Carousel Children's Academy

8VAC20-780-140-A

“Based on review of five child records, the center did not obtain documentation that each child had a physical examination by a physician within 30 days after the first day of attendance. Evidence: The record for Child D, with a start date of 2/22/24, did not contain documentation of a physical.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on observation, the center did not maintain a record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 4/23/24, at approximately 9:33am, the attendance in the toddler classroom contained documentation of three children present. There were two children present in the classroom at that time. At approximately 9:37am, the attendance in the infant classroom contained documentation of two children present. There were three children present in the classroom at that time.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe condition. Evidence: On 4/23/24, on the large playground, there were two large screws observed protruding from the ground where a railroad tie was previously in place. The screws posed an impalement and trip hazard. The screws were approximately one inch wide; one protruded from the ground approximately 1.5 inches high, the other protruded from the ground approximately two inches high.”

8VAC20-780-80-A

“Based on observation, review of documentation, and interview, the center did not ensure that a written record of daily attendance was maintained for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 10/18/23, at approximately 11:35am, the attendance document in the Toddler classroom contained documentation of two children present. There were three children present, and the staff member reported that the third child had arrived at approximately 9:30am. 2. On 10/18/23, at approximately 11:53am, the attendance document in the ?Frogs? class for two-year-olds contained documentation of five children present. There were four children present, and the staff member reported that the fifth child was transitioning and moved back to the Toddler class at approximately 11:40am for nap.”

8VAC20-780-430-L

“Based on observation, the center did not ensure that infant walkers were not used. Evidence: On 10/18/23 an infant walker was observed in the infant classroom.”

8VAC20-780-270-A

“REPEAT Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. On 10/18/23, on the large playground, wooden railroad ties were observed on the ground that were deteriorating and posed a scratch or splinter hazard. The deteriorating wood also exposed four medal rods that were observed to be protruding straight up from around one inch, up to three inches, out of the wood, and posed a scratch or impalement hazard. 2. The playground fence just outside of the three- to four-year-old classroom was beginning to separate and a gap was observed between two sections of the top half of the fence that should have been connected. In this open space, three nails were protruding approximately one and one-half to three inches, and posed a scratch and/or impalement hazard. 3. The bolt that attached the steering wheel to the yellow school bus climber was observed to have approximately six threads exposed, posing a scratch or impalement hazard. 4. The cube-shaped, hard plastic climber was observed to have a large crack in the top of the hard plastic on one side, posing a scratch or pinching hazard.”

8VAC20-780-80-A

“Based on observation, review of documentation, and interview, the center did not ensure that a written record of daily attendance was maintained for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 10/18/23, at approximately 11:35am, the attendance document in the Toddler classroom contained documentation of two children present. There were three children present, and the staff member reported that the third child had arrived at approximately 9:30am. 2. On 10/18/23, at approximately 11:53am, the attendance document in the ?Frogs? class for two-year-olds contained documentation of five children present. There were four children present, and the staff member reported that the fifth child was transitioning and moved back to the Toddler class at approximately 11:40am for nap.”

8VAC20-780-430-L

“Based on observation, the center did not ensure that infant walkers were not used. Evidence: On 10/18/23 an infant walker was observed in the infant classroom.”

8VAC20-780-270-A

“REPEAT Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition. Evidence: 1. On 10/18/23, on the large playground, wooden railroad ties were observed on the ground that were deteriorating and posed a scratch or splinter hazard. The deteriorating wood also exposed four medal rods that were observed to be protruding straight up from around one inch, up to three inches, out of the wood, and posed a scratch or impalement hazard. 2. The playground fence just outside of the three- to four-year-old classroom was beginning to separate and a gap was observed between two sections of the top half of the fence that should have been connected. In this open space, three nails were protruding approximately one and one-half to three inches, and posed a scratch and/or impalement hazard. 3. The bolt that attached the steering wheel to the yellow school bus climber was observed to have approximately six threads exposed, posing a scratch or impalement hazard. 4. The cube-shaped, hard plastic climber was observed to have a large crack in the top of the hard plastic on one side, posing a scratch or pinching hazard.”

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

“Based on observation, the center did not ensure that areas and equipment of the center were maintained in a clean condition. Evidence: In the ?Ducks? class for three- to four-year-old children, multiple large stains were observed on the carpet.”

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

“Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. On 7/19/23 at approximately 11:23am in the ?Ducks? class for three- and four-year-old children, two spray bottles labeled ?mild bleach? and two spray bottles labeled ?strong bleach? were observed in an unlocked high cabinet over the sink. The staff member confirmed that there was no lock for the cabinet. 2. At approximately 11:34am in the ?Frogs? class for two-year-old children, a spray bottle labeled ?strong bleach? was observed on a high, open shelf in the bathroom. An aerosol disinfectant spray was also observed on the changing table in the bathroom.”

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

“Based on observation, when staff were supervising children, they did not always ensure their care and protection. Evidence: 1. On 7/19/23, between approximately 11:05am and 12:30pm, washcloths were observed hanging on the faucets in the sinks or lying next to the sinks in the classrooms for infants, toddlers, three- and four-year-olds, four- and five-year-olds, and schoolagers. Staff in the infants and toddler rooms were observed wiping down counters with the washcloths and placing them back on the faucets to be used again. A staff member in the infants was observed drying their hands on the washcloth and placing it back next to the sink. While paper towels were available at the sinks in each classroom, there were no used paper towels in the trash cans in the infant classroom or two-year-old classroom or bathroom. The staff member in the twos reported that the trash had not been taken out for the day yet. Disposable towels are to be used to dry hands after washing, as well as to wipe down areas of the classroom, as washcloths can hold and spread germs. 2. In the ?Ducks? class for three- to four-year-olds, at approximately 11:22am, a staff member was observed passing out milk and opening bananas for children with gloves on. The staff member then opened the step-on trash can with their gloved hand to throw away a banana peel, and then continued passing out milk with the same gloves after touching the trash can lid. A child then came over and opened the trash can with their hand to throw away their plate then went back to the table to continue eating their food from home without washing hands.”

8VAC20-780-500-B Complaint related: Yes

“Based on observation, staff did not ensure that a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: At approximately 11:45am, a staff member in the Infant class was observed changing a child’s diaper. The staff then moved the child to a highchair to feed them and did not clean or sanitize the diaper changing pad.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that diapering areas had a nonabsorbent surface for diapering or changing. Evidence: 1. In the ?Teddy Bears? class for children 16-months to two-years-old, the changing pad had a large hole in the top corner, making the surface absorbent. 2. In the ?Frogs? class for children two-years-old, the changing pad had approximately six small tears across the surface, making it absorbent.”

8VAC20-780-510-I

“Based on review of medication, the center did not ensure that the requirements were met to be able to administer prescription medication to a child. Evidence: Two emergency medications for Child A were observed on-site on 4/11/23 that were not maintained in their original, labeled container.”

8VAC20-780-570-B

“Based on observation, the center did not ensure that bottles were not used while children were in their designated sleeping location. Evidence: On 4/11/23 in the ?Teddy Bears? classroom for children 16-months to two-years-old, a child was observed on their cot with a bottle. A staff member then placed another child on their cot and handed the child a bottle.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that diapering areas had a nonabsorbent surface for diapering or changing. Evidence: 1. In the ?Teddy Bears? class for children 16-months to two-years-old, the changing pad had a large hole in the top corner, making the surface absorbent. 2. In the ?Frogs? class for children two-years-old, the changing pad had approximately six small tears across the surface, making it absorbent.”

8VAC20-780-510-I

“Based on review of medication, the center did not ensure that the requirements were met to be able to administer prescription medication to a child. Evidence: Two emergency medications for Child A were observed on-site on 4/11/23 that were not maintained in their original, labeled container.”

8VAC20-780-570-B

“Based on observation, the center did not ensure that bottles were not used while children were in their designated sleeping location. Evidence: On 4/11/23 in the ?Teddy Bears? classroom for children 16-months to two-years-old, a child was observed on their cot with a bottle. A staff member then placed another child on their cot and handed the child a bottle.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not obtain annual approval from the health department. Evidence: The most recent health inspection on record for the center was dated 7/1/21.”

8VAC20-780-80-A

“Based on observation and review of documentation, the center did not ensure that for each group of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 10/25/22, at approximately 12:00pm, 10 children were observed in the ?Ducks? classroom for three- and four-year-olds. The attendance contained documentation of nine children present. Staff reported that the 10th child had arrived at approximately 9:30am.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center did not obtain the results of a search of the central registry within 30 days of employment for all staff. Evidence: The records for Staff #1 (employment date 9/12/22), Staff #2 (employment date 9/13/22), Staff #4 (employment date 8/25/22), and Staff #5 (employment date 8/25/22) did not contain documentation of the results of a search of the central registry or documentation of follow-up when results were not received within 30 days of employment.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not obtain annual approval from the health department. Evidence: The most recent health inspection on record for the center was dated 7/1/21.”

8VAC20-780-80-A

“Based on observation and review of documentation, the center did not ensure that for each group of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 10/25/22, at approximately 12:00pm, 10 children were observed in the ?Ducks? classroom for three- and four-year-olds. The attendance contained documentation of nine children present. Staff reported that the 10th child had arrived at approximately 9:30am.”

8VAC20-770-60-C-2

“Based on review of five staff records, the center did not obtain the results of a search of the central registry within 30 days of employment for all staff. Evidence: The records for Staff #1 (employment date 9/12/22), Staff #2 (employment date 9/13/22), Staff #4 (employment date 8/25/22), and Staff #5 (employment date 8/25/22) did not contain documentation of the results of a search of the central registry or documentation of follow-up when results were not received within 30 days of employment.”

8VAC20-780-330-B Complaint related: No

“Based on observation, the center did not ensure that the required amount of resilient surfacing was under playground climbing equipment in order to create a sufficient fall zone. Evidence: On 9/6/22 the ?Ducks'' class (two-, three-, and four-year-olds) were observed playing on a yellow school bus climber on the playground. There was approximately two inches of rubber mulch under/around the climber, with grass showing through the mulch. The requirement for a sufficient fall zone is at least six inches of rubber mulch.”

8VAC20-780-60-A-8

“Based on review of six child records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child had a diagnosed food allergy to fish. The record for Child A did not contain an allergy care plan from the doctor.”

8VAC20-780-60-A-8

“Based on review of six child records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child had a diagnosed food allergy to fish. The record for Child A did not contain an allergy care plan from the doctor.”

8VAC20-780-60-A-8

“Based on review of six child records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child had a diagnosed food allergy to fish. The record for Child A did not contain an allergy care plan from the doctor.”

8VAC20-780-410-1 Complaint related: Yes

“Based on documentation review and interviews, a staff member engaged in forbidden actions by roughly handling a child and striking a child with a sandal-like shoe. Evidence: Interviews revealed that at approximately 12:30pm on 7/14/22, Child A, nine-years-old, began telling inappropriate jokes and running around the School Age classroom. Staff #1 told the child to stop and began pretending to record Child A on their cell phone, telling the child they were going to call their parent. Child A began trying to grab the cell phone and Staff #1 then spanked Child A one time on the bottom with another child’s sandal-like shoe. Child A began to yell and attempted to grab Staff #1?s cell phone again. Staff #2 overheard and came to the classroom. As Staff #2 entered the classroom, they reported witnessing Staff #1 ?aggressively push? Child A.”

8VAC20-780-410-1 Complaint related: Yes

“Based on interviews, the center did not ensure that a forbidden action- rough handling- did not occur with children. Evidence: Interviews revealed that Staff #1 roughly handled children on several occasions. Witnesses reported observing Staff #1 pulling on multiple children’s arms to get them into a chair for time-out when they did not listen to the staff member. Witnesses reported observing Staff #1 roughing pushing children down into chairs for time-out. Witnesses reported that the children sometimes cried after their arms were pulled or after Staff #1 pushed them down into chairs.”

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

“Based on interviews, the center did not ensure that behavioral guidance was constructive in nature and redirected children to appropriate behavior and resolve conflicts. Evidence: Witnesses reported hearing Staff #1 yelling at children to ?Sit down and be quiet!? and ?Stay there!? while roughly grabbing children’s arms and pushing them down into chairs for time-out when the children did not listen to the staff member.”

8VAC20-780-510-P

“Based on review of six medications and authorization forms, 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. Evidence: 1. A cold and mucus medication was onsite for Child A with written authorization from the parent that expired on 3/25/22. 2. An allergy medication was onsite for Child B with written authorization from the parent that expired on 7/27/21. 3. An asthma medication was onsite for Child C with written authorization from the parent that expired on 12/31/21.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that infant bottles were dated and labeled with the child's name. Evidence: During the inspection on 4/13/22, an infant bottle was observed in the refrigerator with no name or date. Two additional bottles were observed without a date.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the staff-to-child ratio of 1:4 was followed for infants from birth up to 16-months-old. Evidence: At the start of the inspection at approximately 2:45pm, Administrator A was observed in the office with [name] At approximately 2:50pm Administrator A was observed in the Infant room with one staff and six infants. Interview revealed that the staff member had been alone with six babies for approximately 20 minutes before Administrator A went into the classroom.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the "Frogs" (toddler) bathroom a spray bottle labeled "Bleach and water" was observed on the counter. 2. In the "Frogs" classroom, a spray bottle labeled "Bleach and water" was observed on top of the cubby shelf. 3. In the "Ducks" (two-year-old to four-year-old) classroom a "Magic Eraser" sponge was observed in an unlocked drawer directly under the child sink.”

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

“Based on review of three agent records, the center did not obtain a sworn statement or documentation of the results of a central registry search within 30 days of service for all agents. Evidence: 1. The record for Agent A did not contain the results of a central registry search completed by the center. 2. The record for Agent B contained a sworn statement dated 4/15/22. Agent B began service in November 2019. 3. The record for Agent C did not contain the results of a central registry search by the center within 30 days of service. The sworn statement on record for Agent C was dated 4/15/22. Agent C began service in November 2019.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition. 1. In the "Frogs" (toddler) classroom and the "Ducks" (two-year-olds to four-year-olds) classroom, the window blinds were broken and hanging in some areas and tied up with string in other areas. 2. In the "Frogs" classroom the diaper changing pad was torn in multiple areas making it not non-absorbent. 3. In the "Cardinals" (four-year-olds to five-year-olds) classroom the red vinyl couch was torn on multiple corners. 4. In the School Age classroom there was a ceiling tile that was broken with a large piece of the corner missing. 5. On the larger playground there was: a wooden bench with wood deteriorating on the outside edges; wood on the fence that was splintering with long portions of wood strips hanging down and away from the fence; and the stairs on the play structure that were originally metal covered with rubber had deteriorated until the rubber was missing in many areas with the metal underneath exposed and rusted almost all the way through. 6. On the smaller playground there was a riding toy/play car that had a broken wheel and another riding toy/play car that had a missing roof support bar that had broken off.”

22.1-289-036-B-4

“Based on review of three agent records, the center did not obtain the results of a search of the child abuse and neglect registry from all states in which staff members have resided within the last five years within 30 days of becoming an agent. Evidence: The record for Agent C contains documentation that the agent lives in the state of Maryland. The record did not contain results of a search of the child abuse and neglect registry from Maryland. Agent C became an agent for the center in November 2019.”

8VAC20-780-350-B-4

“Based on observation, documentation review and interview, the center did not ensure that the ratio of 1:10 (staff: children) was maintained for children from four-years-old up to school age eligibility. Evidence: On 4/13/22 at approximately 3:28pm 10 children were observed in the "Cardinals" classroom with one staff member. When the attendance was reviewed and showed documentation of 11 children present, the staff reported that a child had just left at 3:25pm. The staff member acknowledged that they had been alone with 11 children "for a little while" until the 11th child went home.”

8VAC20-780-130-A

“Based on review of four child records, the center did not obtain documentation that each child had received the immunizations required before attending the center. Evidence: 1. The immunizations on record for Child D, with a start date of 2/2/22, were dated 3/23/22. 2. The record for Child E, with a start date of 3/28/22, did not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on review of four child records, the center did not obtain documentation of a physical examination by a physician within 30 days of attendance for a child. Evidence: The physical on record for Child D, with a start date of 2/2/22, was dated 3/23/22.”

8VAC20-780-60-A

“Based on review of four child records, the center did not obtain all of the required information for a child record. Evidence: The record for Child F, with a start date of 3/7/22 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-350-Q

“Based on observation, record review, and interview, the center did not have documentation of a written assessment by the program director and program leader in order to assign children to a different age group and maintain the staff-to-child ratio and group size of the established age group. Evidence: On 4/13/22 18 children were observed with two staff in the "Ducks" classroom. Staff reported that four of the children were two-years-old and their records were reviewed for documentation in order to maintain the 1:10 ratio of the established age group with the two-year-olds present who typically require a 1:8 ratio. The four records did not contain documentation of a written assessment in order to maintain the ratio of 1:10, therefore a ratio of 1:8 was required.”

8VAC20-780-340-D

“Based on review of documentation, interview, and observation, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader was regularly present. Evidence: 1. On 4/13/22, in the afternoon, there was no qualified program leader with the children in the "Frogs" (toddler) classroom. The two teachers present were listed on the Staff Information Sheet for the renewal as assistant teachers and their records did not contain documentation to qualify as program leaders. The Staff Information Sheet for the renewal contains documentation that the program leader for the classroom leaves at 2:00pm each day, though the center is open until 6:30pm. 2. On 4/13/22, in the afternoon, there was no qualified program leader with the children in the School Age classroom. The teacher present was listed on the Staff Information Sheet as an assistant and their record did not contain documentation to qualify as a program leader. The Staff Information Sheet did not contain documentation of a program leader for the classroom.”

8VAC20-780-510-P

“Based on review of six medications and authorization forms, 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. Evidence: 1. A cold and mucus medication was onsite for Child A with written authorization from the parent that expired on 3/25/22. 2. An allergy medication was onsite for Child B with written authorization from the parent that expired on 7/27/21. 3. An asthma medication was onsite for Child C with written authorization from the parent that expired on 12/31/21.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that infant bottles were dated and labeled with the child's name. Evidence: During the inspection on 4/13/22, an infant bottle was observed in the refrigerator with no name or date. Two additional bottles were observed without a date.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the staff-to-child ratio of 1:4 was followed for infants from birth up to 16-months-old. Evidence: At the start of the inspection at approximately 2:45pm, Administrator A was observed in the office with [name] At approximately 2:50pm Administrator A was observed in the Infant room with one staff and six infants. Interview revealed that the staff member had been alone with six babies for approximately 20 minutes before Administrator A went into the classroom.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the "Frogs" (toddler) bathroom a spray bottle labeled "Bleach and water" was observed on the counter. 2. In the "Frogs" classroom, a spray bottle labeled "Bleach and water" was observed on top of the cubby shelf. 3. In the "Ducks" (two-year-old to four-year-old) classroom a "Magic Eraser" sponge was observed in an unlocked drawer directly under the child sink.”

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

“Based on review of three agent records, the center did not obtain a sworn statement or documentation of the results of a central registry search within 30 days of service for all agents. Evidence: 1. The record for Agent A did not contain the results of a central registry search completed by the center. 2. The record for Agent B contained a sworn statement dated 4/15/22. Agent B began service in November 2019. 3. The record for Agent C did not contain the results of a central registry search by the center within 30 days of service. The sworn statement on record for Agent C was dated 4/15/22. Agent C began service in November 2019.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition. 1. In the "Frogs" (toddler) classroom and the "Ducks" (two-year-olds to four-year-olds) classroom, the window blinds were broken and hanging in some areas and tied up with string in other areas. 2. In the "Frogs" classroom the diaper changing pad was torn in multiple areas making it not non-absorbent. 3. In the "Cardinals" (four-year-olds to five-year-olds) classroom the red vinyl couch was torn on multiple corners. 4. In the School Age classroom there was a ceiling tile that was broken with a large piece of the corner missing. 5. On the larger playground there was: a wooden bench with wood deteriorating on the outside edges; wood on the fence that was splintering with long portions of wood strips hanging down and away from the fence; and the stairs on the play structure that were originally metal covered with rubber had deteriorated until the rubber was missing in many areas with the metal underneath exposed and rusted almost all the way through. 6. On the smaller playground there was a riding toy/play car that had a broken wheel and another riding toy/play car that had a missing roof support bar that had broken off.”

22.1-289-036-B-4

“Based on review of three agent records, the center did not obtain the results of a search of the child abuse and neglect registry from all states in which staff members have resided within the last five years within 30 days of becoming an agent. Evidence: The record for Agent C contains documentation that the agent lives in the state of Maryland. The record did not contain results of a search of the child abuse and neglect registry from Maryland. Agent C became an agent for the center in November 2019.”

8VAC20-780-350-B-4

“Based on observation, documentation review and interview, the center did not ensure that the ratio of 1:10 (staff: children) was maintained for children from four-years-old up to school age eligibility. Evidence: On 4/13/22 at approximately 3:28pm 10 children were observed in the "Cardinals" classroom with one staff member. When the attendance was reviewed and showed documentation of 11 children present, the staff reported that a child had just left at 3:25pm. The staff member acknowledged that they had been alone with 11 children "for a little while" until the 11th child went home.”

8VAC20-780-130-A

“Based on review of four child records, the center did not obtain documentation that each child had received the immunizations required before attending the center. Evidence: 1. The immunizations on record for Child D, with a start date of 2/2/22, were dated 3/23/22. 2. The record for Child E, with a start date of 3/28/22, did not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on review of four child records, the center did not obtain documentation of a physical examination by a physician within 30 days of attendance for a child. Evidence: The physical on record for Child D, with a start date of 2/2/22, was dated 3/23/22.”

8VAC20-780-60-A

“Based on review of four child records, the center did not obtain all of the required information for a child record. Evidence: The record for Child F, with a start date of 3/7/22 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-350-Q

“Based on observation, record review, and interview, the center did not have documentation of a written assessment by the program director and program leader in order to assign children to a different age group and maintain the staff-to-child ratio and group size of the established age group. Evidence: On 4/13/22 18 children were observed with two staff in the "Ducks" classroom. Staff reported that four of the children were two-years-old and their records were reviewed for documentation in order to maintain the 1:10 ratio of the established age group with the two-year-olds present who typically require a 1:8 ratio. The four records did not contain documentation of a written assessment in order to maintain the ratio of 1:10, therefore a ratio of 1:8 was required.”

8VAC20-780-340-D

“Based on review of documentation, interview, and observation, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader was regularly present. Evidence: 1. On 4/13/22, in the afternoon, there was no qualified program leader with the children in the "Frogs" (toddler) classroom. The two teachers present were listed on the Staff Information Sheet for the renewal as assistant teachers and their records did not contain documentation to qualify as program leaders. The Staff Information Sheet for the renewal contains documentation that the program leader for the classroom leaves at 2:00pm each day, though the center is open until 6:30pm. 2. On 4/13/22, in the afternoon, there was no qualified program leader with the children in the School Age classroom. The teacher present was listed on the Staff Information Sheet as an assistant and their record did not contain documentation to qualify as a program leader. The Staff Information Sheet did not contain documentation of a program leader for the classroom.”

8VAC20-780-245-J-1 Complaint related: No

“Based on interview, the center did not ensure that a staff member trained in medication administration (MAT) was on site when the center has agreed to administer medication. Evidence: The Director and one other staff have current certification in MAT. Interview revealed that the center opens at 6:00am and the director arrives around 7:45am or 8:00am and the other MAT trained staff arrives around 8:30am. There are emergency medications on site.”

8VAC20-780-245-L Complaint related: No

“Based on interview, the center did not ensure that there was always at least one staff member on duty who had obtained daily health observation (DHO) training within the last three years. Evidence: The Director and one other staff have current DHO training. Interview revealed that the center opens at 6:00am and the director arrives around 7:45am or 8:00am and the other DHO trained staff arrives around 8:30am.”

8VAC20-780-80-A Complaint related: No

“Based on observation and review of documentation, the center did not maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 3/3/22 at approximately 9:25am the attendance record in the JrK class contained documentation of 11 children in the classroom. At that time there were 10 children in the JrK classroom. One child was picked up by their parent at approximately 9:06am but was still marked as present. 2. On 3/3/22 at approximately 9:27am the attendance record in the toddler class contained documentation of 10 children in the classroom. At that time there were 12 children in the classroom. Two children not listed on the attendance had arrived at approximately 8:57am and 9:03am.”

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

“Based on observation, interview, and review of documentation, the center did not maintain the required staff-to-children ratios whenever children were in care. Evidence: 1. On 3/3/22 from approximately 8:31am to 9:11am one staff was alone in the "Ducks" classroom with between 10 to 12 children. The classroom required a ratio of 1 staff to 8 children with two-year-olds present. 2. On 3/3/22 from approximately 8:31am until 9:06am one staff was alone in the "Frogs" classroom with between 6 to 12 children. The classroom required a ratio of 1 staff to 5 children with children 16-months-old present. At approximately 9:06am when the second staff went to the "Frogs" classroom, the class was not at the required 1 staff to 5 children ratio and the director reported there were no other teachers to go into the classroom. 3. On 3/1/22 from approximately 7:25am until 8:00am one staff was alone in the Infant classroom with five children. The required ratio was 1 staff to 4 children with infants present. 4. On 3/1/22 from approximately 7:50am until 8:30am one staff was alone in the "Frogs" classroom with between 6 to 7 children. The classroom required a ratio of 1 staff to five children with children 16-months-old present. 5. On 3/1/22 from approximately 7:50am until 8:00am one staff was alone with the "Ducks" and "JrK" classes with 12 children. The required ratio was 1 staff to 8 children with two-year-olds present. 6: On 3/1/22 from approximately 8:45am until 9:15am one staff was alone in the "Ducks" class with 12 to 14 children. The required ratio was 1 staff to 8 children with two-year-olds present. 7. On 3/1/22 from approximately 10:50am until 4:07pm two staff were in the "Ducks" class with 17 children. The required ratio was 1 staff to 8 children with two-year-olds present.”

22VAC40-185-80-A

“Based on review of written attendance records and interview with the provider, the center did not ensure all children were included on the written attendance record. Evidence: 1. At approximately 9:15am on 11/23/21 the provider reported that there were 14 children present in the Preschool Frogs class. The written attendance record contained documentation of seven children in attendance. 2. At approximately 9:19am the provider reported that there were three children present in the PreK Ducks class. The written attendance record contained documentation of one child in attendance.”

63.2(17)-1720.1-B-4

“Based on review of three staff records and interview with the provider, the center did not obtain the results of a criminal history record check and sex offender registry check from all states in which a staff member resided within the last five years prior to employment. Evidence: The sworn statement on record for Staff A, signed 9/3/2021, indicated that the staff member had lived in California within the last five years. The start date for Staff A was documented as 9/3/2021. There are no criminal history record check results on record for Staff A and the sex offender registry check on record for Staff A was dated 11/23/2021.”

22VAC40-185-80-A

“Based on review of written attendance records and interview with the provider, the center did not ensure all children were included on the written attendance record. Evidence: 1. At approximately 9:15am on 11/23/21 the provider reported that there were 14 children present in the Preschool Frogs class. The written attendance record contained documentation of seven children in attendance. 2. At approximately 9:19am the provider reported that there were three children present in the PreK Ducks class. The written attendance record contained documentation of one child in attendance.”

63.2(17)-1720.1-B-4

“Based on review of three staff records and interview with the provider, the center did not obtain the results of a criminal history record check and sex offender registry check from all states in which a staff member resided within the last five years prior to employment. Evidence: The sworn statement on record for Staff A, signed 9/3/2021, indicated that the staff member had lived in California within the last five years. The start date for Staff A was documented as 9/3/2021. There are no criminal history record check results on record for Staff A and the sex offender registry check on record for Staff A was dated 11/23/2021.”