Children of America (Glen Allen)

8VAC20-780-150-B

“Physicals are required to be signed and dated by a physician, his designee, or an official of the local health department. The physical C1 was not signed.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The additional immunizations for C1 were 17 days late.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. S1 obtained 10 of the 16 required hours in 10/2023 ? 10/2024.”

8VAC20-780-70

“Staff records shall be kept for each staff that contains all the required information. The record for S1 did not document a name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-410-1

“The following action is forbidden: rough handling of a child. The center reported and documented that S1 handled C1 in a rough manner and observed a red mark on the child’s wrist.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The staff record for S3 did not contain document 16 hours of training and the completion of the 2023 annual health and safety update course.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff was observed changing a child’s diaper in the toddler room and did not wash the child's hands with soap and water or her hands after changing the child’s diaper.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of C5 had not been updated in over 12 months since the child was enrolled.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization records for C2 and C5 were not signed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication was observed in the Infant B classroom refrigerator that was not locked to prevent access by children.”

8VAC20-780-520-C

“Diaper ointment or cream shall be labeled with the child's name and inaccessible to children. Two diaper ointments were observed to be accessible to children in the toddler room.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. S2 did not have central registry search results within 30 days. The results were received after 75 days of employment.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The trash cans on the playground were full of trash and accessible to children. A broken toy playhouse was observed blocking the emergency egress from the playground.”

8VAC20-780-520-B

“If sunscreen is used the products shall be inaccessible to children. Two sunscreens were observed and accessible to children in the Pre-School II-B classroom. The sunscreen was located in the children’s cubbies.”

8VAC20-780-245-I

“The center is required to provide training on the center’s emergency preparedness plan annually and each time the plan is updated. There was no documentation of the annual review of the emergency preparedness plan.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Bottles and a food pouch for two children in the Infant B classroom were not dated for the current day.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. S4 was employed for more than 13 days before orientation was completed.”

8VAC20-780-70

“Each center shall maintain a record for each staff that contains all the required information. The records for S1, S2, S3, S4, and S5 did not document health information about any health problems that may interfere with fulfilling the job responsibilities. The records for S1, S2, and S3 did not contain a name, address, and phone number of a person to be notified in an emergency.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all the required information. C5 record (enrolled for over a year) was missing information regarding previous child day care and schools attended by the child.”

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Medication for a child in the Infant B classroom refrigerator was not labeled with the child’s name or administration information. There was no legible pharmacy label on the medication.”

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

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. During observations in the 2-year-old room, infant B, toddler room, and preschool II-B classroom toys were strewn across the classroom floors creating trip and falling hazards. During observations in the toddler room, preschool II-A, pre-school II-B the brooms and dust pans used to clean the classrooms were observed to be caked with food and dirt debris and accessible to children. The kitchen cart used to transport food to the classrooms the bottom shelf was observed to be caked with food and liquid debris. The sofa cushions in the pre-k-A room were ripped.”

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

“The required ratio for children ages birth up to 16 months old is 1 staff per 4 children. The Infant B room was observed to have 2 staff supervising 9 infants during the inspector’s walk-through of the center.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The staff record for S3 did not contain document 16 hours of training and the completion of the 2023 annual health and safety update course.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff was observed changing a child’s diaper in the toddler room and did not wash the child's hands with soap and water or her hands after changing the child’s diaper.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of C5 had not been updated in over 12 months since the child was enrolled.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization records for C2 and C5 were not signed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication was observed in the Infant B classroom refrigerator that was not locked to prevent access by children.”

8VAC20-780-520-C

“Diaper ointment or cream shall be labeled with the child's name and inaccessible to children. Two diaper ointments were observed to be accessible to children in the toddler room.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. S2 did not have central registry search results within 30 days. The results were received after 75 days of employment.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The trash cans on the playground were full of trash and accessible to children. A broken toy playhouse was observed blocking the emergency egress from the playground.”

8VAC20-780-520-B

“If sunscreen is used the products shall be inaccessible to children. Two sunscreens were observed and accessible to children in the Pre-School II-B classroom. The sunscreen was located in the children’s cubbies.”

8VAC20-780-245-I

“The center is required to provide training on the center’s emergency preparedness plan annually and each time the plan is updated. There was no documentation of the annual review of the emergency preparedness plan.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Bottles and a food pouch for two children in the Infant B classroom were not dated for the current day.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. S4 was employed for more than 13 days before orientation was completed.”

8VAC20-780-70

“Each center shall maintain a record for each staff that contains all the required information. The records for S1, S2, S3, S4, and S5 did not document health information about any health problems that may interfere with fulfilling the job responsibilities. The records for S1, S2, and S3 did not contain a name, address, and phone number of a person to be notified in an emergency.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all the required information. C5 record (enrolled for over a year) was missing information regarding previous child day care and schools attended by the child.”

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Medication for a child in the Infant B classroom refrigerator was not labeled with the child’s name or administration information. There was no legible pharmacy label on the medication.”

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

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. During observations in the 2-year-old room, infant B, toddler room, and preschool II-B classroom toys were strewn across the classroom floors creating trip and falling hazards. During observations in the toddler room, preschool II-A, pre-school II-B the brooms and dust pans used to clean the classrooms were observed to be caked with food and dirt debris and accessible to children. The kitchen cart used to transport food to the classrooms the bottom shelf was observed to be caked with food and liquid debris. The sofa cushions in the pre-k-A room were ripped.”

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

“The required ratio for children ages birth up to 16 months old is 1 staff per 4 children. The Infant B room was observed to have 2 staff supervising 9 infants during the inspector’s walk-through of the center.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The staff record for S3 did not contain document 16 hours of training and the completion of the 2023 annual health and safety update course.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff was observed changing a child’s diaper in the toddler room and did not wash the child's hands with soap and water or her hands after changing the child’s diaper.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of C5 had not been updated in over 12 months since the child was enrolled.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization records for C2 and C5 were not signed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication was observed in the Infant B classroom refrigerator that was not locked to prevent access by children.”

8VAC20-780-520-C

“Diaper ointment or cream shall be labeled with the child's name and inaccessible to children. Two diaper ointments were observed to be accessible to children in the toddler room.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. S2 did not have central registry search results within 30 days. The results were received after 75 days of employment.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The trash cans on the playground were full of trash and accessible to children. A broken toy playhouse was observed blocking the emergency egress from the playground.”

8VAC20-780-520-B

“If sunscreen is used the products shall be inaccessible to children. Two sunscreens were observed and accessible to children in the Pre-School II-B classroom. The sunscreen was located in the children’s cubbies.”

8VAC20-780-245-I

“The center is required to provide training on the center’s emergency preparedness plan annually and each time the plan is updated. There was no documentation of the annual review of the emergency preparedness plan.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Bottles and a food pouch for two children in the Infant B classroom were not dated for the current day.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. S4 was employed for more than 13 days before orientation was completed.”

8VAC20-780-70

“Each center shall maintain a record for each staff that contains all the required information. The records for S1, S2, S3, S4, and S5 did not document health information about any health problems that may interfere with fulfilling the job responsibilities. The records for S1, S2, and S3 did not contain a name, address, and phone number of a person to be notified in an emergency.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all the required information. C5 record (enrolled for over a year) was missing information regarding previous child day care and schools attended by the child.”

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Medication for a child in the Infant B classroom refrigerator was not labeled with the child’s name or administration information. There was no legible pharmacy label on the medication.”

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

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. During observations in the 2-year-old room, infant B, toddler room, and preschool II-B classroom toys were strewn across the classroom floors creating trip and falling hazards. During observations in the toddler room, preschool II-A, pre-school II-B the brooms and dust pans used to clean the classrooms were observed to be caked with food and dirt debris and accessible to children. The kitchen cart used to transport food to the classrooms the bottom shelf was observed to be caked with food and liquid debris. The sofa cushions in the pre-k-A room were ripped.”

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

“The required ratio for children ages birth up to 16 months old is 1 staff per 4 children. The Infant B room was observed to have 2 staff supervising 9 infants during the inspector’s walk-through of the center.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The staff record for S3 did not contain document 16 hours of training and the completion of the 2023 annual health and safety update course.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff was observed changing a child’s diaper in the toddler room and did not wash the child's hands with soap and water or her hands after changing the child’s diaper.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of C5 had not been updated in over 12 months since the child was enrolled.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization records for C2 and C5 were not signed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Medication was observed in the Infant B classroom refrigerator that was not locked to prevent access by children.”

8VAC20-780-520-C

“Diaper ointment or cream shall be labeled with the child's name and inaccessible to children. Two diaper ointments were observed to be accessible to children in the toddler room.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. S2 did not have central registry search results within 30 days. The results were received after 75 days of employment.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The trash cans on the playground were full of trash and accessible to children. A broken toy playhouse was observed blocking the emergency egress from the playground.”

8VAC20-780-520-B

“If sunscreen is used the products shall be inaccessible to children. Two sunscreens were observed and accessible to children in the Pre-School II-B classroom. The sunscreen was located in the children’s cubbies.”

8VAC20-780-245-I

“The center is required to provide training on the center’s emergency preparedness plan annually and each time the plan is updated. There was no documentation of the annual review of the emergency preparedness plan.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. Bottles and a food pouch for two children in the Infant B classroom were not dated for the current day.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. S4 was employed for more than 13 days before orientation was completed.”

8VAC20-780-70

“Each center shall maintain a record for each staff that contains all the required information. The records for S1, S2, S3, S4, and S5 did not document health information about any health problems that may interfere with fulfilling the job responsibilities. The records for S1, S2, and S3 did not contain a name, address, and phone number of a person to be notified in an emergency.”

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all the required information. C5 record (enrolled for over a year) was missing information regarding previous child day care and schools attended by the child.”

8VAC20-780-510-G

“Medication shall be labeled with the child’s name, the name of the medication, dosage amount, and the time or times to be given. Medication for a child in the Infant B classroom refrigerator was not labeled with the child’s name or administration information. There was no legible pharmacy label on the medication.”

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

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. During observations in the 2-year-old room, infant B, toddler room, and preschool II-B classroom toys were strewn across the classroom floors creating trip and falling hazards. During observations in the toddler room, preschool II-A, pre-school II-B the brooms and dust pans used to clean the classrooms were observed to be caked with food and dirt debris and accessible to children. The kitchen cart used to transport food to the classrooms the bottom shelf was observed to be caked with food and liquid debris. The sofa cushions in the pre-k-A room were ripped.”

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

“The required ratio for children ages birth up to 16 months old is 1 staff per 4 children. The Infant B room was observed to have 2 staff supervising 9 infants during the inspector’s walk-through of the center.”

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

“The following action is forbidden: rough handling a child. During an interview on 07/29/2024 S2 reported and provided center documentation dated 05/28/2024 that a parent complained about a teacher, S3 on 05/08/2024. The parent reported that the teacher was ?yelling and interacting very aggressively with the children.? S1 reported that based on the center’s investigation that S3 had been found to have pinched a child and slammed a child in a chair.”

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

“The following action is forbidden: rough handling a child. During an interview on 07/29/2024 S2 reported and provided center documentation dated 05/28/2024 that a parent complained about a teacher, S3 on 05/08/2024. The parent reported that the teacher was ?yelling and interacting very aggressively with the children.? S1 reported that based on the center’s investigation that S3 had been found to have pinched a child and slammed a child in a chair.”

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

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 6/19/2024, S1 was in the 2-year-old classroom bathroom changing a child, and heard C1 crying in the classroom. S1 reported she was the only teacher in the classroom with the 8 children. S1 reported that while she had the bathroom door open, she could not see the children in the classroom.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 6/19/24 S1 was diapering a child in the classroom bathroom, and she heard C1 crying in the classroom. She reported when she finished diapering the child and entered the classroom, she observed C1 crying and that C1?s face and creeks were red. S2 documented in the incident report hearing a child crying and entered the classroom to see what was going on. S2 noticed another child laying on the side of C1. S2 called the child’s name, and the child jumped off C1. S1 reported she picked up C1 and took her out of the classroom and noticed scratches on her face which she washed and cleaned.”

8VAC20-790-600-D-2

“Based on staff record review, the provider failed to ensure that five of eight staff members who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for S1, employed 09/28/2022 and S8, employed 03/25/2023 did not contain certification in first aid. The record for S2, employed 06/29/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 05/17/2023. The record for S6, employed 07/13/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/21/2022. The record for S7, employed 03/22/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/21/2022.”

8VAC20-790-600-D-1

“Based on staff record review, the provider failed to ensure that five of eight staff members who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S1, employed 09/28/2022 and S8, employed 03/25/2023 did not contain certification in CPR. The record for S2, employed 06/29/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 05/17/2023. The record for S6, employed 07/13/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 11/21/2022. The record for S7, employed 03/22/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 11/21/2022.”

8VAC20-790-600-F

“Based on staff record review, the provider failed to assure that staff working directly with children shall complete annually the department’s health and safety update. Evidence: The record for S6, employed 07/13/2022 did not contain documentation of the annual health and safety update. The record for S7, employed 03/22/2022 did not contain documentation of the annual health and safety update.”

8VAC20-780-140-B

“Based on child record review, the provider failed to ensure that one of eight children had physical examination prior to attendance and within the prescribed time period. Evidence: C6, enrolled 05/08/2023, at age 4 months, did not have a physical examination within the required two months prior to attendance. The physical examination was conducted 02/28/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to ensure that two of eight immunizations records for children were signed by a physician, designee, or official of a local health department. Evidence: The immunization records for C1 and C7 were not signed by a physician, designee, or official of a local health department.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of eight staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S5, employed 10/24/2022, contained a screening completed 11/29/2022. The record for S8, employed 03/25/2023, contained a screening completed 03/27/2023.”

8VAC20-780-70

“Based on record review, the provider did not keep the required documentation for three of eight staff. Evidence: Records for S8, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S1 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-60-A

“8VAC20-780-60-A Based review of children’s records, the provider failed to ensure that four of eight records contained required information. Evidence: The record for C1, enrolled 07/12/2023 did not contain a second emergency contact for the child if the children’s parents could not be located. The record for C2, enrolled 06/12/2023 and C3, enrolled 05/18/2023 did not document individuals authorized to pick the child up. The element on the form is blank. The record for C7, enrolled 11/28/2022 did not contain documentation of viewing proof of the child’s identity and age. The record for C8, enrolled 10/31/2022 did not document previous child day care and schools attended by the child.”

8VAC20-780-130-A

“Based on child record review, the provider failed to ensure that one of eight records contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C3, enrolled 05/18/2023 did not contain an immunization record.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S1, employed 09/28/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/18/2022. The record for S2, employed 06/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 08/02/2022. The record for S3, employed 09/21/2022 did not contain findings of a central registry search within 30 days. The results are dated 11/14/2022. The record for S4, employed 10/03/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/17/2022. The record for S5, employed 10/24/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/19/2022. The record for S7, employed 03/22/2022 did not contain findings of a central registry search within 30 days. The results are dated 11/14/2022.”

8VAC20-780-270-A

“Based on observation the provider failed to ensure that the inside of the center was maintained in a clean condition. Evidence: Licensing inspector observed plastic baskets in the Infant Room B refrigerator used to hold prepared infant bottles was covered with an unidentified sticky substance on the inside of the basket touching the bottom of the infant bottles.”

8VAC20-780-80-B

“Based on review of written records of child injuries, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: Injury report for C9 dated 07/10/2023 documented the child requiring outside medical treatment. The center failed to inform the department of the injury.”

8VAC20-790-600-D-2

“Based on staff record review, the provider failed to ensure that five of eight staff members who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for S1, employed 09/28/2022 and S8, employed 03/25/2023 did not contain certification in first aid. The record for S2, employed 06/29/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 05/17/2023. The record for S6, employed 07/13/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/21/2022. The record for S7, employed 03/22/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/21/2022.”

8VAC20-790-600-D-1

“Based on staff record review, the provider failed to ensure that five of eight staff members who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S1, employed 09/28/2022 and S8, employed 03/25/2023 did not contain certification in CPR. The record for S2, employed 06/29/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 05/17/2023. The record for S6, employed 07/13/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 11/21/2022. The record for S7, employed 03/22/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 11/21/2022.”

8VAC20-790-600-F

“Based on staff record review, the provider failed to assure that staff working directly with children shall complete annually the department’s health and safety update. Evidence: The record for S6, employed 07/13/2022 did not contain documentation of the annual health and safety update. The record for S7, employed 03/22/2022 did not contain documentation of the annual health and safety update.”

8VAC20-780-140-B

“Based on child record review, the provider failed to ensure that one of eight children had physical examination prior to attendance and within the prescribed time period. Evidence: C6, enrolled 05/08/2023, at age 4 months, did not have a physical examination within the required two months prior to attendance. The physical examination was conducted 02/28/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to ensure that two of eight immunizations records for children were signed by a physician, designee, or official of a local health department. Evidence: The immunization records for C1 and C7 were not signed by a physician, designee, or official of a local health department.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of eight staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S5, employed 10/24/2022, contained a screening completed 11/29/2022. The record for S8, employed 03/25/2023, contained a screening completed 03/27/2023.”

8VAC20-780-70

“Based on record review, the provider did not keep the required documentation for three of eight staff. Evidence: Records for S8, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S1 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-60-A

“8VAC20-780-60-A Based review of children’s records, the provider failed to ensure that four of eight records contained required information. Evidence: The record for C1, enrolled 07/12/2023 did not contain a second emergency contact for the child if the children’s parents could not be located. The record for C2, enrolled 06/12/2023 and C3, enrolled 05/18/2023 did not document individuals authorized to pick the child up. The element on the form is blank. The record for C7, enrolled 11/28/2022 did not contain documentation of viewing proof of the child’s identity and age. The record for C8, enrolled 10/31/2022 did not document previous child day care and schools attended by the child.”

8VAC20-780-130-A

“Based on child record review, the provider failed to ensure that one of eight records contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C3, enrolled 05/18/2023 did not contain an immunization record.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S1, employed 09/28/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/18/2022. The record for S2, employed 06/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 08/02/2022. The record for S3, employed 09/21/2022 did not contain findings of a central registry search within 30 days. The results are dated 11/14/2022. The record for S4, employed 10/03/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/17/2022. The record for S5, employed 10/24/2022 did not contain findings of a central registry search within 30 days. The results are dated 12/19/2022. The record for S7, employed 03/22/2022 did not contain findings of a central registry search within 30 days. The results are dated 11/14/2022.”

8VAC20-780-270-A

“Based on observation the provider failed to ensure that the inside of the center was maintained in a clean condition. Evidence: Licensing inspector observed plastic baskets in the Infant Room B refrigerator used to hold prepared infant bottles was covered with an unidentified sticky substance on the inside of the basket touching the bottom of the infant bottles.”

8VAC20-780-80-B

“Based on review of written records of child injuries, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: Injury report for C9 dated 07/10/2023 documented the child requiring outside medical treatment. The center failed to inform the department of the injury.”

8VAC20-780-560-J Complaint related: No

“Based on observation, the provider failed to ensure that tables used for feeding were sanitized after each use. Evidence: Licensing inspector observed staff in the two-year-old classroom and pre-school 1-A classroom cleaning the tables after the children’s lunch; however, not sanitizing the tables afterwards.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation contained the required information. Evidence: The emergency drill documentation dated January 2022 ? February 2023 did not document the method used for notification of the drill, special conditions, problems encountered, and weather conditions.”

8VAC20-780-570-A

“Based on observation, provider failed to assure children placed in an infant feeding table were placed in protective belts and fastened securely. Evidence: Two children seated in the feeding table in the Infant B classroom did not have protective belts fastened securely.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Licensing inspector observed the medication box located in the provider’s office was not locked and contained 4 medications.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that three children in the Preschool II-A classroom had cots with linens consisting of a top over and a bottom cover. Evidence: Three cots used by children during the rest period did not have a bottom covering.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Plastic floor play mat in the Infant A classroom was cracked exposing foam padding and preventing adequate sanitizing. Plastic step stools used by children for toileting in the Pre-school 1-A classroom were cracked and broken. Peeling paint was observed on children’s chair legs in the Pre-school 1-A classroom. Plastic cushions on multiple children’s furnishings in the center were cracked preventing adequate sanitizing.”

8VAC20-780-245-I

“Based on record review, the provider failed to ensure that the emergency preparedness plan was reviewed annually. Evidence: Provider records did not document an annual review of the center’s emergency preparedness plan.”

8VAC20-780-70

“Based on record review, the provider did not ensure four of seven staff records contained all the required documentation. Evidence: Records for S2, employed 03/08/2023, S3, employed 02/15/2023, and S4, employed 02/09/2023, S7, employed 11/21/2022 did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The record for S7, employed 11/21/2022 did not document information about any health problems that may interfere with fulfilling the job responsibilities and emergency contacts.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that four of eight records contained all the required information. Evidence: The record for C1, enrolled 11/14/2022 did not document individuals authorized to pick the child up. The element on the form is blank. The records for C3, enrolled 05/05/2021 and C7, enrolled 11/18/2021 did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b; semi-annual written information on the child’s development, behavior, adjustment, and needs required by 8VAC20-780-420-E.3 and semi-annual scheduled opportunities for parents to provide feedback on their children and the center’s programs. Licensing inspector requested the file for C5. The file provided did not contain any information required by 8VAC20-780-60 for C5. The record for C7, enrolled 11/18/2021 did not contain two emergency contacts for the child if the children’s parents could not be located.”

8VAC20-780-40-J

“Based on interview, the provider failed to update annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. Evidence: The program director acknowledged that the injury prevention procedures had not been reviewed annually.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure all prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the Infant A room refrigerated were not clearly labeled with the date.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation contained the required information. Evidence: The emergency drill documentation dated January 2022 ? February 2023 did not document the method used for notification of the drill, special conditions, problems encountered, and weather conditions.”

8VAC20-780-570-A

“Based on observation, provider failed to assure children placed in an infant feeding table were placed in protective belts and fastened securely. Evidence: Two children seated in the feeding table in the Infant B classroom did not have protective belts fastened securely.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Licensing inspector observed the medication box located in the provider’s office was not locked and contained 4 medications.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that three children in the Preschool II-A classroom had cots with linens consisting of a top over and a bottom cover. Evidence: Three cots used by children during the rest period did not have a bottom covering.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Plastic floor play mat in the Infant A classroom was cracked exposing foam padding and preventing adequate sanitizing. Plastic step stools used by children for toileting in the Pre-school 1-A classroom were cracked and broken. Peeling paint was observed on children’s chair legs in the Pre-school 1-A classroom. Plastic cushions on multiple children’s furnishings in the center were cracked preventing adequate sanitizing.”

8VAC20-780-245-I

“Based on record review, the provider failed to ensure that the emergency preparedness plan was reviewed annually. Evidence: Provider records did not document an annual review of the center’s emergency preparedness plan.”

8VAC20-780-70

“Based on record review, the provider did not ensure four of seven staff records contained all the required documentation. Evidence: Records for S2, employed 03/08/2023, S3, employed 02/15/2023, and S4, employed 02/09/2023, S7, employed 11/21/2022 did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The record for S7, employed 11/21/2022 did not document information about any health problems that may interfere with fulfilling the job responsibilities and emergency contacts.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that four of eight records contained all the required information. Evidence: The record for C1, enrolled 11/14/2022 did not document individuals authorized to pick the child up. The element on the form is blank. The records for C3, enrolled 05/05/2021 and C7, enrolled 11/18/2021 did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b; semi-annual written information on the child’s development, behavior, adjustment, and needs required by 8VAC20-780-420-E.3 and semi-annual scheduled opportunities for parents to provide feedback on their children and the center’s programs. Licensing inspector requested the file for C5. The file provided did not contain any information required by 8VAC20-780-60 for C5. The record for C7, enrolled 11/18/2021 did not contain two emergency contacts for the child if the children’s parents could not be located.”

8VAC20-780-40-J

“Based on interview, the provider failed to update annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. Evidence: The program director acknowledged that the injury prevention procedures had not been reviewed annually.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure all prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the Infant A room refrigerated were not clearly labeled with the date.”

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

“Based on record review, the written record of a child’s serious injury did not contain documentation on how the parent was notified. Evidence: The incident/accident report for C1 did not document how the parent was notified of the injury. The element on the report was blank.”

8VAC20-780-60-A Complaint related: No

“Based on child record review, the provider failed to ensure that one of one records contained all the required information. Evidence: The record for C1, enrolled 11/16/2022 did not contain a second emergency contact for the child if the child’s parent could not be located.”

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

“Based on record review, the provider failed to inform the department’s representative of any injury that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: The center did not notify the Virginia Department of Education of a child injury that occurred on 11/22/2022. The Director provided a copy of notification made to the Virginia Department of Social Services. The center has been licensed by the Virginia Department of Education since 07/01/2021.”

8VAC20-780-70

“Based on a review of nine staff records and interviews, the center did not ensure that two staff records contained all the required information. Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #6, hired on 07/12/21, were dated 12/06/19. 2) During interview, a member of management acknowledged the TB results for Staff #6 were completed 12 months prior to beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment, should have been completed no more than 12 months prior to beginning employment, and such documentation was to be retained in the staff record. 3) The record for Staff #8, hired on 09/09/19, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 3) During interview, a member of management reported the references could not be located, but were obtained on 05/24/22.”

8VAC20-780-580-B

“Based on observations and interview, one out of three vehicles used for transporting children did not meet safety standards set by the Department of Motor Vehicles. Evidence: 1) The license plates for one vehicle are expired. The license plate tags on the vehicle expired in December 2021. 2) During interview, a member of management confirmed the tags were expired and the vehicle was used for transporting children.”

8VAC20-780-60-A

“Based on a review of nine children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 11/18/21, did not contain two emergency contacts other than the parents. 2) During interview, a member of management confirmed the record did not contain two additional emergency contacts for Child #4. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“Based on a review of nine staff records and interviews, the center did not obtain the results of a follow-up tuberculosis (TB) screening for two staff members at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The most recent TB screening/testing in the record for Staff #7, hired on 09/06/19, expired on 08/28/21. 2) The most recent TB screening/testing in the record for Staff #8, hired on 09/01/19, expired on 09/01/21.”

8VAC20-780-130-E

“Based on a review of nine children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for two children under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #2 (11-month-old), enrolled on 08/30/21, is dated 08/24/2021. 2) The most recent immunization documentation in the record for Child #3 (23-months), enrolled on 10/18/21, is dated 09/15/2021. 3) During interview, a member of management confirmed the records did not contain additional immunizations.”

8VAC20-770-60-C-2

“Based on a review of nine staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 08/20/21, was dated 09/30/21. 2) The central registry finding in the record for Staff #3, hired on 03/22/22, was dated 05/05/22. 3) The central registry finding in the record for Staff #4, hired on 03/14/22, was dated 05/05/22. 4) The record for Staff #6, hired on 07/12/21, did not contain a central registry finding. A member of management reported the central registry finding for Staff #6 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1, Staff #3, and Staff #4 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”

8VAC20-780-280-H

“Based on observations, the center did not ensure cosmetics, medications, or other harmful agents were not stored in areas, purposes or pockets that are accessible to children. Evidence: 1) The licensing inspector observed a bottle of staff medication in an unlocked cabinet in the Two’s classroom.”

8VAC20-790-600-F

“Based on a review of nine staff records, the vendor did not ensure two staff who work directly with children completed the department’s health and safety update course annually. Evidence: 1) The most recent health and safety updated training certificate in the record for Staff #7, hired on 09/06/19, was completed on 03/01/2020. 2) The record for Staff #8, hired on 09/09/19, did not contain documentation that the staff has completed the department’s health and safety update course.”

8VAC20-780-70

“Based on a review of nine staff records and interviews, the center did not ensure that two staff records contained all the required information. Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #6, hired on 07/12/21, were dated 12/06/19. 2) During interview, a member of management acknowledged the TB results for Staff #6 were completed 12 months prior to beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment, should have been completed no more than 12 months prior to beginning employment, and such documentation was to be retained in the staff record. 3) The record for Staff #8, hired on 09/09/19, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 3) During interview, a member of management reported the references could not be located, but were obtained on 05/24/22.”

8VAC20-780-580-B

“Based on observations and interview, one out of three vehicles used for transporting children did not meet safety standards set by the Department of Motor Vehicles. Evidence: 1) The license plates for one vehicle are expired. The license plate tags on the vehicle expired in December 2021. 2) During interview, a member of management confirmed the tags were expired and the vehicle was used for transporting children.”

8VAC20-780-60-A

“Based on a review of nine children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 11/18/21, did not contain two emergency contacts other than the parents. 2) During interview, a member of management confirmed the record did not contain two additional emergency contacts for Child #4. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“Based on a review of nine staff records and interviews, the center did not obtain the results of a follow-up tuberculosis (TB) screening for two staff members at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The most recent TB screening/testing in the record for Staff #7, hired on 09/06/19, expired on 08/28/21. 2) The most recent TB screening/testing in the record for Staff #8, hired on 09/01/19, expired on 09/01/21.”

8VAC20-780-130-E

“Based on a review of nine children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for two children under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #2 (11-month-old), enrolled on 08/30/21, is dated 08/24/2021. 2) The most recent immunization documentation in the record for Child #3 (23-months), enrolled on 10/18/21, is dated 09/15/2021. 3) During interview, a member of management confirmed the records did not contain additional immunizations.”

8VAC20-770-60-C-2

“Based on a review of nine staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 08/20/21, was dated 09/30/21. 2) The central registry finding in the record for Staff #3, hired on 03/22/22, was dated 05/05/22. 3) The central registry finding in the record for Staff #4, hired on 03/14/22, was dated 05/05/22. 4) The record for Staff #6, hired on 07/12/21, did not contain a central registry finding. A member of management reported the central registry finding for Staff #6 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1, Staff #3, and Staff #4 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”

8VAC20-780-280-H

“Based on observations, the center did not ensure cosmetics, medications, or other harmful agents were not stored in areas, purposes or pockets that are accessible to children. Evidence: 1) The licensing inspector observed a bottle of staff medication in an unlocked cabinet in the Two’s classroom.”

8VAC20-790-600-F

“Based on a review of nine staff records, the vendor did not ensure two staff who work directly with children completed the department’s health and safety update course annually. Evidence: 1) The most recent health and safety updated training certificate in the record for Staff #7, hired on 09/06/19, was completed on 03/01/2020. 2) The record for Staff #8, hired on 09/09/19, did not contain documentation that the staff has completed the department’s health and safety update course.”

22VAC40-665-580-B

“Based on a review of five staff records, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The VA Preservice Training for Child Care Staff certificate in the record for Staff #1, hired on 07/13/2021, was dated 12/19/2021. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in first aid within 90 days of the date of employment. Evidence: 1) The first aid certification in the record for Staff #1, hired on 07/13/21, was completed on 11/08/21. 2) The first aid certification in the record for Staff #3, hired on 08/17/21, was completed on 11/08/21. 3) The first aid certification in the record for Staff #4, hired on 08/05/21, was completed on 11/03/21. 4) During interviews, a member of management confirmed the first aid certifications for Staff #1, Staff #3, and Staff #4 were not obtained within 90 days of their date of employment.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record for Staff #1, hired on 07/13/21, was completed on 11/08/21. 2) The CPR certification in the record for Staff #3, hired on 08/17/21, was completed on 11/08/21. 3) The CPR certification in the record for Staff #4, hired on 08/05/21, was completed on 11/03/21. 4) During interviews, a member of management confirmed the CPR certifications for Staff #1, Staff #3, and Staff #4 were not obtained within 90 days of their date of employment.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #2, hired on 11/04/21, was dated 12/15/21. 2) The central registry finding in the record for Staff #3, hired on 08/17/21, was dated 10/01/21. 3) The central registry finding in the record for Staff #5, hired on 11/01/21, was dated 12/15/21. 4) During interviews, a member of management confirmed the results of the central finding for Staff #2, Staff #3, and Staff #5 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”

22VAC40-665-580-B

“Based on a review of five staff records, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The VA Preservice Training for Child Care Staff certificate in the record for Staff #1, hired on 07/13/2021, was dated 12/19/2021. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in first aid within 90 days of the date of employment. Evidence: 1) The first aid certification in the record for Staff #1, hired on 07/13/21, was completed on 11/08/21. 2) The first aid certification in the record for Staff #3, hired on 08/17/21, was completed on 11/08/21. 3) The first aid certification in the record for Staff #4, hired on 08/05/21, was completed on 11/03/21. 4) During interviews, a member of management confirmed the first aid certifications for Staff #1, Staff #3, and Staff #4 were not obtained within 90 days of their date of employment.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The CPR certification in the record for Staff #1, hired on 07/13/21, was completed on 11/08/21. 2) The CPR certification in the record for Staff #3, hired on 08/17/21, was completed on 11/08/21. 3) The CPR certification in the record for Staff #4, hired on 08/05/21, was completed on 11/03/21. 4) During interviews, a member of management confirmed the CPR certifications for Staff #1, Staff #3, and Staff #4 were not obtained within 90 days of their date of employment.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that three staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #2, hired on 11/04/21, was dated 12/15/21. 2) The central registry finding in the record for Staff #3, hired on 08/17/21, was dated 10/01/21. 3) The central registry finding in the record for Staff #5, hired on 11/01/21, was dated 12/15/21. 4) During interviews, a member of management confirmed the results of the central finding for Staff #2, Staff #3, and Staff #5 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”