Appletree School of Fairfax

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time when parents were notified; any future action to prevent recurrence of the injury; and documentation on how parent was notified. Child A's record contained two injury reports from 5/07/2026 and 5/8/2026 that did not document the date and time when parents were notified, any future action to prevent recurrence of the injury, and how the parents were notified.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection and guidance. On 6/22/2026 while transitioning inside from the school's courtyard, a 2-year-old child was left outside for less than 30 seconds after the class was inside. When Child A was heard crying, the door was opened for the child.”

8VAC20-780-560-P Complaint related: Yes

“COMPLAINT RELATED A child with a diagnosed food allergy shall not be served any food identified in the written care plan. The file of Child 1 states that child is allergic to eggs. Written incident report from October 2024, states that child ate a bite of the doughnut hole and Staff A was unaware if the food contained eggs, as she had forgotten which of them the child should have received.”

8VAC20-780-130-E Complaint related: No

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child 1 (enrolled 8 months) had no documentation of updated immunizations after the age of 6 months.. Child 2 (enrolled 9 months) had no documentation of updated immunizations after the age of 17 months.”

8VAC20-780-130-A Complaint related: No

“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 2, (in attendance for 9 months) has an initial immunization record dated 28 days after first day of attendance.”

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

“COMPLAINT RELATED When staff are supervising children, they shall always ensure their care, protection, and guidance. As written on the incident report from October 2024, in the child file and confirmed in interview, Staff A gave Child 1 food which potentially contained an allergen as listed on the allergy plan of the child. The child ate a bite of the food.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. A Keurig coffee maker was observed plugged in, on the counter within reach of the children in the classroom.”

8VAC20-780-290-A-2

“Fans shall be out of reach of children and cords shall be secured so as not to create a tripping hazard. Small fans were noted in several classrooms and accessible to children.”

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. Mops with cleaning solution attached, were noted to be accessible to children in the Butterflies and Sunny Bunnies classrooms.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Outlets were noted to be uncovered in the Bouncing Bunnies.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies. This list shall be dated and kept confidential in each room or area where children are present. ~Allergy List for Child A was posted in the hallway outside of the classroom with no cover. ~Allergy list in the Sunny Bunnies classroom was not kept confidential, it is posted with no cover.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: A plug-in air freshener was within reach of the children in a classroom.”

8VAC20-780-290-A-3

“Based on observation electrical outlets did not have protective covers. Evidence: Outlets were uncovered in the Fireflies, Multi-purpose, and the Duck Pond rooms.”

8VAC20-780-520-A

“Based on observation, nonprescription over-the-counter skin products were kept beyond the expiration date of the product. Evidence: 1. Diaper cream for Child# 8 expired on 6/2023. 2. Child #8's diaper cream was kept in the classroom's diaper changing table cabinet.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and interview, 3 of 5 staff files indicated that the center did not ensure all staff records had all the required documentation. Evidence: 1. Staff #2's (DOH:10/11/2022) record is missing documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. There was no documentation that Staff #2, Staff #3, and Staff #4 had completed annually a minimum of 16 hours of training appropriate to the age of children in care for 2022-2023.”

8VAC20-780-350-B-5 Complaint related: No

“Based on review of attendance records and staff interviews, the center failed to ensure that staff-to-child ratios are required whenever children are in care. Evidence: 1. The attendance sheets for the Academy classroom (Limes, Pineapples, Mosaic, and Oakton) on Friday, December 8, 2023, documented the group being over ratio during the following approximate times: 4:00 pm-4:20 pm and 4:30-4:45 pm. There were approximately 19-22 children between the ages of 5 years old to 8 years old with 1 staff exceeding the 1:18 ratio. 2. The attendance sheets for the Academy classroom (Limes, Pineapples, Mosaic, and Oakton) on Friday, January 5, 2024, documented the group being over ratio during the following approximate times: 4:00 pm-5:00 pm. There were approximately 21-25 children between the ages of 5 years old to 8 years old with 1 staff exceeding the 1:18 ratio.”