Chesterbrook Academy #816

8VAC20-780-245-J-3

“Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed a training course developed or approved by the Department of Education in consultation with the Department of Health and the Board of Nursing. Child #6 (age: 13 months) has been prescribed an emergency medication that is kept at the center. No staff at the center have satisfactorily completed a training course to administer the emergency medication.”

22.1-289.035-B-3

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The child day center must request a copy of the results of a search of the child abuse and neglect registry prior to employment and staff must be supervised at all times by an individual with all required background checks until they have received all required results. Staff #3 and Staff #4 were observed working with a group of children and were not supervised at all times by an individual with all background checks. Staff #3 has been employed for over six months and Staff #4 has been employed for over one year.”

8VAC20-780-60-A

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child's identity and age. Child #1's record did not contain documentation of viewing proof of the child's identity and age. Child #1 has been enrolled for three months.”

8VAC20-780-530-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. On September 23, 2025, Staff #2, Staff #3 and Staff #4 worked together on the playground with a group of children. Staff #2, Staff #3 and Staff #4 do not have current certification in CPR and first aid.”

8VAC20-780-340-A

“REPEAT VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. On September 23, 2025, Child #1 (age: 2 years) was found, unsupervised, in the center's lobby by Staff #1. Child #1 was supposed to be on the playground, under the supervision of Staff #2, Staff #3, and Staff #4. Staff #2, Staff #3 and Staff #4 were not aware that Child #1 had left the playground and entered the building. The center was previously cited on September 18, 2025 for not ensuring the care, protection, and guidance of children.”

8VAC20-780-340-F

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On September 23, 2025, Child #1 (age: 2 years) was found, out of sight and sound supervision, in the center's lobby by Staff #1. No center staff were present at the time. The child’s teachers and class were on the playground. Staff #2, Staff #3 and Staff #4 were not aware that Child #1 had left the playground and entered the building. The center was previously cited on September 18, 2025 for a child under 10 years of age not being within actual sight and sound supervision of staff.”

8VAC20-780-550-P Complaint related: No

“The center shall maintain a written record of children's minor injuries which shall include the following: time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures. Documentation of an injury received by Child #1 did not contain time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures.”

8VAC20-780-530-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. On September 23, 2025, Staff #2, Staff #3 and Staff #4 worked together on the playground with a group of children. Staff #2, Staff #3 and Staff #4 do not have current certification in CPR and first aid.”

8VAC20-780-340-A

“REPEAT VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. On September 23, 2025, Child #1 (age: 2 years) was found, unsupervised, in the center's lobby by Staff #1. Child #1 was supposed to be on the playground, under the supervision of Staff #2, Staff #3, and Staff #4. Staff #2, Staff #3 and Staff #4 were not aware that Child #1 had left the playground and entered the building. The center was previously cited on September 18, 2025 for not ensuring the care, protection, and guidance of children.”

8VAC20-780-340-F

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On September 23, 2025, Child #1 (age: 2 years) was found, out of sight and sound supervision, in the center's lobby by Staff #1. No center staff were present at the time. The child’s teachers and class were on the playground. Staff #2, Staff #3 and Staff #4 were not aware that Child #1 had left the playground and entered the building. The center was previously cited on September 18, 2025 for a child under 10 years of age not being within actual sight and sound supervision of staff.”

8VAC20-780-550-P Complaint related: No

“The center shall maintain a written record of children's minor injuries which shall include the following: time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures. Documentation of an injury received by Child #1 did not contain time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. The center's supervision policy states that Face to Name should be completed when "transitioning from one location to another", when "returning from playground" and "anytime a child goes through a door". The policy also states that "anyone who takes a child through any doorway should complete" Face to Name and "all staff should be trained and know the process." On September 15, 2025, Staff #2 transitioned a group of four children (from ages 13 months to 15 months) to the classroom from the playground. Staff #2 did not conduct a Face-to-Name check prior to transitioning the children. Staff #1 removed the children from the stroller and placed them in the classroom. Staff #1 and Staff #2 did not conduct a Face-to-Name check when the children returned to the classroom and went through the door. Prior to this incident, Staff #1 had not been trained on the Face-to-Name process.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection and guidance. On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised. Staff #1 and Staff #2 were not aware that Child #1 was missing until the children got seated for lunch. At that time, Staff #5 was already returning Child #1 to the classroom.”

8VAC20-780-340-D

“REPEAT VIOLATION In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. On September 15, 2025, starting at 9:16 a.m., Classroom #1 was staffed with teachers who do not meet lead teacher qualifications. Staff #1, Staff #2 and Staff #4 worked at various times in the classroom together and alone throughout the remainder of the day.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised.”

8VAC20-780-530-A

“REPEAT VIOLATION At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. On September 15, 2025, Staff #1, Staff #2 and Staff #4 worked in Classroom #1 at various times during the day and do not have current certification in CPR and first aid.”

22.1-289.035-B-3

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The child day center must request a copy of the results of a search of the child abuse and neglect registry prior to employment and staff must be supervised at all times by an individual with all required background checks until they have received all required results. On September 15, 2025, Staff #2 worked with a group of children and was not supervised at all times by an individual with all background checks. Staff #2 has been employed for over 5 months.”

8VAC20-780-60-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age. Child #1's record did not contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #1 has been enrolled for 10 months. Child #3's record did not contain documentation of viewing proof of the child's identity and age. Child #3 has been enrolled for over two years. Child #7's record did not contain documentation of viewing proof of the child's identity and age. Child #7 has been enrolled for five months.”

8VAC20-780-240-B

“Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities. Staff #4 completed orientation training 17 days after employment. Staff #5 completed orientation training 10 days after employment.”

8VAC20-780-240-C

“Orientation training shall include all of the following facility specific topics: job responsibilities and to whom they report, policies and procedures listed in 8VAC20-780-420 A and the standards that relate to the staff member's responsibilities, the center's playground safety procedures, confidential treatment of personal information about children in care and their families, the center's policies and procedures on the administration of medication, emergency preparedness and response planning for emergencies, prevention of sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, prevention of and response to emergencies due to food and other allergic reactions, and prevention and control of disease. Staff #2 and Staff #6's orientation training did not include all required facility specific topics. Staff #2 has been employed for three months. Staff #6 has been employed for one month.”

8VAC20-780-240-E

“Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR). Staff #2 did not complete orientation training in first aid and CPR. Staff #2 has been employed for three months. Staff #3 did not complete orientation training in first aid and CPR. Staff #3 has been employed for five months.”

8VAC20-780-270-A

“REPEAT VIOLATION Areas and equipment of the center, inside, shall be maintained in a safe condition. There was chipped and peeling paint in multiple areas in two classrooms, within reach of children.”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. At the time of inspection, Staff #1, Staff #2 and Staff #6 were working together in a classroom. Staff #1, Staff #2 and Staff #6 do not meet the qualifications of a program leader. At the time of inspection, Staff #7 was working alone in a classroom. The assigned lead teacher for the classroom was assisting in a different classroom. Staff #7 does not meet qualifications of a program leader.”

8VAC20-780-530-A

“At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. Classroom #1, #2, and #3 did not have at least one staff present who has current certification in CPR and first aid. There were children present at the time of inspection.”

22.1-289.035-B-3

“REPEAT VIOLATION The child day center must obtain a copy of the results of a search of the child abuse and neglect registry prior to employment. The center did not obtain a copy of the results of a search of the child abuse and neglect registry for Staff #1, Staff #2 and Staff #6. Staff #1, Staff #2 and Staff #6 were working together in a classroom and were not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months. Staff #6 has been employed for one month. There was no documentation showing that the results of a search of the central registry was requested prior to Staff #1 and Staff #5 being employed. Staff #1 has been employed for ten months. Staff #5 has been employed for four months.”

22.1-289.035-B-4

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center must obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. The center did not obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2 has resided in the preceding five years. Staff #2 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months. The center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which Staff #6 has resided in the preceding five years. Staff #6 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #6 has been employed for one month. There was no documentation that a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2, Staff #4 and Staff #5 has resided in the preceding five years was requested prior to employment. Staff #4 and Staff #5 have been employed for four months.”

8VAC20-780-130-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The center did not obtain documentation of immunizations for Child #7 before the child could attend the center. Child #7 has been attending the center for five months.”

8VAC20-780-140-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY Each child shall have a physical examination within 30 days after the first day of attendance. Child #1 does not have a physical examination on file. Child #1 has been enrolled for ten months. Child #3 does not have a physical examination on file. Child #3 has been enrolled for over two years. Child #7 does not have a physical examination on file. Child #7 has been enrolled for five months.”

8VAC20-780-40-M

“REPEAT VIOLATION The written list of children's allergies and dietary restrictions shall be kept confidential. Written lists of children's allergies and dietary restrictions in two classrooms were not kept confidential.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3 did not complete the Virginia Department of Education-sponsored orientation course. Staff #3 has been employed for five months. Staff #5 did not complete the Virginia Department of Education-sponsored orientation course. Staff #5 has been employed for four months.”

8VAC20-780-60-A-8

“Each center shall maintain a record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy. Child #'1's record indicates multiple food allergies. Child #1 has been enrolled for over two months and does not have a written care plan on file. Child #9's record indicates multiple food allergies. Child #9 has been enrolled for over two years and does not have a written care plan on file.”

8VAC20-780-270-A

“Areas of the center, inside, shall be maintained in a safe condition. There was chipped paint on walls in four classrooms. Two of the four classrooms also had peeling paint on walls within reach of children.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation drills. At the time of inspection, there was no documentation of evacuation drills for December 2024 or January 2025.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis (TB) screening. Staff #4's follow-up TB screening is overdue by two weeks. Staff #5's follow-up TB screening is overdue by 17 months.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. The allergy lists posted in each classroom were outdated. Child #4 is listed as having a food allergy, however Staff #4 confirmed that the child has outgrown the allergy. Child #7 is listed as having a food allergy, however Staff #4 confirmed that the child does not have an allergy. Child #8 is listed as having a food allergy, however Staff #4 confirmed that the child is no longer enrolled.”

8VAC20-780-350-B-1 Complaint related: Yes

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY The staff-to-children ratios for children ages birth up to 16 months are required whenever children are in care. On November 21, 2024 at approximately 9:01 a.m., the younger infants classroom had 9 infants present with 2 staff, exceeding the 1:4 ratio. At approximately 9:11 a.m., the older infants classroom had 6 infants present with 1 staff exceeding the 1:4 ratio. At approximately 9:27 a.m., the Toddlers classroom had 10 children present, including Child #1 (age:15 months), with 2 staff, exceeding the 1:4 ratio.”

8VAC20-780-350-B-3 Complaint related: Yes

“SYSTEMIC DEFICIENCY The staff-to-children ratios for children ages 2 years old are required whenever children are in care. On November 21, 2024, at approximately 8:36 a.m., the Beginners classroom (two year old classroom) had 11 children present with 1 staff, exceeding the 1:8 ratio.”

8VAC20-780-350-B-4 Complaint related: Yes

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY The staff-to-children ratios for children ages 3 years old to school age eligible are required whenever children are in care. On November 21, 2024, at approximately 9:02 a.m., the Intermediates classroom (three year old classroom) had 15 children present with 1 staff, exceeding the 1:10 ratio. At approximately 9:05 a.m., the Pre-K classroom (ages: 4 to 5 years) had 23 children present with 2 staff, exceeding the 1:10 ratio.”

8VAC20-780-510-P

“REPEAT VIOLATION 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. Authorization for a medication belonging to Child #8 expired over 2 months ago. The parent did not pick up the medication and the center did not dispose of it.”

22.1-289.035-A

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center is required to have employees undergo a background check every five years. The central registry check for Staff #3 is overdue by 12 weeks. The central registry check for Staff #5 is overdue by 8 months.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The center did not have documentation showing that a central registry search was requested for Staff #2, who has been employed for two months.”

22.1-289.035-B-4

“REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The center is required to request background checks from any state in which the individual has resided in the preceding five years. The center did not have documentation that a search of the child abuse and neglect registry and sex offender registry was requested from one state for Staff #2, who has been employed for two months.”

8VAC20-780-350-B-2

“The staff-to-children ratios are required whenever children are in care. There were 2 staff and 13 children, including Child #7 (age: 23 months), present in the Beginners classroom, exceeding the required ratio of 1 staff to 5 children for children ages 16 months up to 24 months.”

8VAC20-780-350-B-1

“REPEAT VIOLATION The staff-to-children ratios are required whenever children are in care. There were 1 staff and 5 children, including Child #1 (age: 14 months), present in the Toddlers classroom, exceeding the required ratio of 1 staff to 4 children for children ages birth up to 16 months.”

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center. The center did not have documentation of Staff #1?s Virginia Department of Education-sponsored orientation course.”

8VAC20-780-60-A

“REPEAT VIOLATION Each center shall maintain a separate record for each child enrolled which shall contain documentation of viewing proof of the child’s identity and age. Child #1 and #2?s records did not contain documentation of viewing proof of the child’s identity and age. Child #1 has been enrolled for 11 months and Child #2 has been enrolled for 10 days.”

8VAC20-780-140-A

“REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days of the first day of attendance. Child #3 and #6 did not have a physical examination on file. Child #3 has been attending the center for one year and Child #6 has been attending for 42 days.”

8VAC20-780-130-A

“REPEAT VIOLATION The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The center did not obtain documentation of immunizations for Child #2 and Child #3. Child #2 has been attending the center for 10 days and Child #3 has been attending for one year.”

8VAC20-780-350-B-4

“The staff-to-children ratios are required whenever children are in care. There were 2 staff and 23 children (ages: 4 to 5 years) present in the PreK-2 classroom, exceeding the required ratio of 1 staff to 10 children for children ages 3 years old up to school age eligible.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, 2 out of 6 children's records did not contain all information. Evidence: 1. Child #2's most recent documented annual update was dated 02/06/2023. 2. Child #6's most recent documented annual update was dated 09/19/2022.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center for 1 out of 6 children. Evidence: Child #5 (start date: 3/12/2024) did not have documentation of immunizations.”

8VAC20-780-350-B-1

“Based on observation, the center did not follow the required ratio of 1:4 (staff:children) for children aged between birth up to 16 months, whenever children are in care. Evidence: The toddler classroom had 13 children, including Child #3 (age: 15 months), in care during nap time with one staff member, exceeding the 1:4 ratio.”

8VAC20-780-350-A

“Based on observation of children in care, the center did not follow the maximum group size limitations of 12 for children between the ages birth up to 16 months. Evidence: The Toddler classroom had 13 children in care. The youngest child in care (Child #3) was 15 months old.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas of center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped paint on the corner back wall of the Pre-K 2 classroom. 2. There was chipped paint on the wall by the diaper changing station in the Toddler room. 3. There was chipped and peeling paint on the pole of the gate located between playground 2 and the infant playground. 4. There is a circular drain on the large playground with exposed, protruding cement on its edge creating an uneven area and a potential tripping hazard.”

8VAC20-780-140-A

“Based on record review, 2 out of 6 children did not have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4 (start date: 01/02/2024) did not have documentation of a physical examination. 2. Child #5 (start date: 03/12/2024) did not have documentation of a physical examination.”

8VAC20-780-160-C

“Based on record review, the center did not obtain a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing for 1 out of 5 staff. Evidence: Staff #5's follow up TB screening was dated 05/09/2024. The previous TB screening was dated 09/03/21.”

8VAC20-780-150-B

“Based on record review, the center did not ensure that immunization reports for 1 out of 6 children were be signed by a physician, his designee, or an official of a local health department. Evidence: Child #4's (start date: 01/02/2024) immunization report was not signed by a physician, his designee, or an official of a local health department.”

22.1-289.035-A

“REPEAT VIOLATION Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members. Evidence: 1. Staff #2's most recent fingerprint results were dated 04/27/2018. 2. Staff #2's most recent central registry results were dated 07/03/2018. 3. Staff #5?s most recent fingerprint results were dated 02/26/2018.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center did not obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry record check for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #3?s (Hire Date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years. 2. Staff #3?s record did not contain results of out-of-state search of the child abuse and neglect registry.”

8VAC20-780-520-A

“REPEAT VIOLATION Based on observation, over-the-counter skin products were kept beyond the expiration date of the product. Evidence: A diaper cream that expired in February 2024 was kept in the Toddler room.”

8VAC20-780-510-P

“Based on observation and record review, when an authorization for medication expired, 3 medications that were not picked up within 14 days were not disposed of by the center. Evidence: 1. The authorization for a medication belonging to Child #7 expired on 07/13/2023. The center did not dispose of the medication. 2. The authorization for a medication belonging to Child #8 expired in July 2023. The center did not dispose of the medication. 3. The authorization for a medication belonging to Child #9 expired on 08/22/2023. The center did not dispose of the medication.”

8VAC20-780-420-E-1

“REPEAT VIOLATION Based on review of records, the daily records posted for each infant did not contain all the required information. Evidence: Child #5's (age: 4 months) daily records on 05/16/2024, 05/17/2024, and 05/20/2024 did not contain the amount of time the child spent on their stomach.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #3?s (age: 17 months) most recent immunization record was dated 05/09/2022.”

8VAC20-780-520-B

“Based on record review, not all requirements for sunscreen were met. Evidence: The center did not have written parent authorization for sunscreens belonging to Child #11 and Child #12.”

8VAC20-780-520-C

“Based on record review, not all requirements for diaper ointment or cream were met. Evidence: The center did not have written parent authorization for a diaper cream belonging to Child #7.”

8VAC20-780-550-P

“Based on record review, the center did not ensure that all information was included on 5 out of 5 injury reports reviewed. Evidence: 1. An injury report completed on February 10, 2023 did not include the time when parents were notified. 2. An injury report completed on April 5, 2023 did not include the time when parents were notified or documentation on how parent was notified. 3. An injury report completed on April 6, 2023 did not include the date and time when parents were notified or documentation on how parent was notified. 4. An injury report completed on June 7, 2023 did not include the time when parents were notified. 5. An injury report completed on June 20, 2023 did not include the time when parents were notified.”

22.1-289.035-A

“Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members. Evidence: 1. Staff #4?s most recent fingerprint results were dated 06/05/2018. 2. Staff #5?s most recent fingerprint results were dated 04/11/2018. 3. Staff #5?s most recent sworn disclosure statement was dated 03/16/2018.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years, prior to employment. Evidence: 1. Staff #2?s (hire date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years. 2. Staff #2?s record did not contain results of out-of-state criminal history record checks.”

8VAC20-770-60-C-2

“Based on record review, the center did not have a central registry finding within 30 days of employment for 1 out of 5 staff members. Evidence: Staff #1?s (hire date: 03/27/2023) record did not contain a central registry finding.”

8VAC20-780-520-A

“Based on observation, over-the-counter skin products were kept beyond the expiration date of the product. Evidence: 1. A sunscreen belonging to Child #7 expired June 2023. 2. A sunscreen belonging to Child #8 expired December 2022. 3. A healing ointment belonging to Child #9 expired August 2022. 4. A diaper cream belonging to Child #9 expired June 2023. 5. A healing ointment belonging to Child #10 expired May 2023.”

8VAC20-780-550-D

“Based on record review and staff interview, the center did not implement practice evacuation drills monthly. Evidence: 1. The most recent evacuation drill was dated 10/24/2022. 2. Staff #1 stated that staff were re-trained on emergency drills and will begin implementing them monthly.”

8VAC20-780-420-E-1

“Based on staff interview, daily records for each infant did not contain all required information. Evidence: Staff #3 stated that they had not been documenting, for infants who are awake and cannot turn over by themselves, the amount of time spent on their stomachs.”

8VAC20-780-270-A

“Based on observation, areas of center, inside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped paint on the wall of the Pre-K 2 bathroom. 2. There was chipped paint and torn drywall by the calendar, circle time sign and closet in the Pre-K 2 classroom. 3. There was chipped floor tiling by the exit door in the Intermediates classroom. 4. There was chipped paint by the calendar and under the bulletin board in the Pre-K 1 classroom. 5. There was chipped paint and torn drywall above the soap dispenser in the Pre-K 1 bathroom.”

8VAC20-780-60-A-8

“Based on record review and staff interview, the center did not obtain all information for children’s records. Evidence: 1. Staff #1 stated that Child #6 has a peanut allergy. 2. The record for Child #6 did not include a written allergy care plan.”

8VAC20-780-160-A

“Based on record review, not all staff members submitted documentation of a negative tuberculosis screening at the time of employment. Evidence: At the time of inspection, Staff #1 (start date: 12/19/2022) did not have documentation of a negative tuberculosis screening on file.”

22.1-289.035-B-2

“Based on record review, the center did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: At the time of inspection, Staff #2 (start date: 01/30/2023) did not have documentation of fingerprinting results on file.”

8VAC20-780-40-M

“Based on observation, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies. Evidence: 1. Child #6 has a peanut allergy and Child #7 has a sunflower seed allergy. 2. The allergy lists posted in the classrooms (dated: 10/14/2022) did not list Child #6?s allergy or Child #7?s sunflower seed allergy.”

8VAC20-780-340-F

“Based on interview and review of the center’s video footage, a child under 10 years of age was not within actual sight and sound supervision of staff at all times. Evidence: 1. On September 27, 2022, Child #1 (age: 3 years) was out of actual sight and sound supervision for approximately one minute. 2. Staff #1 stated that they lined up their children to transition them from Pre-K 1 to the Intermediate classroom for nap time. They stated that they did not conduct the Face-to-Name transition prior to moving the children. 3. On September 27, 2022 at approximately 12:33 p.m., the video recording shows Staff #1 leaving the Pre-K 1 classroom. Child #1 is seen sitting on the carpet, behind a shelf as Staff #1 exits the classroom. 4. Approximately 5 seconds after Staff #1 exits the classroom, the video recording shows Child #1 leaving the carpet area and walking to the classroom door. 5. At approximately 12:34 p.m., the video recording shows a staff member opening the classroom door and retrieving Child #1.”

8VAC20-780-340-A

“Based on interview and review of the center’s video footage, when staff were supervising children, they did not always ensure their care and protection. Evidence: 1. On September 27, 2022 at approximately 12:33 p.m., the video recording shows Staff #1 leaving the Pre-K 1 classroom. Child #1 (age: 3 years) is seen sitting on the carpet, behind a shelf as Staff #1 exits the classroom. Staff #1 was not aware that the child had been left in the classroom. 2. Staff #1 stated that they did not conduct the Face-to-Name transition prior to moving the children from the Pre-K 1 classroom to the Intermediate classroom. 3. Approximately 5 seconds after Staff #1 exits the classroom, the video recording shows Child #1 leaving the carpet area and walking to the classroom door. Next to the classroom door is a window that looks out into the hallway. The child is seen peeking through the window, pulling on the classroom door handle and kicking the window. 3. Staff #2 stated that they saw Child #1 ?knocking the window and went to get? the child. 4. At approximately 12:34 p.m., the video recording shows a staff member opening the classroom door and retrieving Child #1.”

8VAC20-780-40-E

“Based on staff interview and policy review, staff failed to follow the center’s own policies and procedures on Face-to-Name transition. Evidence: 1. The center has a Face-to-Name Transition and Attendance procedure that states ?a Face-to-Name Transition must be conducted and documented for all group and individual transitions.? Staff #1 signed a copy of this written procedure on 11/25/2019. 2. Staff #1 lined up their children to transition them from Pre-K 1 to the Intermediate classroom for nap time. 3. Staff #1 stated that they did not conduct the Face-to-Name transition prior to moving the children from the Pre-K 1 classroom to the Intermediate classroom.”

8VAC20-780-350-B-4

“Based on attendance record review and staff interview, the staff-to-children ratios were not always maintained whenever children were in care. Evidence: 1. After reviewing the paper and electronic attendance records, it was determined that on 09/27/2022 the Pre-K 1 (3 year old classroom) had a ratio of one staff member with eleven children, leaving the classroom out of ratio. 2. Staff #1 stated that they were the only teacher in the classroom with 11 children.”

8VAC20-780-440-B

“Based on observation, not all cots are identified for use by a specific child. Evidence Cots located in the Intermediates and Beginners classrooms were not all labeled for individual use.”

8VAC20-780-500-B

“Based on observation the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Evidence The diapering surface was sanitized after each use, but was not cleaned first.”