day of attendance, the place of employment for each parent and a second designated person to call in case of an emergency if a parent cannot be reached. Staff #3 confirmed that the items were missing from Child #2?s record. 3. Child #3?s record was missing the first day of attendance, name, address, phone number of one parent, the phone number of the second parent, a phone number for a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the items were missing from Child #3?s record. 4. Child #4?s record was missing documentation of viewing proof of the child’s age and identity and a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the required items were missing from Child #4?s record. 5. Child #5?s record was missing the first day of attendance. Staff #3 confirmed that the first day of attendance was missing from Child #5?s record.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to obtain documentation that each child has received immunization as required by the State Board of Health before the child attends the center. Evidence 1. Child #4?s record did not contain a record of immunizations. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the center had not obtain documentation Child #4?s immunization before attendance.”

8VAC20-780-550-K

“REPEAT VIOLATION Based on interview and review of records, the center failed to prepare a document containing the required information to be kept in vehicles that centers use to transport children. Evidence: 1. The document kept on the vehicle used to transport children was missing potential shelters, hospitals and evacuation routes. 2. Staff #1 confirmed that the required items were missing from the document.”

8VAC20-780-90-A

“Based on review of records and interview, the center failed to ensure that a written agreement between the parent and the center was in each child’s record by the first day of attendance and included the required information. Evidence: 1. Child #4?s record did not contain a written agreement between the parent and the center. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the required written agreement was not in Child #4?s record.”

8VAC20-780-60-A

“Based on review of documentation and interview, the center failed to maintain and keep a separate record for each child which included the required information. Evidence: 1. Child #1?s record was missing the first day of attendance. Staff #3 confirmed that Child #1?s record was missing the first day of attendance. 2. Child #2?s record was missing the first day of attendance, the place of employment for each parent and a second designated person to call in case of an emergency if a parent cannot be reached. Staff #3 confirmed that the items were missing from Child #2?s record. 3. Child #3?s record was missing the first day of attendance, name, address, phone number of one parent, the phone number of the second parent, a phone number for a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the items were missing from Child #3?s record. 4. Child #4?s record was missing documentation of viewing proof of the child’s age and identity and a second designated person to call in an emergency if the parents cannot be reached. Staff #3 confirmed that the required items were missing from Child #4?s record. 5. Child #5?s record was missing the first day of attendance. Staff #3 confirmed that the first day of attendance was missing from Child #5?s record.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to obtain documentation that each child has received immunization as required by the State Board of Health before the child attends the center. Evidence 1. Child #4?s record did not contain a record of immunizations. 2. Staff #3 confirmed the child’s first day was 08/09/2023 and that the center had not obtain documentation Child #4?s immunization before attendance.”

8VAC20-780-550-P Complaint related: No

“Based on review of documents and interview, the center failed to maintain a written record of child’s serious and minor injuries in which entries are made on the day of occurrence and contained the required information. Evidence: 1. An injury report dated 05/04/2023 for Child #2 did not contain future actions to prevent injury. 2. An injury report dated 05/15/2023 for Child #2 did not contain future actions to prevent injury. 3. Interview on 07/14/2023 with Staff #2 reveal that injury reports in the infant room where not being maintain at the center. 4. Interview with Staff #1on 07/14/2023 confirmed that injury reports from the infant room had not been maintained at the center.”

8VAC20-780-540-C Complaint related: No

“Based on interview and observation, the center failed to ensure that each first aid kit included the required items. Evidence 1. The first aid kit on the Dodge van was missing a triangular bandage, thermometer and scissors. 2. Staff #8 confirmed that the items were missing from the first aid kit on the Dodge van.”

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

“Compliant Related Based on interviews the center failed to ensure that when time out is used, it was used sparingly and did not exceed one minute for each year of the child’s age. Evidence: 1. The complainant stated that almost daily they observed children in the highchair of the two-year-old classroom and that Staff #5 had stated that the children were in the highchair because they were ?being bad?. 2. Interview with Staff #3 on 07/13/2023 confirmed that Staff #5 used the highchair in the two-year old classroom for time out, stating that the children would be in time out for five to ten minutes. Staff #3 confirmed that the children in the classroom were two years old.”

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

“Complaint Related Based on interviews and documentation, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate and intended to redirect children to appropriate behavior. Evidence: 1. Staff #3 stated that they had witnessed Staff #5 ?yelling at the kids and would get in their faces?. 2. Staff #4 stated that they had witnessed Staff #5 ?yell? at the children. 3. Staff #6 stated that on several occasions they could hear Staff #5 yelling at the children. 4. Documentation provided by the center revealed that on 09/01/2022, Staff #5 received a verbal warning regarding ?tone and volume? and another ?verbal warning? on 02/21/2023 for ?yelling?, which also stated ?I could hear her in my office ? I told her unacceptable. send her home for the remainder of the day?.”

8VAC20-780-290-A-3 Complaint related: No

“Repeat Violation Systemic Violation Based on observation and interview, the center failed to ensure that electrical outlets had covers. Evidence: 1. In the Pre-K classroom there was a power strip with four outlets that were not covered. Staff #9 and Staff #10 confirmed the outlets did not have a cover. 2. In 3?s classroom, there was a power strip with four outlets that were not covered. Staff #11 and Staff #12 confirmed that the outlets were not covered.”

8VAC20-780-70 Complaint related: No

“Repeat Violation Based on record and interview, the center failed to ensure that each staff record included the required information. Evidence: 1. Staff #5?s record did not contain a date of separation from employment. 2. Staff #1 confirmed the date of separation was not in the record. 3. Staff #6 confirmed that the date of separation was not in the record that the time of the inspection on 07/12/2023.”

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

“Repeat Violation Systemic Violation Based on interview and documentation, the center failed to ensure that children under the age of 10 years old are within actual sight and sound supervision of staff. Evidence: 1. During an interview on 07/13/2023, Staff #4 stated that on the date that Staff #5 was terminated (was not sure of the exact date), Staff #4 found Child #1 in the classroom alone and unsupervised. Staff#4 informed Staff #6 that Child #1 had been left alone in the classroom by Staff #5 and Staff #3. 2. Documentation provided by the center stated that on ?May 25, 2023? , Staff #5 was terminated for leaving Child #1 asleep in the classroom when the class went outside. The document was signed by Staff #6. During an interview on 07/13/2023, Staff #6 confirmed that Staff #5?s employment was terminated for leaving Child #1 alone in the classroom. 3. During an interview on 07/14/2023, Staff #3 confirmed that she was working in the classroom with staff #5 on 05/25/2023 and Child #1 was left alone and unsupervised in the classroom. 4. Staff #1 confirmed that Child #1 was two years old on the date of the incident.”

8VAC20-780-270-A

“REPEAT and SYSTEMIC Based on observation, the center failed to ensure that areas and equipment of the center, Inside and outside, were maintained In a clean, safe and operable condition. Evidence: 1. The following was observed at the center on 06/06/2023: Small debris and trash located in and around the toddler play area (See CDC-1106278(06-16-2023)P1.jpg, CDC-1106278(06-16-2023)P2.jpg), in and around the basketball/gravel play area (See CDC-1106278(06-16-2023)P3.jpg, CDC-1106278(06-16-2023)P4.jpg), in and around the large play area (See CDC-1106278(06-16-2023)P5.jpg), and throughout the parking lot and outdoor walk ways (See CDC-1106278(06-16-2023)P6.jpg). 2. Staff #6 confirmed the presence of the small debris and trash in and around the toddler play area, in and around the basketball/gravel area, in and around the large play area and throughout the parking lots and outdoor walkways.”

22.1-289.023-A Complaint related: No

“Based on observation and interview, the center failed to post the Notice of the Superintendent’s intent to place on probation and require licensee to contact parents, guardians, or other responsible persons regarding health and safety violations in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: 1. On 05/08/2023, The Notice of Intent, dated 11/28/2022, was not posted in a prominent place, but posted behind the findings of the most recent inspection. 2. Interview with staff #3 on 05/08/2023 confirmed that a copy of the NOI was not posted elsewhere.”

8VAC20-780-270-A Complaint related: No

“REPEAT and SYSTEMIC Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The following was observed at the center on 05/08/2023: 1. Dirty and/or stained carpeted area and rugs throughout the center 2. Small debris, trash, and dirty rusted chairs located in or around the gated toddler play area - See CDC-1106278(05-08-2023)P6.jpg, CDC-1106278(05-08-2023)P7.jpg, CDC-1106278(05-08-2023)P8.jpg, and CDC-1106278(05-08-2023)P9.jpeg 3. Unsecured/loose gate around the toddler play area located outside by the front door of the center - See CDC-1106278(05-08-2023)P10.jpg, CDC-1106278(05-08-2023)P1.jpg, and CDC-1106278(05-08-2023)P12.jpg 4. Trash, splintered wooden cornhole board, broken playground equipment, and numerous cigarette butts on the grounds of the center- See CDC-1106278(05-08-2023)P13.jpg, CDC-1106278(05-08-2023)P14.jpg, CDC-1106278(05-08-2023)P15.jpg, CDC-1106278(05-08-2023)P16.jpg, CDC-1106278(05-08-2023)P17.jpg, and CDC-1106278(05-08-2023)P18.jpg 5. Rusted seatbelt on the Dodge Van 6. Trash in the floorboards of the Dodge Van and the Ford Van- See CDC-1106278(05-08-2023)P19.jpg 7. Light switch plate in the boy’s restroom not fully covering the hole in the wall 8. Hole with sharp edges in the door of the boy’s restroom”

8VAC20-780-320-B Complaint related: No

“REPEAT Based on observation and interview, the center failed to ensure that each restroom area was equipped with paper towels. Evidence: 1. There were no paper towels in the girl’s school age restroom on 05/08/2023. 2. Interview with Staff #3 on 05/08/2023 confirmed that there were no paper towels in the girl’s school age restroom.”

8VAC20-820-120-E-6 Complaint related: No

“Based on observation, the licensee failed to ensure that a copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: 1. The Special Order issued by the department on 04/03/2023 was not observed to be posted at the facility on 05/08/2023. 2. Interview with Staff #3 on 05/08/2023 confirmed that the Special Order was not posted.”

8VAC20-780-580-C Complaint related: Yes

“COMPLAINT RELATED VIOLATION Based on interviews, the center failed to ensure that during transportation of children: 1. Virginia state statutes about safety belts and child restraints are followed as required by ?? 46.2-1095 through 46.2-1100 of the Code of Virginia and stated maximum number of passengers in a given vehicle is not exceeded. Evidence: 1. Emergency numbers, the center’s information and the names of children being transported were not located in either the 1995 Ford Super Wagon Van (Ford Van) or the 2001 Dodge Ram Wagon Sport Van (Dodge Van). 2. Interview with Staff #1 on 04/27/2023 confirmed that the Ford Van did not contain the required information. 3. Interview with Staff #2 on 04/27/2023 confirmed that the Dodge Van did not contain the required information. 4. Attendance records from the center showed that the center transported 12 children in the Dodge Van on 03/31/2023. Six of these children were under the age of 8 and required car seats; however, interview with Staff #2 on 04/27/2023 revealed that there were only five car seats available in the Dodge Van. 5. On 04/27/2028, the Licensing Inspector verified that there were only five car seats available on the Dodge Van. 6. Interview with Staff #1, conducted on 05/08/2023, revealed that only seven car seats were available on the Ford Van and that no additional car seats had been available on the Ford Van. Attendance records showed that children under the age of eight years (who must be properly secured in a child restraint device) were transported in the Ford Van as follows: 10 children on 03/29/2023; nine children on 03/30/2023; and 11 children on 03/31/2023. 7. On 05/08/2023, the Licensing Inspector and the Licensing Administrator confirmed that there were only seven car seats on the Ford van. Furthermore, of the seven car seats observed, the manufacturer’s instructions on one car seat indicated ?DO NOT USE THIS CHILD RESTRAINT AFTER DECEMBER 2016?; the manufacturer’s instructions on another car seat indicated ?DO NOT USE THIS CARRIER AFTER 2020?; and the manufacturer’s instructions for a third car seat, which had broken apart under the upholstery, indicated ?If any part of this seat becomes worn, frayed, infected or damaged, replace the seat.? See CDC-1106278(05-08-2023)P2.jpg, CDC-1106278(05-08-2023)P3.jpg, CDC-1106278(05-08-2023)P4.jpg, and CDC-1106278(05-08-2023)P5.jpg 8. During interviews conducted on 04/27/2023, two individuals revealed they had witnessed the following on the center’s Ford Van: a. children under eight years of age not using car seats on multiple occasions. b. children sharing seatbelts (two children buckled in one seat belt) on multiple occasions. c. the maximum number of passengers exceeded on several days before spring break, which was 04/03 - 04/10/2023. 9. Interview with a local police officer on 04/27/2023 revealed that he had witnessed children on the center’s Ford Van using ?no car seats and one seatbelt over two kids and I corrected the kids?. 10. Attendance records from the center showed that the center children on the Ford Van as follows: 16 children on 03/29/2023; 15 children on 03/30/2023; and 14 on 03/31/2023. 11. On 05/08/2023, the Licensing Inspector and Licensing Administrator observed that the Ford Van has a capacity of 15 passengers (including the driver) and the seatbelt located behind the driver seat was inoperable. See CDC-1106278(05-08-2023) P1.jpg..”

8VAC20-780-550-K Complaint related: No

“Based on observation and interviews, the center failed to ensure that a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools was kept in vehicles that centers use to transport children to and from the center. Evidence: 1. On 04/27/2023, the required document was not found to be on the Ford Van, nor the Dodge Van, both which are used to transport children. 2. Interview with Staff #1 on 04/27/2023 confirmed that the required document was not kept on the Ford Van. 3. Interview with Staff #2 on 04/27/2023 confirmed that the required document was not kept on the Dodge Van.”

8VAC20-780-540-A Complaint related: No

“Based on observation and interviews, the center failed to ensure that a first aid kit was available wherever children are in care. Evidence 1. A first aid kit was not found to be on the Dodge Van nor on the Ford Van on 04/27/2023. 2. Interviews with Staff #1 and Staff #2 on 04/27/2023 confirmed that the Dodge van and the Ford van are used to transport children in care and that first aid kits were not available on either van.”

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

“Based on observation and interviews, the center failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. 1. On 04/27/2023, Staff #1 was asked the number of children she transports on the Ford Van and how many of those children need car seats. Staff #1 stated that she is ?not sure? of the names and ages of all the children that she picks up from the school. 2. On 04/27/2023, shortly after the Ford Van arrived at the center from the school, only seven car seats, one of which was broken, were observed in the Ford Van and they were tucked under the benches of the van. 3. Upon request, the center provided a list of children who are transported from school to the center on the Ford Van. The center’s list included the names of nine children but did not include the ages of the children. The list provided by the school included 16 children that are transported from the school to the center on the center’s Ford Van, eight of which were under the age of eight years old. 4. Review of the center’s attendance records confirmed that the list provided by the school was accurate, and the center’s list was not only missing the names of eight children that are being transported, but it also included the name of one child who is not being transported. 5. On 05/08/2023, one sharp knife was observed in the dish drainer and two sharp knives were observed in an unlocked drawer in the kitchen of the school age room. The gate to the kitchen was open and unlocked.”

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

“Based on observation and interview, the center failed to ensure that required staff-to-child ratios are maintained. Evidence: 1. 16 children ages three and older were observed in the fenced playground in the care of only one staff member, Staff #4 on 05/08/2023. 2. Interview with Staff #4 on 05/08/2023 confirmed that there were 16 children in care and that they were the only assigned staff member present.”

8VAC20-780-530-A-1 Complaint related: No

“REPEAT VIOLATION Based on review of records and interview, the center failed to ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Although Staff #1?s CPR certification expired on 12/22/2022, interview with Staff #1 on 04/27/2023 confirmed that they had been the only staff member present when driving the center van to transport children to and from the public schools. 2. Interview with Staff #3 on 04/27/2023, confirmed that Staff #1 did not have current CPR certification.”

8VAC20-780-530-A-2 Complaint related: No

“Based on review of records and interview, the center failed to ensure that at least one staff in each classroom or area where children are present had current certification in First Aid. Evidence: 1. Although Staff #1?s First Aid certification expired on 12/22/2022, interview with Staff #1 on 04/27/2023 confirmed that they had been the only staff member present when driving the center van to transport children to and from the public schools. 2. Interview with Staff #3 on 04/27/2023, confirmed that Staff #1 did not have current First Aid certification.”

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

“REPEAT AND SYSTEMIC VIOLATION Based on observation, the center failed to ensure that hazardous materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A gallon jug of Carquest Antifreeze/Coolant and an uncapped gallon jug, labeled Prime antifreeze/coolant which contained some type of liquid, was observed sitting on the ground beside the building. See CDC-1106278(05-08-2023)P20.jpg”

8VAC20-780-310-E

“Based on observation, interview and review of records, the center failed to ensure that when children are on the outdoor play area, at least 75 square feet of space per child was provided. Evidence: 1. The inspector observed 37 children on the playground. Staff #6, #11, #14 and #22, confirmed that there were 37 children on the playground at the time of the inspection. 2. Measurements of the outdoor play area taken by the department on 8/15/2008 demonstrate that the maximum number of children permitted on the outdoor play area at one time is 29.”

8VAC20-780-240-A

“Based on review of records and interview, the center failed to ensure that staff completed The Virginia Department of Education (VDOE) sponsored course within 90 calendar days of employment. Evidence 1. Staff #21?s start date was 6/22/22. Staff # 21?s record did not contain evidence that they had completed The VDOE sponsored course. 2. Staff #17 confirmed that Staff #21 did not complete the completed The VDOE sponsored course within 90 days of employment.”

22.1-289.035-B-2

“Based on review of records and interview, the center failed to ensure that a criminal history record check was completed before the first day of employment. Evidence: 1. Staff #21?s start date was 6/22/22. Staff # 21?s criminal history check on file was dated 3/17/2023. 2. Staff #17 confirmed that Staff #21?s criminal history record check was not completed before the first day of employment.”

8VAC20-780-160-A

“Based on review of records and interview, the center failed to ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #21?s start date was 6/22/22. Staff # 21?s record did not contain evidence of a TB screening. 2. Staff #21 was observed in the school age classroom. 3. Staff #17 confirmed that Staff #21 did not submit a negative TB screening at the time of employment and prior to coming into contact with children.”

22.1-289.035-A

“REPEAT VIOLATION, SYSTEMIC VIOLATION Based on review of records, the center failed to ensure that background checks were repeated every five years. Evidence: 1. Staff #1?s Central Registry Results on file were dated 9/27/2017. There was no updated Central Registry Results on file. 2. Staff # 17 confirmed that the Central Registry background check for Staff #1 had not been repeated every five years.”

8VAC20-780-330-B

“REPEAT Based on observation and interview, the center failed to ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The mulch depth on the playground measured less than two inches by the swing and by the slide. 2. Staff #1 confirmed there was less than six inches of resilient surfacing on the playground as required.”

8VAC20-780-40-M

“Based on interviews, the center failed to maintain, in a way that is accessible to all staff who work with children, a current list of all children’s allergies, sensitivities and dietary restrictions. 1. Staff #11 stated that Child #8 has a soy and milk allergy. 2. Staff #5, #8, #9, #11, #12, #13, #14, #15 and #16 stated they did not have a current list of children’s allergies 3. Staff #1 confirmed Child #8 has an allergy and there was not a current list of all children’s allergies, sensitivities and dietary restrictions that was accessible to all staff who work with children.”

8VAC20-780-160-A

“REPEAT Based on review of records and interview, the center failed to ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2?s start date was 02/13/2023. The TB screening on file for Staff #2 was dated 07/18/2021. 2. Staff #1 confirmed there was no other TB screening on file for Staff #2 and that Staff #2 had not submitted a TB screening that was completed within the last 30 calendar days of the date of employment.”

8VAC20-780-270-C

“REPEAT, SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. On the playground, the chains of the swings were rusted. 2. On the playground, there was a pole that was standing about three feet above ground attached to rusty, jagged remnant of broken equipment.”

8VAC20-780-245-A

“Based on review of records and interview, the center failed to ensure that each staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #4?s start date was 01/25/2022. Staff #4 completed 12 hours of training between 01/25/2022 and 01/24/2023. 2. Staff #1 confirmed that Staff #4 did not complete a minimum of 16 hours of training between 01/25/2022 and 01/24/2023.”

8VAC20-780-330-B

“REPEAT Based on observation and interview, the center failed to ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The mulch depth on the playground measured less than two inches by the swing and by the slide. 2. Staff #1 confirmed there was less than six inches of resilient surfacing on the playground as required.”

8VAC20-780-40-M

“Based on interviews, the center failed to maintain, in a way that is accessible to all staff who work with children, a current list of all children’s allergies, sensitivities and dietary restrictions. 1. Staff #11 stated that Child #8 has a soy and milk allergy. 2. Staff #5, #8, #9, #11, #12, #13, #14, #15 and #16 stated they did not have a current list of children’s allergies 3. Staff #1 confirmed Child #8 has an allergy and there was not a current list of all children’s allergies, sensitivities and dietary restrictions that was accessible to all staff who work with children.”

8VAC20-780-160-A

“REPEAT Based on review of records and interview, the center failed to ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2?s start date was 02/13/2023. The TB screening on file for Staff #2 was dated 07/18/2021. 2. Staff #1 confirmed there was no other TB screening on file for Staff #2 and that Staff #2 had not submitted a TB screening that was completed within the last 30 calendar days of the date of employment.”

8VAC20-780-270-C

“REPEAT, SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. On the playground, the chains of the swings were rusted. 2. On the playground, there was a pole that was standing about three feet above ground attached to rusty, jagged remnant of broken equipment.”

8VAC20-780-245-A

“Based on review of records and interview, the center failed to ensure that each staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #4?s start date was 01/25/2022. Staff #4 completed 12 hours of training between 01/25/2022 and 01/24/2023. 2. Staff #1 confirmed that Staff #4 did not complete a minimum of 16 hours of training between 01/25/2022 and 01/24/2023.”

8VAC20-780-340-F

“Based on observation and interview, the center failed to ensure that all children under ten years of age were within actual sight and sound supervision of staff. 1. In Classroom # 1, staff#5 was observed in the playing room with 3 infants. In the sleeping room there were 5 infants in cribs. 2. Staff #5 confirmed that they were unable to see 4 of the 5 infants in the sleeping area from the playing room.”

8VAC20-780-280-B

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation and interview, the center failed to ensure that all hazardous substances were kept in a locked place. Evidence: 1. In Classroom #3, there was an unlocked locker that contained two bags of moisturizing hand soap that was labeled ?Keep out of reach of children? by the manufacturer. 2. Staff #11 confirmed that the soap was not in a locked place.”

22.1-289.035-A

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of records and interview, the center failed to ensure that all background checks were repeated every five years. Evidence: 1. The criminal history background check on file for Staff #6 was dated 8/23/2014. 2. The central registry check on file for Staff #5 was dated 9/4/2014. 3. Staff #10 confirmed there was not an updated criminal history background check or an updated central registry check. Staff #10 confirmed that the criminal history background check had not been requested.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on review of record and interview, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming in contact with children. Evidence: 1. Staff #2?s start date was 01/03/2022. The only TB screening on file for Staff #2 was dated 9/12/2022. 2. Staff #10 confirmed that Staff #2 did not submit documentation of a negative TB screening at the time of employment and prior to coming in contact with children.”

8VAC20-770-60-B

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of records and interview, the center failed to ensure that each staff member had completed a sworn statement by the first day of employment. Evidence: 1. Staff #6?s start date is 6/21/2022. 2. Staff #6 did not have a sworn statement on file. 3. Staff #10 confirmed that Staff 5 did not have a sworn statement on file.”

8VAC20-780-350-B-1

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation and interview, the center failed to ensure that required staff-to-children ratios were maintained. Evidence: 1. In Classroom #1, the Licensing Inspector observed 1 staff member with 8 infants. The required staff-to-children ratio for children age birth up to 16 months is 1:4. 2. Staff #10 confirmed the birthdate of the youngest child in Classroom #1 was 10/6/2022 (3 months old). 3. Staff #5 confirmed that she was the only staff member in the classroom.”

8VAC20-780-40-E

“Based on observation and interview, the licensee failed to ensure that the center maintained compliance with the center’s own policies and procedures that are required by these standards. Evidence: 1. In Classroom #1, the Licensing Inspector observed 1 child sleeping in a swing and 1 child sleeping in a mamaroo. 2. The center’s safe sleep policy states ?An infant, who falls asleep in a play space other than their crib, will be moved promptly to their designated sleeping space? 2. Staff #1 confirmed that the children had not been moved to the crib after falling asleep in the swing and mamaroo.”

8VAC20-780-350-B-1

“Based on observations and interviews, the center failed to ensure that required staff-to-child ratios were maintained. Evidence: 1. In Classroom #1, The Licensing Inspector observed 1 staff member with 11 infants. The required ratio for children age birth to 16 months is 1:4. 2. Staff #2 confirmed the birthdate of the youngest child in Classroom #1 was 5/14/22 (7 months old). 3. Staff #1 confirmed that she was the only staff member in the classroom.”

8VAC20-770-60-C-2

“Based on interview and review of records, the center failed to have central registry findings within 30 days of employment for two staff members. Evidence: 1. Staff #1?s employment date was 8/31/22. There were no central registry findings on file. Staff #5 confirmed that there were no central registry findings for Staff #1. 2. Staff #3?s start date was 9/19/2022. There were no central registry findings on file. Staff #5 confirmed that there were no central registry findings for Staff #3.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that all hazardous substances were kept in a locked place. Evidence: 1. In Classroom #1, there was a cabinet that was unlocked that contained 4 aerosol cans of Glade air freshener, and 4 spray bottles of commercial cleaners. 2. Staff #1 confirmed that the cabinet was not locked.”

22.1-289.035-A

“Based on the review of records and interview, the center failed to ensure that all background checks were repeated every five years. Evidence: 1. The criminal history background check in Staff #5?s file was dated 8/23/2014. 2. The central registry check in Staff #5?s file was dated 9/4/2014. 3. Staff #8 confirmed there was not an updated criminal history background check or a central registry check.”

8VAC20-780-280-B

“Based on observations and interviews, the center failed to ensure that hazardous substances were kept in a locked place. 1. In Classroom #4, there was Great Value All Purpose cleaning and Great Value wipes in an unlocked drawer. Staff #6 and #7 confirmed that the chemical in the drawer was unlocked. 2. In the bathroom in Classroom #6 was an unlocked cabinet that contained Clorox bathroom cleaner, 2- Great Value bathroom cleaners and toilet bowl cleaner.”

8VAC20-780-160-C

“Based on review of records and interviews, the center failed to ensure that staff had a tuberculosis (TB) screening at learning every 2 years from the initial screening. Evidence: 1. The TB screening on file for Staff #5 is dated 10/1/2015. 2. Staff #8 confirmed that there was not an updated TB screening on file for Staff #5.”

8VAC20-780-290-A-3

“Based on observations and interviews, the center failed to ensure that electrical outlets in areas that are used by preschool children and younger had protective covers. 1. In Classroom #3, there was one outlet missing a cover. Staff #3 confirmed the outlet cover was missing. 2. In Classroom # 1, there was one outlet missing a cover. Staff #2 and #5 confirmed that the outlet cover was missing.”

8VAC20-780-330-B

“Based on measure and observation, the center failed to ensure that playground equipment is provided with resilient surfacing that complies with the minimum safety requirements. 1. The playground was observed to have 4 inches of mulch around the slide and swing set.”

8VAC20-770-60-B

“Based on review of records and interviews, the center failed to ensure that each staff member had completed a sworn statement by the first day of employment. Evidence: 1. Staff #5?s start date is 6/21/11. 2. Staff #5 did not have a sworn statement on file. 3. Staff #8 confirmed that Staff #5 did not have a sworn statement on file.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that the areas and equipment of the center are maintained in a clean, safe and operable condition Evidence: 1. On the toddler playground, there was a bucket of stagnant water under a chair that was accessible to the children. 2. In Classroom #3, there was a protective outlet plate that was missing the outside protective cover and was loose from the wall.”

8VAC20-780-40-E

“Based on observation and interview, the licensee failed to ensure that the center’s own policy regarding safe sleep was followed. Evidence: 1. In Classroom #3, one child was observed to be sleeping in an infant floor rocker chair. 2. The following is stated in the safe sleep policy provided by the center: ?Infants will be placed flat on their backs to sleep unless otherwise ordered by a written statement signed by the child's physician? and ?A firm surface, such as a mattress will be used for infant sleeping? 3. Staff #3 confirmed that the child was sleeping in the infant floor rocker chair.”

22.1-289.058

“Based on interview and observation, the center failed to ensure that the building was equipped with a carbon monoxide detector. Evidence: 1. There was no carbon monoxide detector observed to be in the building. Staff #8 confirmed that there was not a carbon monoxide detector in the building.”

8VAC20-790-600-F

“The center failed to ensure that all staff who work directly with children completed the department’s annual health and safety update course. Evidence: 1. Staff #2?s date of completion of preservice was 9.28.17. No evidence of completion of the health and safety training update course was on file. 2. Staff #5?s date of completion for preservice training was 4.18.21. No evidence of completion of the health and safety training update course was on file. 3. Staff #7?s date of the last health and safety update on file was 8/14/2020. No evidence of completion of the health and safety training update course was on file. 4. Staff #8?s date of completion of the preservice training was 2/19/2019. No evidence of completion of the health and safety training update course was on file. 5. Staff #9 confirmed that staff had not completed the annual health and safety update course.”

8VAC20-790-600-D-1

“The center failed to ensure that each staff member obtained cardiopulmonary resuscitation (CPR) certification within 90 days of employment.. Evidence: 1. Staff #1?s hire date is 4/19/2021 and CPR certification was completed on 11/11/2021. 2. Staff #4?s hire date is 3/4/20219 and CPR certification was completed on 11/11/2021.”

8VAC20-790-600-D-2

“The center failed to ensure that each staff member obtained First Aid certification within 90 days of employment. Evidence: 1. Staff #1?s hire date is 4/19/2021 and First Aid certification was completed on 11/11/2021. 2. Staff #4?s hire date is 3/4/20219 and First Aid certification was completed on 11/11/2021.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that playground equipment is provided with resilient surfacing that complies with the minimum safety standards. Evidence: 1. The playground was observed to have minimum amounts of mulch showing bare ground around the swing set. 2. Staff # 9 confirmed that the playground did not have the required amount of mulch.”

8VAC20-780-340-D

“Based on observation and review of records, the center failed to ensure that each group of children had at least one staff member that met program leader qualifications. Evidence 1. The staff in present Classroom #1 and #4 did not qualify as a program lead. 2. Administration verified that the staff present in these classrooms did not qualify as a program lead.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that each restroom was equipped with toilet paper and paper towels. Evidence: 1. In classroom #4, the girl’s restroom did not have toilet paper in either stall. 2. In classroom #4, no paper towels available in either the boys or the girl bathroom.”

8VAC20-780-450-C

“Based on interview, the center failed to ensure that crib sheets are cleaned and washed daily. Evidence: 1. Interview with Staff #10 revealed that the sheets in the infant room are washed weekly. 2. Staff #10 confirmed that crib sheets are not cleaned and washed daily.”

8VAC20-780-40-D

“Based on observation and interview the center failed to ensure that the license was posted in a place conspicuous to the public. Evidence: 1. The current license effective September 8, 2021- September 7, 2023 was not posted in a place conspicuous to the public. 2. Administration confirmed that the license was not posted in a conspicuous place.”

8VAC20-780-40-K

“Based on interviews, the center failed to develop a written procedure for prevention of shaken baby syndrome or abusive head trauma and sudden infant death syndrome awareness. Evidence: 1. Staff #9 confirmed that the center did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma and sudden infant death syndrome awareness.”

8VAC20-780-160-A

“Based on review of records and interviews, the center failed to ensure that each staff member had submitted documentation of a negative Tuberculosis (TB) screening prior to coming in contact with children. Evidence 1. Staff #4 did not have documentation of a negative TB screen on file. Staff #4?s hire date is 6/26/2022. Staff #4 was observed working in Classroom #4. Staff #9 confirmed that Staff #4 did not have documentation of a negative TB screen on file. 2. Staff #1?s hire date was 4/25/2022. The TB screening on file for Staff #1 is dated 5/2/2022”

8VAC20-780-140-A

“The center failed to ensure that each child had a physical examination before the child’s first day or within 30 days after the first day of of attendance Evidence 1. Child #2 did not have a physical examination on file. The child’s first day of attendance was 5/13/2022.”

8VAC20-780-530-A-1

“Based on review of records and interviews, the center failed to ensure that each classroom had at least one staff member with current First Aid certification. Evidence: 1. Classroom #4 did not have a staff member in the classroom that was First Aid Certified. 2. Staff #9 confirmed that there was not a staff member in that classrooms that had current First Aid Certification.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that the areas and equipment of the center are maintained in a clean, safe and operable condition. Evidence: 1. In Classroom #1 the tile flooring was loose and peeling. 2. Loose Baseboards were observed in Classroom #5. 3. Peeling paint was observed in Classroom #5, #7 and #8. 4. Missing outlet plate was observed in Classroom #5 5. Floors in Classroom #5 were dirty and had food and trash on the floor. 6. Splintering wood was observed on the half door in Classroom #7. 7. On the toddler playground there was a bucket of stagnant water under a chair accessible to children. 8. On the playground there were two roundabout trikes (yellow and blue), the green airplane, and the teeter totter with peeling paint and rust. 9. The chains of the swings on the playground were rusted. 10. The fence around the playground was unstable and the top railing was unattached in many places. 11. On the playground there was splintering wood on the boards over the fence. 12. On the playground there was a metal pole with rusty bolts eye level to the children.”

8VAC20-780-260-C

“Based on observation the notice regarding the presence and location of asbestos containing materials was not posted. Evidence: 1. There was not a notice posted regarding the presence and location of asbestos in the building”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: 1. In Classroom #1 a bottle of milk was observed in the fridge with neither a date nor name. Staff # 5 confirmed that the bottle had no name or date. 2. In Classroom #5 there were 2 lunchboxes without names and dates and 2 additional lunch boxes without dates.”

8VAC20-770-40-D-6

“The center failed to ensure that all criminal history background checks were dated no more than 90 days prior to the date of employment. Evidence: 1. Staff # 3?s date of employment is 6/22/2022. The criminal history background check was completed on 1/24/2022. 2. Staff # 8?s date of employment is 3/4/2019. The criminal history background check was completed on 10/17/2018.”

8VAC20-780-160-C

“The center failed to ensure that each staff record had documentation of a negative Tuberculosis (TB) screening at least every two years from the date of the previous screening. Evidence: 1. Staff #2?s previous TB screening is dated 8/25/2019. A new TB screening was required by 08/25/2021. 2. Staff #9 confirmed that Staff #2 had not had an updated TB Screening.”

8VAC20-780-130-A

“The center failed to obtain documentation that each child received the immunizations required by the State Board of Health before the child’s first day of attendance. Evidence 1. Child #2 did not have an immunization record on file. The child’s first day of attendance was 7/13/2022. 2. Child #4 did not have an immunization record on file. The child’s first day of attendance was 6/22/2022. 3. Child #5 had an immunization record on file dated 5/15/2022. The child’s first day of attendance was 5/9/2022.”

8VAC20-780-130-A

“The center failed to obtain documentation that each child received the immunizations required by the State Board of Health before the child’s first day of attendance. Evidence 1. Child #2 did not have an immunization record on file. The child’s first day of attendance was 7/13/2022. 2. Child #4 did not have an immunization record on file. The child’s first day of attendance was 6/22/2022. 3. Child #5 had an immunization record on file dated 5/15/2022. The child’s first day of attendance was 5/9/2022.”

8VAC20-780-290-A-3

“Based on observation and interview, the center failed to ensure that electrical outlets in areas that are used by children of preschool or younger had protective covers. Evidence: 1. In Classroom #1, 2 outlets were missing covers. Staff # 5 confirmed that the covers were missing. 2. In Classroom # 3, 4 outlets were missing covers.”

8VAC20-780-280-B

“Based on observations and interviews, the center failed to ensure that all hazardous substances were kept in a locked place. Evidence: The following was observed 1. In Classroom #1 there were Clorox wipes on the counter and the wall half, and all purpose cleaner and Great Value window cleaner on the sink. Staff #5 confirmed that these items were not in a locked place. 2. In Classroom #4 there was Allene’s Gloss Finish spray in a drawer; Great Value disinfecting spray on the counter; Great Value disinfecting spray on a desk; an opened utility closet which contained bleach, Fabuloso floor cleaner, and Pinesol; unlocked lockers which contained 3 bottles of toilet bowl cleaner, soap, bleach, 9 air fresheners, 2 bottles of window cleaner, all purpose cleaner and Clorox wipes. All items were accessible to children. Staff #3 and #4 confirmed that the hazardous materials were not in a locked place. 3. In classroom #6 there were Clorox Wipes, air freshener and all-purpose cleaner on a shelf (unlocked).”

22.1-289.035-B-2

“Based on review of records and interviews, the center failed to ensure fingerprints were completed and on file before the first day of employment. Evidence: 1. Staff #4?s date of hire was 06/26/2022. There was no documentation on file that the National Fingerprint Criminal Background check had been completed. Staff #4 was observed working in Classroom #4. 2. Staff #9 verified the date of employment for all staff, and that there was no documentation that the fingerprints had been completed.”

8VAC20-820-120-E-2

“Based on observation, the center failed to post the findings of the most recent inspection of the facility. Evidence: 1. The most recent inspection of the facility was the renewal inspection that concluded on 10/12/2021. 2. The inspection findings were not posted.”

8VAC20-780-260-A

“Based on interview, the center failed to provide an annual fire inspection report. Evidence: 1. The last fire inspection on record is dated 11/20/2019. 2. Staff #9 confirmed that a fire inspection had not occurred within the last year.”

8VAC20-780-260-B

“Based on interview, the center failed to provide an annual health inspection report. Evidence: 1. The last health inspection is dated 4/29/2019. 2. Staff #9 confirmed that a health inspection had not occurred within the last year.”

8VAC20-780-350-B-1

“Based on observation and interview, the center failed to ensure that required staff-to-child ratios were maintained. Evidence: 1. In Classroom # 2, there was 1 staff member and 6 infants present. The required ratio for children birth-16 months is 1:4. 2. Staff #11 confirmed that there were 6 infants present with one staff member.”

8VAC20-790-600-F

“The center failed to ensure that all staff who work directly with children completed the department’s annual health and safety update course. Evidence: 1. Staff #2?s date of completion of preservice was 9.28.17. No evidence of completion of the health and safety training update course was on file. 2. Staff #5?s date of completion for preservice training was 4.18.21. No evidence of completion of the health and safety training update course was on file. 3. Staff #7?s date of the last health and safety update on file was 8/14/2020. No evidence of completion of the health and safety training update course was on file. 4. Staff #8?s date of completion of the preservice training was 2/19/2019. No evidence of completion of the health and safety training update course was on file. 5. Staff #9 confirmed that staff had not completed the annual health and safety update course.”

8VAC20-790-600-D-1

“The center failed to ensure that each staff member obtained cardiopulmonary resuscitation (CPR) certification within 90 days of employment.. Evidence: 1. Staff #1?s hire date is 4/19/2021 and CPR certification was completed on 11/11/2021. 2. Staff #4?s hire date is 3/4/20219 and CPR certification was completed on 11/11/2021.”

8VAC20-790-600-D-2

“The center failed to ensure that each staff member obtained First Aid certification within 90 days of employment. Evidence: 1. Staff #1?s hire date is 4/19/2021 and First Aid certification was completed on 11/11/2021. 2. Staff #4?s hire date is 3/4/20219 and First Aid certification was completed on 11/11/2021.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that playground equipment is provided with resilient surfacing that complies with the minimum safety standards. Evidence: 1. The playground was observed to have minimum amounts of mulch showing bare ground around the swing set. 2. Staff # 9 confirmed that the playground did not have the required amount of mulch.”

8VAC20-780-340-D

“Based on observation and review of records, the center failed to ensure that each group of children had at least one staff member that met program leader qualifications. Evidence 1. The staff in present Classroom #1 and #4 did not qualify as a program lead. 2. Administration verified that the staff present in these classrooms did not qualify as a program lead.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that each restroom was equipped with toilet paper and paper towels. Evidence: 1. In classroom #4, the girl’s restroom did not have toilet paper in either stall. 2. In classroom #4, no paper towels available in either the boys or the girl bathroom.”

8VAC20-780-450-C

“Based on interview, the center failed to ensure that crib sheets are cleaned and washed daily. Evidence: 1. Interview with Staff #10 revealed that the sheets in the infant room are washed weekly. 2. Staff #10 confirmed that crib sheets are not cleaned and washed daily.”

8VAC20-780-40-D

“Based on observation and interview the center failed to ensure that the license was posted in a place conspicuous to the public. Evidence: 1. The current license effective September 8, 2021- September 7, 2023 was not posted in a place conspicuous to the public. 2. Administration confirmed that the license was not posted in a conspicuous place.”

8VAC20-780-40-K

“Based on interviews, the center failed to develop a written procedure for prevention of shaken baby syndrome or abusive head trauma and sudden infant death syndrome awareness. Evidence: 1. Staff #9 confirmed that the center did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma and sudden infant death syndrome awareness.”

8VAC20-780-160-A

“Based on review of records and interviews, the center failed to ensure that each staff member had submitted documentation of a negative Tuberculosis (TB) screening prior to coming in contact with children. Evidence 1. Staff #4 did not have documentation of a negative TB screen on file. Staff #4?s hire date is 6/26/2022. Staff #4 was observed working in Classroom #4. Staff #9 confirmed that Staff #4 did not have documentation of a negative TB screen on file. 2. Staff #1?s hire date was 4/25/2022. The TB screening on file for Staff #1 is dated 5/2/2022”

8VAC20-780-140-A

“The center failed to ensure that each child had a physical examination before the child’s first day or within 30 days after the first day of of attendance Evidence 1. Child #2 did not have a physical examination on file. The child’s first day of attendance was 5/13/2022.”

8VAC20-780-530-A-1

“Based on review of records and interviews, the center failed to ensure that each classroom had at least one staff member with current First Aid certification. Evidence: 1. Classroom #4 did not have a staff member in the classroom that was First Aid Certified. 2. Staff #9 confirmed that there was not a staff member in that classrooms that had current First Aid Certification.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that the areas and equipment of the center are maintained in a clean, safe and operable condition. Evidence: 1. In Classroom #1 the tile flooring was loose and peeling. 2. Loose Baseboards were observed in Classroom #5. 3. Peeling paint was observed in Classroom #5, #7 and #8. 4. Missing outlet plate was observed in Classroom #5 5. Floors in Classroom #5 were dirty and had food and trash on the floor. 6. Splintering wood was observed on the half door in Classroom #7. 7. On the toddler playground there was a bucket of stagnant water under a chair accessible to children. 8. On the playground there were two roundabout trikes (yellow and blue), the green airplane, and the teeter totter with peeling paint and rust. 9. The chains of the swings on the playground were rusted. 10. The fence around the playground was unstable and the top railing was unattached in many places. 11. On the playground there was splintering wood on the boards over the fence. 12. On the playground there was a metal pole with rusty bolts eye level to the children.”

8VAC20-780-260-C

“Based on observation the notice regarding the presence and location of asbestos containing materials was not posted. Evidence: 1. There was not a notice posted regarding the presence and location of asbestos in the building”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: 1. In Classroom #1 a bottle of milk was observed in the fridge with neither a date nor name. Staff # 5 confirmed that the bottle had no name or date. 2. In Classroom #5 there were 2 lunchboxes without names and dates and 2 additional lunch boxes without dates.”

8VAC20-770-40-D-6

“The center failed to ensure that all criminal history background checks were dated no more than 90 days prior to the date of employment. Evidence: 1. Staff # 3?s date of employment is 6/22/2022. The criminal history background check was completed on 1/24/2022. 2. Staff # 8?s date of employment is 3/4/2019. The criminal history background check was completed on 10/17/2018.”

8VAC20-780-160-C

“The center failed to ensure that each staff record had documentation of a negative Tuberculosis (TB) screening at least every two years from the date of the previous screening. Evidence: 1. Staff #2?s previous TB screening is dated 8/25/2019. A new TB screening was required by 08/25/2021. 2. Staff #9 confirmed that Staff #2 had not had an updated TB Screening.”

8VAC20-780-130-A

“The center failed to obtain documentation that each child received the immunizations required by the State Board of Health before the child’s first day of attendance. Evidence 1. Child #2 did not have an immunization record on file. The child’s first day of attendance was 7/13/2022. 2. Child #4 did not have an immunization record on file. The child’s first day of attendance was 6/22/2022. 3. Child #5 had an immunization record on file dated 5/15/2022. The child’s first day of attendance was 5/9/2022.”

8VAC20-780-130-A

“The center failed to obtain documentation that each child received the immunizations required by the State Board of Health before the child’s first day of attendance. Evidence 1. Child #2 did not have an immunization record on file. The child’s first day of attendance was 7/13/2022. 2. Child #4 did not have an immunization record on file. The child’s first day of attendance was 6/22/2022. 3. Child #5 had an immunization record on file dated 5/15/2022. The child’s first day of attendance was 5/9/2022.”

8VAC20-780-290-A-3

“Based on observation and interview, the center failed to ensure that electrical outlets in areas that are used by children of preschool or younger had protective covers. Evidence: 1. In Classroom #1, 2 outlets were missing covers. Staff # 5 confirmed that the covers were missing. 2. In Classroom # 3, 4 outlets were missing covers.”

8VAC20-780-280-B

“Based on observations and interviews, the center failed to ensure that all hazardous substances were kept in a locked place. Evidence: The following was observed 1. In Classroom #1 there were Clorox wipes on the counter and the wall half, and all purpose cleaner and Great Value window cleaner on the sink. Staff #5 confirmed that these items were not in a locked place. 2. In Classroom #4 there was Allene’s Gloss Finish spray in a drawer; Great Value disinfecting spray on the counter; Great Value disinfecting spray on a desk; an opened utility closet which contained bleach, Fabuloso floor cleaner, and Pinesol; unlocked lockers which contained 3 bottles of toilet bowl cleaner, soap, bleach, 9 air fresheners, 2 bottles of window cleaner, all purpose cleaner and Clorox wipes. All items were accessible to children. Staff #3 and #4 confirmed that the hazardous materials were not in a locked place. 3. In classroom #6 there were Clorox Wipes, air freshener and all-purpose cleaner on a shelf (unlocked).”

22.1-289.035-B-2

“Based on review of records and interviews, the center failed to ensure fingerprints were completed and on file before the first day of employment. Evidence: 1. Staff #4?s date of hire was 06/26/2022. There was no documentation on file that the National Fingerprint Criminal Background check had been completed. Staff #4 was observed working in Classroom #4. 2. Staff #9 verified the date of employment for all staff, and that there was no documentation that the fingerprints had been completed.”

8VAC20-820-120-E-2

“Based on observation, the center failed to post the findings of the most recent inspection of the facility. Evidence: 1. The most recent inspection of the facility was the renewal inspection that concluded on 10/12/2021. 2. The inspection findings were not posted.”

8VAC20-780-260-A

“Based on interview, the center failed to provide an annual fire inspection report. Evidence: 1. The last fire inspection on record is dated 11/20/2019. 2. Staff #9 confirmed that a fire inspection had not occurred within the last year.”

8VAC20-780-260-B

“Based on interview, the center failed to provide an annual health inspection report. Evidence: 1. The last health inspection is dated 4/29/2019. 2. Staff #9 confirmed that a health inspection had not occurred within the last year.”

8VAC20-780-350-B-1

“Based on observation and interview, the center failed to ensure that required staff-to-child ratios were maintained. Evidence: 1. In Classroom # 2, there was 1 staff member and 6 infants present. The required ratio for children birth-16 months is 1:4. 2. Staff #11 confirmed that there were 6 infants present with one staff member.”