Blue Ridge Montessori

8VAC20-780-40-N

“Based on review of the playground safety plan, the center failed to ensure that all required procedures were established. Evidence: The playground safety plan was missing the following procedure: method of maintaining resilient surface.”

22.1-289.035-B-4

“Based on review of staff’s records the center failed to ensure that all out of state background checks were obtained. Evidence: Staff # 2 hired on 01/08/2024 and lived outside of the state of Virginia in the past five years in a non NFF state (national fingerprint file). Staff # 2 is required to have a criminal background prior to starting the position.”

8VAC20-780-490-E

“Based on observation, the center failed to ensure that any surface that has been contaminated with body fluids shall be cleaned and sanitized. Evidence: An infant spit up on the floor, the teacher used a baby wipe to clean up the body fluid.”

8VAC20-780-420-A

“Based on review of the family handbook, the center failed to ensure that all required policies were provided to the parent in writing. Evidence: The following policies were missing the following policies from the family handbook: Transportation, Description of established line of authority for staff Custodial parent’s right to be admitted to the center.”

8VAC20-780-40-N

“Based on review of the playground safety plan, the center failed to ensure that all required procedures were established. Evidence: The playground safety plan was missing the following procedure: method of maintaining resilient surface.”

22.1-289.035-B-4

“Based on review of staff’s records the center failed to ensure that all out of state background checks were obtained. Evidence: Staff # 2 hired on 01/08/2024 and lived outside of the state of Virginia in the past five years in a non NFF state (national fingerprint file). Staff # 2 is required to have a criminal background prior to starting the position.”

8VAC20-780-490-E

“Based on observation, the center failed to ensure that any surface that has been contaminated with body fluids shall be cleaned and sanitized. Evidence: An infant spit up on the floor, the teacher used a baby wipe to clean up the body fluid.”

8VAC20-780-420-A

“Based on review of the family handbook, the center failed to ensure that all required policies were provided to the parent in writing. Evidence: The following policies were missing the following policies from the family handbook: Transportation, Description of established line of authority for staff Custodial parent’s right to be admitted to the center.”

8VAC20-780-330-B

“Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: The swings did not have the required fall zone of 12 feet front and back of the swings. The measurable amount was 7.9 feet. According to the attachment VII in the Standards for Licensed Child Day Center the amount of fall zone is double the height of the top of the swings to the ground. Children were observed on the playground using the swings.”

8VAC20-780-160-A

“Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 4 had a documented employment date of 05/08/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. The TB screening was dated 02/02/2023.”

8VAC20-780-160-A

“Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. Evidence: Staff # 4 had a documented employment date of 05/08/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. The TB screening was dated 02/02/2023.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all diapering standards were met. Evidence: 1.Observed a staff # 5 discard a soiled diaper in the trash can by using their hand to open the lid. 2.There were children from 6 months to 3 years present at the center on day of the inspection and there was no changing table or countertop designated for changing. Observed diapering on the floor with a changing pad and stand-up diapering.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that children’s hands were washed with soap and running water or use disposable wipes before and after eating meals and snacks. Evidence: 1.Observed in the Aspen room five children started eating lunch and the children’s hands were not washed prior to eating with soap and running water or a disposable wipe. 2.Observed in the Evergreen room ten children were started eating lunch and the children’s hands were not washed with soap and running water or a disposable wipe.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that if hazardous substances are not kept in the original containers that the substitute containers shall clearly indicate their contents. Evidence: 1.In the Cedar room there was clear liquid in a pink spray bottle. The LI smelled the clear liquid and it appeared to be bleach water. 2.In the Aspen room there was clear liquid in a clear glass spray bottle. The LI smelled the clear liquid and it appeared to be Pine sol.”

8VAC20-780-280-E

“Based on observation, the center failed to ensure that cleaning materials and insecticides/ pesticides were stored in areas physically separate from each other. Evidence: 1.Under the sink in the Cedar room there were 12 chemicals that were unlocked and stored together. There were three insecticides/pesticides stored with 9 cleaning chemicals. The following were stored together: Bee Garden Spray (insecticide), Garden Dust (insecticide), Neem Oil (insecticide), Cintas disinfectant & cleaner, Clorox wipes, Stain and Odor Remover Simple South, Fabuloso, Cascade, Lemon Fresh Disinfectant, Signet Hard Surface Sanitizer, Multi Surface glass cleaner and a pink unlabeled container with a chemical.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1.Under the sink in the Cedar room there were 12 chemicals that were unlocked. The following were unlocked: Bee Garden Spray (insecticide), Garden Dust (insecticide), Neem Oil (insecticide), Cintas disinfectant & cleaner, Clorox wipes, Stain and Odor Remover Simple South, Fabuloso, Cascade, Lemon Fresh Disinfectant, Signet Hard Surface Sanitizer, Multi Surface glass cleaner and a pink unlabeled container with a chemical. 2.Under the sink in the Sequoia room there were 8 chemicals that were unlocked. The following were unlocked, Clorox wipes, Odor Ban, 2 containers of Mircoban (an aerosol bottle and a spray bottle) , Cascade, Signet Hard Surface Sanitizer, Windex glass cleaner and a clear glass unlabeled container with a chemical. 3. A cabinet above the counter in the Blue Spruce room there were 8 chemicals that were unlocked. The following were unlocked and accessible to children: Clorox wipes, Cascade, Two containers of Signet Hard Surface Sanitizer, Odor Ban, Lysol aerosol, glass cleaner and a soap and water spray bottle.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that all tables are sanitized before and after each use for feeding. Evidence: Observed in the Aspen room and the Evergreen room, the tables were not sanitized prior to eating lunch.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that all diapering standards were met. Evidence: 1.Observed a staff # 5 discard a soiled diaper in the trash can by using their hand to open the lid. 2.There were children from 6 months to 3 years present at the center on day of the inspection and there was no changing table or countertop designated for changing. Observed diapering on the floor with a changing pad and stand-up diapering.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that children’s hands were washed with soap and running water or use disposable wipes before and after eating meals and snacks. Evidence: 1.Observed in the Aspen room five children started eating lunch and the children’s hands were not washed prior to eating with soap and running water or a disposable wipe. 2.Observed in the Evergreen room ten children were started eating lunch and the children’s hands were not washed with soap and running water or a disposable wipe.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that if hazardous substances are not kept in the original containers that the substitute containers shall clearly indicate their contents. Evidence: 1.In the Cedar room there was clear liquid in a pink spray bottle. The LI smelled the clear liquid and it appeared to be bleach water. 2.In the Aspen room there was clear liquid in a clear glass spray bottle. The LI smelled the clear liquid and it appeared to be Pine sol.”

8VAC20-780-280-E

“Based on observation, the center failed to ensure that cleaning materials and insecticides/ pesticides were stored in areas physically separate from each other. Evidence: 1.Under the sink in the Cedar room there were 12 chemicals that were unlocked and stored together. There were three insecticides/pesticides stored with 9 cleaning chemicals. The following were stored together: Bee Garden Spray (insecticide), Garden Dust (insecticide), Neem Oil (insecticide), Cintas disinfectant & cleaner, Clorox wipes, Stain and Odor Remover Simple South, Fabuloso, Cascade, Lemon Fresh Disinfectant, Signet Hard Surface Sanitizer, Multi Surface glass cleaner and a pink unlabeled container with a chemical.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1.Under the sink in the Cedar room there were 12 chemicals that were unlocked. The following were unlocked: Bee Garden Spray (insecticide), Garden Dust (insecticide), Neem Oil (insecticide), Cintas disinfectant & cleaner, Clorox wipes, Stain and Odor Remover Simple South, Fabuloso, Cascade, Lemon Fresh Disinfectant, Signet Hard Surface Sanitizer, Multi Surface glass cleaner and a pink unlabeled container with a chemical. 2.Under the sink in the Sequoia room there were 8 chemicals that were unlocked. The following were unlocked, Clorox wipes, Odor Ban, 2 containers of Mircoban (an aerosol bottle and a spray bottle) , Cascade, Signet Hard Surface Sanitizer, Windex glass cleaner and a clear glass unlabeled container with a chemical. 3. A cabinet above the counter in the Blue Spruce room there were 8 chemicals that were unlocked. The following were unlocked and accessible to children: Clorox wipes, Cascade, Two containers of Signet Hard Surface Sanitizer, Odor Ban, Lysol aerosol, glass cleaner and a soap and water spray bottle.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that all tables are sanitized before and after each use for feeding. Evidence: Observed in the Aspen room and the Evergreen room, the tables were not sanitized prior to eating lunch.”

8VAC20-780-500-A

“Based on observation of toileting, diapering and eating, the center failed to ensure that all staff and children washed hands as required by the standard. Evidence: 1.Staff # 3 was observed changing a child that had soiled their clothes. The child’s clothes and undergarment were changed. The child finished up and went to start the morning snack process. The child did not wash their hand before getting their plate and sitting at the table and being served morning snack. 2.Staff # 3 was observed changing a child’s soiled clothes and then proceeded to change a diaper of another child. The staff person did not wash their hands between changing the soiled clothing and changing a diaper.”

8VAC20-770-60-B

“Based on review of six staff records, the center failed to obtain a completed sworn statement prior to starting the position. Evidence: 1.Staff # 2 had a hire date of 10/10/2022. A signed sworn statement was not in the record. Staff # 2 was observed working on the day of the inspection. 2.Staff # 6 had a hire date of 8/11/2022. A signed sworn statement was not in the record. Staff # 2 was observed working on the day of the inspection.”

8VAC20-780-70

“Based on review of six staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 4 had a hire date of 8/12/2022 and did not have the two required reference checks prior to employment.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 4 did not include the following information: missing documentation of the first day of attendance, and previous child care or other program. 2. The record for Child #5 did not include the following information: missing documentation of the first day of attendance, the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address or phone number provided for the second designated person) and previous child care and other programs.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 1 had a hire date of 8/11/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested. 2.Staff # 4 had a hire date of 8/12/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested. 3.Staff # 6 had a hire date of 8/11/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested.”

8VAC20-780-160-A

“Based on interview and review of eight staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. 1. Staff # 1 started employment on 8/11/2022 and the date of the TB screening or test was 11/7/2022. 2. Staff # 3 started employment on 12/5/2022 and was working with children on the day of the inspection without a TB screening.”

8VAC20-780-130-A

“Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 2, started on 8/15/2022, did not have the immunization prior to attendance. The immunizations in the record were dated 10/25/2022.”

8VAC20-780-550-G

“Based on record review and interviews, the center failed to ensure that all emergency drills were documented. Evidence: The center did not have documentation of a fire evacuation drill for November of 2022. Staff #7 confirmed that a November drill was not conducted.”

8VAC20-780-520-B

“Based on observation, the center failed to ensure that all sunscreens were labeled with the owner’s name. Evidence: 1.Observed in the toddler room, five sunscreens sitting on the cubbies that were not labeled with the owner’s name.”

8VAC20-780-500-B

“Based on observation of the diapering areas, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand not the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1.In all the three infant and toddler rooms, the disposal system had a plastic spring loaded trap door. To dispose of the diaper, either the staff member’s hand or the diaper would have to touch the trap door. 2.In the toddler room, staff # 3 was observed changing clothes of a child that had soiled themselves. The child was underdressed and sat on the changing bench. The changing bench is used for stand up diapering. The children lean over the bench while standing up on the bamboo mat. The changing bench and the bamboo mat that the child stands on during a change/diapering was not cleaned or sanitized after the change. The staff person proceeded to change another diaper. The area was not cleaning or sanitized after the second child was changed. The requirement is for the area to be cleaned and sanitized after each change.”

8VAC20-780-240-B

“Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 8/11/2022. Staff # 2 was hired on 10/10/2022. Staff # 4 was hired on 8/12/2022. Staff # 5 was hired on 11/1/2022. Staff # 6 was hired on 8/11/2022. These staff records reviewed lacked documentation that orientation had been completed. Staff # 7 stated that orientation was completed verbally with ever staff by the end of their first day of employment.”

8VAC20-780-330-B

“Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: Observed on the playground there was a three-bay swing set. The swing set did not have the required resilient surfacing and fall zones required for the equipment. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing and fall zone is determined by double the height of swing set. Based on the height of the swing set the required fall zone that requires resilient surfacing is 12 feet in front of and behind the piece of equipment.”

8VAC20-780-500-A

“Based on observation of toileting, diapering and eating, the center failed to ensure that all staff and children washed hands as required by the standard. Evidence: 1.Staff # 3 was observed changing a child that had soiled their clothes. The child’s clothes and undergarment were changed. The child finished up and went to start the morning snack process. The child did not wash their hand before getting their plate and sitting at the table and being served morning snack. 2.Staff # 3 was observed changing a child’s soiled clothes and then proceeded to change a diaper of another child. The staff person did not wash their hands between changing the soiled clothing and changing a diaper.”

8VAC20-770-60-B

“Based on review of six staff records, the center failed to obtain a completed sworn statement prior to starting the position. Evidence: 1.Staff # 2 had a hire date of 10/10/2022. A signed sworn statement was not in the record. Staff # 2 was observed working on the day of the inspection. 2.Staff # 6 had a hire date of 8/11/2022. A signed sworn statement was not in the record. Staff # 2 was observed working on the day of the inspection.”

8VAC20-780-70

“Based on review of six staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 4 had a hire date of 8/12/2022 and did not have the two required reference checks prior to employment.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 4 did not include the following information: missing documentation of the first day of attendance, and previous child care or other program. 2. The record for Child #5 did not include the following information: missing documentation of the first day of attendance, the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address or phone number provided for the second designated person) and previous child care and other programs.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire. Evidence: 1.Staff # 1 had a hire date of 8/11/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested. 2.Staff # 4 had a hire date of 8/12/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested. 3.Staff # 6 had a hire date of 8/11/2022. A return search of the central registry was not in the record. Staff # 7 did not provide documentation when requested.”

8VAC20-780-160-A

“Based on interview and review of eight staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children. 1. Staff # 1 started employment on 8/11/2022 and the date of the TB screening or test was 11/7/2022. 2. Staff # 3 started employment on 12/5/2022 and was working with children on the day of the inspection without a TB screening.”

8VAC20-780-130-A

“Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 2, started on 8/15/2022, did not have the immunization prior to attendance. The immunizations in the record were dated 10/25/2022.”

8VAC20-780-550-G

“Based on record review and interviews, the center failed to ensure that all emergency drills were documented. Evidence: The center did not have documentation of a fire evacuation drill for November of 2022. Staff #7 confirmed that a November drill was not conducted.”

8VAC20-780-520-B

“Based on observation, the center failed to ensure that all sunscreens were labeled with the owner’s name. Evidence: 1.Observed in the toddler room, five sunscreens sitting on the cubbies that were not labeled with the owner’s name.”

8VAC20-780-500-B

“Based on observation of the diapering areas, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand not the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1.In all the three infant and toddler rooms, the disposal system had a plastic spring loaded trap door. To dispose of the diaper, either the staff member’s hand or the diaper would have to touch the trap door. 2.In the toddler room, staff # 3 was observed changing clothes of a child that had soiled themselves. The child was underdressed and sat on the changing bench. The changing bench is used for stand up diapering. The children lean over the bench while standing up on the bamboo mat. The changing bench and the bamboo mat that the child stands on during a change/diapering was not cleaned or sanitized after the change. The staff person proceeded to change another diaper. The area was not cleaning or sanitized after the second child was changed. The requirement is for the area to be cleaned and sanitized after each change.”

8VAC20-780-240-B

“Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 1 was hired on 8/11/2022. Staff # 2 was hired on 10/10/2022. Staff # 4 was hired on 8/12/2022. Staff # 5 was hired on 11/1/2022. Staff # 6 was hired on 8/11/2022. These staff records reviewed lacked documentation that orientation had been completed. Staff # 7 stated that orientation was completed verbally with ever staff by the end of their first day of employment.”

8VAC20-780-330-B

“Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: Observed on the playground there was a three-bay swing set. The swing set did not have the required resilient surfacing and fall zones required for the equipment. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing and fall zone is determined by double the height of swing set. Based on the height of the swing set the required fall zone that requires resilient surfacing is 12 feet in front of and behind the piece of equipment.”

8VAC20-780-40-E

“Based on review of the center’s policies and procedures the center failed to ensure that the center maintains compliance with the center’s own policies and procedures that are required by the standards. Evidence: 1.Procedure for identifying where attending children are at all times was not followed by staff on the day of the incident.”

8VAC20-780-340-F

“Based on interviews and video footage, the center failed to ensure that all children were within sight and sound supervision of a staff member. Evidence: On 8/26/2022, Child # 1, age 3, was left out of sight and sound supervision for approximately 56 minutes. There were 13 children in care and staff did not count the last child that arrived into the program at approximately 9:16 AM. At approximately 11:20 AM, 12 children lined up to exit the building and Child #1 was left in the classroom asleep in the reading chair. Staff #1 and Staff #2 stated that they were using the initial head count of 12 children and not 13 when they lined up to exit. At approximately 12:08 PM, Child # 1 awakes and wanders around the classroom. At approximately 12:16 PM, the class returned from the playground and Child # 1 was discovered.”

8VAC20-780-550-A Complaint related: Yes

“Based on interviews, the center failed to ensure that the emergency plan included procedures for a lock down. Evidence: 1.Staff # 1 stated that the lock down plan could not be located on the day of the complaint inspection.”

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

“Based on observations, the center failed to ensure that the staff to child ratio was met. Evidence: 1.On 7/25/2022 there were 22 children ages 2 ? to 5 years of age in the White Pine Room with two staff. The required ratio is for one staff for eight children. Three staff members were required.”

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

“Based on observation, the center failed to ensure that all areas and equipment was maintained in a safe and operable condition. Evidence: The gate of the middle playground that is used by the children was laying on the ground. The cement footer was exposed. This posed a safety hazard to the children in care.”

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

“Based on interviews with staff, the center failed to ensure that all children were within sight and sound supervision of a staff member. On 7/20/2022, a 5 year old child # 1, walked around the elementary school building and through an opening in the fence. The gate was laying on the ground. The child walked around the building to the back porch. One of the elementary school teachers saw child # 1 and took the child into the building and back to class. During this time staff # 3 was returning from being inside and started to search for child # 1. Verified through interviews with all three staff, child # 1 was out of sight and sound supervision for approximately 5 minutes.”

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

“Based on interviews and attendance records, the center failed to ensure that the staff to child ratio was met. Evidence: On 7/20/2022 there were 40 children ages 2 ? to 5 years of age on the middle playground. There were 2 staff members supervising the children. The required ratio is for one staff for eight children. Five staff members were required.”

8VAC20-780-550-A Complaint related: Yes

“Based on interviews, the center failed to ensure that the emergency plan included procedures for a lock down. Evidence: 1.Staff # 1 stated that the lock down plan could not be located on the day of the complaint inspection.”

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

“Based on observations, the center failed to ensure that the staff to child ratio was met. Evidence: 1.On 7/25/2022 there were 22 children ages 2 ? to 5 years of age in the White Pine Room with two staff. The required ratio is for one staff for eight children. Three staff members were required.”

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

“Based on observation, the center failed to ensure that all areas and equipment was maintained in a safe and operable condition. Evidence: The gate of the middle playground that is used by the children was laying on the ground. The cement footer was exposed. This posed a safety hazard to the children in care.”

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

“Based on interviews with staff, the center failed to ensure that all children were within sight and sound supervision of a staff member. On 7/20/2022, a 5 year old child # 1, walked around the elementary school building and through an opening in the fence. The gate was laying on the ground. The child walked around the building to the back porch. One of the elementary school teachers saw child # 1 and took the child into the building and back to class. During this time staff # 3 was returning from being inside and started to search for child # 1. Verified through interviews with all three staff, child # 1 was out of sight and sound supervision for approximately 5 minutes.”

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

“Based on interviews and attendance records, the center failed to ensure that the staff to child ratio was met. Evidence: On 7/20/2022 there were 40 children ages 2 ? to 5 years of age on the middle playground. There were 2 staff members supervising the children. The required ratio is for one staff for eight children. Five staff members were required.”

8VAC20-780-550-A Complaint related: Yes

“Based on interviews, the center failed to ensure that the emergency plan included procedures for a lock down. Evidence: 1.Staff # 1 stated that the lock down plan could not be located on the day of the complaint inspection.”

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

“Based on observations, the center failed to ensure that the staff to child ratio was met. Evidence: 1.On 7/25/2022 there were 22 children ages 2 ? to 5 years of age in the White Pine Room with two staff. The required ratio is for one staff for eight children. Three staff members were required.”

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

“Based on observation, the center failed to ensure that all areas and equipment was maintained in a safe and operable condition. Evidence: The gate of the middle playground that is used by the children was laying on the ground. The cement footer was exposed. This posed a safety hazard to the children in care.”

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

“Based on interviews with staff, the center failed to ensure that all children were within sight and sound supervision of a staff member. On 7/20/2022, a 5 year old child # 1, walked around the elementary school building and through an opening in the fence. The gate was laying on the ground. The child walked around the building to the back porch. One of the elementary school teachers saw child # 1 and took the child into the building and back to class. During this time staff # 3 was returning from being inside and started to search for child # 1. Verified through interviews with all three staff, child # 1 was out of sight and sound supervision for approximately 5 minutes.”

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

“Based on interviews and attendance records, the center failed to ensure that the staff to child ratio was met. Evidence: On 7/20/2022 there were 40 children ages 2 ? to 5 years of age on the middle playground. There were 2 staff members supervising the children. The required ratio is for one staff for eight children. Five staff members were required.”

8VAC20-780-270-A

“Based on inspection, the Licensee failed to ensure areas and equipment of the center is maintained in a clean, safe and operable condition. EVIDENCE: On the pre-school playground, the Licensing Inspector observed the following hazardous: 1 Large areas of exposed tarp surrounding the play equipment and in general open areas of the playgroundcreating multiple tripping hazards. 2 Damaged chain liked fence surrounding the playground area with exposed sharp metal portions of the fence was accessible to the children. Children were observed swinging back and forth on portions of the fence that weren?t securely fastened. 3 Large wood logs were observed in the trajectory fall zones. Children were observed climbing on the logs while other children were jumping and playing on the equipment.”

8VAC20-780-280-B

“Based on inspection, the Licensee failed to keep hazardous substances in a locked place using a safe locking method that prevents access by children. EVIDENCE: In the Blue Spruce classroom, the Licensing Inspector observed hazardous substances (detergent PODS) stored in an unlocked cabinet drawer that was accessible to the children in care.”

8VAC20-780-500-B

“Based on observations, the Licensee failed to clean diapering surface with soap and running water and sanitize after each use. EVIDENCE: In the Palmetto classroom, the Licensing Inspector observed staff member changing diapers for multiple children. The diapering area was not cleaned with soap and water and sanitized after each use.”

8VAC20-780-320-B

“Based on inspection, the Licensee failed to ensure each restroom used by the children in care is equipped with soap, toilet paper and disposable towels or an air dryer within the reach of children. EVIDENCE: The bathroom used by the children in the Cherry Blossoms classroom was not equipped with paper towels or an air dryer within the reach of the children.”

8VAC20-780-510-G

“Based on inspection, the Licensee failed to ensure prescribed medication is labeled with the child’s name, the name of the medication, the dosage amount and the time(s) to be given. EVIDENCE: Prescribed medication for Child #2 was not stored in the original packaging, was not labeled with the child’s name, the name of the medication, the dosage amount, and the time(s) to be given. Prescription medication did not include pharmacy prescription label.”

8VAC20-770-40-D-1-a

“Based on inspection, the Licensee failed to ensure board officers or any agent involved in the day-to-day operations complete Background Check. EVIDENCE: Four new board officers identified on the Licensee's renewal application did not complete required Background Checks (Sworn Disclosure upon registrant change; Central Registry before the end of 30 days after change; Fingerprint Criminal Record upon registrant change).”

8VAC20-780-570-E

“Based on observations, the Licensee failed to label infant bottles containing prepared infant formula with the required information. EVIDENCE: In the Juniper classroom, the Licensing Inspector observed infant bottles with prepared infant formula that were not labeled with the child’s name and the current date. In the Weeping Willow classroom, the Licensing Inspector observed breast milk bags containing milk that were not labeled with the date and the child’s name.”

8VAC20-780-270-A

“Based on inspection, the Licensee failed to ensure areas and equipment of the center is maintained in a clean, safe and operable condition. EVIDENCE: On the pre-school playground, the Licensing Inspector observed the following hazardous: 1 Large areas of exposed tarp surrounding the play equipment and in general open areas of the playgroundcreating multiple tripping hazards. 2 Damaged chain liked fence surrounding the playground area with exposed sharp metal portions of the fence was accessible to the children. Children were observed swinging back and forth on portions of the fence that weren?t securely fastened. 3 Large wood logs were observed in the trajectory fall zones. Children were observed climbing on the logs while other children were jumping and playing on the equipment.”

8VAC20-780-280-B

“Based on inspection, the Licensee failed to keep hazardous substances in a locked place using a safe locking method that prevents access by children. EVIDENCE: In the Blue Spruce classroom, the Licensing Inspector observed hazardous substances (detergent PODS) stored in an unlocked cabinet drawer that was accessible to the children in care.”

8VAC20-780-500-B

“Based on observations, the Licensee failed to clean diapering surface with soap and running water and sanitize after each use. EVIDENCE: In the Palmetto classroom, the Licensing Inspector observed staff member changing diapers for multiple children. The diapering area was not cleaned with soap and water and sanitized after each use.”

8VAC20-780-320-B

“Based on inspection, the Licensee failed to ensure each restroom used by the children in care is equipped with soap, toilet paper and disposable towels or an air dryer within the reach of children. EVIDENCE: The bathroom used by the children in the Cherry Blossoms classroom was not equipped with paper towels or an air dryer within the reach of the children.”

8VAC20-780-510-G

“Based on inspection, the Licensee failed to ensure prescribed medication is labeled with the child’s name, the name of the medication, the dosage amount and the time(s) to be given. EVIDENCE: Prescribed medication for Child #2 was not stored in the original packaging, was not labeled with the child’s name, the name of the medication, the dosage amount, and the time(s) to be given. Prescription medication did not include pharmacy prescription label.”

8VAC20-770-40-D-1-a

“Based on inspection, the Licensee failed to ensure board officers or any agent involved in the day-to-day operations complete Background Check. EVIDENCE: Four new board officers identified on the Licensee's renewal application did not complete required Background Checks (Sworn Disclosure upon registrant change; Central Registry before the end of 30 days after change; Fingerprint Criminal Record upon registrant change).”

8VAC20-780-570-E

“Based on observations, the Licensee failed to label infant bottles containing prepared infant formula with the required information. EVIDENCE: In the Juniper classroom, the Licensing Inspector observed infant bottles with prepared infant formula that were not labeled with the child’s name and the current date. In the Weeping Willow classroom, the Licensing Inspector observed breast milk bags containing milk that were not labeled with the date and the child’s name.”