Cambridge Learning Center

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check and the national criminal background check for staff #6 was overdue by a 10 months.”

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for two years, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-70

“REPEAT VIOLATION Name address and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff # 3, 4, 7 and 8 did not have the required addresses for their emergency contacts.”

8VAC20-780-210-A

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or equivalent. Staff # 1 did not have documentation of high school diploma or equivalent.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1.Gate around the toddler outside play area had three posts that were broken and had jagged pieces protruding. 2.There were visible cracks in the plastic of the changing table in the toddler room.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. 1.In the K-4 bathroom, the cabinet that stored the sanitizer and cleaning chemicals was unlocked. The locking mechanism did not prevent entry. 2.The laundry room was unlocked and unattended, there were several types of chemicals, cleaning material, paint and pesticides. 3.In the school age classroom, there was an air freshener in both bathrooms. unlocked and accessible to the children. 4.In the school age classroom hanging on the side of the sink were two containers of cleaning chemicals that were accessible to the children.”

8VAC20-780-280-G

“If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. In the school age classroom hanging on the side of the sink were two containers of cleaning chemicals that did clearly indicate their contents.”

8VAC20-780-430-I

“If personal items are used, they shall be individually assigned. Several pacifiers in use in the toddler and infant room were not labeled with the owner’s name.”

8VAC20-780-280-H

“Cosmetics, medication, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to the children. Sitting on a table in the school age room was a purse with visible vape inside.”

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. The center did not request a search of the child abuse and neglect registry from one state for Staff #3, who has been employed for more than a year and was working with children at the time of the inspection.”

8VAC20-780-70

“Name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff #1,2, 3, 4 and 5 did not have an address for their emergency contacts”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 10:00 a.m. on 10/16/2025, there were 8 children present in the toddler room, but 10 were marked present on the attendance record. Two of the children were moved to an older classroom and not marked present in that on their attendance.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle of surface sanitizer and a bottle stain remover with warning labels, ?Keep out of reach of children,? were unlocked in the infant room, out of reach of children.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Medication for child # 7 authorization was signed by the parent 18 days ago. The medication needed to be picked up on day 14.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #3, enrolled for two months, was missing the following required component: the addresses for the two designated people to call in an emergency is a parent cannot be reached.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The fence around the playground had spindles that had come loose from the rail.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The toddler room had peeling paint that was accessible to the children.”

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. The changing pad in the infant room had tears down the middle and is now no longer nonabsorbent.”

22.1-289.035-B-3

“Centers must obtain the results of a central registry search for an employee, within 30 days of hire. Staff # 1 did not have central registry search results during the inspection and has been employed for over 10 weeks.”

8VAC20-780-210-A

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent. Staff # 2, 4 and 5 did not have verification of the high school diploma or equivalent.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 12 days after their first day of employment.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The playground had a plank in the fence surrounding the AC unit that was damaged and broken which could cause a entrapment hazard. The small fence that separates the Two's playground from the older children's playground is chipping white paint.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of Child 2 (DOE: 02/21/2022) did not have the required documentation of viewing the proof of the child's identity and age.”

8VAC20-780-550-P

“REPEAT VIOLATION Based on record review, the center failed to ensure that written records of children's serious and minor injuries contained all the required. Evidence: 1. The accident/incident reports on did not have the times that the parent/guardians were notified. Dates of the accident/incident reports: 01/02/2024, 04/18/2024 and 05/16/2024.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the proper cleaning and sanitizing process was completed after diapering. Evidence: 1. In the Two Year Old Classroom staff sprayed the changing table with a disinfectant sanitizing agent. The staff member immediately wiped the area clean, and did not let the sanitizer air dry for the required amount of time. 2. Above the diapering area there was a posting on how to complete a diaper change. It specifically states that the sanitizing agent must "set for two minutes." 3. In the Tot's Classroom the staff did not first clean the area with soap and water, but immediately sprayed it with the disinfectant sanitizing spray. Staff #3 verified that they did not spray with soap and water first.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that handwashing was completed at all the required times by children and staff. Evidence: In the Two Year Old and Tot's Classroom staff did not wash their hands before a diaper change, and did not wash the children's hands after a diaper change. The children were removed from the diaper changing table and immediately went back to playing.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets shall have protective covers when not in use. Evidence: In the Two-Year Old Classroom there were a total of five electrical outlets without protective covers. There was one electrical outlet near the dramatic play area and kitchen set, two electrical outs on the wall behind the tables, and two electrical outlets near the rug area that did not contain protective covers.”

8VAC20-780-240-A

“Based on a review of staff files, the center failed to ensure that the Virginia Department of Education sponsored orientation course was completed within 90 calendar days of employment. Evidence: 1. Staff #1's date of employment was 07/14/2023. There was no documentation in the record that the training had been completed. It was required to be completed by 10/14/2023. 2. Staff #2's date of employment was 05/23/2023. There was no documentation in the record that the training had been completed. It was required to be completed by 08/23/2023.”

8VAC20-780-550-P

“Based on a review of injury reports, the center failed to ensure that all required information was included in the injury report. Evidence: 1. Injury reports dated 10/16/2023, 10/09/2023, and 10/04/2023 did not contain the time when parents were notified. 2. An injury report dated 10/12/2023 only contained one signature out of the two required signatures needed.”

8VAC20-780-520-C

“Based on a review of diaper ointment, the center failed to ensure that all diaper ointment shall be labeled with the child's name. Evidence: In the Two Year Old Classroom there was a tube of Triple Paste Diaper Ointment in the cubbies above the diaper changing table that was not labeled with the child's name.”

8VAC20-780-520-A

“Based on a review of diaper ointment, the center failed to ensure that all over-the-counter skins products shall not be kept beyond the expiration date. Evidence: 1. In the Two Year Old Classroom there was a container of Butt Paste in the cubbies above the diaper changing table that expired on 03/2023. 2. In the Two Year Old Classroom there was a jar of Aquaphor Healing Cream in the cabinet below the diaper changing table that expired on June 2022.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that a negative tuberculosis test/screening was submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record of Staff 1 (DOH 06/15/2023) did not have documentation of a negative tuberculosis test/screening result. Staff 1 was working in the classroom when the Licensing Inspector was completing observations. 2. The record of Staff 2 (DOH 06/15/2023) did not have documentation of a negative tuberculosis test/screening result. Staff 2 was working in the classroom when the Licensing Inspector was completing observations. 3. The record of Staff 3 (DOH 06/15/2023) did not have documentation of a negative tuberculosis test/screening result. Staff 3 was working in the classroom when the Licensing Inspector was completing observations.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the provider did not obtain a criminal history record check prior to the 1st day of employment. Evidence: 1. Staff #3's file contained a fingerprint background check that was over ninety days old from date of rehire. The date of rehire is 09/22/2021. The date of the fingerprint criminal history record check in the file for Staff #3 is 08/28/2020. 2. Administration confirmed the date of rehire and the date of the fingerprint criminal history record check that was in the file.”

8VAC20-780-510-E

“Based on review of the centers medication policy, the center failed to ensure that there is a policy to include methods of preventing use of outdated medication. Evidence: 1. Child 3M EpiPen expired 5/2022. 2. The medication policy does not discuss discarding or returning expired medications to prevent use of outdated medications.”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120 degrees F. Evidence: 1. The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the 3's room was 133.7 degrees F and in the K4 room it was 135 degrees F.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that tuberculosis screening/test was within 30 days of employment. Evidence: 1. Staff #2's date of employment was 11/7/2022. The tuberculosis screening/test on file was dated 09/13/2022. 2. Administration verified the date of employment for Staff #2 and the date of on the tuberculosis screening/test.”