Cadence Academy Preschool

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years prior to employment. The documentation in the record of Staff #9 indicated the out-of-state sex offender registry search and the out-of-state child abuse and neglect registry search were requested nine days after the staff started employment.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB in the record of Staff #2 was completed 41 days prior to employment and the TB in the record of Staff #7 was completed 47 days prior to employment.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The center did not have documentation of the monthly practice evacuation drill that was conducted in January 2025.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4 began employment two days prior to when their references were obtained.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #4 was dated ten days after their first day of employment.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 04/11/25, the center was made aware of an allegation of suspected inappropriate behavior between Child #1, Child #2, and Child #3, while riding the center's bus. On 04/14/25, the children were permitted to ride the bus together and interact without additional supervision. Child #1 became upset and started crying on the bus because Child #2 accused the child of telling on them. The center acknowledged additional supervision measures had not been put in place prior to allowing the children to ride together after the allegations were made.”

63.2-1509-A Complaint related: Yes

“Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report the matter immediately to the local department's toll-free child abuse and neglect hotline. Staff became aware of a reportable offense on 04/11/25, and did not report it to the local department until 04/14/25.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 04/11/25, the center was made aware of an allegation of suspected inappropriate behavior between Child #1, Child #2, and Child #3, while riding the center's bus. On 04/14/25, the children were permitted to ride the bus together and interact without additional supervision. Child #1 became upset and started crying on the bus because Child #2 accused the child of telling on them. The center acknowledged additional supervision measures had not been put in place prior to allowing the children to ride together after the allegations were made.”

63.2-1509-A Complaint related: Yes

“Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report the matter immediately to the local department's toll-free child abuse and neglect hotline. Staff became aware of a reportable offense on 04/11/25, and did not report it to the local department until 04/14/25.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment, if a reference is taken over the telephone it shall include the required information. The two references in the record of Staff #2 were checked after the staff started employment. One reference was checked two days after employment and the second reference was checked 18 days after employment. Two references for Staff #5 , who has been actively working at the center for the past three months, were checked over the telephone, but the documentation did not include the signature of the person making the call. Staff #7, who has been actively working at the center for two days, did not have any completed reference verifications on file.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On August 26, 2024, at approximately 8:00am, Staff #1 left nine, four-year-old, children out of sight and sound supervision for less than one minute to walk Child #1 into another classroom.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On August 26, 2024, Child #1 (4-years-old) was not following Staff #1's directions to say, "good morning" and to take their hat off when they were dropped off in the morning. Staff #1 pulled Child #1's hat off and walked him out of the classroom. While walking him into another classroom, Staff #1 was observed pulling Child #1 by the arm and saying: "Here. I am not dealing with him" and leaving him with another staff member and the child's parent.”

8VAC20-790-600-D-1

“Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The CPR certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The CPR certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in CPR within 90 days of the date of employment.”

8VAC20-790-600-D-2

“Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The first aid certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The first aid certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in first aid within 90 days of the date of employment.”

8VAC20-790-600-F

“Based on a review of 33 staff records and interviews, the vendor did not ensure seven staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1. The record of Staff #4, date of employment 09/21/21, did not contain documentation that the staff completed the department's health and safety update course from 2021 - 2023. The most recent certificate was dated 07/11/24. 2. The record of Staff #8, date of employment 10/03/22, did not contain documentation that the staff completed the department's health and safety update course in 2023. The most recent certificate was dated 07/18/24. 3. The record of Staff #10, date of employment 10/05/22, did not contain documentation that the staff completed the department's health and safety update course from 2020 - 2023. The most recent certificate was dated 04/20/24. 4. The record of Staff #11, date of employment 04/23/08, did not contain documentation that the staff completed the department's health and safety update course from 2021 - 2023. The most recent certificate was dated 07/29/24. 5. The record of Staff #19, date of employment 08/16/21, did not contain documentation that the staff completed the department's health and safety update course from 2022 - 2023. The most recent certificate was dated 07/12/24. 6. The record of Staff #20, date of employment 10/03/22, did not contain documentation that the staff completed the department's health and safety update course in 2023. The most recent certificate was dated 07/16/24. 7. The record of Staff #25, date of employment 04/23/19, did not contain documentation that the staff completed the department's health and safety update course from 2022 - 2023. The most recent certificate was dated 07/21/24. 8. During interviews, management reported the center did not have additional documentation to verify the required trainings were completed annually for each staff member.”

8VAC20-790-600-B

“Based on a review of 33 staff records, the vendor did not ensure one staff member who works directly with children shall complete the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: Staff #27, date of employment 05/30/19, completed the Virginia Preservice Training for Child Care Staff on 07/17/24. For staff employed prior to October 13, 2021, and approved as subsidy vendors, the Virginia Preservice Training for Child Care Staff was required to be completed within the first 90 days of employment.”

8VAC20-780-240-B

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure four staff members completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The orientation training in the record of Staff #7, date of employment 04/03/23, was completed on 01/04/24. 2. The orientation training in the record of Staff #12, date of employment 08/14/23, was completed on 01/04/24. 3. The orientation training in the record of Staff #16, date of employment 12/04/23, was completed on 01/04/24. 4. The orientation training in the record of Staff #29, date of employment 01/28/24, was completed on 02/27/24. 5. During interviews, management reported the center did not have additional documentation to verify the orientation training was completed within the required timeframe.”

8VAC20-780-240-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that three staff members completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #7, date of employment 04/03/23, completed the Virginia Department of Education-sponsored orientation course on 07/19/24. 2. Staff #20, date of employment 10/03/22, completed the Virginia Department of Education-sponsored orientation course on 07/16/24. 3. The record of Staff #21, date of employment 02/19/24, did not contain documentation that the staff completed the Virginia Department of Education-sponsored orientation course. 4. During interview, management reported Staff #21 is working on the course.”

8VAC20-770-60-C-2

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that five staff members had a central registry finding within 30 days of employment. Evidence: 1. The central registry finding in the record of Staff #8, date of employment 10/03/22, was dated 01/04/23. 2. The central registry finding in the record of Staff #13, date of employment 06/05/23, was dated 09/04/23. 3. The record of Staff #19, employed on 08/16/21, did not contain documentation of a central registry finding. 4. The central registry finding in the record of Staff #20, date of employment 10/03/22, was dated 01/04/23. 5. The record of Staff #23, employed on 03/26/24, did not contain documentation of a central registry finding. 6. During interviews, management acknowledged these background checks were the only documentation on file for each staff. The central registry finding was not obtained for all staff members within 30 days of employment.”

8VAC20-780-240-E

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, within 30 days of the first day of employment. Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained documentation that the staff completed orientation training in first aid and CPR on 07/18/24. 2. The record of Staff #12, date of employment 08/14/23, contained documentation that the staff completed orientation training in first aid and CPR on 01/04/24. 3. During interview, management reported the center did not have documentation to verify Staff #7 and Staff #12 completed the training within 30 days of the first day of employment.”

8VAC20-780-160-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that eleven staff members had a tuberculosis (TB) screening within the required timeframe. Evidence: 1. The TB screening in the record of Staff #1, date of employment 01/15/24, was completed on 01/31/24. 2. The most recent TB screening in the record of Staff #2, date of employment 05/16/24, was completed on 06/04/24. A previous TB screening on file was completed on 03/01/24. 3. The most recent TB screening in the record of Staff #12, date of employment 08/14/23, was completed on 07/16/24. A previous TB screening on file was completed on 06/13/23. 4. The TB screening in the record of Staff #15, date of employment 03/08/24, was completed on 07/12/24. 5. The TB screening in the record of Staff #22, date of employment 01/14/24, was completed on 01/31/24. 6. The TB screening in the record of Staff #23, date of employment 03/26/24, was completed on 07/16/24. 7. The most recent TB screening in the record of Staff #26, date of employment 01/02/24, was completed on 07/16/24. A previous TB screening on file was completed on 01/31/24. 8. The most recent TB screening in the record of Staff #28, date of employment 01/29/24, was completed on 07/16/24. A previous TB screening on file was completed on 01/31/24. 9. The TB screening in the record of Staff #29, date of employment 01/28/24, was completed on 07/16/24. 10. The TB screening in the record of Staff #30, date of employment 04/15/24, was completed on 07/16/24. 11. The TB screening in the record of Staff #31, date of employment 04/15/24, was completed on 07/16/24. 12. During interviews, management acknowledged the TB screenings were not completed within the required timeframe for all staff. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-245-A

“Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained 7 hours of annual training from 04/04/23 ? 04/03/24. 2. The record of Staff #13, date of employment 06/05/23, contained 6 hours of annual training from 06/06/23 ? 06/05/24. 3. During interviews, management reported this is the documentation that was obtained from each staff to date.”

8VAC20-780-270-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on observations and interviews, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the walk-through of the facility on 07/29/24, the inspector observed four areas of chipped and peeling paint in the Pre-K 2 classroom. During interviews, management acknowledged the peeling paint was in areas accessible to the children in care.”

8VAC20-780-160-C

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that one staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening in the record of Staff #4, date of employment 09/21/21, was completed on 01/31/24. The previous TB screening was completed on 01/14/22 and expired on 01/14/24. During interviews, management acknowledged the TB for Staff #4 was not obtained within the required timeframe.”

8VAC20-770-60-B

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members had a completed sworn statement or affirmation prior to employment. Evidence: 1. The sworn statement in the record of Staff #3, date of employment 02/19/24, was completed on 04/18/24. 2. The sworn statement in the record of Staff #29, date of employment 01/28/24, was completed on 01/29/24. 3. During interviews, management acknowledged the sworn statements on file for Staff #3 and Staff #29 were completed after employment.”

22.1-289.035-B-4

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain the required out-of-state background checks from any state in which five staff members had resided in the preceding five years within the required timeframe. Evidence: 1.The record of Staff #1, date of employment 01/15/24, indicated the staff had resided in another state outside of Virginia within the last five years. The search of the child abuse and neglect registry was requested on 03/05/24 and the results received on 03/25/24. 2. The record of Staff #3, date of employment 02/19/24, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a copy of the results of the criminal history record information check for one of the states, or a search of the child abuse and neglect registry or equivalent registry from both states. 3. A sworn statement completed on 04/03/23 in the record of Staff #7, date of employment 04/03/23, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a copy of the results of the criminal history record information check, or a search of the child abuse and neglect registry or equivalent registry from that state. 4. The record of Staff #21, date of employment 02/19/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the search of the child abuse and neglect registry or equivalent registry from that state. 5. The record of Staff #28, date of employment 01/29/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the search of the child abuse and neglect registry or equivalent registry from that state. 6. During interviews, management acknowledged the background checks on file were the only out-of-state background checks that could be located for each staff member. For staff employed prior to July 1, 2024, the out-of-state search of the child abuse and neglect registry was required to be requested within 30 days of employment. The out-of-state criminal history record information check is required to be obtained prior to employment.”

22.1-289.035-B-2

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain a national fingerprint-based criminal record search for seven staff members prior to employment. Evidence: 1. The national fingerprint-based criminal record search in the record of Staff #3, date of employment 02/09/24, was obtained on 02/27/24. 2. The national fingerprint-based criminal record search in the record of Staff #12, date of employment 08/14/23, was obtained on 08/15/23. 3. The national fingerprint-based criminal record search in the record of Staff #18, date of employment 02/19/24, was obtained on 02/20/24. 4. The national fingerprint-based criminal record search in the record of Staff #22, date of employment 01/14/24, was obtained on 01/17/24. 5. The national fingerprint-based criminal record search in the record of Staff #24, date of employment 08/04/23, was obtained on 08/08/23. 6. The national fingerprint-based criminal record search in the record of Staff #28, date of employment 01/29/24, was obtained on 02/07/24. 7. The national fingerprint-based criminal record search in the record of Staff #29, date of employment 01/28/24, was obtained on 02/06/24. 8. During interviews, management confirmed the fingerprints were obtained after employment.”

22.1-289.035-A

“Based on a review of 33 staff records and interviews, the center did not ensure that two staff members shall undergo background checks every five years. Evidence: 1. The most recent national fingerprint-based criminal background check in the record of Staff #11 was obtained on 07/19/24. The previous national fingerprint-based criminal background check was obtained on 10/09/18 and should have been repeated no later than 10/09/23. 2. The most recent central registry finding in the record of Staff #11 was obtained on 06/20/24. The previous central registry finding was obtained on 12/02/18 and should have been repeated no later than 12/02/23. 3. The most recent central registry finding in the record of Staff #25 was obtained on 07/24/24. The previous central registry finding was obtained on 05/17/19 and should have been repeated no later than 05/17/24. 4. During interviews, management acknowledged the background checks were not obtained every five years as required.”

8VAC20-780-70

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that four staff records contained the required information. Evidence: 1. The references in the record of Staff #12, date of employment 08/14/23, were obtained on 07/18/24. 2. The references in the record of Staff #15, date of employment 03/08/24, were obtained on 07/11/24. 3. The record of Staff #23, date of employment 03/26/24, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4. The references in the record of Staff #30, date of employment 04/15/24, were obtained on 04/16/24. 5. During interviews, management acknowledged that the references were not all obtained prior to employment for all staff. Each staff record shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.”

8VAC20-790-600-D-1

“Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The CPR certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The CPR certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in CPR within 90 days of the date of employment.”

8VAC20-790-600-D-2

“Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: 1) The first aid certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The first aid certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The first aid certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in first aid within 90 days of the date of employment.”

8VAC20-790-600-F

“Based on a review of 33 staff records and interviews, the vendor did not ensure seven staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1. The record of Staff #4, date of employment 09/21/21, did not contain documentation that the staff completed the department's health and safety update course from 2021 - 2023. The most recent certificate was dated 07/11/24. 2. The record of Staff #8, date of employment 10/03/22, did not contain documentation that the staff completed the department's health and safety update course in 2023. The most recent certificate was dated 07/18/24. 3. The record of Staff #10, date of employment 10/05/22, did not contain documentation that the staff completed the department's health and safety update course from 2020 - 2023. The most recent certificate was dated 04/20/24. 4. The record of Staff #11, date of employment 04/23/08, did not contain documentation that the staff completed the department's health and safety update course from 2021 - 2023. The most recent certificate was dated 07/29/24. 5. The record of Staff #19, date of employment 08/16/21, did not contain documentation that the staff completed the department's health and safety update course from 2022 - 2023. The most recent certificate was dated 07/12/24. 6. The record of Staff #20, date of employment 10/03/22, did not contain documentation that the staff completed the department's health and safety update course in 2023. The most recent certificate was dated 07/16/24. 7. The record of Staff #25, date of employment 04/23/19, did not contain documentation that the staff completed the department's health and safety update course from 2022 - 2023. The most recent certificate was dated 07/21/24. 8. During interviews, management reported the center did not have additional documentation to verify the required trainings were completed annually for each staff member.”

8VAC20-790-600-B

“Based on a review of 33 staff records, the vendor did not ensure one staff member who works directly with children shall complete the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: Staff #27, date of employment 05/30/19, completed the Virginia Preservice Training for Child Care Staff on 07/17/24. For staff employed prior to October 13, 2021, and approved as subsidy vendors, the Virginia Preservice Training for Child Care Staff was required to be completed within the first 90 days of employment.”

8VAC20-780-240-B

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure four staff members completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The orientation training in the record of Staff #7, date of employment 04/03/23, was completed on 01/04/24. 2. The orientation training in the record of Staff #12, date of employment 08/14/23, was completed on 01/04/24. 3. The orientation training in the record of Staff #16, date of employment 12/04/23, was completed on 01/04/24. 4. The orientation training in the record of Staff #29, date of employment 01/28/24, was completed on 02/27/24. 5. During interviews, management reported the center did not have additional documentation to verify the orientation training was completed within the required timeframe.”

8VAC20-780-240-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that three staff members completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #7, date of employment 04/03/23, completed the Virginia Department of Education-sponsored orientation course on 07/19/24. 2. Staff #20, date of employment 10/03/22, completed the Virginia Department of Education-sponsored orientation course on 07/16/24. 3. The record of Staff #21, date of employment 02/19/24, did not contain documentation that the staff completed the Virginia Department of Education-sponsored orientation course. 4. During interview, management reported Staff #21 is working on the course.”

8VAC20-770-60-C-2

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that five staff members had a central registry finding within 30 days of employment. Evidence: 1. The central registry finding in the record of Staff #8, date of employment 10/03/22, was dated 01/04/23. 2. The central registry finding in the record of Staff #13, date of employment 06/05/23, was dated 09/04/23. 3. The record of Staff #19, employed on 08/16/21, did not contain documentation of a central registry finding. 4. The central registry finding in the record of Staff #20, date of employment 10/03/22, was dated 01/04/23. 5. The record of Staff #23, employed on 03/26/24, did not contain documentation of a central registry finding. 6. During interviews, management acknowledged these background checks were the only documentation on file for each staff. The central registry finding was not obtained for all staff members within 30 days of employment.”

8VAC20-780-240-E

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, within 30 days of the first day of employment. Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained documentation that the staff completed orientation training in first aid and CPR on 07/18/24. 2. The record of Staff #12, date of employment 08/14/23, contained documentation that the staff completed orientation training in first aid and CPR on 01/04/24. 3. During interview, management reported the center did not have documentation to verify Staff #7 and Staff #12 completed the training within 30 days of the first day of employment.”

8VAC20-780-160-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that eleven staff members had a tuberculosis (TB) screening within the required timeframe. Evidence: 1. The TB screening in the record of Staff #1, date of employment 01/15/24, was completed on 01/31/24. 2. The most recent TB screening in the record of Staff #2, date of employment 05/16/24, was completed on 06/04/24. A previous TB screening on file was completed on 03/01/24. 3. The most recent TB screening in the record of Staff #12, date of employment 08/14/23, was completed on 07/16/24. A previous TB screening on file was completed on 06/13/23. 4. The TB screening in the record of Staff #15, date of employment 03/08/24, was completed on 07/12/24. 5. The TB screening in the record of Staff #22, date of employment 01/14/24, was completed on 01/31/24. 6. The TB screening in the record of Staff #23, date of employment 03/26/24, was completed on 07/16/24. 7. The most recent TB screening in the record of Staff #26, date of employment 01/02/24, was completed on 07/16/24. A previous TB screening on file was completed on 01/31/24. 8. The most recent TB screening in the record of Staff #28, date of employment 01/29/24, was completed on 07/16/24. A previous TB screening on file was completed on 01/31/24. 9. The TB screening in the record of Staff #29, date of employment 01/28/24, was completed on 07/16/24. 10. The TB screening in the record of Staff #30, date of employment 04/15/24, was completed on 07/16/24. 11. The TB screening in the record of Staff #31, date of employment 04/15/24, was completed on 07/16/24. 12. During interviews, management acknowledged the TB screenings were not completed within the required timeframe for all staff. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-780-245-A

“Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained 7 hours of annual training from 04/04/23 ? 04/03/24. 2. The record of Staff #13, date of employment 06/05/23, contained 6 hours of annual training from 06/06/23 ? 06/05/24. 3. During interviews, management reported this is the documentation that was obtained from each staff to date.”

8VAC20-780-270-A

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on observations and interviews, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: During the walk-through of the facility on 07/29/24, the inspector observed four areas of chipped and peeling paint in the Pre-K 2 classroom. During interviews, management acknowledged the peeling paint was in areas accessible to the children in care.”

8VAC20-780-160-C

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that one staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening in the record of Staff #4, date of employment 09/21/21, was completed on 01/31/24. The previous TB screening was completed on 01/14/22 and expired on 01/14/24. During interviews, management acknowledged the TB for Staff #4 was not obtained within the required timeframe.”

8VAC20-770-60-B

“(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members had a completed sworn statement or affirmation prior to employment. Evidence: 1. The sworn statement in the record of Staff #3, date of employment 02/19/24, was completed on 04/18/24. 2. The sworn statement in the record of Staff #29, date of employment 01/28/24, was completed on 01/29/24. 3. During interviews, management acknowledged the sworn statements on file for Staff #3 and Staff #29 were completed after employment.”

22.1-289.035-B-4

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain the required out-of-state background checks from any state in which five staff members had resided in the preceding five years within the required timeframe. Evidence: 1.The record of Staff #1, date of employment 01/15/24, indicated the staff had resided in another state outside of Virginia within the last five years. The search of the child abuse and neglect registry was requested on 03/05/24 and the results received on 03/25/24. 2. The record of Staff #3, date of employment 02/19/24, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a copy of the results of the criminal history record information check for one of the states, or a search of the child abuse and neglect registry or equivalent registry from both states. 3. A sworn statement completed on 04/03/23 in the record of Staff #7, date of employment 04/03/23, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a copy of the results of the criminal history record information check, or a search of the child abuse and neglect registry or equivalent registry from that state. 4. The record of Staff #21, date of employment 02/19/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the search of the child abuse and neglect registry or equivalent registry from that state. 5. The record of Staff #28, date of employment 01/29/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the search of the child abuse and neglect registry or equivalent registry from that state. 6. During interviews, management acknowledged the background checks on file were the only out-of-state background checks that could be located for each staff member. For staff employed prior to July 1, 2024, the out-of-state search of the child abuse and neglect registry was required to be requested within 30 days of employment. The out-of-state criminal history record information check is required to be obtained prior to employment.”

22.1-289.035-B-2

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain a national fingerprint-based criminal record search for seven staff members prior to employment. Evidence: 1. The national fingerprint-based criminal record search in the record of Staff #3, date of employment 02/09/24, was obtained on 02/27/24. 2. The national fingerprint-based criminal record search in the record of Staff #12, date of employment 08/14/23, was obtained on 08/15/23. 3. The national fingerprint-based criminal record search in the record of Staff #18, date of employment 02/19/24, was obtained on 02/20/24. 4. The national fingerprint-based criminal record search in the record of Staff #22, date of employment 01/14/24, was obtained on 01/17/24. 5. The national fingerprint-based criminal record search in the record of Staff #24, date of employment 08/04/23, was obtained on 08/08/23. 6. The national fingerprint-based criminal record search in the record of Staff #28, date of employment 01/29/24, was obtained on 02/07/24. 7. The national fingerprint-based criminal record search in the record of Staff #29, date of employment 01/28/24, was obtained on 02/06/24. 8. During interviews, management confirmed the fingerprints were obtained after employment.”

22.1-289.035-A

“Based on a review of 33 staff records and interviews, the center did not ensure that two staff members shall undergo background checks every five years. Evidence: 1. The most recent national fingerprint-based criminal background check in the record of Staff #11 was obtained on 07/19/24. The previous national fingerprint-based criminal background check was obtained on 10/09/18 and should have been repeated no later than 10/09/23. 2. The most recent central registry finding in the record of Staff #11 was obtained on 06/20/24. The previous central registry finding was obtained on 12/02/18 and should have been repeated no later than 12/02/23. 3. The most recent central registry finding in the record of Staff #25 was obtained on 07/24/24. The previous central registry finding was obtained on 05/17/19 and should have been repeated no later than 05/17/24. 4. During interviews, management acknowledged the background checks were not obtained every five years as required.”

8VAC20-780-70

“(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that four staff records contained the required information. Evidence: 1. The references in the record of Staff #12, date of employment 08/14/23, were obtained on 07/18/24. 2. The references in the record of Staff #15, date of employment 03/08/24, were obtained on 07/11/24. 3. The record of Staff #23, date of employment 03/26/24, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 4. The references in the record of Staff #30, date of employment 04/15/24, were obtained on 04/16/24. 5. During interviews, management acknowledged that the references were not all obtained prior to employment for all staff. Each staff record shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.”

8VAC20-780-400-B

“(REPEAT VIOLATION) Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. The following was observed through video footage provided by the center: On 07/02/24, at approximately 8:34am, Child #1 (3 year old) is observed running away from Staff #1 with two toys in his hands. Staff #1 approaches Child #1, pulls him by the hood of his jacket, causing the child to fall to the ground. Staff #1 then grabs the child's arms and takes the toys out of his hands. Child #1 gets up and continues to run around the classroom, throwing toys and a chair. Staff #2 observed the interaction between Staff #1 and Child #1, but did not intervene.”

8VAC20-780-40-E

“The center shall ensure that the center's own policies and procedures that are required by these standards are be maintained in compliance. The center's policy on discipline/positive behavior management was not followed on 07/02/24 when Staff #1 pulled Child #1 (3-year-old) by the hood of his jacket and grabbed him by the arms to remove two toys out of his hands. The center's policy on discipline/positive behavior management states, "We utilize discipline, not punishment, providing positive modeling, guidance and encouragement. Appropriate discipline involves teaching children what is and is not acceptable behavior, keeping in mind children's abilities and developmental levels. Classrooms are designed to eliminate frustration and encourage success. When a child displays inappropriate behavior, teachers will attempt to redirect the behavior by providing an alternative activity."”

8VAC20-780-160-A

“(REPEAT VIOLATION) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The documentation shall have been completed within the last 30 calendar days of the date of employment. The screening for Staff #1 was completed seven months after employment and the screening for Staff #2 was completed three months prior to the date of employment.”

8VAC20-780-70

“(REPEAT VIOLATION) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who had been actively working at the center for over one year, did not have a second reference verification on file.”

8VAC20-780-510-P

“Repeat Violation Based on observation, review of documentation, and interview the center did not ensure that when an authorization for medication expired, that the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization and medications that were not picked up by the parent within 14 days were disposed of by the center. Evidence: Child #8 had an emergency medication on site at the time of inspection and the corresponding parental medication authorization form expired on 1/30/24.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the mulch measured two inches in depth in the fall zones of the composite play structure including slide exits and stairs. Six inches of resilient surfacing is required.”

8VAC20-780-240-B

“Repeat Violation Based on review of six staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for Staff #3, with an employment date of 3/18/24 and the record for Staff #4, with an employment date of 1/15/24, did not contain documentation of completed orientation training on file at the time of inspection. 2. The record for Staff #5, with an employment date of 1/29/24, did not contain documentation of the date orientation was complete.”

8VAC20-780-240-A

“Repeat Violations Based on a review of six staff files, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff # 1, with an employment date of 1/2/24, did not have documentation of completing the Preservice orientation course on file.”

8VAC20-780-210-A

“Repeat Violation Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file. Evidence: The record for Staff #1, with a title of teacher, did not contain documentation of education.”

8VAC20-780-80-A

“Based on review of the written attendance record, the center did not maintain a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant 1 classroom, there were nine children present however, only eight children were signed in on the written attendance. 2. In the two-year classroom, there were 20 children present, however, only 17 children were signed in on the written attendance.”

8VAC20-780-70

“Repeat Violation Based on a review of six staff records, the center did not maintain documentation of two or more references as to character and reputation as well as competency were checked before employment, including dates of contact and signature of person making the call when references were obtained over the phone. Evidence: 1. The record for Staff # 1, with an employment date of 1/2/24, Staff #2, with an employment date of 1/15/24, Staff #3, with an employment date of 3/18/24, Staff #4, with an employment date of 1/15/24, and Staff #6, with an employment date of 1/29/24, did not contain documentation of two references. 2. The record for Staff #5, with an employment date of 1/29/24, did not contain documentation of the person making the call and the date the references were obtained.”

8VAC20-780-40-M

“Based on observation and interview, it was determined that the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: In the Infant 2 classroom, Child #2, had a diagnosed food allergy to peanuts and milk and was not listed on the allergy list.”

8VAC20-780-40-L

“Based on staff interviews, the facility failed to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: In the Infant 2 classroom, Child #2 had a diagnosed allergy to peanuts and milk, requiring emergency medication. Staff were unaware of Child #2?s allergy to peanuts.”

8VAC20-780-160-A

“Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: The record for Staff #3, with an employment date of 3/18/24, did not contain documentation of a negative TB screening.”

8VAC20-770-60-C-2

“Based on review six staff records; the center did not obtain results of a Virginia central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #5, with an employment date of 1/29/24, did not contain the results of a central registry search.”

8VAC20-770-60-B

“Based on review of six staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of employment. Evidence: The record for Staff #3 with an employment date of 3/18/24, did not contain documentation of a sworn disclosure statement.”

22.1-289.035-B-4

“Based on review of six staff records, it was determined that the center did not request the results of an out of state central registry background check within 30 days of employment for staff that has resided outside of Virginia in the preceding five years. Evidence: Staff #5, with an employment date of 1/29/24, has resided in the state of Pennsylvania within the last 5 years, as indicated on the signed Sworn Disclosure Statement dated 1/24/24. There was no documentation of an out of state central registry request for Pennsylvania.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment. Evidence: The fingerprint results on record for Staff #3, with an employment date of 3/18/24, were dated 3/22/24.”

8VAC20-780-510-P

“Repeat Violation Based on observation, review of documentation, and interview the center did not ensure that when an authorization for medication expired, that the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization and medications that were not picked up by the parent within 14 days were disposed of by the center. Evidence: Child #8 had an emergency medication on site at the time of inspection and the corresponding parental medication authorization form expired on 1/30/24.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the mulch measured two inches in depth in the fall zones of the composite play structure including slide exits and stairs. Six inches of resilient surfacing is required.”

8VAC20-780-240-B

“Repeat Violation Based on review of six staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for Staff #3, with an employment date of 3/18/24 and the record for Staff #4, with an employment date of 1/15/24, did not contain documentation of completed orientation training on file at the time of inspection. 2. The record for Staff #5, with an employment date of 1/29/24, did not contain documentation of the date orientation was complete.”

8VAC20-780-240-A

“Repeat Violations Based on a review of six staff files, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff # 1, with an employment date of 1/2/24, did not have documentation of completing the Preservice orientation course on file.”

8VAC20-780-210-A

“Repeat Violation Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file. Evidence: The record for Staff #1, with a title of teacher, did not contain documentation of education.”

8VAC20-780-80-A

“Based on review of the written attendance record, the center did not maintain a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant 1 classroom, there were nine children present however, only eight children were signed in on the written attendance. 2. In the two-year classroom, there were 20 children present, however, only 17 children were signed in on the written attendance.”

8VAC20-780-70

“Repeat Violation Based on a review of six staff records, the center did not maintain documentation of two or more references as to character and reputation as well as competency were checked before employment, including dates of contact and signature of person making the call when references were obtained over the phone. Evidence: 1. The record for Staff # 1, with an employment date of 1/2/24, Staff #2, with an employment date of 1/15/24, Staff #3, with an employment date of 3/18/24, Staff #4, with an employment date of 1/15/24, and Staff #6, with an employment date of 1/29/24, did not contain documentation of two references. 2. The record for Staff #5, with an employment date of 1/29/24, did not contain documentation of the person making the call and the date the references were obtained.”

8VAC20-780-40-M

“Based on observation and interview, it was determined that the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: In the Infant 2 classroom, Child #2, had a diagnosed food allergy to peanuts and milk and was not listed on the allergy list.”

8VAC20-780-40-L

“Based on staff interviews, the facility failed to inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. Evidence: In the Infant 2 classroom, Child #2 had a diagnosed allergy to peanuts and milk, requiring emergency medication. Staff were unaware of Child #2?s allergy to peanuts.”

8VAC20-780-160-A

“Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: The record for Staff #3, with an employment date of 3/18/24, did not contain documentation of a negative TB screening.”

8VAC20-770-60-C-2

“Based on review six staff records; the center did not obtain results of a Virginia central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #5, with an employment date of 1/29/24, did not contain the results of a central registry search.”

8VAC20-770-60-B

“Based on review of six staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of employment. Evidence: The record for Staff #3 with an employment date of 3/18/24, did not contain documentation of a sworn disclosure statement.”

22.1-289.035-B-4

“Based on review of six staff records, it was determined that the center did not request the results of an out of state central registry background check within 30 days of employment for staff that has resided outside of Virginia in the preceding five years. Evidence: Staff #5, with an employment date of 1/29/24, has resided in the state of Pennsylvania within the last 5 years, as indicated on the signed Sworn Disclosure Statement dated 1/24/24. There was no documentation of an out of state central registry request for Pennsylvania.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment. Evidence: The fingerprint results on record for Staff #3, with an employment date of 3/18/24, were dated 3/22/24.”

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interviews and review of documentation, the center failed to inform the department’s representative withing two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 4/27/23 at approximately 11:00 a.m. Child #1, two-years-old, sustained an injury to their fingers requiring outside medical attention. This incident was not reported by the facility to the Office of Child Care Health and Safety.”

8VAC20-780-500-B Complaint related: No

“Repeat Violation Based on staff interviews and review of documentation, staff did not clean and change a child immediately when the child’s diaper became soiled. Evidence: On the morning of 4/27/23, Child #1, two-years-old, was observed with feces in their hand, coming from the back of the diaper and on the carpet. An interview with staff revealed, they were instructed by administration to photograph the incident and send to the parent through the parent portal. Staff confirmed photographic documentation of the incident was obtained before they cleaned the child.”

8VAC20-780-550-P

“Based on review of documentation and interview, the center did not maintain a written record of children's serious and minor injuries in which entries were made the day of occurrence. Evidence: On 1/18/24, a three-year-old child received a head injury in the classroom at approximately 12:56 p.m. An interview with staff confirmed the center did not create a written report of the injury.”

63.2-1509-A

“Based interviews and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services immediately as required. Evidence: On 1/19/24, center staff contacted the licensing office to report a head injury a three-year-old sustained from a teacher pulling a blanket out from underneath a child while they were jumping on a cot. The incident occurred on 1/18/24, at least three staff members were aware of the injury, and that it was caused by center staff, but the incident was not reported to the local department until the licensing inspector advised them to do so.”

8VAC20-780-340-A

“Repeat Violation Based on observed evidence and interviews, staff did not ensure the care, protection, and guidance of children in care. Evidence: On 1/18/24, at approximately 12:56 p.m., Child #1 sustained a head injury from falling and hitting their head, after a teacher pulled a blanket out from under them. Staff #2, sitting next to Child #1 at the time of the incident, failed to administer first aid to the injured child and did not report the incident to management until approximately 3:20 p.m.”

8VAC20-780-400-B

“Repeat Violation Based on observed evidence and interviews, the center did not ensure that behavioral guidance was constructive in nature and redirected children to appropriate behavior and resolve conflicts. Evidence: According to observed evidence and interviews, on 1/18/24, at approximately 12:56 p.m., Child #1, three-years-old, was jumping up and down on their cot. Staff #1 walked over to Child #1?s cot and pulled a blanket out from underneath Child #1 as Child #1 was jumping, placed the blanket on the table and walked out of the classroom. An interview with staff confirmed when the blanket was pulled out from underneath Child #1, they fell backward, hit the back of their head on the cot and began to cry.”

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interviews and review of documentation, the center failed to inform the department’s representative withing two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention. Evidence: On 4/27/23 at approximately 11:00 a.m. Child #1, two-years-old, sustained an injury to their fingers requiring outside medical attention. This incident was not reported by the facility to the Office of Child Care Health and Safety.”

8VAC20-780-500-B Complaint related: No

“Repeat Violation Based on staff interviews and review of documentation, staff did not clean and change a child immediately when the child’s diaper became soiled. Evidence: On the morning of 4/27/23, Child #1, two-years-old, was observed with feces in their hand, coming from the back of the diaper and on the carpet. An interview with staff revealed, they were instructed by administration to photograph the incident and send to the parent through the parent portal. Staff confirmed photographic documentation of the incident was obtained before they cleaned the child.”

8VAC20-780-550-P

“Based on review of documentation and interview, the center did not maintain a written record of children's serious and minor injuries in which entries were made the day of occurrence. Evidence: On 1/18/24, a three-year-old child received a head injury in the classroom at approximately 12:56 p.m. An interview with staff confirmed the center did not create a written report of the injury.”

63.2-1509-A

“Based interviews and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services immediately as required. Evidence: On 1/19/24, center staff contacted the licensing office to report a head injury a three-year-old sustained from a teacher pulling a blanket out from underneath a child while they were jumping on a cot. The incident occurred on 1/18/24, at least three staff members were aware of the injury, and that it was caused by center staff, but the incident was not reported to the local department until the licensing inspector advised them to do so.”

8VAC20-780-340-A

“Repeat Violation Based on observed evidence and interviews, staff did not ensure the care, protection, and guidance of children in care. Evidence: On 1/18/24, at approximately 12:56 p.m., Child #1 sustained a head injury from falling and hitting their head, after a teacher pulled a blanket out from under them. Staff #2, sitting next to Child #1 at the time of the incident, failed to administer first aid to the injured child and did not report the incident to management until approximately 3:20 p.m.”

8VAC20-780-400-B

“Repeat Violation Based on observed evidence and interviews, the center did not ensure that behavioral guidance was constructive in nature and redirected children to appropriate behavior and resolve conflicts. Evidence: According to observed evidence and interviews, on 1/18/24, at approximately 12:56 p.m., Child #1, three-years-old, was jumping up and down on their cot. Staff #1 walked over to Child #1?s cot and pulled a blanket out from underneath Child #1 as Child #1 was jumping, placed the blanket on the table and walked out of the classroom. An interview with staff confirmed when the blanket was pulled out from underneath Child #1, they fell backward, hit the back of their head on the cot and began to cry.”

8VAC20-780-240-B

“Based on review of two staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #2, with a start date of 11/01/22, did not contain documentation of completed orientation training at the time of inspection.”

8VAC20-780-210-A

“Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file. Evidence: The record for Staff 1 and Staff #2, with a title of teacher, did not contain documentation of education.”

8VAC20-780-160-A

“Repeat Violation Based on a review of two staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: The record for Staff #1, with a start date of 07/01/23 and Staff 2, with a start date of 11/01/22, did not contain documentation of a tuberculosis screening at the time of inspection.”

8VAC20-780-240-A

“Based on a review of two staff files, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff #1, with a start date of 07/01/23, did not have documentation of completing the Preservice orientation course on file.”

8VAC20-780-500-B

“Repeat Violation Based on observation it was determined that not all procedures for diapering were followed Evidence: In the two’s class, art work was observed on top of the diapering surface.”

8VAC20-780-330-B

“Repeat Violation Based on observation, the center did not ensure that where playground equipment was provided, resilient surfacing was maintained in fall zones. Evidence: On 10/18/23 at approximately 11:00 a.m. Child #1 fell from the middle point of the slide breaking their collarbone. The fall zone that had less than one inch of mulch, Six inches of mulch is required for the fall zone.”

8VAC20-780-270-A

“Repeat Violation Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe condition. Evidence: In the preschool bathroom there were screws that extended from approximately 15 thread lengths on both sides of the toilet.”

8VAC20-780-400-B Complaint related: No

“Repeat Violation Based on video footage, the center did not ensure behavioral guidance was constructive in nature, age, and stage appropriate. Evidence: On 10/04/23 in the three-year-class, Staff #2 was observed picking up Child #1, removing them from the circle time area, placing them in a chair at an empty table and walking away. Child #1 slipped out of the chair and was observed walking around crying for approximately four minutes. Child #1, still crying, walked up to Staff #1 sitting on a table at the front of the classroom, Staff #1 leaned forward, placed their fingertips on Child #1?s chest and pushed them back.”

8VAC20-780-70 Complaint related: No

“Repeat Violation Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #2 did not contain documentation of an emergency contact. 2. The record for Staff #2, with a start date of 06/19/23, and Staff #3, with a start date of 10/03/23, did not contain documentation of two or more references at the time of inspection.”

8VAC20-780-500-A Complaint related: No

“Repeat Violation Based on a review of video footage, children's hands were not always washed with soap and running water after toileting. Evidence: In the three-year-class Staff #2 was observed sending a child to the group after changing a soiled diaper without washing the child’s hands with soap and running water.”

8VAC20-780-420-B Complaint related: Yes

“Based on documentation and interviews, it was determined that parents were not always informed when persistent behavior problems were identified and disciplinary steps taken in response. Evidence: An interview with the administration confirmed behavior notices are given to parents when children display challenging behavior. Child #1, with a start date of 7/18/22, was identified as a child with challenging behaviors and in response to these behaviors the child was moved to other classrooms or the office. No documentation of behavior notices were in the child’s record.”

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

“Based on interviews, it was determined that the center failed to ensure the care, protection, and guidance of three, three-year-old children. Evidence: On 1/26/23 at approximately 7:40 a.m. Staff #1 placed child #1, child #2, and child #3, three-years-old, on the wrong public school bus. It was not known until approximately five minutes later when a second bus arrived asking for child #1, child #2, and child #3.”

8VAC20-780-500-B Complaint related: No

“Repeat Violation Based on observation, the facility did not have a foot-operated disposal system for disposable diapers. Evidence: In the two-year classroom, the foot operated disposal system was not working.”

8VAC20-780-270-A Complaint related: Yes

“Repeat Violation Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe and operable condition. Evidence: In the school age bathroom the toilet tank was split in half, approximately a quarter of the broken toilet tank cover had been removed and the larger portion was left in place. The remaining piece had sharp edges creating an impalement and scratch hazard.”

8VAC20-780-160-A Complaint related: No

“Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming into contact with children and the documentation of TB screening/test was not within the last 30 calendar days of the date of employment . Evidence: 1. The record for Staff #3, with a start date of 8/6/21, contained documentation of a tuberculosis screening dated 9/2/21 2. The record for Staff # 6, with a start date of 6/5/23, contained documentation of a tuberculosis screening dated 1/19/23.”

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

“Based on interviews, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate. Evidence: An interview with the administration and staff revealed when Child #1 displayed challenging behaviors, Child #1 would be moved to other classrooms or taken to the office”

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

“Based on interviews, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present. Evidence: At the time of inspection there were no staff members that met the qualifications of program leader in the Infant room since 8/4/2023, Toddler room since 8/11/2023, Preschool 2 room since 8/11/2023 and Pre-K2 room since 8/14/2023.”

8VAC20-780-500-A Complaint related: No

“(Repeat Violation) Based on observation, children's hands were not always washed with soap and running water after toileting. Evidence: In the Infant 2?s class, staff was observed using running water to clean a child’s hands after diapering, no soap was used”

8VAC20-780-350-B-3

“Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: At the time of inspection, in the Two’s class there were two staff members present with 17 children ages 2-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-330-F

“Repeat Violation Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: A metal canopy frame was observed on the ?little? playground, no covering was installed over the frame to offer shade. Children were observed playing on the playground at the time of the inspection.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the composite play structure's mulch measured three inches in depth, four feet away from the fall zone of the slide exits and three inches around the stairs and fall zones of the play structure.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the Pre-K 2 class, age four-years-old, the large circle time carpet was curling up at the corner, creating a trip hazard. 2. In the Preschool, age three-years-old and Pre-K 2 class, four-years-old, peeling paint was observed in the circle time areas. 3. In the Preschool bathroom, rust was observed on the lower part of the stalls. Attached to one of the stalls was a solid metal toilet paper holder, approximately 1.5? in thickness, extending approximately three inches away from the stall and projecting toward the toilet seat creating an impalement and scratch hazard. 4.During circle time in the Preschool class, ages 2 to 3-years-old, an electrical cord attached to an outlet and radio was observed on top of a shelf, hanging down within reach of the children, creating a fall hazard.”

8VAC20-780-500-B

“Repeat Violation Based on observation and interview, the facility did not ensure that all diapering areas were provided a leak-proof covered receptacle for a foot-operated disposal system. Evidence: In the Infant classroom, ages six weeks to 12 months, a foot-operated disposal system was observed with the lid up. When interviewed, staff revealed that the lid to the foot-operated disposal system has not worked for three months.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s class an unlocked cabinet contained pre-moistened sanitizing wipes, sanitizing spray, and a chemical to remove adhesives, gum and crayon. All containers had a warning label that stated, ?Keep out of Reach of Children? and ?Caution?.”

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #5, with a start date of 4/3/23, did not contain documentation of two references at the time of inspection.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #2, with a start date of 8/7/23, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-780-500-A Complaint related: No

“(Repeat Violation) Based on observation, children's hands were not always washed with soap and running water after toileting. Evidence: In the Infant 2?s class, staff was observed using running water to clean a child’s hands after diapering, no soap was used”

8VAC20-780-350-B-3

“Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: At the time of inspection, in the Two’s class there were two staff members present with 17 children ages 2-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-330-F

“Repeat Violation Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: A metal canopy frame was observed on the ?little? playground, no covering was installed over the frame to offer shade. Children were observed playing on the playground at the time of the inspection.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the composite play structure's mulch measured three inches in depth, four feet away from the fall zone of the slide exits and three inches around the stairs and fall zones of the play structure.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the Pre-K 2 class, age four-years-old, the large circle time carpet was curling up at the corner, creating a trip hazard. 2. In the Preschool, age three-years-old and Pre-K 2 class, four-years-old, peeling paint was observed in the circle time areas. 3. In the Preschool bathroom, rust was observed on the lower part of the stalls. Attached to one of the stalls was a solid metal toilet paper holder, approximately 1.5? in thickness, extending approximately three inches away from the stall and projecting toward the toilet seat creating an impalement and scratch hazard. 4.During circle time in the Preschool class, ages 2 to 3-years-old, an electrical cord attached to an outlet and radio was observed on top of a shelf, hanging down within reach of the children, creating a fall hazard.”

8VAC20-780-500-B

“Repeat Violation Based on observation and interview, the facility did not ensure that all diapering areas were provided a leak-proof covered receptacle for a foot-operated disposal system. Evidence: In the Infant classroom, ages six weeks to 12 months, a foot-operated disposal system was observed with the lid up. When interviewed, staff revealed that the lid to the foot-operated disposal system has not worked for three months.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s class an unlocked cabinet contained pre-moistened sanitizing wipes, sanitizing spray, and a chemical to remove adhesives, gum and crayon. All containers had a warning label that stated, ?Keep out of Reach of Children? and ?Caution?.”

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #5, with a start date of 4/3/23, did not contain documentation of two references at the time of inspection.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #2, with a start date of 8/7/23, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-780-500-A Complaint related: No

“(Repeat Violation) Based on observation, children's hands were not always washed with soap and running water after toileting. Evidence: In the Infant 2?s class, staff was observed using running water to clean a child’s hands after diapering, no soap was used”

8VAC20-780-350-B-3

“Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: At the time of inspection, in the Two’s class there were two staff members present with 17 children ages 2-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-330-F

“Repeat Violation Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: A metal canopy frame was observed on the ?little? playground, no covering was installed over the frame to offer shade. Children were observed playing on the playground at the time of the inspection.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the composite play structure's mulch measured three inches in depth, four feet away from the fall zone of the slide exits and three inches around the stairs and fall zones of the play structure.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the Pre-K 2 class, age four-years-old, the large circle time carpet was curling up at the corner, creating a trip hazard. 2. In the Preschool, age three-years-old and Pre-K 2 class, four-years-old, peeling paint was observed in the circle time areas. 3. In the Preschool bathroom, rust was observed on the lower part of the stalls. Attached to one of the stalls was a solid metal toilet paper holder, approximately 1.5? in thickness, extending approximately three inches away from the stall and projecting toward the toilet seat creating an impalement and scratch hazard. 4.During circle time in the Preschool class, ages 2 to 3-years-old, an electrical cord attached to an outlet and radio was observed on top of a shelf, hanging down within reach of the children, creating a fall hazard.”

8VAC20-780-500-B

“Repeat Violation Based on observation and interview, the facility did not ensure that all diapering areas were provided a leak-proof covered receptacle for a foot-operated disposal system. Evidence: In the Infant classroom, ages six weeks to 12 months, a foot-operated disposal system was observed with the lid up. When interviewed, staff revealed that the lid to the foot-operated disposal system has not worked for three months.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s class an unlocked cabinet contained pre-moistened sanitizing wipes, sanitizing spray, and a chemical to remove adhesives, gum and crayon. All containers had a warning label that stated, ?Keep out of Reach of Children? and ?Caution?.”

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #5, with a start date of 4/3/23, did not contain documentation of two references at the time of inspection.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #2, with a start date of 8/7/23, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-780-500-A Complaint related: No

“(Repeat Violation) Based on observation, children's hands were not always washed with soap and running water after toileting. Evidence: In the Infant 2?s class, staff was observed using running water to clean a child’s hands after diapering, no soap was used”

8VAC20-780-350-B-3

“Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: At the time of inspection, in the Two’s class there were two staff members present with 17 children ages 2-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

8VAC20-780-330-F

“Repeat Violation Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: A metal canopy frame was observed on the ?little? playground, no covering was installed over the frame to offer shade. Children were observed playing on the playground at the time of the inspection.”

8VAC20-780-330-B

“Repeat Violation Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the composite play structure's mulch measured three inches in depth, four feet away from the fall zone of the slide exits and three inches around the stairs and fall zones of the play structure.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the center did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: 1. In the Pre-K 2 class, age four-years-old, the large circle time carpet was curling up at the corner, creating a trip hazard. 2. In the Preschool, age three-years-old and Pre-K 2 class, four-years-old, peeling paint was observed in the circle time areas. 3. In the Preschool bathroom, rust was observed on the lower part of the stalls. Attached to one of the stalls was a solid metal toilet paper holder, approximately 1.5? in thickness, extending approximately three inches away from the stall and projecting toward the toilet seat creating an impalement and scratch hazard. 4.During circle time in the Preschool class, ages 2 to 3-years-old, an electrical cord attached to an outlet and radio was observed on top of a shelf, hanging down within reach of the children, creating a fall hazard.”

8VAC20-780-500-B

“Repeat Violation Based on observation and interview, the facility did not ensure that all diapering areas were provided a leak-proof covered receptacle for a foot-operated disposal system. Evidence: In the Infant classroom, ages six weeks to 12 months, a foot-operated disposal system was observed with the lid up. When interviewed, staff revealed that the lid to the foot-operated disposal system has not worked for three months.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s class an unlocked cabinet contained pre-moistened sanitizing wipes, sanitizing spray, and a chemical to remove adhesives, gum and crayon. All containers had a warning label that stated, ?Keep out of Reach of Children? and ?Caution?.”

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #5, with a start date of 4/3/23, did not contain documentation of two references at the time of inspection.”

22.1-289.035-B-2

“Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #2, with a start date of 8/7/23, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-780-280-B Complaint related: No

“Based on observation, the facility did not ensure that hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: observed 3 bottles of shaving cream, marked "keep out of reach of children" on low shelves, accessible to children in the Preschool 1 classroom. Observed in the Pre-K2 classroom, 7 bottles of shaving cream, marked "keep out of reach of children" accessible to children on a low shelf.”

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

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the Pre-K 2 classroom, a broken "krankle" toy with missing pieces, a "princess kitty" toy that had a large crack and a sharp edge.”

8VAC20-780-280-B Complaint related: No

“Based on observation, the facility did not ensure that hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: observed 3 bottles of shaving cream, marked "keep out of reach of children" on low shelves, accessible to children in the Preschool 1 classroom. Observed in the Pre-K2 classroom, 7 bottles of shaving cream, marked "keep out of reach of children" accessible to children on a low shelf.”

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

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the Pre-K 2 classroom, a broken "krankle" toy with missing pieces, a "princess kitty" toy that had a large crack and a sharp edge.”

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years from the date of hte first initial screening or testing, or more frequently if recommended, staff members shall obtain and submit results of a follow-up TB screening. Evidence: reviewed 4 staff records and found that Staff 3 and 4 did not have TB tested completed within 2 years of the first initial screening.”

8VAC20-790-550-2-d

“Based on review, the facility did not ensure that staff had current sworn statements on file. Evidence: Reviewed 4 staff files and found that Staff 4 did not have documentation of a current sworn statement. It was last signed on 1/5/2018.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed the following: 1) in the Twos classroom, observed two holes in the wall at the far end of the room. 2) in the Toddler classroom, observed tears and cracks in the carpet and flooring causing a tripping hazard.”

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years from the date of hte first initial screening or testing, or more frequently if recommended, staff members shall obtain and submit results of a follow-up TB screening. Evidence: reviewed 4 staff records and found that Staff 3 and 4 did not have TB tested completed within 2 years of the first initial screening.”

8VAC20-790-550-2-d

“Based on review, the facility did not ensure that staff had current sworn statements on file. Evidence: Reviewed 4 staff files and found that Staff 4 did not have documentation of a current sworn statement. It was last signed on 1/5/2018.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed the following: 1) in the Twos classroom, observed two holes in the wall at the far end of the room. 2) in the Toddler classroom, observed tears and cracks in the carpet and flooring causing a tripping hazard.”

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

“Based on observation, the facility did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) peeling paint and a small hole in the wall in the Twos classroom 2) peeling paint and a hole in the drywall in the Junior Preschool classroom 3) peeling paint and a broken cabinet handle in the Preschool classroom”

8VAC20-780-290-A-3 Complaint related: No

“Based on observation, the facility did not ensure that electrical outlets have protective covers. Evidence: observed in the toddler classroom, 1 uncovered electrical outlet accessible to children.”

8VAC20-780-520-B Complaint related: No

“Based on observation, the facility did not ensure that sunscreen was kept inaccessible to children. Evidence: observed in the Preschool 2 classroom, sunscreen in a lower cabinet, accessible to children.”

8VAC20-780-280-B Complaint related: No

“Based on observation, the facility did not ensure that that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed in the School-Age classroom, bleach water and disinfectant spray, accessible to children in an unlocked cabinet. 2) observed in the Preschool classroom, bleach water and air freshener accessible to children. 3) observed in the Pre-K 1 classroom, Lysol, air freshener, and bleach water accessible to children.”

8VAC20-780-500-A

“Based on observation, the facility did not ensure that children washed their hands prior to eating. Evidence: observed in the Junior Preschool room, a child that was playing in the dramatic play area run over to the table and eat snack without washing their hands.”

8VAC20-780-330-F

“Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: observed that there was no shade provided on the "little" playground.”

8VAC20-780-330-B

“Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: observed on the "big" playground, the mulch was at approximately 2 inches in depth around the slide, stairs and the fall zones.”

8VAC20-780-280-H

“Based on observation, the facility did not ensure the staff purses with cosmetic items stored inside, were not accessible to children. Evidence: observed in the Infant 2 classroom, a staff purse was stored low to the ground and accessible to children in the room. Identified through the staff member that owned the purse, that there were cosmetic items stored inside of the purse.”

22VAC40-185-500-B

“Based on observation, the facility did not ensure that the diaper disposal system is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: observed that the step can in the 2s classroom was not operating properly and staff needed to use their hands to open.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the preschool classroom that the dramatic play table had a broken leg.”

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis screening. Evidence: reviewed 3 staff records and found that Staff 3 did not have documentation of an updated TB screening or test.”

8VAC20-780-510-P

“Based on observation, the facility did not ensure that when authorization for medication expires, the parent shall be notified to pick up the meds within 14 days, or renew the authorization. If meds are not picked up within 14 days, then meds must be disposed of. Evidence: Reviewed medication authorizations and found that Child 1 and Child 2 had expired medication authorization forms on site, and meds that had expired on site more than 14 days after their expiration dates.”

8VAC20-780-500-A

“Based on observation, the facility did not ensure that children washed their hands prior to eating. Evidence: observed in the Junior Preschool room, a child that was playing in the dramatic play area run over to the table and eat snack without washing their hands.”

8VAC20-780-330-F

“Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: observed that there was no shade provided on the "little" playground.”

8VAC20-780-330-B

“Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: observed on the "big" playground, the mulch was at approximately 2 inches in depth around the slide, stairs and the fall zones.”

8VAC20-780-280-H

“Based on observation, the facility did not ensure the staff purses with cosmetic items stored inside, were not accessible to children. Evidence: observed in the Infant 2 classroom, a staff purse was stored low to the ground and accessible to children in the room. Identified through the staff member that owned the purse, that there were cosmetic items stored inside of the purse.”

22VAC40-185-500-B

“Based on observation, the facility did not ensure that the diaper disposal system is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: observed that the step can in the 2s classroom was not operating properly and staff needed to use their hands to open.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the preschool classroom that the dramatic play table had a broken leg.”

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis screening. Evidence: reviewed 3 staff records and found that Staff 3 did not have documentation of an updated TB screening or test.”

8VAC20-780-510-P

“Based on observation, the facility did not ensure that when authorization for medication expires, the parent shall be notified to pick up the meds within 14 days, or renew the authorization. If meds are not picked up within 14 days, then meds must be disposed of. Evidence: Reviewed medication authorizations and found that Child 1 and Child 2 had expired medication authorization forms on site, and meds that had expired on site more than 14 days after their expiration dates.”

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

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside shall be maintained in a clean, safe and operable condition. Evidence: observed in the senior school-age room a whole in the wall, along the far left wall.”

8VAC20-780-290-A-3 Complaint related: No

“Based on observation, the facility did not ensure that electrical outlets were covered with protective covers. Evidence: observed the following uncovered electrical outlets: 1 - 1 uncovered outlet in the bathroom in the junior preschool room and 2 in the "circle time" area. 2 - 2 uncovered electrical outlets in the toddler bathroom.”

22VAC40-185-70-A Complaint related: No

“Based on review, the facility did not ensure that staff records contained the required minimum information. Evidence: Reviewed 4 staff records and found that 4 did not have complete documentation of reference checks. Reference checks must contain dates of contact, names of person/firm contacted, results and signature of person making the call. None of the references had dates of contact and signature of the person making the call.”

22VAC40-185-270-A Complaint related: No

“Based on observation, areas/equipment of the center must be maintained in a clean safe and operable condition, including but not limited to chipped or peeling paint. Evidence: observed chipped and peeling paint in the Junior Preschool Room.”

22VAC40-185-290-3 Complaint related: No

“Based on observation, the facility did not ensure that electrical outlets were covered at all times. Evidence: Observed one uncovered electrical outlet in the Junior Preschool Room and one uncovered outlet in the Toddler 2 classroom.”