Bree's Playhouse Daycare and Learning Center

8VAC20-780-570-H

“Prepared baby food not consumed during that feeding by an infant may be used by that same infant later in the same day; otherwise, it shall be discarded or returned to the parent at the end of the day. In the Infant Classroom, in the refrigerator, there were two jars of baby food that were not disposed of within the required timeframe. One jar of the baby food was dated 10/09/2024 and the other jar of baby food was dated 10/16/2024. Both jars were observed in the refrigerator by the Licensing Inspector on the date of the inspection 11/18/2024.”

8VAC20-780-270-A

“REPEAT VIOLATION 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 chipped or peeling paint; visible cracks, rusting or breakage of any equipment and protruding nails or other components that could entangle clothing or snag skin. On the playground, there were three types of playing equipment with rust and chipping paint: the blue spin-around unicycle, blue hummer metal car and a green, red and blue jumping toy. A pink push-car had a broken steering part presenting sharp ridges, and a piece of the playhouse was laying on the ground, and was cracked and had exposed nails.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 10/11/2024, during a field trip to a local park, Child #1 (aged 3 years old) was out of sight and supervision for approximately 10 minutes. Child #1 was found by a community member, who was not staff, and returned the child to Staff #1, and Staff #2.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 10/11/2024, during a field trip to a local park, Child #1 (aged 3 years old) was out of sight and supervision for approximately 10 minutes. Child #1 was found by a community member, who was not staff, and returned the child to Staff #1, and Staff #2. In the surrounding area, there were two roads, a parking lot and a pond that was accessible and within walking distance to the playground.”

8VAC20-790-600-F

“Based on review of six staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The record of staff #4, employed 12/19/2021, did not contain documentation of the department’s annual health and safety update course. 2. The director stated staff #4 had completed the training however documentation could not be located during the inspection.”

8VAC20-780-160-A

“Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment. Evidence: 1. The record of staff #2, employed 07/21/2023 as a rehire, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 2. The record of staff #3, employed 01/09/2024, contained documentation of a negative tuberculosis screening dated 11/19/2023, exceeding 30 days prior to employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. The chain link fence around the playground area has a bent post that creates a V shaped opening in the fence and exposes the metal ends of the fence posing a hazard of snagging the skin of a child in care. 2. The wooden deck platform, approximately five feet from the ground, has a floor plank that is not flush with the others. The plank bows downward creating a tripping hazard. 3. The wooden lattice fence along the grassy area contained multiple nails protruding. The nails posed a risk of snagging the skin of a child in care. Children were observed playing in the grassy area near the fence.”

8VAC20-780-330-B

“Based on observation, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: Children were observed playing on a small piece of climbing equipment in the grassy area outside the fenced playground on 03/25/2024. The climbing equipment was sitting on an artificial turf carpet, that did not meet the minimum safety standards for resilient surfacing.”

8VAC20-780-530-A-1

“Based on review of six staff records and observations, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration. Evidence: The record for staff #6 did not contain documentation of current CPR certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

8VAC20-780-530-A-2

“Based on review of six staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: The record of staff #6, did not contained documentation of first aid certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

8VAC20-770-60-C-2

“Based on review of six staff records, the center did not obtain the results of the central registry background report within 30 days of employment for four staff members. Evidence: The record of staff #1, employed 02/05/2024, did not contained the results of a central registry background, exceeding 30 days from the date of employment. There was no documentation of a follow-up to the status of the request.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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: 1. The center’s allergies, sensitivities, and dietary restriction list could not be located. There was no list in each room. The record of child #2 list a dietary restriction. 2. The director acknowledged the list of allergies, sensitivities, and dietary restriction could not be located for review.”

8VAC20-790-600-F

“Based on review of six staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course. Evidence: 1. The record of staff #4, employed 12/19/2021, did not contain documentation of the department’s annual health and safety update course. 2. The director stated staff #4 had completed the training however documentation could not be located during the inspection.”

8VAC20-780-160-A

“Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment. Evidence: 1. The record of staff #2, employed 07/21/2023 as a rehire, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 2. The record of staff #3, employed 01/09/2024, contained documentation of a negative tuberculosis screening dated 11/19/2023, exceeding 30 days prior to employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. The chain link fence around the playground area has a bent post that creates a V shaped opening in the fence and exposes the metal ends of the fence posing a hazard of snagging the skin of a child in care. 2. The wooden deck platform, approximately five feet from the ground, has a floor plank that is not flush with the others. The plank bows downward creating a tripping hazard. 3. The wooden lattice fence along the grassy area contained multiple nails protruding. The nails posed a risk of snagging the skin of a child in care. Children were observed playing in the grassy area near the fence.”

8VAC20-780-330-B

“Based on observation, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: Children were observed playing on a small piece of climbing equipment in the grassy area outside the fenced playground on 03/25/2024. The climbing equipment was sitting on an artificial turf carpet, that did not meet the minimum safety standards for resilient surfacing.”

8VAC20-780-530-A-1

“Based on review of six staff records and observations, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration. Evidence: The record for staff #6 did not contain documentation of current CPR certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

8VAC20-780-530-A-2

“Based on review of six staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: The record of staff #6, did not contained documentation of first aid certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

8VAC20-770-60-C-2

“Based on review of six staff records, the center did not obtain the results of the central registry background report within 30 days of employment for four staff members. Evidence: The record of staff #1, employed 02/05/2024, did not contained the results of a central registry background, exceeding 30 days from the date of employment. There was no documentation of a follow-up to the status of the request.”

8VAC20-780-40-M

“Based on interview and review of documentation, the center did not 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: 1. The center’s allergies, sensitivities, and dietary restriction list could not be located. There was no list in each room. The record of child #2 list a dietary restriction. 2. The director acknowledged the list of allergies, sensitivities, and dietary restriction could not be located for review.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: Two prepared bottles were observed setting on the feeding table in the infant room. The two bottles were not labeled with a name or date. An additional prepared bottle was observed on top of the refrigerator, without a name or date.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: Two pickets on the wooden fence enclosing the playground were broken. The pickets had splintered wood creating jagged points that could snag the skin of a child.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely. Evidence: Child #1, 7 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

8VAC20-790-600-B

“Based on review of staff records and interview, the center did not obtain documentation within the first 90 days of employment that one staff who works directly with children had completed the Virginia Preservice training for Child Care Staff. Evidence: The record of staff #2, did not contain documentation of completion of the Virginia preservice training. The director stated she could not find the certificate but that the staff had completed it.”

8VAC20-780-260-A

“Based on interview, the center could not provide the licensing inspector an annual fire inspection report. Evidence: The director stated she could not locate the current fire inspection report”

8VAC20-780-530-A-2

“Based on review of eight staff records and interview, the center did not ensure in each grouping of children there was at least one staff with current first aid certification. Evidence 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current first aid certification. The director stated she did not have documentation of the staff completing first aid certification. 2. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of first aid certification. The director stated she did not have documentation of staff #8 completing first certification.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely. Evidence: Child #2, 17 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: Two prepared bottles were observed in the refrigerator. The two bottles were not labeled with a name or date. Staff #5 identified the two bottles as belonging to child #4.”

8VAC20-780-40-E

“Based on review of the center’s policies and procedures, the center did not ensure the center’s policies for administering medication were consistent for the parent and staff handbook Evidence: 1. The director stated that medication was not administer at the center. 2. The parent handbook stated ?No Medication will be given at the daycare by staff. At this time, no medication will be administered by the staff?. 3. The staff handbook states, ?Medication will be administered by the director only?.”

8VAC20-780-130-E

“Based on review of children’s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (first day of attending center 10/03/2022) contained an immunization record dated 06/04/2022. Child #2 is under two years of age. Updated immunization records were required to be obtained. 2. The record for Child #4 (first day of attending center 05/16/2022) contained an immunization record dated 05/12/2022. Child #4 is under two years of age. Updated immunization records were required to be obtained. 3. A member of management confirmed the information during the inspection.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all required documentation for each staff record. Evidence: The record of staff #1, staff #5, staff #6, staff #7 and staff #8 (all identified as program leaders) did not contain to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds and rest mats. Evidence: In the two year old classroom, eight children were observed napping on cots. Four of the cots were less than 12 inches away from each other”

8VAC20-780-550-P

“Based on review of three injury reports, the center did not maintain a written record of children’s serious and minor injuries that included all required documentation. Evidence: Three injury reports reviewed did not have documentation of the time when parents were notified of the injury.”

8VAC20-780-530-A-1

“Based on review of eight staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current CPR. The director stated she did not have documentation of the staff completing CPR certification. 2. The record of staff #4, who was identified as the van driver and alone on the van with school age children, had documentation of CPR certification dated 10/11/2022 however the training did not have an in-person competency demonstration. 3. The record of staff #5, who was observed alone with a group of 4 infants, had documentation of CPR certification dated 03/27/2022 however the training did not have an in-person competency demonstration. 4. The record of staff #6, who was observed alone with a group of 8 two year olds, had documentation of CPR certification dated 09/01/2022 however the training did not have an in-person competency demonstration. 5. The record of staff #7, who was observed alone with a group of 8 preschool children, had documentation of CPR certification dated 01/17/2022 however the training did not have an in-person competency demonstration. 6. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of CPR certification. The director stated she did not have documentation of staff #8 completing CPR certification.”

8VAC20-790-600-B

“Based on review of staff records and interview, the center did not obtain documentation within the first 90 days of employment that one staff who works directly with children had completed the Virginia Preservice training for Child Care Staff. Evidence: The record of staff #2, did not contain documentation of completion of the Virginia preservice training. The director stated she could not find the certificate but that the staff had completed it.”

8VAC20-780-260-A

“Based on interview, the center could not provide the licensing inspector an annual fire inspection report. Evidence: The director stated she could not locate the current fire inspection report”

8VAC20-780-530-A-2

“Based on review of eight staff records and interview, the center did not ensure in each grouping of children there was at least one staff with current first aid certification. Evidence 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current first aid certification. The director stated she did not have documentation of the staff completing first aid certification. 2. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of first aid certification. The director stated she did not have documentation of staff #8 completing first certification.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely. Evidence: Child #2, 17 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: Two prepared bottles were observed in the refrigerator. The two bottles were not labeled with a name or date. Staff #5 identified the two bottles as belonging to child #4.”

8VAC20-780-40-E

“Based on review of the center’s policies and procedures, the center did not ensure the center’s policies for administering medication were consistent for the parent and staff handbook Evidence: 1. The director stated that medication was not administer at the center. 2. The parent handbook stated ?No Medication will be given at the daycare by staff. At this time, no medication will be administered by the staff?. 3. The staff handbook states, ?Medication will be administered by the director only?.”

8VAC20-780-130-E

“Based on review of children’s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (first day of attending center 10/03/2022) contained an immunization record dated 06/04/2022. Child #2 is under two years of age. Updated immunization records were required to be obtained. 2. The record for Child #4 (first day of attending center 05/16/2022) contained an immunization record dated 05/12/2022. Child #4 is under two years of age. Updated immunization records were required to be obtained. 3. A member of management confirmed the information during the inspection.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all required documentation for each staff record. Evidence: The record of staff #1, staff #5, staff #6, staff #7 and staff #8 (all identified as program leaders) did not contain to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds and rest mats. Evidence: In the two year old classroom, eight children were observed napping on cots. Four of the cots were less than 12 inches away from each other”

8VAC20-780-550-P

“Based on review of three injury reports, the center did not maintain a written record of children’s serious and minor injuries that included all required documentation. Evidence: Three injury reports reviewed did not have documentation of the time when parents were notified of the injury.”

8VAC20-780-530-A-1

“Based on review of eight staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current CPR. The director stated she did not have documentation of the staff completing CPR certification. 2. The record of staff #4, who was identified as the van driver and alone on the van with school age children, had documentation of CPR certification dated 10/11/2022 however the training did not have an in-person competency demonstration. 3. The record of staff #5, who was observed alone with a group of 4 infants, had documentation of CPR certification dated 03/27/2022 however the training did not have an in-person competency demonstration. 4. The record of staff #6, who was observed alone with a group of 8 two year olds, had documentation of CPR certification dated 09/01/2022 however the training did not have an in-person competency demonstration. 5. The record of staff #7, who was observed alone with a group of 8 preschool children, had documentation of CPR certification dated 01/17/2022 however the training did not have an in-person competency demonstration. 6. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of CPR certification. The director stated she did not have documentation of staff #8 completing CPR certification.”

8VAC20-790-600-B

“Based on review of staff records and interview, the center did not obtain documentation within the first 90 days of employment that one staff who works directly with children had completed the Virginia Preservice training for Child Care Staff. Evidence: The record of staff #2, did not contain documentation of completion of the Virginia preservice training. The director stated she could not find the certificate but that the staff had completed it.”

8VAC20-780-260-A

“Based on interview, the center could not provide the licensing inspector an annual fire inspection report. Evidence: The director stated she could not locate the current fire inspection report”

8VAC20-780-530-A-2

“Based on review of eight staff records and interview, the center did not ensure in each grouping of children there was at least one staff with current first aid certification. Evidence 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current first aid certification. The director stated she did not have documentation of the staff completing first aid certification. 2. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of first aid certification. The director stated she did not have documentation of staff #8 completing first certification.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely. Evidence: Child #2, 17 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: Two prepared bottles were observed in the refrigerator. The two bottles were not labeled with a name or date. Staff #5 identified the two bottles as belonging to child #4.”

8VAC20-780-40-E

“Based on review of the center’s policies and procedures, the center did not ensure the center’s policies for administering medication were consistent for the parent and staff handbook Evidence: 1. The director stated that medication was not administer at the center. 2. The parent handbook stated ?No Medication will be given at the daycare by staff. At this time, no medication will be administered by the staff?. 3. The staff handbook states, ?Medication will be administered by the director only?.”

8VAC20-780-130-E

“Based on review of children’s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (first day of attending center 10/03/2022) contained an immunization record dated 06/04/2022. Child #2 is under two years of age. Updated immunization records were required to be obtained. 2. The record for Child #4 (first day of attending center 05/16/2022) contained an immunization record dated 05/12/2022. Child #4 is under two years of age. Updated immunization records were required to be obtained. 3. A member of management confirmed the information during the inspection.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all required documentation for each staff record. Evidence: The record of staff #1, staff #5, staff #6, staff #7 and staff #8 (all identified as program leaders) did not contain to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds and rest mats. Evidence: In the two year old classroom, eight children were observed napping on cots. Four of the cots were less than 12 inches away from each other”

8VAC20-780-550-P

“Based on review of three injury reports, the center did not maintain a written record of children’s serious and minor injuries that included all required documentation. Evidence: Three injury reports reviewed did not have documentation of the time when parents were notified of the injury.”

8VAC20-780-530-A-1

“Based on review of eight staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current CPR. The director stated she did not have documentation of the staff completing CPR certification. 2. The record of staff #4, who was identified as the van driver and alone on the van with school age children, had documentation of CPR certification dated 10/11/2022 however the training did not have an in-person competency demonstration. 3. The record of staff #5, who was observed alone with a group of 4 infants, had documentation of CPR certification dated 03/27/2022 however the training did not have an in-person competency demonstration. 4. The record of staff #6, who was observed alone with a group of 8 two year olds, had documentation of CPR certification dated 09/01/2022 however the training did not have an in-person competency demonstration. 5. The record of staff #7, who was observed alone with a group of 8 preschool children, had documentation of CPR certification dated 01/17/2022 however the training did not have an in-person competency demonstration. 6. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of CPR certification. The director stated she did not have documentation of staff #8 completing CPR certification.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a safe, clean and operable condition. Evidence: 1. The rocking chair in the infant room had a torn cushion that exposed the interior foam to children in care posing a choking hazard. 2. One nap mat was torn along the edge exposing the interior foam in the preschool classroom. 3. One trike on the playground had a plastic seat that was cracked and missing a piece creating a sharp edge that could snag the skin of a child in care. 4. The infant feeding table had one seat with a broken belt fastener and one seat missing the protective belt.”

22.1-289.018-A

“Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books, and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision. Evidence: During the November 10, 2022 inspection, the following was documented: Upon the licensing inspector and licensing administrator’s arrival at the center, a person later identified as staff #1 was observed opening the front door of the center for the postal courier. The two licensing agents approached the door at 3:00 pm and knocked multiple times and rang the doorbell without a response from the center. While one of the licensing agents was on the phone with the local police department, the owner arrived at 3:18 pm and proceeded to allow the agents into the center.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child was placed in an infant seat, the protective belt was fastened securely. Evidence: 1. On November 10, 2022, the licensing agents observed four infants sitting in infant seats at the feeding table. All four infants did not have the protective belts fastened. 2. Infant #1, four months in age, was observed sitting in an infant rocking bouncer without the protective belt fastened.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. The gate on the chain link fence located on the playground was broken and not secure on all sides, creating head entrapment hazards. 2. The wooden fence contained four broken boards creating sharp edges that could entangle clothing or snag skin.”

8VAC20-780-330-B

“Based on observation and interview, the center did not ensure that all fall zones were free of hazardous obstacles. Evidence: 1. The center’s playground contained a swing set (approximately 6 feet 9 inches in height) sitting directly beside the playground fence. 2. Large toys were located approximately 10 feet directly in front of and behind the swing’s trajectory and on all sides of the slide/climbing wall/platform. 3. There was approximately 6 inches between Side A of the swing set and the fence. 4. There was approximately 7 feet 4 inches between Side B of the swing set and the fence. 5. There was approximately 11 feet 6 inches between the back of the swing set and the fence. 6. There was approximately 9 feet from the front of the swing set and wooden ground piece. 7. On August 4, 2022, staff stated the children had played on the playground that morning.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care. Evidence: 1. On August 4, 2022, the licensing inspector observed seven children (three months to 15 months of age) present in the Infant room being supervised by Staff #1 and Staff #2 2. Staff #1 was observed stepping out of the Infant classroom multiple times while the licensing inspector was on site to answer front door, make phone calls, prepare food and completing other various tasks for the center. Staff #2 was left alone in the classroom to supervise the seven infants. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.”

8VAC20-780-80-A

“Based on observation, documentation review and interviews, the center did not ensure for each group of children, a written record of daily attendance documenting the arrival and departure as it occurs of each child was maintained. Evidence: 1. The staff located in the Preschool classroom stated she had an attendance sheet for the classroom but as of 11:05am the attendance sheet had not been completed. Five children were observed present in the classroom. The attendance form did not document the arrival and departure of each child present. 2. The staff located in the Toddler classroom stated she did not have a daily attendance sheet. 3. Staff #1 stated she keeps an attendance list in one red notebook.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care. Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.”

8VAC20-780-340-F

“Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care. Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.”

8VAC20-780-340-D

“Based on interview and review of eight staff records, the center did not ensure each grouping of children had regularly present at least one staff member who met the qualifications of a program leader or program director. Evidence: During the July 27, 2022 inspection, Staff #8 was asked to identify the program leaders for each grouping of children. Staff #8 stated the Toddler classroom has not had a program leader for a couple of months.”

8VAC20-780-340-A

“Based on observation and interview, the center did not ensure when staff were supervising children, staff always ensured the care, protection and guidance of the children in care. Evidence: During the July 26, 2022 inspection, the following was documented: 1. At approximately, 2:05pm, two licensing inspectors observed 27 children (three months to six years of age) present with Staff #3 and Staff #4. Staff #3 and Staff #4 stated they did not hear individuals ringing the doorbell or knocking on exterior doors. Staff #3 and Staff #4 stated they were the only adults present with the 27 children in care. 2. The Preschool and School Age children were observed alone and without staff in the two classrooms. 3. Infant #4 (seven months in age) was observed sleeping on a baby play mat/activity gym located in the crib. The baby play mat/ activity gym contained a label that stated ?CAUTION: Do NOT allow babies to sleep on this product. Do NOT leave child unattended while in use. Use this product ONLY on the floor. Do NOT use in crib, play yard, or other contained area.? 4. During the July 27, 2022 inspection, the following was documented: At approximately 1:20pm, the licensing inspector asked Staff #9 how many children she was supervising in the Toddler classroom. Staff #9 did not respond. Staff #8 was walking with the licensing inspector and spoke to Staff #9 and stated ?[Staff #9] you can?t doze off, you are dozing off?. Staff #9 was observed getting up from the chair where she was sitting under a blanket with her feet propped up.”

8VAC20-780-330-B

“Based on observation and interview, the center did not ensure that all fall zones were free of hazardous obstacles. Evidence: 1. The center’s playground contained a swing set (approximately 6 feet 9 inches in height) sitting directly beside the playground fence. 2. Large toys were located approximately 10 feet directly in front of and behind the swing’s trajectory and on all sides of the slide/climbing wall/platform. 3. There was approximately 6 inches between Side A of the swing set and the fence. 4. There was approximately 7 feet 4 inches between Side B of the swing set and the fence. 5. There was approximately 11 feet 6 inches between the back of the swing set and the fence. 6. There was approximately 9 feet from the front of the swing set and wooden ground piece. 7. On July 27, 2022, Staff #8 stated all children with the exception of school agers use the playground and were last outside on the playground on Monday, July 25, 2022. 8. Swings are required to have a minimum fall zone of six feet on the sides of the structure, and twice the height of the swings in front of and behind the swings.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: The gate on the chain link fence located on the playground was broken and not secure on all sides, creating head entrapment hazards.”

8VAC20-780-245-A

“Based on review of eight staff records, the center did not ensure one staff completed 16 hours of annual training appropriate to the age of children in care. Evidence: The record for staff #7 (DOE: February 23, 2016) did not contain documentation of annual training for the 2021 calendar year.”

8VAC20-780-440-B

“Based on interview and observations, the center did not ensure cribs were identified for use by a specific child. Evidence: On July 26, 2022, the licensing inspectors observed the following: 1. Child #1 was observed sleeping in a crib that was identified as belonging to Child #2. 2. Child #3 was observed sleeping in a crib that was identified as belonging to Child #1.”

8VAC20-780-80-A

“Based on observation and interviews, the center did not ensure for each group of children, a written record of daily attendance documenting the arrival and departure of each child was maintained. Evidence: 1. On July 26, 2022 one attendance sheet was located by the front door for parents to sign their children in and out. The licensing inspector asked Staff #3 and Staff #4 if they had a written record of daily attendance with their group of children. Both Staff #3 and Staff #4 stated they did not have a written record for the children they were supervising. 2. The one attendance sheet for July 26, 2022 indicated 14 children were present. A total of 27 children were observed present at the center on July 26, 2022. 3. On July 27, 2022 the licensing inspector asked Staff #8 how children’s daily attendance is documented. Staff #8 stated ?Parents and Staff #3 are responsible for making sure the children are signed in. I don?t know why everyone was not signed in?.”

8VAC20-780-70

“Based on review of eight staff records, observations and interview, the center failed to keep the required documentation for three staff records. Evidence: 1. Staff #8 identified Staff #1 and Staff #5 as program leaders during the June 27, 2022 inspection. 2. The records for Staff #1 and Staff #5 did not contain documentation to demonstrate that the individuals possessed the education, training, and certification required by the job position. 3. Staff #1 and Staff #5 were observed working alone, supervising different groups of children during the July 27, 2022 inspection. 4. Staff #8 stated she did not have required documentation needed to qualify Staff #1 and Staff #5 as program leaders. 5. The record for staff #9 could not be located during the July 26 and July 27, 2022 inspections. 6. Staff #9 was observed working alone with children on July 27, 2022.”

8VAC20-780-160-C

“Based on review of eight staff records and interview, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: The record for Staff #7 contained documentation of a tuberculosis screening dated July 4, 2019. During the July 27, 2022 inspection, Staff #8 stated ?If it’s not in the record, she didn?t get one?.”

8VAC20-780-160-A

“Based on review of eight staff records and interview, the center did not to obtain documentation of a negative tuberculosis screening that was completed within the last 30 calendar days prior to beginning employment for two staff members. Evidence: 1. The record for Staff #6 (Date of Employment (DOE): July 18, 2022) did not contain documentation of a tuberculosis screening. Staff #6 was observed working with children during the July 27, 2022. 2. The record for Staff #4 (DOE: May 30, 2022) contained documentation of a negative tuberculosis screening dated April 13, 2022.”

8VAC20-770-60-C-2

“Based on review of eight staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: The record for Staff #4 (DOE: May 30, 2022) did not contain the results of a central registry finding. There was no documentation of a follow up to check the status of the requested central registry search. Staff #4 was observed supervising classrooms on July 26 and July 27, 2022.”

8VAC20-780-530-A-1

“Based on observation and review of eight staff records, the center did not ensure at least one staff in each classroom or area where children were present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Evidence: 1. On July 26, 2022, the licensing inspectors observed Staff #4 alone with eight infants in the classroom. 2. The record for Staff #4 did not contain documentation of current CPR. 3. Staff #8 stated on July 27, 2022 ?if it is not in the record then we don?t have it?.”

22.1-289.018-A

“Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision. Evidence: During the July 26, 2022 inspection, the following was documented: Two licensing inspectors arrived at the center at approximately 1:05pm. Inspectors rang the front doorbell, knocked on all exterior doors of the facility, called the center’s phone number and cell phone number for Staff #8. At approximately, 2:05pm, Staff #8 arrived and unlocked the center’s front door. Licensing inspectors observed 27 children (three months to six years of age) present with Staff #3 and Staff #4. Staff #3 and Staff #4 stated they did not hear individuals ringing the doorbell or knocking on exterior doors. Staff #3 and Staff #4 stated they were the only adults present with the 27 children in care.”

8VAC20-780-530-A-2

“Based on observation and review of eight staff records, the center did not ensure at least one staff in each classroom or area where children were present had current certification in first aid. Evidence: 1. On July 26, 2022, the licensing inspectors observed Staff #4 alone with eight infants in the classroom. 2. The record for Staff #4 did not contain documentation of current certification in first aid. 3. Staff #8 stated on July 27, 2022 ?if it is not in the record then we don?t have it?.”

8VAC20-780-570-A

“Based on observation, the center did not ensure when a child was placed in an infant seat, the protective belt was fastened securely. Evidence: On July 26, 2022 the licensing inspectors observed three infants placed in the infant feeding table seats. The seats contained protective belts but the belts were not fastened.”

8VAC20-780-580-I

“Based on observation and interview, the center did not ensure before leaving on a field trip, a schedule of the trip's events and locations was posted and visible at the center site. Evidence: On July 26, 2022 the licensing inspectors were informed six school age children were on a field trip with three staff members. Information regarding the scheduled field trip’s event and location was not posted and visible at the center site.”

8VAC20-780-350-M

“Based on observation and interview, the center did not ensure one staff member did not supervise more than one room or area during rest time. Evidence: On July 26, 2022, the licensing inspectors observed the following: Staff #3 stated two staff members left early and Staff #3 was walking the hallways during naptime, trying to keep an eye on the children in the Toddler classroom, Two’s classroom and Three’s classroom.”

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment for one of four staff. Evidence: The record of Staff #3, date of employment 09/20/21, did not contain any references.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1) There were 3 missing wooden slats on the fence. 2) There were 2 broken wooden fence posts that were sharp. 3) There were several rusty and protruding nails on the wooden fence. 4) The chain link portion of the gate was not secured on all sides and was hanging off the post. 5) There was a rope that was hanging off of the play equipment that was not secured at the bottom as per manufacturer instructions.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that a fall zone was created free of hazardous obstacles. Evidence: The swing set with a height of 6 feet 9 inches was sitting directly beside the fence and had large toys less than 10 feet directly in front of and behind the trajectory of the swing and directly beside all sides of the slide/climbing wall/platform. The height of the swing set is 6ft 9inches. There is approximately 6 inches between the structure and the fence on side A, 7 feet 4 inches between the structure and the fence on side B, 11 feet 6 inches from the back of the fence to the structure, and 9 feet from the front of the structure to the wooden ground piece. Swings are to have a minimum fall zone of six feet on the sides of the structure, and twice the height of the swings in front of and behind the swings.”

8VAC20-780-340-F

“Based on observation, the facility did not ensure that children under ten years of age were within actual sight and sound supervision of staff. Evidence: During the inspection, the licensing inspector observed the following: 1. At approximately 12:10 PM the licensing inspector was escorted by management to observe the Toddler, Two’s, and Preschool classrooms. Upon entering each classroom, the licensing inspector could not see the placement of the children on cots or the supervising staff member in the classroom due to all of the lights being turned off and no natural light being able to come through due to having no windows. 2. The licensing inspector addressed the lack of lighting with the Director. She agreed that it was too dark to see the children. 3. At approximately 12:30 pm the licensing inspector entered the infant classroom. One of the classroom doors was opened during the inspection to allow light into the classroom. Once the additional lighting was added to the classroom, the licensing inspector was able to see 7 infants resting on cots and in cribs and being supervised by two staff members.”

8VAC20-780-260-A

“Based on a review of documentation, the center did not ensure to provide an annual fire inspection report. Evidence: The most recent Fire Inspection was dated 07/20/20.”

8VAC20-780-160-A

“Based on a review of records the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening no more than 30 days prior to the first date of employment. Evidence: 1 out of 4 staff records had a TB test done more than 30 days prior to employment. Staff #1, date of employment 06/27/22, had a TB record with the date of 04/26/22.”

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment for one of four staff. Evidence: The record of Staff #3, date of employment 09/20/21, did not contain any references.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1) There were 3 missing wooden slats on the fence. 2) There were 2 broken wooden fence posts that were sharp. 3) There were several rusty and protruding nails on the wooden fence. 4) The chain link portion of the gate was not secured on all sides and was hanging off the post. 5) There was a rope that was hanging off of the play equipment that was not secured at the bottom as per manufacturer instructions.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that a fall zone was created free of hazardous obstacles. Evidence: The swing set with a height of 6 feet 9 inches was sitting directly beside the fence and had large toys less than 10 feet directly in front of and behind the trajectory of the swing and directly beside all sides of the slide/climbing wall/platform. The height of the swing set is 6ft 9inches. There is approximately 6 inches between the structure and the fence on side A, 7 feet 4 inches between the structure and the fence on side B, 11 feet 6 inches from the back of the fence to the structure, and 9 feet from the front of the structure to the wooden ground piece. Swings are to have a minimum fall zone of six feet on the sides of the structure, and twice the height of the swings in front of and behind the swings.”

8VAC20-780-340-F

“Based on observation, the facility did not ensure that children under ten years of age were within actual sight and sound supervision of staff. Evidence: During the inspection, the licensing inspector observed the following: 1. At approximately 12:10 PM the licensing inspector was escorted by management to observe the Toddler, Two’s, and Preschool classrooms. Upon entering each classroom, the licensing inspector could not see the placement of the children on cots or the supervising staff member in the classroom due to all of the lights being turned off and no natural light being able to come through due to having no windows. 2. The licensing inspector addressed the lack of lighting with the Director. She agreed that it was too dark to see the children. 3. At approximately 12:30 pm the licensing inspector entered the infant classroom. One of the classroom doors was opened during the inspection to allow light into the classroom. Once the additional lighting was added to the classroom, the licensing inspector was able to see 7 infants resting on cots and in cribs and being supervised by two staff members.”

8VAC20-780-260-A

“Based on a review of documentation, the center did not ensure to provide an annual fire inspection report. Evidence: The most recent Fire Inspection was dated 07/20/20.”

8VAC20-780-160-A

“Based on a review of records the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening no more than 30 days prior to the first date of employment. Evidence: 1 out of 4 staff records had a TB test done more than 30 days prior to employment. Staff #1, date of employment 06/27/22, had a TB record with the date of 04/26/22.”