Beach Montessori Tech Christian Academy

8VAC20-780-430-I

“If combs, toothbrushes, or other personal articles are used, they shall be individually assigned. There was a tube of Vaseline that was not labeled with the child's name. There was a child with a pacifier that was not labeled to identify the child to which it belonged.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. There was poison ivy growing through the fence in several areas along the far corner of the preschool playground. There were electrical cords for a tablet, a phone and a decorative light strewn across the sink used by staff in the preschool classroom.”

8VAC20-780-280-B

“Repeat violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The door to the unsupervised kitchen was open and unlocked. There was an open bucket of floor cleaner, unlocked dish detergent and sanitizer with warning labels and a container of dish sanitizer in an unlocked drawer. There was hand sanitizer with a warning label on a shelf in the preschool classroom.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include parent authorization for the medication. There was an emergency medication for child 8 that did not have a current parent authorization for the medication.”

8VAC20-780-280-H

“Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. There was a container of over the counter topical ointment on a shelf in the preschool classroom that staff stated was usually kept in the child's hanging backpack.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. Or children under three years, this surface shall be a changing table or countertop designated for changing. Staff in the two year old classroom were observed changing a child's diaper by standing the child on the floor of the bathroom.”

8VAC20-780-510-P

“When a medication expires, the parent shall be notified that the medication needs to be picked up within 14 days. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. There was an expired emergency medication for child 8 that had not been returned to the parent or disposed.”

8VAC20-780-500-A Complaint related: Yes

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed washing their hands and sitting on the carpet on the floor watching videos for fifteen minutes before standing up and moving directly to the tables for lunch.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There were two containers of shaving cream with warning labels kept in an unlocked cabinet.”

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. The center did not obtain documentation of immunizations for child 7 who has attended for five months.”

22.1-289.035-B-4

“Authorize the child day center to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. The facility did not obtain results of a search of the child abuse and neglect registry from a state in which staff 2 resided in the previous five years.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician within 30 days after the child has attended. The center did not obtain documentation of a physical examination for child 7 who has attended for five months.”

8VAC20-780-500-B

“A non-absorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Children under the age of three years are being changed on the toilet or standing in the bathroom.”

8VAC20-780-500-A Complaint related: Yes

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed washing their hands and sitting on the carpet on the floor watching videos for fifteen minutes before standing up and moving directly to the tables for lunch.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There were two containers of shaving cream with warning labels kept in an unlocked cabinet.”

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. The center did not obtain documentation of immunizations for child 7 who has attended for five months.”

22.1-289.035-B-4

“Authorize the child day center to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. The facility did not obtain results of a search of the child abuse and neglect registry from a state in which staff 2 resided in the previous five years.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician within 30 days after the child has attended. The center did not obtain documentation of a physical examination for child 7 who has attended for five months.”

8VAC20-780-500-B

“A non-absorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Children under the age of three years are being changed on the toilet or standing in the bathroom.”

8VAC20-780-500-A Complaint related: Yes

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed washing their hands and sitting on the carpet on the floor watching videos for fifteen minutes before standing up and moving directly to the tables for lunch.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There were two containers of shaving cream with warning labels kept in an unlocked cabinet.”

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. The center did not obtain documentation of immunizations for child 7 who has attended for five months.”

22.1-289.035-B-4

“Authorize the child day center to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. The facility did not obtain results of a search of the child abuse and neglect registry from a state in which staff 2 resided in the previous five years.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician within 30 days after the child has attended. The center did not obtain documentation of a physical examination for child 7 who has attended for five months.”

8VAC20-780-500-B

“A non-absorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. Children under the age of three years are being changed on the toilet or standing in the bathroom.”

8VAC20-780-340-A

“Repeat violation When staff are supervising children, they shall always ensure their care, protection and guidance. Staff 6 was sitting on a chair at one end of the playground with a child on her lap. When asked how many children were in her care, she was unable to answer. Staff 6 was alone on the playground with17 children.”

8VAC20-780-270-A

“Repeat violation Area and equipment shall be maintained in a safe condition. There were wires from an extension cord, a phone charger, a CD player and a lamp dangling from on top of a small refrigerator within reach of the children.”

22.1-289.035-B-4

“The child day center shall obtain a copy of the results of a search of the child abuse and neglect registry or equivalent from any state in which the individual has reside in the preceding five years. Results of a search of the child abuse and neglect registry or equivalent was not obtained from a state in which staff 5, employed for one year, had resided within five years preceding employ.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no lockdown drill documented between September 2023 and September 2024.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medication that are not picked up within 14 days shall be disposed of by the center. There was an over-the-counter medication that expired in September 2024 that was not returned to the parent.”

8VAC20-780-510-F

“The medication authorization for a child shall be available to staff during the entire time it is effective. The authorization for other-the-counter medication to be administered to child 6 expired in September 2024. There was no length of time authorization was given for an emergency medication for child 6.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent the use of outdated medication. There was an over-the-counter medication for child 6 that expired in July 2024.”

8VAC20-780-430-I

“If personal articles are used, they shall be individually assigned. Child 7 had a pacifier in their mouth. The pacifier was not individually assigned.”

8VAC20-780-350-B-4

“When 3 year old children are in care, there shall be a ratio of 1:10 (staff to children). Staff 6 was alone on the playground with 17 three year old children before staff 7 came out from inside the building with an additional child.”

8VAC20-780-60-A

“Repeat violation Each center shall maintain and keep at the center a separate record for each child which shall contain the business telephone numbers for each parent. The records provided for child 2, 3, 4 and 5 did not include the business telephone number of the mother. The records provided for child 4 and child 5 did not include the business telephone number for the father. the record provided for child”

8VAC20-780-550-E

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was only one documented shelter-in-place drill between September 2023 and September 2024.”

8VAC20-780-340-A

“Repeat violation When staff are supervising children, they shall always ensure their care, protection and guidance. Staff 6 was sitting on a chair at one end of the playground with a child on her lap. When asked how many children were in her care, she was unable to answer. Staff 6 was alone on the playground with17 children.”

8VAC20-780-270-A

“Repeat violation Area and equipment shall be maintained in a safe condition. There were wires from an extension cord, a phone charger, a CD player and a lamp dangling from on top of a small refrigerator within reach of the children.”

22.1-289.035-B-4

“The child day center shall obtain a copy of the results of a search of the child abuse and neglect registry or equivalent from any state in which the individual has reside in the preceding five years. Results of a search of the child abuse and neglect registry or equivalent was not obtained from a state in which staff 5, employed for one year, had resided within five years preceding employ.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no lockdown drill documented between September 2023 and September 2024.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medication that are not picked up within 14 days shall be disposed of by the center. There was an over-the-counter medication that expired in September 2024 that was not returned to the parent.”

8VAC20-780-510-F

“The medication authorization for a child shall be available to staff during the entire time it is effective. The authorization for other-the-counter medication to be administered to child 6 expired in September 2024. There was no length of time authorization was given for an emergency medication for child 6.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include methods to prevent the use of outdated medication. There was an over-the-counter medication for child 6 that expired in July 2024.”

8VAC20-780-430-I

“If personal articles are used, they shall be individually assigned. Child 7 had a pacifier in their mouth. The pacifier was not individually assigned.”

8VAC20-780-350-B-4

“When 3 year old children are in care, there shall be a ratio of 1:10 (staff to children). Staff 6 was alone on the playground with 17 three year old children before staff 7 came out from inside the building with an additional child.”

8VAC20-780-60-A

“Repeat violation Each center shall maintain and keep at the center a separate record for each child which shall contain the business telephone numbers for each parent. The records provided for child 2, 3, 4 and 5 did not include the business telephone number of the mother. The records provided for child 4 and child 5 did not include the business telephone number for the father. the record provided for child”

8VAC20-780-550-E

“Shelter-in-place procedures shall be practiced a minimum of twice per year. There was only one documented shelter-in-place drill between September 2023 and September 2024.”

8VAC20-780-240-D Complaint related: No

“Based upon review of written policies and procedures, the facility has not ensured that prior to working alone with children and within seven days of the first day of employment, staff are provided in writing with the center’s required policies/procedures. Evidence: After twice having requested a copy of the facility’s written staff policies as required by the Standards, the facility was unable to provide the written staff policies as indicated below: - Procedures for supervising a child after activities and field trips have begun - Procedures to confirm the absence of a child when the child is scheduled to to arrive from another program - Procedures for identifying where children are at all times, including before leaving for a field trip site and upon return to the center - Procedures for action in case of lost or missing children - Policy for the administration of medication - Emergency evacuation, relocation, shelter-in-place and lockdown procedures, and - Precautions in transporting children.”

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

“Based upon interviews, the facility has not ensured that in order to promote the child’s physical, intellectual, emotional and social well-being and growth, staff interact with the child and one another to provide needed help and support. Evidence: 1. Interviews revealed that staff 1 does not ?support the social and emotional growth of the children? . Described interaction of Staff 1 with children included: - a child had a toileting accident and staff 1 called the child a baby and stated that ?boys don?t cry? . - staff 1 calls children a ?cry baby?. - staff 1 was described as ?talking down to kids?, making statements such as ?why are you acting this way?? and ?why can?t you understand??. - staff 1 ?makes children cry? - staff 1 uses inappropriate discipline practices such as ?not letting children play together for a whole week?. - staff 1 makes statements to the children such as ?so and so can?t listen? - staff 1 ?embarrasses? children by making statements such as ?let’s not do what so and so did?. - Staff 1 ?talks over? the children. 2. Interviews revealed that staff 1 does not interact with staff to provide needed help and support. - Staff 1 was described as being ?hard to approach?. - Staff 1 ?speaks inappropriately to staff. - Staff stated that they limit interactions with her staff 1.”

8VAC20-780-240-D Complaint related: No

“Based upon review of written policies and procedures, the facility has not ensured that prior to working alone with children and within seven days of the first day of employment, staff are provided in writing with the center’s required policies/procedures. Evidence: After twice having requested a copy of the facility’s written staff policies as required by the Standards, the facility was unable to provide the written staff policies as indicated below: - Procedures for supervising a child after activities and field trips have begun - Procedures to confirm the absence of a child when the child is scheduled to to arrive from another program - Procedures for identifying where children are at all times, including before leaving for a field trip site and upon return to the center - Procedures for action in case of lost or missing children - Policy for the administration of medication - Emergency evacuation, relocation, shelter-in-place and lockdown procedures, and - Precautions in transporting children.”

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

“Based upon interviews, the facility has not ensured that in order to promote the child’s physical, intellectual, emotional and social well-being and growth, staff interact with the child and one another to provide needed help and support. Evidence: 1. Interviews revealed that staff 1 does not ?support the social and emotional growth of the children? . Described interaction of Staff 1 with children included: - a child had a toileting accident and staff 1 called the child a baby and stated that ?boys don?t cry? . - staff 1 calls children a ?cry baby?. - staff 1 was described as ?talking down to kids?, making statements such as ?why are you acting this way?? and ?why can?t you understand??. - staff 1 ?makes children cry? - staff 1 uses inappropriate discipline practices such as ?not letting children play together for a whole week?. - staff 1 makes statements to the children such as ?so and so can?t listen? - staff 1 ?embarrasses? children by making statements such as ?let’s not do what so and so did?. - Staff 1 ?talks over? the children. 2. Interviews revealed that staff 1 does not interact with staff to provide needed help and support. - Staff 1 was described as being ?hard to approach?. - Staff 1 ?speaks inappropriately to staff. - Staff stated that they limit interactions with her staff 1.”

8VAC20-780-550-P

“Based upon review of written injury records, the facility has not ensured that the written record of children's injuries includes all required information. Evidence: 1. Injury records dated 3/20/24 for child 6 and child 7 do not include the time the parent was notified of the injuries. 2. Injury records dated 3/20/2024 for child 8 and child 9 do not include the dates and times the parents were notified of the injuries. The parents of both children signed the injury records the day after the children's injuries. 3. An injury record for child 10 dated 4/5/2024 does not include the time the parent was notified of the child's injury.”

8VAC20-780-430-I

“Based upon observation, the facility has not ensure that personal articles are individually assigned. Evidence: 1. There were 2 pink pacifiers in the Minnows classrooms that were not labeled for individual use. 2. There was a pacifier in use by a child in the Seahorse classroom that was not labeled for individual use. 3. There were 4 pacifiers on a shelf in the Starfish classroom that were not labeled for individual use.”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that the record for each staff person includes all required information. Evidence: 1. The record provided for staff 2 did not include documentation that any references were obtained prior to hire. The record also did not include documentation that staff 2 is program leader qualified. 2. The record provided for staff 4 did not include the hire date and position title. In addition there was no documentation that any references were obtained. The record also did not include documentation that orientation training was conducted. 3. The record provided for staff 5 did noy include the hire date. There was no documentation that any references were obtained. There was an incomplete address for the emergency contact person. 4. The record provided for staff 6 did not include documentation that any references were obtained. 5. The record provided for staff 7 did not include documentation of program leader qualifications nor documentation that any references were obtained. 6. The record provided for staff 8 did not include the hire date nor documentation that any references were obtained, 7. The record provided for staff 10 had documentation that only one reference was checked. 8. The record provided for staff 11 did not include the name of the person who obtained the reference checks.”

8VAC20-780-240-B

“Based upon review of staff records, the facility has not ensured that staff complete orientation training prior to working alone with the children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 4 was employed on 4/8/2024. There was no documentation that staff 4, on duty with the children during the inspection, has obtained orientation training.”

8VAC20-770-60-B

“Based upon review of staff records, the facility has not ensured that an employee must not be employed until the facility has the person's completed sworn statement or affirmation. Evidence: Staff 1 was hired on 2/9/2024. A sworn statement or affirmation was not completed and signed until 2/20/2024.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that the record for each enrolled child includes all required information. Evidence: 1. The record provided for child 3 did not include the physician's telephone number and the complete street address for one of the emergency contact persons. 2. The record provided for child 4 did not include the first date of attendance or the complete street addresses for the two emergency contact persons.”

8VAC20-780-160-A

“Based upon review of staff records, the facility has not ensured that results of a tuberculosis (TB) screening are obtained within 30 days prior to hire. Evidence: 1. Staff 2 was hired on 3/29/2024. The TB screening was obtained on 1/16/2024. 2. Staff 4 was hired on 4/8/2024. The TB screening was obtained on 12/28/2023. 3. Staff 5 was hired on 4/10/2024. The TB screening was obtained on 1/15/2024.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment inside and outside of the center are maintained in a clean, safe and operable condition. Evidence: 1. There were two high chairs made to be low to the ground in the Seahorse classroom that do not have working safety straps/belts. 2. There lattice panel around the AC and utility units n the Seahorse playground has pulled away allowing access by the children into the utility area. 3. A tree branch has broken away from the tree trunk of a tree on the Seahorse playground. The children can reach the sharp broken pieces of wood on the stump. 4. The lattice panel and support beams used to screen the AC/utility units on the Starfish playground has broken, allowing access into the utility area. There is a large plastic tub with four inches of standing and other litter in this area.”

8VAC20-780-240-I

“Based upon review of records, the facility has not ensured that documentation of orientation training includes all required information. Evidence: The documentation of orientation training in the records of staff 2, 3, 5, 6, 7, 8, 9, 10 and 11 did not include documentation of all required topics and the training delivery method.”

8VAC20-780-430-B

“Based upon observation, the facility has not ensured that materials and equipment are age and stage appropriate for the children. Evidence: There was a diecast metal car being played with by a child in the two year old Minnows classroom. These cars are not made for children this yard and parts of the car pose a potential choking hazard.”

8VAC20-790-600-D-1

“Based upon review of records, the facility has not ensured that all staff have obtained current cardiopulmonary resuscitation (CPR) certification within the first 90 days of employ. Evidence; Staff 3, employed on 1/2/2024, has not obtained CPR certification.”

8VAC20-790-600-D-2

“Based upon review of records, the facility has not ensured that all staff have obtained current first aid certification within the first 90 days of employ. Evidence; Staff 3, employed on 1/2/2024, has not obtained first aid certification.”

8VAC20-780-550-P

“Based upon review of written injury records, the facility has not ensured that the written record of children's injuries includes all required information. Evidence: 1. Injury records dated 3/20/24 for child 6 and child 7 do not include the time the parent was notified of the injuries. 2. Injury records dated 3/20/2024 for child 8 and child 9 do not include the dates and times the parents were notified of the injuries. The parents of both children signed the injury records the day after the children's injuries. 3. An injury record for child 10 dated 4/5/2024 does not include the time the parent was notified of the child's injury.”

8VAC20-780-430-I

“Based upon observation, the facility has not ensure that personal articles are individually assigned. Evidence: 1. There were 2 pink pacifiers in the Minnows classrooms that were not labeled for individual use. 2. There was a pacifier in use by a child in the Seahorse classroom that was not labeled for individual use. 3. There were 4 pacifiers on a shelf in the Starfish classroom that were not labeled for individual use.”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that the record for each staff person includes all required information. Evidence: 1. The record provided for staff 2 did not include documentation that any references were obtained prior to hire. The record also did not include documentation that staff 2 is program leader qualified. 2. The record provided for staff 4 did not include the hire date and position title. In addition there was no documentation that any references were obtained. The record also did not include documentation that orientation training was conducted. 3. The record provided for staff 5 did noy include the hire date. There was no documentation that any references were obtained. There was an incomplete address for the emergency contact person. 4. The record provided for staff 6 did not include documentation that any references were obtained. 5. The record provided for staff 7 did not include documentation of program leader qualifications nor documentation that any references were obtained. 6. The record provided for staff 8 did not include the hire date nor documentation that any references were obtained, 7. The record provided for staff 10 had documentation that only one reference was checked. 8. The record provided for staff 11 did not include the name of the person who obtained the reference checks.”

8VAC20-780-240-B

“Based upon review of staff records, the facility has not ensured that staff complete orientation training prior to working alone with the children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 4 was employed on 4/8/2024. There was no documentation that staff 4, on duty with the children during the inspection, has obtained orientation training.”

8VAC20-770-60-B

“Based upon review of staff records, the facility has not ensured that an employee must not be employed until the facility has the person's completed sworn statement or affirmation. Evidence: Staff 1 was hired on 2/9/2024. A sworn statement or affirmation was not completed and signed until 2/20/2024.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that the record for each enrolled child includes all required information. Evidence: 1. The record provided for child 3 did not include the physician's telephone number and the complete street address for one of the emergency contact persons. 2. The record provided for child 4 did not include the first date of attendance or the complete street addresses for the two emergency contact persons.”

8VAC20-780-160-A

“Based upon review of staff records, the facility has not ensured that results of a tuberculosis (TB) screening are obtained within 30 days prior to hire. Evidence: 1. Staff 2 was hired on 3/29/2024. The TB screening was obtained on 1/16/2024. 2. Staff 4 was hired on 4/8/2024. The TB screening was obtained on 12/28/2023. 3. Staff 5 was hired on 4/10/2024. The TB screening was obtained on 1/15/2024.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment inside and outside of the center are maintained in a clean, safe and operable condition. Evidence: 1. There were two high chairs made to be low to the ground in the Seahorse classroom that do not have working safety straps/belts. 2. There lattice panel around the AC and utility units n the Seahorse playground has pulled away allowing access by the children into the utility area. 3. A tree branch has broken away from the tree trunk of a tree on the Seahorse playground. The children can reach the sharp broken pieces of wood on the stump. 4. The lattice panel and support beams used to screen the AC/utility units on the Starfish playground has broken, allowing access into the utility area. There is a large plastic tub with four inches of standing and other litter in this area.”

8VAC20-780-240-I

“Based upon review of records, the facility has not ensured that documentation of orientation training includes all required information. Evidence: The documentation of orientation training in the records of staff 2, 3, 5, 6, 7, 8, 9, 10 and 11 did not include documentation of all required topics and the training delivery method.”

8VAC20-780-430-B

“Based upon observation, the facility has not ensured that materials and equipment are age and stage appropriate for the children. Evidence: There was a diecast metal car being played with by a child in the two year old Minnows classroom. These cars are not made for children this yard and parts of the car pose a potential choking hazard.”

8VAC20-790-600-D-1

“Based upon review of records, the facility has not ensured that all staff have obtained current cardiopulmonary resuscitation (CPR) certification within the first 90 days of employ. Evidence; Staff 3, employed on 1/2/2024, has not obtained CPR certification.”

8VAC20-790-600-D-2

“Based upon review of records, the facility has not ensured that all staff have obtained current first aid certification within the first 90 days of employ. Evidence; Staff 3, employed on 1/2/2024, has not obtained first aid certification.”

8VAC20-780-340-A

“Based upon interview, the facility has not ensured that when staff are supervising children, they ensure their care and protection. Evidence: Interview revealed that staff took a picture of staff 1 using unacceptable discipline techniques when interacting with a child and posted the picture to the parent portal. This was done instead of intervening and reporting the unacceptable action to management or authorities.”

8VAC20-780-410-1

“Based upon video footage, photos and staff interview, the facility has not ensured that the action of staff using physical punishment such as roughly handling a child is forbidden. Evidence: 1. Video footage showed staff 1 roughly taking a two year old child by the chin, holding the child's head while speaking with the child. 2. Video footage showed staff 1 grabbing a two year old child by the upper arm and pulling the child away from another child. 3.Photo evidence showed bruising on the child's upper arm indicative of an adult grabbing the arm. 3. Staff interviews confirmed the rough handling of the two year old child to include grabbing the child by the chin and grabbing the child by the upper arm.”

8VAC20-780-400-A

“Based upon staff interview, the facility has not ensured that in order to promote the child's emotional and social well-being and growth, staff interact with the child to provided needed help, comfort and support. Evidence: Staff 1 was described by staff as interacting with children using a "harsh", "stern" and "sharp" tone of voice when children misbehave, "alarming" both the children and staff.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the facility did not ensure that documentation was obtained of additional immunizations once every six months for children under the age of two years. Evidence: 1.The record for child #5 contained documentation that the last immunization record received was dated 3/14/2023. An updated immunization record was required as of 9/14/2023. 2. Staff #3 confirmed the six month updated immunization record was not in the record.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the facility did not ensure that documentation was obtained of additional immunizations once every six months for children under the age of two years. Evidence: 1.The record for child #5 contained documentation that the last immunization record received was dated 3/14/2023. An updated immunization record was required as of 9/14/2023. 2. Staff #3 confirmed the six month updated immunization record was not in the record.”

8VAC20-790-600-F

“Based on a record review the vendor did not ensure all staff who work directly with children in addition to preservice and orientation training had the safety updated course. Evidence Staff #7 did not have documentation of having the 10 hour preservice training or the 3 hour safety update.”

8VAC20-780-245-A

“Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #3 who was observed working as a teacher assistant in the classroom with children did not have any documented training hours in 2022.”

8VAC20-790-600-F

“Based on a record review the vendor did not ensure all staff who work directly with children in addition to preservice and orientation training had the safety updated course. Evidence Staff #7 did not have documentation of having the 10 hour preservice training or the 3 hour safety update.”

8VAC20-780-245-A

“Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #3 who was observed working as a teacher assistant in the classroom with children did not have any documented training hours in 2022.”

8VAC20-780-530-A

“Based on a record review and observation, the vendors did not ensure at least one staff in each classroom where children were present, had CPR and First Aid Training. Evidence: Staff #1 (hired 04/12/2022) stepped into a classroom to supervise a room of 15 sleeping preschool aged-children, while the lead teacher did a task outside of the classroom. Staff #1 did not have documentation of having a current certification in CPR and First Aid Training.”

8VAC20-790-600-B

“Based on observation the vendor did not ensure all staff completed the Virginia Preservice Training within the fist 90 days of employment. Evidence: Staff #1 (hired 04/12/2022) stepped into a classroom to supervise a room of 15 sleeping preschool aged-children, while the lead teacher did a task outside of the classroom. Staff #1 did not have documentation of having Virginia Preservice Training for Child Care Staff.”

22.1-289.058

“Based on observation and interview, the center did not have a carbon dioxide detector. Evidence: The center did not have a carbon dioxide detector. The office manager confirmed that the building did not have one.”

8VAC20-780-280-D

“Based on observation the center did not ensure cleaning and sanitizing materials were stored in areas physically separate from food. Evidence: In the infant room infant food was stored in the same cabinet as cleaning materials.”

8VAC20-780-530-A

“Based on a record review and observation, the vendors did not ensure at least one staff in each classroom where children were present, had CPR and First Aid Training. Evidence: Staff #1 (hired 04/12/2022) stepped into a classroom to supervise a room of 15 sleeping preschool aged-children, while the lead teacher did a task outside of the classroom. Staff #1 did not have documentation of having a current certification in CPR and First Aid Training.”

8VAC20-790-600-B

“Based on observation the vendor did not ensure all staff completed the Virginia Preservice Training within the fist 90 days of employment. Evidence: Staff #1 (hired 04/12/2022) stepped into a classroom to supervise a room of 15 sleeping preschool aged-children, while the lead teacher did a task outside of the classroom. Staff #1 did not have documentation of having Virginia Preservice Training for Child Care Staff.”

22.1-289.058

“Based on observation and interview, the center did not have a carbon dioxide detector. Evidence: The center did not have a carbon dioxide detector. The office manager confirmed that the building did not have one.”

8VAC20-780-280-D

“Based on observation the center did not ensure cleaning and sanitizing materials were stored in areas physically separate from food. Evidence: In the infant room infant food was stored in the same cabinet as cleaning materials.”

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

“Based on a record review and interviews the center did not ensure the care, protection and guidance of the children. On 02/01/2022 Staff A served a one year-old child #1 yogurt, despite having a documented intolerance to dairy and instructions not to serve.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas of the center were maintained in a safe condition. Evidence: 1. The ceiling in the building had water stains and some of the tiles cracked/broken. 2. The door between the reception area and main daycare had peeling paint and had chipped wood at the bottom of the frame. 3. Next to the infant room there was about a 2inche hole in the wall, exposing peeling paint and drywall. 4. The ceiling vents had rust and black spots on them. 5. The tank for the turtle in the reception area had an odor and the water in the tubes were green and murky.”

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

“Based on observation, record review and interview, the center did not ensure staff-to-children ratios were maintained whenever children were in care. Evidence: 1. Around or about 11:15am, 4 out of 5 classrooms were out of the required ratios. a. In the seahorses classroom (9-16 months) there was 1 staff member with 6 children. The required ratio is 1 staff: 4 children b. In the minnows classroom (12 months) there was 1 staff member with 10 children. The required ratio is 1 staff: 4 children c. In the starfish classroom ( 2 years) there was 1 staff member with 20 children. The required ratio is 1 staff: 8 children d. In the sharks classroom (3-5 years) there was 1 staff member with 27 children. The required ratio is 1 staff: 10 children 2. Staff confirmed the center had been out-of-ratio for the past 2 days because they did not have a enough staff, due to illness. 3. Staff confirmed they were instructed by the owner/program director, who was not in the country, to keep the center open despite staff shortages.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas of the center were maintained in a safe condition. Evidence: 1. The ceiling in the building had water stains and some of the tiles cracked/broken. 2. The door between the reception area and main daycare had peeling paint and had chipped wood at the bottom of the frame. 3. Next to the infant room there was about a 2inche hole in the wall, exposing peeling paint and drywall. 4. The ceiling vents had rust and black spots on them. 5. The tank for the turtle in the reception area had an odor and the water in the tubes were green and murky.”

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

“Based on observation, record review and interview, the center did not ensure staff-to-children ratios were maintained whenever children were in care. Evidence: 1. Around or about 11:15am, 4 out of 5 classrooms were out of the required ratios. a. In the seahorses classroom (9-16 months) there was 1 staff member with 6 children. The required ratio is 1 staff: 4 children b. In the minnows classroom (12 months) there was 1 staff member with 10 children. The required ratio is 1 staff: 4 children c. In the starfish classroom ( 2 years) there was 1 staff member with 20 children. The required ratio is 1 staff: 8 children d. In the sharks classroom (3-5 years) there was 1 staff member with 27 children. The required ratio is 1 staff: 10 children 2. Staff confirmed the center had been out-of-ratio for the past 2 days because they did not have a enough staff, due to illness. 3. Staff confirmed they were instructed by the owner/program director, who was not in the country, to keep the center open despite staff shortages.”

8VAC20-780-270-A

“Based on observation the center did not ensure all areas of the center were maintained in a safe condition. Evidence: 1. The ceiling in the building had water stains and some of the tiles cracked/broken. 2. The door between the reception area and main daycare had peeling paint and had chipped wood at the bottom of the frame. 3. Next to the infant room there was about a 2inche hole in the wall, exposing peeling paint and drywall. 4. The ceiling vents had rust and black spots on them. 5. The tank for the turtle in the reception area had an odor and the water in the tubes were green and murky.”

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

“Based on observation, record review and interview, the center did not ensure staff-to-children ratios were maintained whenever children were in care. Evidence: 1. Around or about 11:15am, 4 out of 5 classrooms were out of the required ratios. a. In the seahorses classroom (9-16 months) there was 1 staff member with 6 children. The required ratio is 1 staff: 4 children b. In the minnows classroom (12 months) there was 1 staff member with 10 children. The required ratio is 1 staff: 4 children c. In the starfish classroom ( 2 years) there was 1 staff member with 20 children. The required ratio is 1 staff: 8 children d. In the sharks classroom (3-5 years) there was 1 staff member with 27 children. The required ratio is 1 staff: 10 children 2. Staff confirmed the center had been out-of-ratio for the past 2 days because they did not have a enough staff, due to illness. 3. Staff confirmed they were instructed by the owner/program director, who was not in the country, to keep the center open despite staff shortages.”