Bethel Temple Church

8VAC20-780-340-D

“Based on observation, staff interviews and record reviews, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader. Evidence: Staff #2 was observed supervising alone, 7 preschool age children and they do not have documentation of meeting program leader qualifications”

8VAC20-780-550-G

“Repeat Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #2 confirmed they did not have documentation of evacuation drills conducted in November 2023.”

8VAC20-780-560-F

“Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks . Evidence: Potato chips were served as the designated vegetable for lunch and they do not meet the USDA guidelines.”

8VAC20-780-500-B

“Repeat Based on observation and staff interviews, the licensee did not ensure the requirements for diapering were followed. Evidence: 1.The diaper pad/ surface was not cleaned with soap and at least room temperature water and sanitized after each use. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes. Staff #4 was observed conducting a diaper change, spayed the diaper pad with sanitizing solution and immediately wiped it down and therefore it was not sanitized as required. Soap and water were not used to clean the surface. 2. The diaper pad in room #102 had multiple tears and therefore was no longer nonabsorbent.”

8VAC20-780-70

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: The following records were missing information. 1, The records for Staff #1, #2 and #3 did not include the 2 required complete reference checks. 2. The records for Staff #2 and Staff #5, Staff did not include documentation to demonstrate they have the education and experience required by their job position (designated program leads. 3. The records for Staff #2, #3 and #5 did not include a copy of a diploma /transcript.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. Evidence: Staff #3?s TB screening was dated 2-16-2023 and first day of employment was 2-1-2023.”

22.1-289.035-B-2

“Based on review of five staff records and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The fingerprint check for Staff #3 was dated 2-7-2023 after employment on 2-1-2023.”

8VAC20-780-550-E

“Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure. Evidence: Center Director confirmed they did not have documentation of two shelter in place drills in 2023.”

8VAC20-780-340-D

“Based on observation, staff interviews and record reviews, the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader. Evidence: Staff #2 was observed supervising alone, 7 preschool age children and they do not have documentation of meeting program leader qualifications”

8VAC20-780-550-G

“Repeat Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #2 confirmed they did not have documentation of evacuation drills conducted in November 2023.”

8VAC20-780-560-F

“Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks . Evidence: Potato chips were served as the designated vegetable for lunch and they do not meet the USDA guidelines.”

8VAC20-780-500-B

“Repeat Based on observation and staff interviews, the licensee did not ensure the requirements for diapering were followed. Evidence: 1.The diaper pad/ surface was not cleaned with soap and at least room temperature water and sanitized after each use. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes. Staff #4 was observed conducting a diaper change, spayed the diaper pad with sanitizing solution and immediately wiped it down and therefore it was not sanitized as required. Soap and water were not used to clean the surface. 2. The diaper pad in room #102 had multiple tears and therefore was no longer nonabsorbent.”

8VAC20-780-70

“Repeat Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record. Evidence: The following records were missing information. 1, The records for Staff #1, #2 and #3 did not include the 2 required complete reference checks. 2. The records for Staff #2 and Staff #5, Staff did not include documentation to demonstrate they have the education and experience required by their job position (designated program leads. 3. The records for Staff #2, #3 and #5 did not include a copy of a diploma /transcript.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. Evidence: Staff #3?s TB screening was dated 2-16-2023 and first day of employment was 2-1-2023.”

22.1-289.035-B-2

“Based on review of five staff records and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment Evidence: The fingerprint check for Staff #3 was dated 2-7-2023 after employment on 2-1-2023.”

8VAC20-780-550-E

“Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure. Evidence: Center Director confirmed they did not have documentation of two shelter in place drills in 2023.”

8VAC20-780-60-A

“Based on record review and staff interviews, license did not ensure that children’s records contained all required information. Evidence: Child # 1 has a diagnosed food allergy (eggs and shellfish) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-780-40-M

“Repeat Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child#6 has dietary restriction (verified by Staff #6), and their name was not listed on the current written list of all children's allergies, sensitivities, and dietary restrictions.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results. Staff #4 was observed working on the day of the inspection.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands and children’s hands with soap and running water before and after a diaper change. Evidence: Staff #6 was observed changing the diaper for Child #3 and the staff and the child's hands were not washed with soap and water.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment and coming in contact with children. Evidence: Staff #5?s TB screening was dated 9-8-2023 and was conducted after coming into contact with children on 2-20-2023.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1?s (hire date was 7-24-2023) record did not include documentation of completing the required Virginia Department of Education-sponsored orientation.”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not a nonabsorbent surface for diapering or changing shall be used. Evidence : In the infant room and in the toddler room the diaper pad was torn and the foam was expowed and the daipe pad si nolonger nonabsorbent.”

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in February, March, April, and May 2023.”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: Staff #4 did not have an updated CRC as the most recent was dated 9-5-2018.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: The following information was missing from the staff records. 1.Staff #2, designated as program leader/ lead teacher) did not have documentation they have the experience required by the job position. 2.Staff #3 did not have documentation of 1 of the 2 required references.”

8VAC20-780-60-A

“Based on record review and staff interviews, license did not ensure that children’s records contained all required information. Evidence: Child # 1 has a diagnosed food allergy (eggs and shellfish) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-780-40-M

“Repeat Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Child#6 has dietary restriction (verified by Staff #6), and their name was not listed on the current written list of all children's allergies, sensitivities, and dietary restrictions.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results. Staff #4 was observed working on the day of the inspection.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands and children’s hands with soap and running water before and after a diaper change. Evidence: Staff #6 was observed changing the diaper for Child #3 and the staff and the child's hands were not washed with soap and water.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment and coming in contact with children. Evidence: Staff #5?s TB screening was dated 9-8-2023 and was conducted after coming into contact with children on 2-20-2023.”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1?s (hire date was 7-24-2023) record did not include documentation of completing the required Virginia Department of Education-sponsored orientation.”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not a nonabsorbent surface for diapering or changing shall be used. Evidence : In the infant room and in the toddler room the diaper pad was torn and the foam was expowed and the daipe pad si nolonger nonabsorbent.”

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in February, March, April, and May 2023.”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check ( CRC ) and search of the central registry check. Evidence: Staff #4 did not have an updated CRC as the most recent was dated 9-5-2018.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: The following information was missing from the staff records. 1.Staff #2, designated as program leader/ lead teacher) did not have documentation they have the experience required by the job position. 2.Staff #3 did not have documentation of 1 of the 2 required references.”

8VAC20-790-600-D-1

“Based on record review and staff interview, the vendor did not ensure staff who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration. Evidence: The record for Staff #6 (date of hire 5-12-2022) did not contain current certification in CPR. Staff #7 confirmed that staff #6 was not certified.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #7 confirmed there was not a written abusive head trauma policy available for review.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In Room 102 and 106 an allergy list was posted in an area that was visible and in plain sight and not kept confidential. Staff #7 confirmed that parents are allowed in the rooms when dropping off and picking up their children.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: The following play structures had areas that were broken and posed a safety hazard to children. 1) On the outdoor playground there was a piece of play equipment with 1 slide and 1 swing. The bar connecting the swing to the frame of the play structure was broken and no longer connected to the frame. The side rails on the slide were no longer attached. Center staff confirmed the equipment has been broken for about a month. 2) On the indoor composite play structure there is a rock wall with a blue mesh material that measures approximately 6? long and is above the top. The material appears to be used as a barrier to prevent children from climbing over the top off the rock wall. The material is only ? partially secured to the top of the wall and therefore no longer prevents children from being able to climb over the top of the rock wall. The rock wall is approximately 7? tall.”

8VAC20-780-280-B

“Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The door to room #109, next to one of the children’s bathrooms, was propped open. The room contained 1 bottle of bleach, 5 containers of paint and 1 container of detergent. These items are hazardous chemicals and were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state child abuse and neglect search ( CPS ) request by the 30th day of employment. Evidence: Staff records were reviewed and 2 out of 5 did not have required background checks. 1) Staff #1?s record did not include a criminal records check and CPS check for California, where they had lived within the last 5 years. Staff #1?s first date of employment was 8-27-2019. 2) Staff #2?s record did not include a CPS check for New York, where they had lived within the last 5 years. Staff #1?s first date of employment was 12-12-2022.”

8VAC20-790-600-D-1

“Based on record review and staff interview, the vendor did not ensure staff who work directly with children shall have obtained within 90 days of the date of hire a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in- person competency demonstration. Evidence: The record for Staff #6 (date of hire 5-12-2022) did not contain current certification in CPR. Staff #7 confirmed that staff #6 was not certified.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Staff #7 confirmed there was not a written abusive head trauma policy available for review.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: In Room 102 and 106 an allergy list was posted in an area that was visible and in plain sight and not kept confidential. Staff #7 confirmed that parents are allowed in the rooms when dropping off and picking up their children.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: The following play structures had areas that were broken and posed a safety hazard to children. 1) On the outdoor playground there was a piece of play equipment with 1 slide and 1 swing. The bar connecting the swing to the frame of the play structure was broken and no longer connected to the frame. The side rails on the slide were no longer attached. Center staff confirmed the equipment has been broken for about a month. 2) On the indoor composite play structure there is a rock wall with a blue mesh material that measures approximately 6? long and is above the top. The material appears to be used as a barrier to prevent children from climbing over the top off the rock wall. The material is only ? partially secured to the top of the wall and therefore no longer prevents children from being able to climb over the top of the rock wall. The rock wall is approximately 7? tall.”

8VAC20-780-280-B

“Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The door to room #109, next to one of the children’s bathrooms, was propped open. The room contained 1 bottle of bleach, 5 containers of paint and 1 container of detergent. These items are hazardous chemicals and were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state child abuse and neglect search ( CPS ) request by the 30th day of employment. Evidence: Staff records were reviewed and 2 out of 5 did not have required background checks. 1) Staff #1?s record did not include a criminal records check and CPS check for California, where they had lived within the last 5 years. Staff #1?s first date of employment was 8-27-2019. 2) Staff #2?s record did not include a CPS check for New York, where they had lived within the last 5 years. Staff #1?s first date of employment was 12-12-2022.”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #1 was observed conducting diaper changes and the diaper pad was not sanitized between diaper changes. Staff #1 used disinfectant wipes between diaper changes. The diaper pad is required to be sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes. The diaper pad was also not cleaned with a soap and water solution as required.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure handwashing with soap and running water occurred after toileting and any contact with blood feces or urine as required. Evidence: Staff # 1 was observed conducting a diaper change for child #1 and child #2 and neither the staff nor the children washed their after the after the diaper change.”

8VAC20-790-600-F

“Based on record review of vendor interviews, the vendor did not ensure, all staff who work directly with children obtain the department’s annual health and safety update course. Evidence: The record for staff #3 did not include the annual health and safety update courses. The most recent course for staff #3 was dated June 9, 2020.”

8VAC20-770-60-C-2

“Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of a CPS check conducted. Staff #5 was observed working on the day of the day of the inspection.”

8VAC20-780-410-1

“Based on observation and staff interviews, the center failed to ensure that, a staff does not use forbidden action of rough handling. Evidence: In the two’s room on July 21, 2022, center staff (Staff #2 )roughly handled Child #5 by grabbing the child by their upper arm (between their should ern ad elbow) and lifting them off of a cot. 1.Two times during 11:43 am and 11:48 am staff #2 was observed lifting up child #5 by their upper arm to remove them from a cot. The child’s feet were not on the ground when he was lifted off of the cot. 2.Child #2 screamed and cried both times they were lifted up by their arm.”

22.1-289.058

“Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector. Evidence: The center director confirmed they do not have a carbon monoxide detector.”

8VAC20-780-400-B

“Based on observation and staff interviews, it was determined a center staff did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior. Evidence: On July 21, 2022, a center staff, (Staff 2) was observed by licensing inspector when they grabbed the upper arm of child #5 to redirect their behavior. 1. Between 11:43 am and 11:48 am Staff #2 was putting cots on the floor to prepare for afternoon rest period. 2. Child #5 was observed was running and jumping on cots. 3. Two times during this timeframe Staff #2 was observed picking up Child #5 by their left upper arm, between their elbow and shoulder to lift the child off of the cot. 4. Staff #2 told Child #5 both times ?it’s not done, you have to sit down?. 5. Staff #2 told licensing inspector (Child #5) ?he is mine? and ?he is crying because he is tired?.”

8VAC20-780-240-E

“Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of CPR / first aid training/orientation within the timeframe.”

8VAC20-780-530-A-2

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid. Evidence: In the following classrooms there was not a staff member who obtained First Aid certification; 1. In the 2?s room, staff #2 was the only staff observed with 8 children. 2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.”

8VAC20-780-530-A-1

“Based on a review of 6 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: In the following classrooms there was not a staff member who obtained CPR certification; 1. In the 2?s room, staff #2 was the only staff observed with 8 children. 2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.”

8VAC20-780-60-A

“Based on a review of 6 children’s records and staff interviews, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child # 4 has a diagnosed food allergy (milk) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-790-600-F

“Based on record review of vendor interviews, the vendor did not ensure, all staff who work directly with children obtain the department’s annual health and safety update course. Evidence: The record for staff #3 did not include the annual health and safety update courses. The most recent course for staff #3 was dated June 9, 2020.”

8VAC20-770-60-C-2

“Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of a CPS check conducted. Staff #5 was observed working on the day of the day of the inspection.”

8VAC20-780-410-1

“Based on observation and staff interviews, the center failed to ensure that, a staff does not use forbidden action of rough handling. Evidence: In the two’s room on July 21, 2022, center staff (Staff #2 )roughly handled Child #5 by grabbing the child by their upper arm (between their should ern ad elbow) and lifting them off of a cot. 1.Two times during 11:43 am and 11:48 am staff #2 was observed lifting up child #5 by their upper arm to remove them from a cot. The child’s feet were not on the ground when he was lifted off of the cot. 2.Child #2 screamed and cried both times they were lifted up by their arm.”

22.1-289.058

“Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector. Evidence: The center director confirmed they do not have a carbon monoxide detector.”

8VAC20-780-400-B

“Based on observation and staff interviews, it was determined a center staff did not ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior. Evidence: On July 21, 2022, a center staff, (Staff 2) was observed by licensing inspector when they grabbed the upper arm of child #5 to redirect their behavior. 1. Between 11:43 am and 11:48 am Staff #2 was putting cots on the floor to prepare for afternoon rest period. 2. Child #5 was observed was running and jumping on cots. 3. Two times during this timeframe Staff #2 was observed picking up Child #5 by their left upper arm, between their elbow and shoulder to lift the child off of the cot. 4. Staff #2 told Child #5 both times ?it’s not done, you have to sit down?. 5. Staff #2 told licensing inspector (Child #5) ?he is mine? and ?he is crying because he is tired?.”

8VAC20-780-240-E

“Based on a review of 6 staff records and staff interviews, the licensee did not ensure that each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 5?s date of hire May 12, 2022 does not have documentation of CPR / first aid training/orientation within the timeframe.”

8VAC20-780-530-A-2

“Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid. Evidence: In the following classrooms there was not a staff member who obtained First Aid certification; 1. In the 2?s room, staff #2 was the only staff observed with 8 children. 2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.”

8VAC20-780-530-A-1

“Based on a review of 6 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care Evidence: In the following classrooms there was not a staff member who obtained CPR certification; 1. In the 2?s room, staff #2 was the only staff observed with 8 children. 2. In the 18 months to 2 year old, staff #4 and staff #5 were they only staff observed with 13 children.”

8VAC20-780-60-A

“Based on a review of 6 children’s records and staff interviews, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child # 4 has a diagnosed food allergy (milk) and the record did not include a written care plan, to include instructions from a physician.”

8VAC20-780-350-Q Complaint related: Yes

“Based on staff interviews, record review and observation the licensee did not ensure when a child is assigned to a different age group it is done with a parent's written permission and a written assessment by the program director and program leader. Evidence: Child #1, 23 months old and child #2, 21 months old were assigned to the two year old room. Center director confirmed there was not documentation of a written assessment by the program director and program leader conducted for Child #1 and Child #2.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on observation, record review and staff interviews, the licensee did not ensure the staff-to-children ratio 1 staff or every 8 children for the children age 2 was followed. Evidence: Between 8:30am and 9:00 am on May 19, 2022 there were 9 children in the two year old classroom, room #106 with 1 staff. Two of the children (child #1 and child #2) on the roll sheet were under 24 months. Child #1 was 23 months old and child #2 was 21 months old”

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

“Based on staff interviews, record review and observation the licensee did not ensure that when a child may be assigned to a different age group it is done with a parent's written permission and a written assessment by the program director and program leader. Evidence: Child #1, age 21 months was assigned to the two year old room. Center director confirmed there was not documentation of a written assessment by the program director and program leader conducted for Child #1.”

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

“Based on staff interviews and documentation review, the licensee did not ensure that the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and include all required information. Evidence: The injury report dated March 30, 2022 for Child #1 did not include how the parent was notified of the injury.”

8VAC20-780-160-C

“Based on record review and licensee interviews, the licensee did not ensure that at least every two years from the date of the first initial tuberculosis screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The record for staff #3 did not include an updated TB screening, as the most recent one available is dated 10-29-2019).”

8VAC20-780-500-B

“Based on observation and licensee interviews, the licensee did not ensure for diapering there was a sink with running warm water not to exceed 120?F. Evidence: In room #106, there were 8 children in diapers and there was a portable sink designated for handwashing. The center staff confirmed the sink broke earlier in the day and there was not another sink available for handwashing.”

8VAC20-780-270-A

“Based on observation and licensee interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: In room #106, there was a portable sink placed on top of a small wooden pretend stove. The portable skink was designated for staff and children handwashing. The sink moved easily when touched. The wooden stove is approximately 24 inches tall, 19 inches wide and 13 inches deep and the portable sink is approximately 25 inches tall, 15 wide and 7 inches deep. This sink placed on top of the wooden stove presents a safety hazard.”

22.1-289-036-B-4

“Based on record review and licensee interviews, the licensee did not ensure to a obtain the out of state sex offender check prior to employment. The out of state background checks are required for any person who has lived out side of Virginia within the last five years. Evidence: There was not documentation of results of a sex offender check available for review dated prior to employment for Staff #1 who lived in Florida within the last five years, according to center documentation. Staff #1 was date of hire 1-7-21. Center director confirmed information.”

8VAC20-780-160-C

“Based on record review and licensee interviews, the licensee did not ensure that at least every two years from the date of the first initial tuberculosis screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The record for staff #3 did not include an updated TB screening, as the most recent one available is dated 10-29-2019).”

8VAC20-780-500-B

“Based on observation and licensee interviews, the licensee did not ensure for diapering there was a sink with running warm water not to exceed 120?F. Evidence: In room #106, there were 8 children in diapers and there was a portable sink designated for handwashing. The center staff confirmed the sink broke earlier in the day and there was not another sink available for handwashing.”

8VAC20-780-270-A

“Based on observation and licensee interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: In room #106, there was a portable sink placed on top of a small wooden pretend stove. The portable skink was designated for staff and children handwashing. The sink moved easily when touched. The wooden stove is approximately 24 inches tall, 19 inches wide and 13 inches deep and the portable sink is approximately 25 inches tall, 15 wide and 7 inches deep. This sink placed on top of the wooden stove presents a safety hazard.”

22.1-289-036-B-4

“Based on record review and licensee interviews, the licensee did not ensure to a obtain the out of state sex offender check prior to employment. The out of state background checks are required for any person who has lived out side of Virginia within the last five years. Evidence: There was not documentation of results of a sex offender check available for review dated prior to employment for Staff #1 who lived in Florida within the last five years, according to center documentation. Staff #1 was date of hire 1-7-21. Center director confirmed information.”