Children of America - Doc Stone

8VAC20-780-80-A

“(Repeat Violation) A written record of daily attendance is required for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the Infant B classroom, there were 4 children present, but the written record reflected there were 3 children present. 2) During inspection in the Pre-K A classroom, there were 16 children present, but the written record reflected there were 17 children present.”

8VAC20-780-60-A-8

“(Repeat Violation) The Center is required to ensure they have a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-340-A

“(Repeat Violation) Based on interviews, the center failed to ensure the care, protection and guidance of all children in care. Evidence: In the school age classroom, Child #1 (age 5) was touched inappropriately by another child in the classroom during rest time while children were watching a movie. Staff did not intervene to stop the incident though Child #1 repeatedly asked the other child to stop.”

8VAC20-780-340-F

“Based on interviews, the center failed to ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: Interviews revealed that a staff member with the school age classroom was on their phone and could not see or hear children who were positioned under a blanket on the carpeted area when inappropriate touching occurred.”

22.1-289.035-A

“Based on review of 3 staff records, the provider did not obtain a criminal history background check report every five years from the date of the last check. Evidence: The criminal history background check on file for Staff #1 was completed on 7/1/19 and the file did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check as required.”

8VAC20-780-350-B-1 Complaint related: No

“Based on review of documentation and interviews, the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: On 5/21/24, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the infant B room (ages 4 months ? 13 months). Records revealed and staff confirmed that there were only 2 staff members in the infant B classroom when a 9th infant was dropped off at approximately 7:39am, a 10th infant was dropped off at approximately 7:49am, an 11th infant was dropped off at approximately 8:12am, a 12th infant was dropped off at approximately 8:18am, and a 13th infant was dropped off at approximately 8:30am. At approximately 8:30, a staff member in the infant B classroom called a manager to the classroom and a manager and extra teacher joined the classroom at approximately 8:32am leaving the classroom outside of the required ratio for approximately 53 minutes.”

8VAC20-790-600-D-1

“Based on documentation review, the center did not ensure all staff members who work directly with children have cardiopulmonary resuscitation (CPR) certification appropriate to the ages of children in care with an in-person competency demonstration. Evidence: Staff #2 did not have a valid CPR certification because the training program did not contain an in-person demonstration.”

8VAC20-780-130-E

“Based on review of five child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years. Evidence: 1)The record for Child #2 (2 years old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 6/30/23 when the child was 15 months old. 2) The record for Child #3 (9 months old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 8/24/23 when the child was 2 months old.”

22.1-289.035-B-4

“Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 3/25/24) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-570-A

“Based on observation, the Center did not ensure that when a child is placed in an infant seat or high chair, the protective belt was fastened securely. Evidence: In the Infant C classroom, a child (15 months old) was placed in a high chair seat and the safety belt was not fastened.”

8VAC20-780-340-A

“Based on interviews, the center did not ensure the care, protection and guidance of all children in care. Evidence: 1)During inspection in the Infant B classroom, Child #2 (age 9 months) was laying awake in a crib and swaddled in a blanket that was tied in a knot around them. 2)In the Infant B classroom, Child #3 (age 9 months) was asleep in a crib with a rolled blanket under the mattress under their head which violates recommended safe sleep practices from the America Academy of Pediatrics guidelines (AAP). 3)In the Infant B classroom, 5 children (ages 7 months to 9 months) were swaddled in blankets in their cribs. Safe sleep recommendations from the AAP state that children should not be swaddled once they begin trying to roll over. The children had signs on their cribs that stated they could roll over.”

8VAC20-780-370-1

“Based on observation, the Center did not ensure that infants placed in their crib were placed on their back (supine). Evidence: In the Infant A classroom, (ages 3-4 months), Child #4 (age 4 months) was sleeping on their belly. There was a sign on their crib that stated they could not roll over.”

8VAC20-780-420-E-3

“Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #2 and Child #5 did not have documentation that the parent had confirmed the updated record annually. Child #2?s record was last updated 11/23/22 and Child #5?s record was last updated on 1/24/22.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant B classroom, 3 packages of food that had been brought from home were stored in the refrigerator and were not labeled with a name and date.”

8VAC20-780-60-A-8

“(Repeat Violation) Based on review of 5 child records, the Center did not ensure they had a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Infant A classroom (ages 3-4 months), there were 4 children present, but the written record reflected there were 5 children present.”

8VAC20-790-600-D-1

“Based on documentation review, the center did not ensure all staff members who work directly with children have cardiopulmonary resuscitation (CPR) certification appropriate to the ages of children in care with an in-person competency demonstration. Evidence: Staff #2 did not have a valid CPR certification because the training program did not contain an in-person demonstration.”

8VAC20-780-130-E

“Based on review of five child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years. Evidence: 1)The record for Child #2 (2 years old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 6/30/23 when the child was 15 months old. 2) The record for Child #3 (9 months old) did not contain documentation of updated immunizations once every six months for children under the age of two years. The most recent immunizations on file were dated 8/24/23 when the child was 2 months old.”

22.1-289.035-B-4

“Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 3/25/24) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-570-A

“Based on observation, the Center did not ensure that when a child is placed in an infant seat or high chair, the protective belt was fastened securely. Evidence: In the Infant C classroom, a child (15 months old) was placed in a high chair seat and the safety belt was not fastened.”

8VAC20-780-340-A

“Based on interviews, the center did not ensure the care, protection and guidance of all children in care. Evidence: 1)During inspection in the Infant B classroom, Child #2 (age 9 months) was laying awake in a crib and swaddled in a blanket that was tied in a knot around them. 2)In the Infant B classroom, Child #3 (age 9 months) was asleep in a crib with a rolled blanket under the mattress under their head which violates recommended safe sleep practices from the America Academy of Pediatrics guidelines (AAP). 3)In the Infant B classroom, 5 children (ages 7 months to 9 months) were swaddled in blankets in their cribs. Safe sleep recommendations from the AAP state that children should not be swaddled once they begin trying to roll over. The children had signs on their cribs that stated they could roll over.”

8VAC20-780-370-1

“Based on observation, the Center did not ensure that infants placed in their crib were placed on their back (supine). Evidence: In the Infant A classroom, (ages 3-4 months), Child #4 (age 4 months) was sleeping on their belly. There was a sign on their crib that stated they could not roll over.”

8VAC20-780-420-E-3

“Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #2 and Child #5 did not have documentation that the parent had confirmed the updated record annually. Child #2?s record was last updated 11/23/22 and Child #5?s record was last updated on 1/24/22.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant B classroom, 3 packages of food that had been brought from home were stored in the refrigerator and were not labeled with a name and date.”

8VAC20-780-60-A-8

“(Repeat Violation) Based on review of 5 child records, the Center did not ensure they had a written care plan for each child with a diagnosed 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 #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Infant A classroom (ages 3-4 months), there were 4 children present, but the written record reflected there were 5 children present.”

8VAC20-780-410-1

“Based on staff interviews and review of documentation, the center failed to ensure that the forbidden action of rough handling of a child did not occur. Evidence: 1)Upon interview with staff, it was reported that Child #1 (age 4) refused to join the rest of the class for an activity on the rug. When the child refused, Staff #1 grabbed the child’s hand to guide them to the rug. In the process, the palm of the child’s hand became red and broken skin was noticed. 2)Upon pick up by the parent of Child #1, the child was crying, so the child’s parent asked their child what was wrong. Child #1 verbalized to the parent that Staff #1 had dug their fingernails into their hand. 3)Child #2 (age 5), who was present during the interaction, stated that Staff #1 had become upset with Child #1 and dug their fingernails into their hand when they weren?t listening. Child #2 stated that Child #1 cried when Staff #1 grabbed their hand.”

8VAC20-780-60-A-8

“(Repeat Violation) Based on review of 6 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #6 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-60-A-8

“(Repeat Violation) Based on review of 6 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #6 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-770-60-B

“Based on review of five staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Staff #1 (date of hire 7/11/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

8VAC20-780-330-B

“Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. Evidence: 1)The Toddler playground has a climber with slide that is 17 inches in height that is touching the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment. 2)The Toddler playground has a climber with slide that is 28 inches in height that is 13 inches from the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment.”

8VAC20-780-340-D

“Based on interview and review of 5 staff records, 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: The Director stated and the documentation on file shows that Staff #5 who was alone in an infant classroom does not meet the qualifications of a program leader or program director.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the surface for diapering was non-absorbent. In the Toddler classroom, the diapering pad was torn at the corner causing the surface to not be non-absorbent as required.”

8VAC20-780-510-E

“Based on review of 7 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For the medications for Child #6 and Child #7 written medication authorization was not given from the child’s physician for a long term medication.”

8VAC20-780-520-B

“Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: During inspection in the Preschool 2 classroom, in a child’s cubby, there is a bottle of sunscreen where children have access.”

8VAC20-780-60-A-8

“Based on review of 5 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #5 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-770-60-B

“Based on review of five staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire. Evidence: The record for Staff #1 (date of hire 7/11/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

8VAC20-780-330-B

“Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. Evidence: 1)The Toddler playground has a climber with slide that is 17 inches in height that is touching the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment. 2)The Toddler playground has a climber with slide that is 28 inches in height that is 13 inches from the fence and does not allow for a sufficient fall zone of resilient surfacing. The required fall zone for resilient surfacing is 6 feet from the equipment.”

8VAC20-780-340-D

“Based on interview and review of 5 staff records, 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: The Director stated and the documentation on file shows that Staff #5 who was alone in an infant classroom does not meet the qualifications of a program leader or program director.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the surface for diapering was non-absorbent. In the Toddler classroom, the diapering pad was torn at the corner causing the surface to not be non-absorbent as required.”

8VAC20-780-510-E

“Based on review of 7 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For the medications for Child #6 and Child #7 written medication authorization was not given from the child’s physician for a long term medication.”

8VAC20-780-520-B

“Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: During inspection in the Preschool 2 classroom, in a child’s cubby, there is a bottle of sunscreen where children have access.”

8VAC20-780-60-A-8

“Based on review of 5 child records, the provider did not ensure they had a written care plan for each child with a diagnosed 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 #5 did not contain an allergy care plan for their physician diagnosed food allergy.”

8VAC20-780-340-A

“Based on interviews and documentation, the center did not ensure the care, protection and guidance of all children in care. Evidence: On 5/30/23 at approximately 4:00pm, Staff #1 and Staff #2 were in the infant classroom with 7 infants when Child #1 became hungry and a bottle was placed in the bottle warmer to prepare for the feeding. Once the bottle was ready, Staff #1 fed Child #1 the bottle in the warmer that contained Child #2?s bottle of breast milk. When interviewed, Staff #1 stated they did not read the label on the bottle before feeding it to Child #1.”

22.1-289.011-F

“Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the facility was not posted.”

8VAC20-780-340-D

“Based on interviews and review of 5 staff files, 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: The file did not contain documentation and the Director stated that there was no program lead in the Infant A classroom.”

8VAC20-780-330-B

“8VAC20-780-330B Resilient Surfacing Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. The Toddler playground has a swing set that is 114 inches in height. At 147 inches from the back of the swing beam, the poured in place resilient surfacing stops and there is a fence installed surrounding the playground. Resilient surfacing is required for the fall zone to extend to twice the height of the swingset on the front and back and resilient surfacing would need to extend to 228 inches from the swing beam to allow a sufficient fall zone.”

22.1-289.011-F

“Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the facility was not posted.”

8VAC20-780-340-D

“Based on interviews and review of 5 staff files, 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: The file did not contain documentation and the Director stated that there was no program lead in the Infant A classroom.”

8VAC20-780-330-B

“8VAC20-780-330B Resilient Surfacing Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. The Toddler playground has a swing set that is 114 inches in height. At 147 inches from the back of the swing beam, the poured in place resilient surfacing stops and there is a fence installed surrounding the playground. Resilient surfacing is required for the fall zone to extend to twice the height of the swingset on the front and back and resilient surfacing would need to extend to 228 inches from the swing beam to allow a sufficient fall zone.”

22.1-289.011-F

“Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility. Evidence: The most recent licensing inspection of the facility was not posted.”

8VAC20-780-340-D

“Based on interviews and review of 5 staff files, 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: The file did not contain documentation and the Director stated that there was no program lead in the Infant A classroom.”

8VAC20-780-330-B

“8VAC20-780-330B Resilient Surfacing Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. The Toddler playground has a swing set that is 114 inches in height. At 147 inches from the back of the swing beam, the poured in place resilient surfacing stops and there is a fence installed surrounding the playground. Resilient surfacing is required for the fall zone to extend to twice the height of the swingset on the front and back and resilient surfacing would need to extend to 228 inches from the swing beam to allow a sufficient fall zone.”

8VAC20-780-340-D Complaint related: No

“Based on file review and staff interview, 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: The Director and Staff #1 stated that Staff #1 was alone with the School age classroom on 4/6/23 and Staff #1 does not have documentation on file that meets the qualifications of a program director or program leader.”

22.1-289.035-B-3

“Based on review of 1 staff record, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 11/7/22) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: In the Toddler classroom, there was a large plastic play kitchen set that was unsecured that fell on a child, causing bruising on the child’s forehead.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that 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. Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: 1)In the Toddler classroom, the storage system for disposal of diapers was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant C classroom, the diaper pad had debris on the surface and was not cleaned after use.”

22.1-289.035-B-4

“Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 1/9/23) and Staff #4 (date of hire 1/10/23) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the PSIIA classroom, there were 17 children present, but the written record reflected there were 16 children present.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: During the inspection, it was determined that Child #6 had a physician diagnosed food allergy but the child was not listed on the allergy list in any of the classrooms.”

8VAC20-780-510-E

“Based on review of 5 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For one of the medications for Child #5, there was no written medication authorization given from the child’s parent for a long term medication.”

22.1-289.035-B-2

“Based on review of 5 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #1 (Date of Hire 1/9/23), did not contain documentation of a fingerprint background check completed prior to their date of hire. The fingerprint for Staff #1 was completed on 1/10/23.”

8VAC20-780-420-E-3

“Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #1, Child #2, Child #4 and Child #5 did not have documentation that the parent had confirmed the updated record annually.”

22.1-289.058

“Based on observation and staff interview, the center did not ensure that the building was equipped with at least one working carbon monoxide detector. Evidence: There was no carbon monoxide detector in the building.”

8VAC20-780-340-D

“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: 1)The Director stated that there is no program lead in the Toddler classroom at this time. 2)In the Infant A classroom, the Program lead was out of the classroom for a lunch break at 10:19 to 11:03 and there was no one else present in the room who met the qualifications of program lead during that time. 3)In the Infant B classroom, there was no program lead present for the day.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Twos A classroom there were bleach wipes stored in an unlocked cabinet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child’s fingers.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant A classroom, there was food from home that was stored in the refrigerator and was not dated.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that 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. Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: 1)In the Toddler classroom, the storage system for disposal of diapers was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant C classroom, the diaper pad had debris on the surface and was not cleaned after use.”

22.1-289.035-B-4

“Based on review of 5 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #1 (date of hire 1/9/23) and Staff #4 (date of hire 1/10/23) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the PSIIA classroom, there were 17 children present, but the written record reflected there were 16 children present.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: During the inspection, it was determined that Child #6 had a physician diagnosed food allergy but the child was not listed on the allergy list in any of the classrooms.”

8VAC20-780-510-E

“Based on review of 5 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication. Evidence: For one of the medications for Child #5, there was no written medication authorization given from the child’s parent for a long term medication.”

22.1-289.035-B-2

“Based on review of 5 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire. Evidence: The record for Staff #1 (Date of Hire 1/9/23), did not contain documentation of a fingerprint background check completed prior to their date of hire. The fingerprint for Staff #1 was completed on 1/10/23.”

8VAC20-780-420-E-3

“Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #1, Child #2, Child #4 and Child #5 did not have documentation that the parent had confirmed the updated record annually.”

22.1-289.058

“Based on observation and staff interview, the center did not ensure that the building was equipped with at least one working carbon monoxide detector. Evidence: There was no carbon monoxide detector in the building.”

8VAC20-780-340-D

“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: 1)The Director stated that there is no program lead in the Toddler classroom at this time. 2)In the Infant A classroom, the Program lead was out of the classroom for a lunch break at 10:19 to 11:03 and there was no one else present in the room who met the qualifications of program lead during that time. 3)In the Infant B classroom, there was no program lead present for the day.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Twos A classroom there were bleach wipes stored in an unlocked cabinet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child’s fingers.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant A classroom, there was food from home that was stored in the refrigerator and was not dated.”

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

“Based on staff interviews and documentation review, staff did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts. Evidence: 1)On 2/8/23, at approximately 9:30am, Child #1 (age 2) was playing roughly in the classroom with another child. They were climbing on shelves that were approximately 2 feet high from the floor, flipping over the shelves, and sliding across the tops of shelves. Staff #1, Staff #4 and Staff #6 all stated they were in the room at the time of the incident. The staff interviewed stated that this behavior went on for 20-30 minutes with no change in the children’s behavior. 2)Though staff asked the children to stop the inappropriate behaviors, staff did not redirect the children to appropriate behavior and the children continued to engage in flipping and sliding on shelves even after Child #1 flipped over a shelf and landed on the floor leaving a bruise under their right eye that developed throughout the day.”

22.1-289.035-B-4 Complaint related: No

“Based on review of 2 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment. Evidence: 1)The record for Staff #2 (date of hire 11/15/22) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment. 2)The record for Staff #2 (date of hire 11/15/22) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.”

8VAC20-780-550-O Complaint related: Yes

“Based on staff and parent interviews, the center did not notify the parent by the end of the day of any known minor injuries. Evidence: 1)When a parent picked up their child (Child #1) at the center on 2/8/23 at approximately 4:30pm, they noticed a bruise under the child’s right eye. The parent took a photo of the child’s eye that day, spoke to staff and showed the staff the child’s injury. 2) The parent stated they spoke to Staff #3, Staff #5 and 2 other staff they couldn?t identify about the injury on the day of the incident. The staff told the parent that they weren?t sure how Child #1 sustained the injury. 3)An observation report was written by Staff #6 on 2/9/23 about the incident that occurred, but the incident was not communicated to the parent and the report was not signed by the parent. 4)On 2/14/23, during interviews with staff, multiple staff members recounted an incident on 2/8/23, at approximately 9:30am, where Child #1 (age 2) was playing roughly in the classroom with another child. They were climbing on shelves that were approximately 2 feet high from the floor, flipping over the shelves, and sliding across the tops of shelves. 5)Staff stated in interviews that the child had fallen from the shelves and may have been injured at that time, but they did not share that information with the parent. Staff stated that they thought either management or another staff member was going to write an injury report. 6)No report of the injury was made to the parent on 2/8/23 and the parent had not received notification of the center’s findings at the time of the investigation on 2/14/23.”

8VAC20-780-350-Q Complaint related: No

“Based on observation and staff interview, the center did not ensure they have a parent’s written permission and a written assessment by the program director and program leader to assign a child to a different age group. Evidence: Child #1 (DOB 01/16/2021) was assigned to a Two-year-old classroom containing 18 children and 3 teachers and has been assigned to this classroom since 1/3/2023. The child’s file did not contain written parent permission to be re-assigned to a different age group. The child’s file did not contain a written assessment by the director and program leader.”

8VAC20-780-350-B-2 Complaint related: Yes

“Based on review of written attendance records and staff interviews the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: In the Two-year-old classroom, the center was staffed with 3 teachers with 18 children ranging in ages from 1 year and 11 months to 2 years and 10 months. The staff to child ratio is based on the youngest child in the group which would make the appropriate ratio for this classroom 1:5.”

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

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)In the Infant C classroom, there were 4 children present, but the written record reflected there were 5 children present. 2)In the PreK A classroom, there were 15 children present, but the written record reflected there was 14 child present.”

8VAC20-780-340-D Complaint related: No

“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: The Director and Toddler room staff all stated that there has been no program lead in the Toddler classroom since July of 2022 when the Program leader left.”

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

“Based on review of written attendance records, count sheets, and staff interviews the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: On October 20, 2022 in the Pre-K A classroom, the center was staffed with 1 teacher beginning at 3:30 pm until 5:30 pm. The staff to child ratio for 3 and 4 year olds is 1:10. 1)At approximately 3:30-4:18 there were 16 children present ages 3 years old-4 years old with only 1 staff member present. 2)At approximately 4:18-4:40 there were 15 children present ages 3 years old-4 years old with only 1 staff member present. 3)At approximately 4:40-5:15 there were 14 children present ages 3 years old-4 years old with only 1 staff member present. 4)At approximately 5:15-5:18 there were 13 children present ages 3 years old-4 years old with only 1 staff member present. 5)At approximately 5:18-5:25 there were 12 children present ages 3 years old-4 years old with only 1 staff member present. 6)At approximately 5:25-5:26 there were 11 children present ages 3 years old-4 years old with only 1 staff member present. 7)At approximately 5:26-5:30 there were 10 children present ages 3 years old-4 years old with only 1 staff member present.”

22.1-289.035-B-4 Complaint related: No

“Based on review of two staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #2 (date of hire 10/25/21) did not contain documentation of a completed criminal history record check from all states (Texas) where they resided within the last five years.”

8VAC20-780-70 Complaint related: Yes

“Based on review of 2 staff records, the center did not obtain all of the required documentation for staff records. Evidence: There was no documentation that the center had obtained at least two references as to character, reputation, and competency for Staff #1 before employment.”

8VAC20-780-530-A Complaint related: No

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification and that included an in-person competency demonstration. Evidence: The file for Staff #2 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification that included an in-person competency demonstration. The CPR certification documentation on file is from a training company that states, ?We are not affiliated with the American Heart Association (AHA), Red Cross or OSHA?.Our courses do not require a live hands on skills check.? Staff #2 stated that they have been the only staff member in a classroom on many occasions.”

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

“Based on staff interviews a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts. Evidence: 1)Staff #1 admitted that when Child #1 does not listen to them, they have yelled at the child as a method of correcting the problem behavior. The staff member stated, ?I will admit I went a little too far and yelled at Child #1?. Staff #1 admitted he doesn?t remember requesting help from the management staff about his concerns with Child #1?s behavior. 2) The Director recalled a situation where the children were transitioning and the group became a little chaotic. The Director heard Staff #1 use a tone that they felt was ?scary? to the children. The Director stated, ?Staff #1 used their `scary parent voice? with the children on one occasion that I can remember.? In this instance the Director intervened and assisted Staff #1 with the group of children.”

8VAC20-780-210-A Complaint related: Yes

“Based on interview and record review, the center failed to ensure that program leaders meet one of the program leader qualification options. Evidence: The file for Staff #1 (Date of hire 1/3/2022), who is a lead teacher, did not contain documentation of the required education or experience for the position.”

8VAC20-780-240-A Complaint related: No

“Based on review of 2 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The record for Staff #2 (Date of hire 10/25/2021) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment”

8VAC20-780-520-B

“Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 12 sunscreens stored on a low shelf where children of all ages have access.”

8VAC20-780-520-C

“Based on observation, the center did not ensure that diaper cream was kept inaccessible to children. Evidence: In the Pre-K A classroom, there were 2 diaper creams stored on a low shelf in an unlocked cabinet where children have access.”

8VAC20-780-510-I

“Based on review of 18 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: 1)The medication for Child #7 was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications. 2)The medication Vatoco was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications.”

8VAC20-780-530-A

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification. Evidence: The file for Staff #3 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification. During the inspection, Staff #3 was alone with 8 children ages 2- 3 years old.”

8VAC20-780-550-D

“Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill. Evidence: There was no documentation for evacuation drills for August 2022 and September 2022.”

8VAC20-780-560-G

“Based on observation and staff interview, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: 1)In the Infant B classroom, there was milk, a 3 compartment container of food, and a 1 compartment container of food in the refrigerator that were not labeled with a name. 2)In the Infant B classroom, there was Oat milk and 1 container of applesauce with no name or date.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: In the Infant A classroom, 2 undated bottles were stored in the refrigerator.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1)In the Infant B classroom, with children ranging in ages 12 months-15 months, a phone cord plugged into the wall was observed hanging down low to the floor and looped in such a way that it could cause a risk of strangulation. 2) On the Big playground, where children ages 3 and older play, there were soccer goals stored in a way that they were hanging from the post on the fence and easily reachable to children. The soccer goals have several holes in them that could cause a risk of strangulation to a child. 3) On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child’s fingers. 4) During inspection, the licensing inspector observed loose-fitted crib sheets in 5 cribs in the Infant A and Infant B classrooms.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) The laundry/janitorial closet in the hallway was unlocked with the key in the door knob and contained 2 gallons of bleach, glass cleaner, 2 bottles of laundry detergent, goo remover, and disinfectant. 2)In the storage/phone closet in the hallway was unlocked with the key in the door, there were 11 gallons of bleach, 4 gallons of multi-purpose cleaner, wall paint and steel cleaner stored. 3)In the Toddler A classroom, sanitizer tablets and sanitizer spray were stored in an unlocked cabinet. 4)In the Preschool 1A classroom, a gallon of bleach, sanitizer tabs and sanitizer spray were stored in an unlocked cabinet.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that electrical outlets have protective covers. Evidence: 1)In the Toddler A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible. 1)In the Pre-K A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)In the Infant A classroom, there were 4 children present, but the written record reflected there were 3 children present. 2)In the Infant B classroom, there were 4 children present, but the written record reflected there was 1 child present. 3)In the Toddler A classroom, there were 10 children present, but the written record reflected there were 13 children present. 4)In the Preschool 1A classroom, there were 8 children present, but the written record reflected there were 14 children present. 5)In the Preschool 2A classroom, there were 17 children present, but the written record reflected there were 11 children present. 6) In the Pre-K A classroom, there were 17 children present, but the written record reflected there were 18 children present.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documentation for staff records. Evidence: 1)The center did not have documentation for Staff #5 that two or more references as to character and reputation as well as competency were checked before employment. 2) The center did not have documentation for Staff #3 that they possess the education and experience required by the job position. 3) The center did not have documentation for Staff #5 of the name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: 1)In the Infant B classroom, there was no dated allergy list posted for the staff. 2)In the Preschool 2A classroom, the allergy list had not been updated since 8/23/2022 and there was a child on the list who no longer attended at the center.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that 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 and that the diapering surface should only be used for diapering or cleaning children. Evidence: 1)In the Infant B classroom, the foot-operated storage system for disposal of diapers had a lock on it and was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant A classroom, there was tape, markers and a barrette laying on the diaper changing pad. 3)In the Toddler A classroom, there was a bowling pin laying on the diaper changing pad.”

8VAC20-780-510-E

“Based on review of 18 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication in that the duration of the parent’s authorization shall expire or be renewed after 10 work days, that long-term medication authorization may be allowed with written authorization from the child’s physician and parent or that the center’s procedures for administering medication includes methods to prevent use of outdated medication. Evidence: 1)A medication for Child #5 did not contain authorization from a physician, and the last authorization from the parent was on 7/12/22 exceeding 10 working days authorization. 2)An additional medication for Child #5 did not contain authorization from the child’s parent or a physician. 3)Medication for Child #6, Child #7, Child #10, Child #11, Child #12, and Child #15 did not contain authorization from the child’s parent. 4)Medication for Child #10, Child #12, Child #14, and Child #15 did not contain authorization from a physician to administer for more than 10 working days. 5)A medication for Child #6 expired on 9/30/22, a medication for Child #7 expired on 7/31/22, and a medication for Child #15 expired on 5/31/22. There was no procedure to prevent use of the outdated medication that was stored in the same container with all other medications.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper handwashing procedures were followed. Evidence: 1)In the Infant A classroom, staff did not wash their hands with soap and running water after a diaper change and after contact with body fluids. After a staff member changed a soiled diaper, they touched the child’s clean clothes and another child’s blanket before washing their hands. 2)In the Toddler A classroom, children did not wash their hands with soap and running water or disposable wipes before eating lunch. Children were observed playing with a ball and crawling on the floor immediately before being called over to the table to eat.”

8VAC20-780-510-G

“Based on review of 18 medications, the center did not ensure that medication were labeled with the child’s name, the name of the medication, the dosage amount and the time or times to be given. Evidence: There were 2 medications, Benadryl and Vatoco, that did not contain the child’s name or the dosage amount and the time to be given.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 2 packets of Benadryl and 1 packet of Acetaminophen medications stored on a low shelf inside a first aid kit that was unlocked.”

22.1-289.035-B-4 Complaint related: No

“Based on review of two staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #2 (date of hire 10/25/21) did not contain documentation of a completed criminal history record check from all states (Texas) where they resided within the last five years.”

8VAC20-780-70 Complaint related: Yes

“Based on review of 2 staff records, the center did not obtain all of the required documentation for staff records. Evidence: There was no documentation that the center had obtained at least two references as to character, reputation, and competency for Staff #1 before employment.”

8VAC20-780-530-A Complaint related: No

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification and that included an in-person competency demonstration. Evidence: The file for Staff #2 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification that included an in-person competency demonstration. The CPR certification documentation on file is from a training company that states, ?We are not affiliated with the American Heart Association (AHA), Red Cross or OSHA?.Our courses do not require a live hands on skills check.? Staff #2 stated that they have been the only staff member in a classroom on many occasions.”

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

“Based on staff interviews a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts. Evidence: 1)Staff #1 admitted that when Child #1 does not listen to them, they have yelled at the child as a method of correcting the problem behavior. The staff member stated, ?I will admit I went a little too far and yelled at Child #1?. Staff #1 admitted he doesn?t remember requesting help from the management staff about his concerns with Child #1?s behavior. 2) The Director recalled a situation where the children were transitioning and the group became a little chaotic. The Director heard Staff #1 use a tone that they felt was ?scary? to the children. The Director stated, ?Staff #1 used their `scary parent voice? with the children on one occasion that I can remember.? In this instance the Director intervened and assisted Staff #1 with the group of children.”

8VAC20-780-210-A Complaint related: Yes

“Based on interview and record review, the center failed to ensure that program leaders meet one of the program leader qualification options. Evidence: The file for Staff #1 (Date of hire 1/3/2022), who is a lead teacher, did not contain documentation of the required education or experience for the position.”

8VAC20-780-240-A Complaint related: No

“Based on review of 2 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The record for Staff #2 (Date of hire 10/25/2021) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment”

8VAC20-780-520-B

“Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 12 sunscreens stored on a low shelf where children of all ages have access.”

8VAC20-780-520-C

“Based on observation, the center did not ensure that diaper cream was kept inaccessible to children. Evidence: In the Pre-K A classroom, there were 2 diaper creams stored on a low shelf in an unlocked cabinet where children have access.”

8VAC20-780-510-I

“Based on review of 18 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: 1)The medication for Child #7 was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications. 2)The medication Vatoco was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications.”

8VAC20-780-530-A

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification. Evidence: The file for Staff #3 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification. During the inspection, Staff #3 was alone with 8 children ages 2- 3 years old.”

8VAC20-780-550-D

“Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill. Evidence: There was no documentation for evacuation drills for August 2022 and September 2022.”

8VAC20-780-560-G

“Based on observation and staff interview, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: 1)In the Infant B classroom, there was milk, a 3 compartment container of food, and a 1 compartment container of food in the refrigerator that were not labeled with a name. 2)In the Infant B classroom, there was Oat milk and 1 container of applesauce with no name or date.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: In the Infant A classroom, 2 undated bottles were stored in the refrigerator.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1)In the Infant B classroom, with children ranging in ages 12 months-15 months, a phone cord plugged into the wall was observed hanging down low to the floor and looped in such a way that it could cause a risk of strangulation. 2) On the Big playground, where children ages 3 and older play, there were soccer goals stored in a way that they were hanging from the post on the fence and easily reachable to children. The soccer goals have several holes in them that could cause a risk of strangulation to a child. 3) On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child’s fingers. 4) During inspection, the licensing inspector observed loose-fitted crib sheets in 5 cribs in the Infant A and Infant B classrooms.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) The laundry/janitorial closet in the hallway was unlocked with the key in the door knob and contained 2 gallons of bleach, glass cleaner, 2 bottles of laundry detergent, goo remover, and disinfectant. 2)In the storage/phone closet in the hallway was unlocked with the key in the door, there were 11 gallons of bleach, 4 gallons of multi-purpose cleaner, wall paint and steel cleaner stored. 3)In the Toddler A classroom, sanitizer tablets and sanitizer spray were stored in an unlocked cabinet. 4)In the Preschool 1A classroom, a gallon of bleach, sanitizer tabs and sanitizer spray were stored in an unlocked cabinet.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that electrical outlets have protective covers. Evidence: 1)In the Toddler A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible. 1)In the Pre-K A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)In the Infant A classroom, there were 4 children present, but the written record reflected there were 3 children present. 2)In the Infant B classroom, there were 4 children present, but the written record reflected there was 1 child present. 3)In the Toddler A classroom, there were 10 children present, but the written record reflected there were 13 children present. 4)In the Preschool 1A classroom, there were 8 children present, but the written record reflected there were 14 children present. 5)In the Preschool 2A classroom, there were 17 children present, but the written record reflected there were 11 children present. 6) In the Pre-K A classroom, there were 17 children present, but the written record reflected there were 18 children present.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documentation for staff records. Evidence: 1)The center did not have documentation for Staff #5 that two or more references as to character and reputation as well as competency were checked before employment. 2) The center did not have documentation for Staff #3 that they possess the education and experience required by the job position. 3) The center did not have documentation for Staff #5 of the name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: 1)In the Infant B classroom, there was no dated allergy list posted for the staff. 2)In the Preschool 2A classroom, the allergy list had not been updated since 8/23/2022 and there was a child on the list who no longer attended at the center.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that 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 and that the diapering surface should only be used for diapering or cleaning children. Evidence: 1)In the Infant B classroom, the foot-operated storage system for disposal of diapers had a lock on it and was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant A classroom, there was tape, markers and a barrette laying on the diaper changing pad. 3)In the Toddler A classroom, there was a bowling pin laying on the diaper changing pad.”

8VAC20-780-510-E

“Based on review of 18 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication in that the duration of the parent’s authorization shall expire or be renewed after 10 work days, that long-term medication authorization may be allowed with written authorization from the child’s physician and parent or that the center’s procedures for administering medication includes methods to prevent use of outdated medication. Evidence: 1)A medication for Child #5 did not contain authorization from a physician, and the last authorization from the parent was on 7/12/22 exceeding 10 working days authorization. 2)An additional medication for Child #5 did not contain authorization from the child’s parent or a physician. 3)Medication for Child #6, Child #7, Child #10, Child #11, Child #12, and Child #15 did not contain authorization from the child’s parent. 4)Medication for Child #10, Child #12, Child #14, and Child #15 did not contain authorization from a physician to administer for more than 10 working days. 5)A medication for Child #6 expired on 9/30/22, a medication for Child #7 expired on 7/31/22, and a medication for Child #15 expired on 5/31/22. There was no procedure to prevent use of the outdated medication that was stored in the same container with all other medications.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper handwashing procedures were followed. Evidence: 1)In the Infant A classroom, staff did not wash their hands with soap and running water after a diaper change and after contact with body fluids. After a staff member changed a soiled diaper, they touched the child’s clean clothes and another child’s blanket before washing their hands. 2)In the Toddler A classroom, children did not wash their hands with soap and running water or disposable wipes before eating lunch. Children were observed playing with a ball and crawling on the floor immediately before being called over to the table to eat.”

8VAC20-780-510-G

“Based on review of 18 medications, the center did not ensure that medication were labeled with the child’s name, the name of the medication, the dosage amount and the time or times to be given. Evidence: There were 2 medications, Benadryl and Vatoco, that did not contain the child’s name or the dosage amount and the time to be given.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 2 packets of Benadryl and 1 packet of Acetaminophen medications stored on a low shelf inside a first aid kit that was unlocked.”

22.1-289.035-B-4 Complaint related: No

“Based on review of two staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment. Evidence: The record for Staff #2 (date of hire 10/25/21) did not contain documentation of a completed criminal history record check from all states (Texas) where they resided within the last five years.”

8VAC20-780-70 Complaint related: Yes

“Based on review of 2 staff records, the center did not obtain all of the required documentation for staff records. Evidence: There was no documentation that the center had obtained at least two references as to character, reputation, and competency for Staff #1 before employment.”

8VAC20-780-530-A Complaint related: No

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification and that included an in-person competency demonstration. Evidence: The file for Staff #2 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification that included an in-person competency demonstration. The CPR certification documentation on file is from a training company that states, ?We are not affiliated with the American Heart Association (AHA), Red Cross or OSHA?.Our courses do not require a live hands on skills check.? Staff #2 stated that they have been the only staff member in a classroom on many occasions.”

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

“Based on staff interviews a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts. Evidence: 1)Staff #1 admitted that when Child #1 does not listen to them, they have yelled at the child as a method of correcting the problem behavior. The staff member stated, ?I will admit I went a little too far and yelled at Child #1?. Staff #1 admitted he doesn?t remember requesting help from the management staff about his concerns with Child #1?s behavior. 2) The Director recalled a situation where the children were transitioning and the group became a little chaotic. The Director heard Staff #1 use a tone that they felt was ?scary? to the children. The Director stated, ?Staff #1 used their `scary parent voice? with the children on one occasion that I can remember.? In this instance the Director intervened and assisted Staff #1 with the group of children.”

8VAC20-780-210-A Complaint related: Yes

“Based on interview and record review, the center failed to ensure that program leaders meet one of the program leader qualification options. Evidence: The file for Staff #1 (Date of hire 1/3/2022), who is a lead teacher, did not contain documentation of the required education or experience for the position.”

8VAC20-780-240-A Complaint related: No

“Based on review of 2 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: The record for Staff #2 (Date of hire 10/25/2021) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment”

8VAC20-780-520-B

“Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 12 sunscreens stored on a low shelf where children of all ages have access.”

8VAC20-780-520-C

“Based on observation, the center did not ensure that diaper cream was kept inaccessible to children. Evidence: In the Pre-K A classroom, there were 2 diaper creams stored on a low shelf in an unlocked cabinet where children have access.”

8VAC20-780-510-I

“Based on review of 18 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: 1)The medication for Child #7 was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications. 2)The medication Vatoco was not maintained in the original, labeled container from a pharmacy. It was stored loosely in the medication box with other medications.”

8VAC20-780-530-A

“Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification. Evidence: The file for Staff #3 did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification. During the inspection, Staff #3 was alone with 8 children ages 2- 3 years old.”

8VAC20-780-550-D

“Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill. Evidence: There was no documentation for evacuation drills for August 2022 and September 2022.”

8VAC20-780-560-G

“Based on observation and staff interview, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: 1)In the Infant B classroom, there was milk, a 3 compartment container of food, and a 1 compartment container of food in the refrigerator that were not labeled with a name. 2)In the Infant B classroom, there was Oat milk and 1 container of applesauce with no name or date.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: In the Infant A classroom, 2 undated bottles were stored in the refrigerator.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1)In the Infant B classroom, with children ranging in ages 12 months-15 months, a phone cord plugged into the wall was observed hanging down low to the floor and looped in such a way that it could cause a risk of strangulation. 2) On the Big playground, where children ages 3 and older play, there were soccer goals stored in a way that they were hanging from the post on the fence and easily reachable to children. The soccer goals have several holes in them that could cause a risk of strangulation to a child. 3) On the Toddler playground, there were 3 small platforms on springs that are 10 inches from the ground that are splitting in the middle causing a gap that could pinch a child’s fingers. 4) During inspection, the licensing inspector observed loose-fitted crib sheets in 5 cribs in the Infant A and Infant B classrooms.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) The laundry/janitorial closet in the hallway was unlocked with the key in the door knob and contained 2 gallons of bleach, glass cleaner, 2 bottles of laundry detergent, goo remover, and disinfectant. 2)In the storage/phone closet in the hallway was unlocked with the key in the door, there were 11 gallons of bleach, 4 gallons of multi-purpose cleaner, wall paint and steel cleaner stored. 3)In the Toddler A classroom, sanitizer tablets and sanitizer spray were stored in an unlocked cabinet. 4)In the Preschool 1A classroom, a gallon of bleach, sanitizer tabs and sanitizer spray were stored in an unlocked cabinet.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that electrical outlets have protective covers. Evidence: 1)In the Toddler A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible. 1)In the Pre-K A classroom, there was 1 outlet that did not have a protective cover. The outlet was within the children’s reach and easily accessible.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)In the Infant A classroom, there were 4 children present, but the written record reflected there were 3 children present. 2)In the Infant B classroom, there were 4 children present, but the written record reflected there was 1 child present. 3)In the Toddler A classroom, there were 10 children present, but the written record reflected there were 13 children present. 4)In the Preschool 1A classroom, there were 8 children present, but the written record reflected there were 14 children present. 5)In the Preschool 2A classroom, there were 17 children present, but the written record reflected there were 11 children present. 6) In the Pre-K A classroom, there were 17 children present, but the written record reflected there were 18 children present.”

8VAC20-780-70

“Based on review of five staff records, the center did not obtain all of the required documentation for staff records. Evidence: 1)The center did not have documentation for Staff #5 that two or more references as to character and reputation as well as competency were checked before employment. 2) The center did not have documentation for Staff #3 that they possess the education and experience required by the job position. 3) The center did not have documentation for Staff #5 of the name, address and telephone number of a person to be notified in an emergency.”

8VAC20-780-40-M

“Based on review of documentation and interview with the staff, the center did not maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area. Evidence: 1)In the Infant B classroom, there was no dated allergy list posted for the staff. 2)In the Preschool 2A classroom, the allergy list had not been updated since 8/23/2022 and there was a child on the list who no longer attended at the center.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that 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 and that the diapering surface should only be used for diapering or cleaning children. Evidence: 1)In the Infant B classroom, the foot-operated storage system for disposal of diapers had a lock on it and was not able to be operated by foot causing the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can. 2)In the Infant A classroom, there was tape, markers and a barrette laying on the diaper changing pad. 3)In the Toddler A classroom, there was a bowling pin laying on the diaper changing pad.”

8VAC20-780-510-E

“Based on review of 18 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication in that the duration of the parent’s authorization shall expire or be renewed after 10 work days, that long-term medication authorization may be allowed with written authorization from the child’s physician and parent or that the center’s procedures for administering medication includes methods to prevent use of outdated medication. Evidence: 1)A medication for Child #5 did not contain authorization from a physician, and the last authorization from the parent was on 7/12/22 exceeding 10 working days authorization. 2)An additional medication for Child #5 did not contain authorization from the child’s parent or a physician. 3)Medication for Child #6, Child #7, Child #10, Child #11, Child #12, and Child #15 did not contain authorization from the child’s parent. 4)Medication for Child #10, Child #12, Child #14, and Child #15 did not contain authorization from a physician to administer for more than 10 working days. 5)A medication for Child #6 expired on 9/30/22, a medication for Child #7 expired on 7/31/22, and a medication for Child #15 expired on 5/31/22. There was no procedure to prevent use of the outdated medication that was stored in the same container with all other medications.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper handwashing procedures were followed. Evidence: 1)In the Infant A classroom, staff did not wash their hands with soap and running water after a diaper change and after contact with body fluids. After a staff member changed a soiled diaper, they touched the child’s clean clothes and another child’s blanket before washing their hands. 2)In the Toddler A classroom, children did not wash their hands with soap and running water or disposable wipes before eating lunch. Children were observed playing with a ball and crawling on the floor immediately before being called over to the table to eat.”

8VAC20-780-510-G

“Based on review of 18 medications, the center did not ensure that medication were labeled with the child’s name, the name of the medication, the dosage amount and the time or times to be given. Evidence: There were 2 medications, Benadryl and Vatoco, that did not contain the child’s name or the dosage amount and the time to be given.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the unlocked classroom with the faux building fronts just inside the main entrance to the center, there were 2 packets of Benadryl and 1 packet of Acetaminophen medications stored on a low shelf inside a first aid kit that was unlocked.”

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of a negative tuberculosis screening or test at the time of employment for all staff and prior to coming into contact with children. Evidence: Staff #7 (Date of Hire: 8/26/21) did not have the results of a tuberculosis screening or test on file.”

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. Evidence: Child #4 (Start Date: 1/19/22) did not have immunizations on file.”

22.1-289.035-B-4

“Based on record review, the center did not obtain the results of an out of state criminal history record information check or an out of state sex offender registry check prior to the first day of employment and did not request a search of the child abuse and neglect registry within 30 days of employment from any state in with staff have resided in the previous five years. Evidence: Staff #2 (Date of Hire: 2/14/22) documented on a Sworn Disclosure Statement signed 1/29/22 that the staff has resided in Connecticut within the last 5 years and did not have a Connecticut criminal history record information check, a Connecticut sex offender registry check, or a Connecticut child abuse and neglect registry search on file. Staff #4 (Date of Hire: 10/13/21) documented on a Sworn Disclosure Statement signed 9/7/21 that the staff has lived in Maryland within the last 5 years and did not have a Maryland sex offender registry check on file. Staff #6 (Date of Hire: 8/26/21) documented on a Sworn Disclosure Statement signed 8/20/21 that the staff has lived in Oklahoma within the last 5 years and did not have an Oklahoma child abuse and neglect registry search on file.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children's hands were washed with soap and running water before eating meals. Evidence: In the Toddler A classroom, children did not wash hands before being seated and served lunch.”

8VAC20-780-70

“Based on record review, the center did not maintain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #1 (Date of Hire: 4/5/22), Staff #2 (Date of Hire: 2/14/22), Staff #3 (Date of Hire: 12/15/21) and Staff #4 (Date of Hire: 10/13/21) did not have reference checks on file.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that all diapering areas have a nonabsorbent surface. Evidence: In the Infant B room, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.”

8VAC20-780-60-A

“Based on record review, the center did not ensure that children's records contained all required information. Evidence: Child #6's (Start Date: 9/20/21) record was missing 1 of 2 required emergency contacts. Child #7's (Start Date: 9/14/21) record did not contain documentation of viewing proof of the child's identity and age. Child #10, Child #12, and Child #13 have a diagnosed food allergy, had emergency medications on site and did not have a written care plan for each child, 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.”

8VAC20-780-510-B

“Based on observation and staff interview, the center did not obtain parental authorizations for all medications on site. Evidence: Child #10, Child #12, Child #13, and Child #14 had emergency medications on site and did not have parental authorizations on file.”

8VAC20-780-510-P

“Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #11 had an emergency medication on site and the physician authorization for the medication expired on 10/7/21.”

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of a negative tuberculosis screening or test at the time of employment for all staff and prior to coming into contact with children. Evidence: Staff #7 (Date of Hire: 8/26/21) did not have the results of a tuberculosis screening or test on file.”

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. Evidence: Child #4 (Start Date: 1/19/22) did not have immunizations on file.”

22.1-289.035-B-4

“Based on record review, the center did not obtain the results of an out of state criminal history record information check or an out of state sex offender registry check prior to the first day of employment and did not request a search of the child abuse and neglect registry within 30 days of employment from any state in with staff have resided in the previous five years. Evidence: Staff #2 (Date of Hire: 2/14/22) documented on a Sworn Disclosure Statement signed 1/29/22 that the staff has resided in Connecticut within the last 5 years and did not have a Connecticut criminal history record information check, a Connecticut sex offender registry check, or a Connecticut child abuse and neglect registry search on file. Staff #4 (Date of Hire: 10/13/21) documented on a Sworn Disclosure Statement signed 9/7/21 that the staff has lived in Maryland within the last 5 years and did not have a Maryland sex offender registry check on file. Staff #6 (Date of Hire: 8/26/21) documented on a Sworn Disclosure Statement signed 8/20/21 that the staff has lived in Oklahoma within the last 5 years and did not have an Oklahoma child abuse and neglect registry search on file.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children's hands were washed with soap and running water before eating meals. Evidence: In the Toddler A classroom, children did not wash hands before being seated and served lunch.”

8VAC20-780-70

“Based on record review, the center did not maintain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #1 (Date of Hire: 4/5/22), Staff #2 (Date of Hire: 2/14/22), Staff #3 (Date of Hire: 12/15/21) and Staff #4 (Date of Hire: 10/13/21) did not have reference checks on file.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that all diapering areas have a nonabsorbent surface. Evidence: In the Infant B room, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.”

8VAC20-780-60-A

“Based on record review, the center did not ensure that children's records contained all required information. Evidence: Child #6's (Start Date: 9/20/21) record was missing 1 of 2 required emergency contacts. Child #7's (Start Date: 9/14/21) record did not contain documentation of viewing proof of the child's identity and age. Child #10, Child #12, and Child #13 have a diagnosed food allergy, had emergency medications on site and did not have a written care plan for each child, 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.”

8VAC20-780-510-B

“Based on observation and staff interview, the center did not obtain parental authorizations for all medications on site. Evidence: Child #10, Child #12, Child #13, and Child #14 had emergency medications on site and did not have parental authorizations on file.”

8VAC20-780-510-P

“Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #11 had an emergency medication on site and the physician authorization for the medication expired on 10/7/21.”

22VAC40-185-70-A

“Based on record review, the center did not ensure that all staff records contained documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #3 (Date of Hire: 8/31/21) and Staff #4 (Date of Hire: 8/26/21) had documentation on file that references were checked on 10/4/21.”

22VAC40-185-160-A

“Based on record review, the center did not obtain documentation from each staff member of a negative tuberculosis (TB) screening or test within 21 days of employment. Evidence: Staff #1 (Date of Hire: 7/7/21) had a TB test on file dated 10/2/21. Staff #2 (Date of Hire: 7/6/21) had a TB test on file dated 10/2/21. Staff #4 (Date of Hire: 8/26/21) did not have a TB test or screening on file. Staff #5 (Date of Hire: 8/3/21) had a TB test on file dated 9/30/21.”

22VAC40-191-60-C-2

“Based on record review, the center did not obtain the results of a Virginia Central Registry of Child Abuse and Neglect search within 30 days of employment. Evidence: Staff #3 (Date of Hire: 8/31/21) and Staff #4 (Date of Hire: 8/26/21) do not have Virginia Central Registry search results on file”

63.2(17)-1720.1-B-4

“Based on record review, the center did not obtain sex offender registry search results prior to hire or request the results of an out of state central registry search by the 30th day of employment for staff who have resided outside the state of Virginia within the last 5 years. Evidence: Staff #3 (Date of Hire: 8/31/21) indicated on a signed Sworn Disclosure Statement dated 8/23/21 that they have resided in Florida within the last 5 years. There was no documentation of a Florida central registry search request or the results of a Florida sex offender registry search. Staff #4 (Date of Hire: 8/26/21) indicated on a signed Sworn Disclosure Statement dated 8/20/21 that they have resided in Oklahoma within the last 5 years. There was no documentation of an Oklahoma central registry search request or the results of an Oklahoma sex offender registry search.”

22VAC40-185-70-A

“Based on record review, the center did not ensure that all staff records contained documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #3 (Date of Hire: 8/31/21) and Staff #4 (Date of Hire: 8/26/21) had documentation on file that references were checked on 10/4/21.”

22VAC40-185-160-A

“Based on record review, the center did not obtain documentation from each staff member of a negative tuberculosis (TB) screening or test within 21 days of employment. Evidence: Staff #1 (Date of Hire: 7/7/21) had a TB test on file dated 10/2/21. Staff #2 (Date of Hire: 7/6/21) had a TB test on file dated 10/2/21. Staff #4 (Date of Hire: 8/26/21) did not have a TB test or screening on file. Staff #5 (Date of Hire: 8/3/21) had a TB test on file dated 9/30/21.”

22VAC40-191-60-C-2

“Based on record review, the center did not obtain the results of a Virginia Central Registry of Child Abuse and Neglect search within 30 days of employment. Evidence: Staff #3 (Date of Hire: 8/31/21) and Staff #4 (Date of Hire: 8/26/21) do not have Virginia Central Registry search results on file”

63.2(17)-1720.1-B-4

“Based on record review, the center did not obtain sex offender registry search results prior to hire or request the results of an out of state central registry search by the 30th day of employment for staff who have resided outside the state of Virginia within the last 5 years. Evidence: Staff #3 (Date of Hire: 8/31/21) indicated on a signed Sworn Disclosure Statement dated 8/23/21 that they have resided in Florida within the last 5 years. There was no documentation of a Florida central registry search request or the results of a Florida sex offender registry search. Staff #4 (Date of Hire: 8/26/21) indicated on a signed Sworn Disclosure Statement dated 8/20/21 that they have resided in Oklahoma within the last 5 years. There was no documentation of an Oklahoma central registry search request or the results of an Oklahoma sex offender registry search.”