Children of America Prince William

8VAC20-780-80-A

“REPEAT VIOLATION For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were seven children present in the Pre-K classroom, but five children were marked present on the attendance record.”

8VAC20-780-270-A

“REPEAT VIOLATION The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There is a hole in the wall of the school age classroom approximately 4 inches in size, leaving insulation and chipping drywall exposed.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials are required to be locked to prevent access by children. One bottle of cleaning solution and one bottle of air freshener was observed on top of a paper towel holder in the bathroom of the two year old classroom.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in CPR. Staff A was alone with a group of three infants and was not certified in CPR.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have current certification in First Aid. Staff A was alone with a group of three infants and was not certified in First Aid.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The most recent documented shelter in place drill was dated 05/23/2024.”

8VAC20-780-550-F

“The center is required to practice lockdown procedures annually. The most recent documented lockdown drill was dated 03/14/2024.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff B, who had been employed for eight months, did not have documentation that a central registry search has been requested. Staff C, who had been employed for more than five weeks, did not have documentation that a central registry search has been requested.”

8VAC20-780-80-A

“REPEAT VIOLATION For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were seven children present in the Pre-K classroom, but five children were marked present on the attendance record.”

8VAC20-780-270-A

“REPEAT VIOLATION The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There is a hole in the wall of the school age classroom approximately 4 inches in size, leaving insulation and chipping drywall exposed.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials are required to be locked to prevent access by children. One bottle of cleaning solution and one bottle of air freshener was observed on top of a paper towel holder in the bathroom of the two year old classroom.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in CPR. Staff A was alone with a group of three infants and was not certified in CPR.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have current certification in First Aid. Staff A was alone with a group of three infants and was not certified in First Aid.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The most recent documented shelter in place drill was dated 05/23/2024.”

8VAC20-780-550-F

“The center is required to practice lockdown procedures annually. The most recent documented lockdown drill was dated 03/14/2024.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff B, who had been employed for eight months, did not have documentation that a central registry search has been requested. Staff C, who had been employed for more than five weeks, did not have documentation that a central registry search has been requested.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child B and child C, who had been enrolled for two months.”

8VAC20-780-60-A-8

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

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child B, who had been attending for two months, did not have documentation of an immunization record on file.”

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

“Inside areas occupied by children shall be maintained no lower than 68 degrees F. The temperature in the occupied Pre-K classroom (Ages 4-5 years) was 67 degrees.”

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

“The center shall ensure that areas and equipment of the center shall be maintained in a safe condition. 1. A portable heater observed in the Pre-K Classroom (Ages 4-5 years) was plugged in by an extension cord that was located near the entry way of the classroom and stretching down the hallway towards the exit, posing a tripping hazard. 2. The portable heater in the Pre-K Classroom (Ages 4-5 years) was located near the entryway of the classroom and accessible to children. The heater was hot to the touch.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child B and child C, who had been enrolled for two months.”

8VAC20-780-60-A-8

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

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child B, who had been attending for two months, did not have documentation of an immunization record on file.”

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

“Inside areas occupied by children shall be maintained no lower than 68 degrees F. The temperature in the occupied Pre-K classroom (Ages 4-5 years) was 67 degrees.”

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

“The center shall ensure that areas and equipment of the center shall be maintained in a safe condition. 1. A portable heater observed in the Pre-K Classroom (Ages 4-5 years) was plugged in by an extension cord that was located near the entry way of the classroom and stretching down the hallway towards the exit, posing a tripping hazard. 2. The portable heater in the Pre-K Classroom (Ages 4-5 years) was located near the entryway of the classroom and accessible to children. The heater was hot to the touch.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child B and child C, who had been enrolled for two months.”

8VAC20-780-60-A-8

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

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child B, who had been attending for two months, did not have documentation of an immunization record on file.”

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

“Inside areas occupied by children shall be maintained no lower than 68 degrees F. The temperature in the occupied Pre-K classroom (Ages 4-5 years) was 67 degrees.”

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

“The center shall ensure that areas and equipment of the center shall be maintained in a safe condition. 1. A portable heater observed in the Pre-K Classroom (Ages 4-5 years) was plugged in by an extension cord that was located near the entry way of the classroom and stretching down the hallway towards the exit, posing a tripping hazard. 2. The portable heater in the Pre-K Classroom (Ages 4-5 years) was located near the entryway of the classroom and accessible to children. The heater was hot to the touch.”

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

“The required ratio for children ages two years is one staff per eight children. 1. Staff A was supervising 9 to 12 children (youngest child two years old) in the Pre-School two Room from approximately 6:37am-7:00am. 2. Staff B was observed supervising 13 children (youngest child two years old) in the Pre-School 1-A Room at 8:45 a.m.”

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

“The required ratio for children ages two years is one staff per eight children. 1. Staff A was supervising 9 to 12 children (youngest child two years old) in the Pre-School two Room from approximately 6:37am-7:00am. 2. Staff B was observed supervising 13 children (youngest child two years old) in the Pre-School 1-A Room at 8:45 a.m.”

8VAC20-780-40-I Complaint related: No

“Based on interviews it was determined that the facility did not have written procedures for injury prevention. Evidence: The center's injury prevention procedures were not accessible to the inspector during the inspection.”

8VAC20-780-40-E Complaint related: Yes

“Based on interviews and documentation review it was determined that the facility did not always maintain compliance with their own policies and procedures. Evidence: The facilities safety manual states that immediate application of ice in a plastic bag or a frozen sponge in a plastic bag will be applied to any bumps or bruises sustained at the facility. In the older infant room on 08/22/2024 at 9:20 am, child A (DOB: 09/27/2023) sustained two bumps to the back of their head. It was reported that staff briefly held a cold water bottle to the child's head and management was notified about the injury.”

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

“Based on interviews and documentation review it was determined that the facility failed to notify parents immediately when a child sustains a serious injury. Evidence: In the older Infant room on 08/22/2024 at approximately 9:20 am Child A (DOB: 09/27/2023) sustained an injury to the back of their head while attempting to pull themselves up by a chair. The child was observed to have two bumps on the back of their head. The parent of child A was not notified of the incident until 3:04 pm on 08/22/2024 via telephone call.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews and documentation review it was determined that the provider failed to notify the department within two business days when a child under their supervision sustains an injury requiring outside medical attention. Evidence: It was reported that on 06/28/2024 child A (DOB: 09/27/2023) sustained an injury to their forehead requiring medical treatment. The department was not notified regarding this injury.”

8VAC20-780-430-B

“Based on observation of the toddler classroom it was determined that there was not always an adequate supply of materials and equipment for each age group. Evidence: The book shelf in the Toddler room was empty. The kitchen set in the Toddler room was empty and did not have any equipment to accompany the social living area.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas of the center, inside and outside, were maintained in safe condition. Evidence: There is a 12 inch rip of the playground turf in front of the large slide.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) Two soiled diapers were observed in the handwashing sink of the younger infant room. 2.) Craft supplies and a stuffed toy was observed on the diapering surface in the older two year old room.”

8VAC20-780-570-A

“Based on observation of the older infant room it was determined that protective belts were not always used and securely fastened for children in infant seats. Evidence: Child A was observed in a feeding chair and was not fastened with the protective belt.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that the arrival and departure of each child was not documented as it occurs. Evidence: There were four children documented present on the attendance record of the older two year old room. However, there were five children physically present in the classroom.”

8VAC20-780-40-I Complaint related: No

“Based on interviews it was determined that the facility did not have written procedures for injury prevention. Evidence: The center's injury prevention procedures were not accessible to the inspector during the inspection.”

8VAC20-780-40-E Complaint related: Yes

“Based on interviews and documentation review it was determined that the facility did not always maintain compliance with their own policies and procedures. Evidence: The facilities safety manual states that immediate application of ice in a plastic bag or a frozen sponge in a plastic bag will be applied to any bumps or bruises sustained at the facility. In the older infant room on 08/22/2024 at 9:20 am, child A (DOB: 09/27/2023) sustained two bumps to the back of their head. It was reported that staff briefly held a cold water bottle to the child's head and management was notified about the injury.”

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

“Based on interviews and documentation review it was determined that the facility failed to notify parents immediately when a child sustains a serious injury. Evidence: In the older Infant room on 08/22/2024 at approximately 9:20 am Child A (DOB: 09/27/2023) sustained an injury to the back of their head while attempting to pull themselves up by a chair. The child was observed to have two bumps on the back of their head. The parent of child A was not notified of the incident until 3:04 pm on 08/22/2024 via telephone call.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews and documentation review it was determined that the provider failed to notify the department within two business days when a child under their supervision sustains an injury requiring outside medical attention. Evidence: It was reported that on 06/28/2024 child A (DOB: 09/27/2023) sustained an injury to their forehead requiring medical treatment. The department was not notified regarding this injury.”

8VAC20-780-430-B

“Based on observation of the toddler classroom it was determined that there was not always an adequate supply of materials and equipment for each age group. Evidence: The book shelf in the Toddler room was empty. The kitchen set in the Toddler room was empty and did not have any equipment to accompany the social living area.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas of the center, inside and outside, were maintained in safe condition. Evidence: There is a 12 inch rip of the playground turf in front of the large slide.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) Two soiled diapers were observed in the handwashing sink of the younger infant room. 2.) Craft supplies and a stuffed toy was observed on the diapering surface in the older two year old room.”

8VAC20-780-570-A

“Based on observation of the older infant room it was determined that protective belts were not always used and securely fastened for children in infant seats. Evidence: Child A was observed in a feeding chair and was not fastened with the protective belt.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that the arrival and departure of each child was not documented as it occurs. Evidence: There were four children documented present on the attendance record of the older two year old room. However, there were five children physically present in the classroom.”

8VAC20-780-40-I Complaint related: No

“Based on interviews it was determined that the facility did not have written procedures for injury prevention. Evidence: The center's injury prevention procedures were not accessible to the inspector during the inspection.”

8VAC20-780-40-E Complaint related: Yes

“Based on interviews and documentation review it was determined that the facility did not always maintain compliance with their own policies and procedures. Evidence: The facilities safety manual states that immediate application of ice in a plastic bag or a frozen sponge in a plastic bag will be applied to any bumps or bruises sustained at the facility. In the older infant room on 08/22/2024 at 9:20 am, child A (DOB: 09/27/2023) sustained two bumps to the back of their head. It was reported that staff briefly held a cold water bottle to the child's head and management was notified about the injury.”

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

“Based on interviews and documentation review it was determined that the facility failed to notify parents immediately when a child sustains a serious injury. Evidence: In the older Infant room on 08/22/2024 at approximately 9:20 am Child A (DOB: 09/27/2023) sustained an injury to the back of their head while attempting to pull themselves up by a chair. The child was observed to have two bumps on the back of their head. The parent of child A was not notified of the incident until 3:04 pm on 08/22/2024 via telephone call.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on interviews and documentation review it was determined that the provider failed to notify the department within two business days when a child under their supervision sustains an injury requiring outside medical attention. Evidence: It was reported that on 06/28/2024 child A (DOB: 09/27/2023) sustained an injury to their forehead requiring medical treatment. The department was not notified regarding this injury.”

8VAC20-780-430-B

“Based on observation of the toddler classroom it was determined that there was not always an adequate supply of materials and equipment for each age group. Evidence: The book shelf in the Toddler room was empty. The kitchen set in the Toddler room was empty and did not have any equipment to accompany the social living area.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas of the center, inside and outside, were maintained in safe condition. Evidence: There is a 12 inch rip of the playground turf in front of the large slide.”

8VAC20-780-500-B

“Based on observation it was determined that not all procedures for diapering were followed. Evidence: 1.) Two soiled diapers were observed in the handwashing sink of the younger infant room. 2.) Craft supplies and a stuffed toy was observed on the diapering surface in the older two year old room.”

8VAC20-780-570-A

“Based on observation of the older infant room it was determined that protective belts were not always used and securely fastened for children in infant seats. Evidence: Child A was observed in a feeding chair and was not fastened with the protective belt.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that the arrival and departure of each child was not documented as it occurs. Evidence: There were four children documented present on the attendance record of the older two year old room. However, there were five children physically present in the classroom.”

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

“Based on interviews it was determined that children under ten years of age were not always within actual sight and sound supervision of staff. Evidence: Through interviews it was determined that child A (Age 3 years) was left alone in the Multi-Purpose Classroom (City Place Classroom) for an undisclosed amount of time in the afternoon. The exact date of this incident could not be determined however it reportedly occurred during the beginning of March 2024. It was reported that child A was using the bathroom in the classroom when the rest of the class exited City Place with Staff A and Staff B to return to the Pre-School Classroom. Staff C later found child A alone in the City Place Classroom.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children in their care. Evidence: Through interviews it was determined that child A (Age 3 years) was left alone in the Multi-Purpose Classroom (City Place Classroom) for an undisclosed amount of time in the afternoon. The exact date of this incident could not be determined however it reportedly occurred during the beginning of March 2024. It was reported that child A was using the bathroom in the classroom when the rest of the class exited City Place with Staff A and Staff B to return to the Pre-School Classroom. Staff C could hear crying from City Place and found child A alone in the classroom. Staff A and Staff B were unaware that Child A was not in their care until the child was returned to them by staff C.”

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

“Based on interviews it was determined that children under ten years of age were not always within actual sight and sound supervision of staff. Evidence: Through interviews it was determined that child A (Age 3 years) was left alone in the Multi-Purpose Classroom (City Place Classroom) for an undisclosed amount of time in the afternoon. The exact date of this incident could not be determined however it reportedly occurred during the beginning of March 2024. It was reported that child A was using the bathroom in the classroom when the rest of the class exited City Place with Staff A and Staff B to return to the Pre-School Classroom. Staff C later found child A alone in the City Place Classroom.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children in their care. Evidence: Through interviews it was determined that child A (Age 3 years) was left alone in the Multi-Purpose Classroom (City Place Classroom) for an undisclosed amount of time in the afternoon. The exact date of this incident could not be determined however it reportedly occurred during the beginning of March 2024. It was reported that child A was using the bathroom in the classroom when the rest of the class exited City Place with Staff A and Staff B to return to the Pre-School Classroom. Staff C could hear crying from City Place and found child A alone in the classroom. Staff A and Staff B were unaware that Child A was not in their care until the child was returned to them by staff C.”

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

“Based on interviews it was determined that not all behavioral guidance was constructive in nature and age and stage appropriate. Evidence: It was reported that on 01/17/2024 from around 4:30 pm - 5:00 pm child A (age 2) was displaying behaviors such as crying, screaming and hitting and scratching other children. Staff attempted to redirect child A by giving them toys but the child began to continue with crying and hitting or scratching anyone that came into contact with the them. Staff A then placed the child in time-out in a chair by the classroom door for more than ten minutes. The child was then roughly moved by the right arm by staff A from the chair to a carpet area next to a toy shelf where the child continued to cry and scream. Staff A did not attempt to call management for help with child A. Management was later notified of the situation by the parent of child A who had been watching the interaction on camera.”

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

“Based on interviews it was determined that a written record of children's injuries was not always documented as required. Evidence: on 12/19/2023 child B (18 months) sustained an injury to their forehead. Administration informed child B's parent of the injury via telephone and sent the parent a picture of the injury however, an injury report was not written or provided to the parent of child B.”

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

“Based on interviews and review of digital documentation it was determined that staff engaged in a forbidden action of rough handling a child. Evidence: 1. Staff A reported that on 01/17/2024 at around 4:30 pm that Child A (Age 2) was in time out in a chair by the door. Child A was moved by the right arm and carried by Staff A from the timeout chair to the carpet area next to the toy shelf by the right arm. 2. Staff A confirmed that the child was roughly placed on the carpet when shown a photo of the incident.”

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

“Based on interviews it was determined that not all behavioral guidance was constructive in nature and age and stage appropriate. Evidence: It was reported that on 01/17/2024 from around 4:30 pm - 5:00 pm child A (age 2) was displaying behaviors such as crying, screaming and hitting and scratching other children. Staff attempted to redirect child A by giving them toys but the child began to continue with crying and hitting or scratching anyone that came into contact with the them. Staff A then placed the child in time-out in a chair by the classroom door for more than ten minutes. The child was then roughly moved by the right arm by staff A from the chair to a carpet area next to a toy shelf where the child continued to cry and scream. Staff A did not attempt to call management for help with child A. Management was later notified of the situation by the parent of child A who had been watching the interaction on camera.”

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

“Based on interviews it was determined that a written record of children's injuries was not always documented as required. Evidence: on 12/19/2023 child B (18 months) sustained an injury to their forehead. Administration informed child B's parent of the injury via telephone and sent the parent a picture of the injury however, an injury report was not written or provided to the parent of child B.”

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

“Based on interviews and review of digital documentation it was determined that staff engaged in a forbidden action of rough handling a child. Evidence: 1. Staff A reported that on 01/17/2024 at around 4:30 pm that Child A (Age 2) was in time out in a chair by the door. Child A was moved by the right arm and carried by Staff A from the timeout chair to the carpet area next to the toy shelf by the right arm. 2. Staff A confirmed that the child was roughly placed on the carpet when shown a photo of the incident.”

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

“Based on interviews it was determined that not all behavioral guidance was constructive in nature and age and stage appropriate. Evidence: It was reported that on 01/17/2024 from around 4:30 pm - 5:00 pm child A (age 2) was displaying behaviors such as crying, screaming and hitting and scratching other children. Staff attempted to redirect child A by giving them toys but the child began to continue with crying and hitting or scratching anyone that came into contact with the them. Staff A then placed the child in time-out in a chair by the classroom door for more than ten minutes. The child was then roughly moved by the right arm by staff A from the chair to a carpet area next to a toy shelf where the child continued to cry and scream. Staff A did not attempt to call management for help with child A. Management was later notified of the situation by the parent of child A who had been watching the interaction on camera.”

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

“Based on interviews it was determined that a written record of children's injuries was not always documented as required. Evidence: on 12/19/2023 child B (18 months) sustained an injury to their forehead. Administration informed child B's parent of the injury via telephone and sent the parent a picture of the injury however, an injury report was not written or provided to the parent of child B.”

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

“Based on interviews and review of digital documentation it was determined that staff engaged in a forbidden action of rough handling a child. Evidence: 1. Staff A reported that on 01/17/2024 at around 4:30 pm that Child A (Age 2) was in time out in a chair by the door. Child A was moved by the right arm and carried by Staff A from the timeout chair to the carpet area next to the toy shelf by the right arm. 2. Staff A confirmed that the child was roughly placed on the carpet when shown a photo of the incident.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all records contained documentation of the Virginia Department of Education-sponsored orientation course being completed within 90 days of employment. Evidence: The records for staff B (start date: 11/28/22) and staff C (start date: 03/07/23) did not contain documentation of completing the Virginia Pre-Service training course as required.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that not all attendance records documented the arrival and departure of each child as it occurs. Evidence: There were six children present in the two's classroom however there were seven children documented on the attendance sheet.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1. The record for Staff C (start date: 03/7/23) did not contain documentation of the name, address, and telephone number of a person to be notified in an emergency. 2. The records for staff A (start date: 08/29/22), staff B (start date: 11/28/22), and staff C (start date: 03/07/23) did not contain documentation of two references as required. 3. The records for staff B (start date: 11/28/22), staff C (start date: 03/07/23), and staff D (start date: 04/04/22) did not contain documentation to demonstrate the required education, certification, or experience required for their job position.”

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

“Based on interviews and review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: On Friday, September 1, 2023 between 12:11 pm - 12:15 pm Staff A is observed on video footage roughly handling children in the Infant B classroom. 1.) At 12:11 pm Staff A is seen roughly picking up child A (Age 14 months) and roughly places them on their cot. 2.) At 12:15 pm Staff is seen placing child B (Age 14 months) on their cot. When child B attempts to get up, staff A roughly pushes the child's head down on their cot.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all records contained documentation of the Virginia Department of Education-sponsored orientation course being completed within 90 days of employment. Evidence: The records for staff B (start date: 11/28/22) and staff C (start date: 03/07/23) did not contain documentation of completing the Virginia Pre-Service training course as required.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that not all attendance records documented the arrival and departure of each child as it occurs. Evidence: There were six children present in the two's classroom however there were seven children documented on the attendance sheet.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1. The record for Staff C (start date: 03/7/23) did not contain documentation of the name, address, and telephone number of a person to be notified in an emergency. 2. The records for staff A (start date: 08/29/22), staff B (start date: 11/28/22), and staff C (start date: 03/07/23) did not contain documentation of two references as required. 3. The records for staff B (start date: 11/28/22), staff C (start date: 03/07/23), and staff D (start date: 04/04/22) did not contain documentation to demonstrate the required education, certification, or experience required for their job position.”

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

“Based on interviews and review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: On Friday, September 1, 2023 between 12:11 pm - 12:15 pm Staff A is observed on video footage roughly handling children in the Infant B classroom. 1.) At 12:11 pm Staff A is seen roughly picking up child A (Age 14 months) and roughly places them on their cot. 2.) At 12:15 pm Staff is seen placing child B (Age 14 months) on their cot. When child B attempts to get up, staff A roughly pushes the child's head down on their cot.”

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all records contained documentation of the Virginia Department of Education-sponsored orientation course being completed within 90 days of employment. Evidence: The records for staff B (start date: 11/28/22) and staff C (start date: 03/07/23) did not contain documentation of completing the Virginia Pre-Service training course as required.”

8VAC20-780-80-A

“Based on review of attendance records it was determined that not all attendance records documented the arrival and departure of each child as it occurs. Evidence: There were six children present in the two's classroom however there were seven children documented on the attendance sheet.”

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: 1. The record for Staff C (start date: 03/7/23) did not contain documentation of the name, address, and telephone number of a person to be notified in an emergency. 2. The records for staff A (start date: 08/29/22), staff B (start date: 11/28/22), and staff C (start date: 03/07/23) did not contain documentation of two references as required. 3. The records for staff B (start date: 11/28/22), staff C (start date: 03/07/23), and staff D (start date: 04/04/22) did not contain documentation to demonstrate the required education, certification, or experience required for their job position.”

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

“Based on interviews and review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: On Friday, September 1, 2023 between 12:11 pm - 12:15 pm Staff A is observed on video footage roughly handling children in the Infant B classroom. 1.) At 12:11 pm Staff A is seen roughly picking up child A (Age 14 months) and roughly places them on their cot. 2.) At 12:15 pm Staff is seen placing child B (Age 14 months) on their cot. When child B attempts to get up, staff A roughly pushes the child's head down on their cot.”

8VAC20-780-550-E

“Based on a review of recordkeeping and interview with administrative staff, it was determined that the center had not conducted a minimum of two shelter in place procedure drills annually. The last shelter in place drill conducted was on 6/21/22.”

8VAC20-780-510-E

“Based on a review of the medication authorization and interview with administrative staff, it was determined that one child 's medication authorization had expired for one medication and had not been obtained for a second medication. Evidence: The parent and physician authorization for a prescription inhaled corticosteroid medication for child A expired on 6/1/23. There was no authorization for a prescribed asthma medication for child A.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children. Evidence: The LI observed the following unlocked: 1. Disinfectant deodorizer on a shelf in the Two B room. 2. in the hallway closet next to the Two B room were 40+ containers of disinfectant solution, 6 bottles of liquid starch, 6 containers of floor finish gloss solutions, germicidal agents, multi use cleaner deodorant, pot and pan cleaner. All of these solutions had warnings, cautions, danger and /or harmful labels. 3. In the unlocked cabinet in the unlocked kitchen under the sink were 10 containers of disinfectant deodorizer solutions, multi-purpose sanitizing tablets, furniture polish and liquid starch. These agents came with warnings and cautions. 4. The key was stored in the laundry room lock , inside the laundry room were 2 cans of furniture polish and several cans of germicidal disinfectants.”

8VAC20-780-240-B

“Based on a review of staff files and interview with administrative staff, it was determined that two staff had not completed orientation training within seven days of the date of assuming job responsibilities. Evidence: Staff B and C had not been provided orientation training. Staff B was hired on 3/22/23 and staff C was hired on 4/17/23.”

8VAC20-780-240-A

“Based on a review of five staff files and interview with administrative staff, it was determined that two staff had not completed the VA DOE sponsored orientation course within 90 calendar days of employment. Evidence: Staff A and D had not completed the orientation course within 90 days of employment. Staff A was hired on11/28/22 and staff D was hired on 3/20/23.”

8VAC20-780-80-A

“Based on observation and a review of recordkeeping it was determined that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs were not maintained. Evidence: The Licensing Inspector (LI) observed 8 children present in the Two B classroom, however only 5 children were listed on the attendance.”

8VAC20-780-70

“Based on a review of 5 staff files and interview with administrative staff, it was determined that 3 staff did not have references on file prior to employment. Evidence: Staff A, C and D did not have references on file. Staff A was hired on 11/28/22, staff C was hired on 4/17/23 and Staff D was hired on 3/20/23.”

8VAC20-780-60-A-8

“Based on a review of the allergy care plans and interview with administrative staff , it was determined that one child did not have a written allergy care plan for diagnosed food allergies. Evidence: Child B has a diagnosed food allergy to nuts, eggs and milk as outlined on the child's physical. There was no allergy care plan for these allergens.”

8VAC20-780-40-M

“Based on a review of recordkeeping, it was determined that the center failed to maintain a current written list of all children's allergies. Evidence: Child B has an allergy to eggs and milk, however these two allergies were not listed on the written allergy list.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that staff C ( hired 4/17/23) did not have a tuberculosis screening/test on file upon employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the center was not maintained in a clean, safe and operable condition. Evidence: The LI observed a phone cord hanging in reach of the toddlers in the Toddler A room. The LI observed a phone cord hanging in reach of children in the City Place room. The LI observed an open door to the storage room next to the Infant A room. In this room was a phone network interface wall panel which had a multitude of wires handing out of the panel.”

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

“Based on observation and interviews it was determined that the center is not maintaining the 1:10 ratio for a mixed age group. Evidence: On 7/12/23 at 7:53 am, the Licensing Inspector observed 15 children with 1 staff in the PreK classroom. The ages of the children in this room were 3 to 6 years of age”

8VAC20-780-550-E

“Based on a review of recordkeeping and interview with administrative staff, it was determined that the center had not conducted a minimum of two shelter in place procedure drills annually. The last shelter in place drill conducted was on 6/21/22.”

8VAC20-780-510-E

“Based on a review of the medication authorization and interview with administrative staff, it was determined that one child 's medication authorization had expired for one medication and had not been obtained for a second medication. Evidence: The parent and physician authorization for a prescription inhaled corticosteroid medication for child A expired on 6/1/23. There was no authorization for a prescribed asthma medication for child A.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children. Evidence: The LI observed the following unlocked: 1. Disinfectant deodorizer on a shelf in the Two B room. 2. in the hallway closet next to the Two B room were 40+ containers of disinfectant solution, 6 bottles of liquid starch, 6 containers of floor finish gloss solutions, germicidal agents, multi use cleaner deodorant, pot and pan cleaner. All of these solutions had warnings, cautions, danger and /or harmful labels. 3. In the unlocked cabinet in the unlocked kitchen under the sink were 10 containers of disinfectant deodorizer solutions, multi-purpose sanitizing tablets, furniture polish and liquid starch. These agents came with warnings and cautions. 4. The key was stored in the laundry room lock , inside the laundry room were 2 cans of furniture polish and several cans of germicidal disinfectants.”

8VAC20-780-240-B

“Based on a review of staff files and interview with administrative staff, it was determined that two staff had not completed orientation training within seven days of the date of assuming job responsibilities. Evidence: Staff B and C had not been provided orientation training. Staff B was hired on 3/22/23 and staff C was hired on 4/17/23.”

8VAC20-780-240-A

“Based on a review of five staff files and interview with administrative staff, it was determined that two staff had not completed the VA DOE sponsored orientation course within 90 calendar days of employment. Evidence: Staff A and D had not completed the orientation course within 90 days of employment. Staff A was hired on11/28/22 and staff D was hired on 3/20/23.”

8VAC20-780-80-A

“Based on observation and a review of recordkeeping it was determined that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs were not maintained. Evidence: The Licensing Inspector (LI) observed 8 children present in the Two B classroom, however only 5 children were listed on the attendance.”

8VAC20-780-70

“Based on a review of 5 staff files and interview with administrative staff, it was determined that 3 staff did not have references on file prior to employment. Evidence: Staff A, C and D did not have references on file. Staff A was hired on 11/28/22, staff C was hired on 4/17/23 and Staff D was hired on 3/20/23.”

8VAC20-780-60-A-8

“Based on a review of the allergy care plans and interview with administrative staff , it was determined that one child did not have a written allergy care plan for diagnosed food allergies. Evidence: Child B has a diagnosed food allergy to nuts, eggs and milk as outlined on the child's physical. There was no allergy care plan for these allergens.”

8VAC20-780-40-M

“Based on a review of recordkeeping, it was determined that the center failed to maintain a current written list of all children's allergies. Evidence: Child B has an allergy to eggs and milk, however these two allergies were not listed on the written allergy list.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that staff C ( hired 4/17/23) did not have a tuberculosis screening/test on file upon employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the center was not maintained in a clean, safe and operable condition. Evidence: The LI observed a phone cord hanging in reach of the toddlers in the Toddler A room. The LI observed a phone cord hanging in reach of children in the City Place room. The LI observed an open door to the storage room next to the Infant A room. In this room was a phone network interface wall panel which had a multitude of wires handing out of the panel.”

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

“Based on observation and interviews it was determined that the center is not maintaining the 1:10 ratio for a mixed age group. Evidence: On 7/12/23 at 7:53 am, the Licensing Inspector observed 15 children with 1 staff in the PreK classroom. The ages of the children in this room were 3 to 6 years of age”

8VAC20-780-550-E

“Based on a review of recordkeeping and interview with administrative staff, it was determined that the center had not conducted a minimum of two shelter in place procedure drills annually. The last shelter in place drill conducted was on 6/21/22.”

8VAC20-780-510-E

“Based on a review of the medication authorization and interview with administrative staff, it was determined that one child 's medication authorization had expired for one medication and had not been obtained for a second medication. Evidence: The parent and physician authorization for a prescription inhaled corticosteroid medication for child A expired on 6/1/23. There was no authorization for a prescribed asthma medication for child A.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children. Evidence: The LI observed the following unlocked: 1. Disinfectant deodorizer on a shelf in the Two B room. 2. in the hallway closet next to the Two B room were 40+ containers of disinfectant solution, 6 bottles of liquid starch, 6 containers of floor finish gloss solutions, germicidal agents, multi use cleaner deodorant, pot and pan cleaner. All of these solutions had warnings, cautions, danger and /or harmful labels. 3. In the unlocked cabinet in the unlocked kitchen under the sink were 10 containers of disinfectant deodorizer solutions, multi-purpose sanitizing tablets, furniture polish and liquid starch. These agents came with warnings and cautions. 4. The key was stored in the laundry room lock , inside the laundry room were 2 cans of furniture polish and several cans of germicidal disinfectants.”

8VAC20-780-240-B

“Based on a review of staff files and interview with administrative staff, it was determined that two staff had not completed orientation training within seven days of the date of assuming job responsibilities. Evidence: Staff B and C had not been provided orientation training. Staff B was hired on 3/22/23 and staff C was hired on 4/17/23.”

8VAC20-780-240-A

“Based on a review of five staff files and interview with administrative staff, it was determined that two staff had not completed the VA DOE sponsored orientation course within 90 calendar days of employment. Evidence: Staff A and D had not completed the orientation course within 90 days of employment. Staff A was hired on11/28/22 and staff D was hired on 3/20/23.”

8VAC20-780-80-A

“Based on observation and a review of recordkeeping it was determined that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs were not maintained. Evidence: The Licensing Inspector (LI) observed 8 children present in the Two B classroom, however only 5 children were listed on the attendance.”

8VAC20-780-70

“Based on a review of 5 staff files and interview with administrative staff, it was determined that 3 staff did not have references on file prior to employment. Evidence: Staff A, C and D did not have references on file. Staff A was hired on 11/28/22, staff C was hired on 4/17/23 and Staff D was hired on 3/20/23.”

8VAC20-780-60-A-8

“Based on a review of the allergy care plans and interview with administrative staff , it was determined that one child did not have a written allergy care plan for diagnosed food allergies. Evidence: Child B has a diagnosed food allergy to nuts, eggs and milk as outlined on the child's physical. There was no allergy care plan for these allergens.”

8VAC20-780-40-M

“Based on a review of recordkeeping, it was determined that the center failed to maintain a current written list of all children's allergies. Evidence: Child B has an allergy to eggs and milk, however these two allergies were not listed on the written allergy list.”

8VAC20-780-160-A

“Based on a review of staff files and interview with administrative staff, it was determined that staff C ( hired 4/17/23) did not have a tuberculosis screening/test on file upon employment.”

8VAC20-780-270-A

“Based on observation, it was determined that the center was not maintained in a clean, safe and operable condition. Evidence: The LI observed a phone cord hanging in reach of the toddlers in the Toddler A room. The LI observed a phone cord hanging in reach of children in the City Place room. The LI observed an open door to the storage room next to the Infant A room. In this room was a phone network interface wall panel which had a multitude of wires handing out of the panel.”

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

“Based on observation and interviews it was determined that the center is not maintaining the 1:10 ratio for a mixed age group. Evidence: On 7/12/23 at 7:53 am, the Licensing Inspector observed 15 children with 1 staff in the PreK classroom. The ages of the children in this room were 3 to 6 years of age”

8VAC20-780-260-B

“Based on a review of recordkeeping and interview, it was determined that there has been no annual inspection from the health department. Evidence: The health inspection is dated 9/30/20.”

8VAC20-780-140-A

“Based on a review of six children's files and interview, it was determined that the child A first attended the center on 10/19/22 and there was no physical on file within 30 days after the first day of attendance.”

8VAC20-780-270-A

“Based on observation, it was determined that the center is not maintained in a safe condition. Evidence: The Licensing Inspector (LI) observed a fan on top of the cabinet in the Twos A classroom. The cord to the fan was plugged into the outlet and hung in reach of the children, which presented a hazard of a child pulling on the cord and the fan falling on top of a child(ren).”

8VAC20-780-80-A

“Based on observation and interview, it was determined that the center is not maintaining a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Two children were listed on the attendance log, however three children were present in the toddler A classroom.”

8VAC20-780-550-F

“Based on interview and a review of recordkeeping, it was determined that the center has not practiced lockdown procedures at least annually. Evidence: The last documented lockdown drill is dated 2/26/18.”

8VAC20-780-260-B

“Based on a review of recordkeeping and interview, it was determined that there has been no annual inspection from the health department. Evidence: The health inspection is dated 9/30/20.”

8VAC20-780-140-A

“Based on a review of six children's files and interview, it was determined that the child A first attended the center on 10/19/22 and there was no physical on file within 30 days after the first day of attendance.”

8VAC20-780-270-A

“Based on observation, it was determined that the center is not maintained in a safe condition. Evidence: The Licensing Inspector (LI) observed a fan on top of the cabinet in the Twos A classroom. The cord to the fan was plugged into the outlet and hung in reach of the children, which presented a hazard of a child pulling on the cord and the fan falling on top of a child(ren).”

8VAC20-780-80-A

“Based on observation and interview, it was determined that the center is not maintaining a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Two children were listed on the attendance log, however three children were present in the toddler A classroom.”

8VAC20-780-550-F

“Based on interview and a review of recordkeeping, it was determined that the center has not practiced lockdown procedures at least annually. Evidence: The last documented lockdown drill is dated 2/26/18.”

8VAC20-780-60-A-8

“Based on a review of five children's files and an interview with the director, it was determined that there was no written care plan for child B, who has a allergy to dairy, eggs, fish and grain.”

8VAC20-780-40-M

“Based on observation and interviews, it was determined that the center did not maintain a current written list of all children with allergies, sensitivities and dietary restrictions accessible to the staff. Evidence: Child A had an allergy to milk however the allergy list did not include this child's allergy.”

8VAC20-780-160-A

“Based on a review of four staff files and an interview with the director, it was determined that there was no tuberculosis test/screening/x-ray on file at the time of employment. Evidence: Staff A was hired on 6/14/22, staff B was hired on 6/13/22 and staff D was hired on 11/8/21. None of the staff had documentation of a negative tuberculosis screening.”

8VAC20-770-60-B

“Based on a review of 4 staff files and an interview with the director, it was determined that there were no sworn disclosure statement s on file prior to employment. Evidence: There were no sworn disclosure statements on file for Staff B ( hired 6/12/22), staff C ( hired 7/11/22) and Staff D ( hired on 11/8/21).”

8VAC20-780-510-B

“Based on a review of the center's medication and interview with the director, it was determined that the center had not obtained parental authorization for a prescription medication. Evidence: There was no parental authorization on file for the Child C's Albuterol Sulfate.”

8VAC20-780-280-G

“Based on observation and interview, it was determined that hazardous substances were kept in a substitute container but did not clearly indicate their contents. Evidence: 1. In the Preschool IA classroom there was a blue solution cleaning agent in a spray bottle above the sink, the spray bottle did not list the contents; 2. In the Two's A classroom were spray bottles of pink and blue cleaning solutions, the spray bottles did not list the contents. It was later determined that the pink bottle was a soap solution and the blue bottle was a disinfectant solution.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked in order to prevent access by children. Evidence: The Licensing Inspector observed the following: 1. Disinfectant cleaning solution in a cabinet above the sink in the Preschool IA ( 2s) room; 2. Disinfectant deodorant in the kitchen on the counter; 3. Two containers of disinfectant spay on a shelf accessible to children and hand sanitizers in a cubby accessible to children in the Pre-K A ( 4/5) classroom ; 4. Sanitizing tablets above the sink as well and disinfectant deodorant on top of the paper towel dispenser above the sink in the Two A ( 2/3 year old ) classroom; 5. 20 containers of disinfectant deodorizer, 12 containers of floor finish gloss cleaner, high power stripper remover, cleaning detergent, bleach, 4 containers of commercial paint, chemical detergent and hydrogen peroxide in a closet with the door open next to the Two A classroom; 6. Sanitizing tablets above the sink, disinfectant deodorant, air freshener spray above the sink in the Preschool IIA ( 2/3 year old) classroom; and 7. Disinfectant deodorant on counter near the sink in the school age A classroom.”

8VAC20-780-260-B

“Based on interview and a review of the health inspection report, it was determined that the health inspection had not been obtained annually. The most recent health inspection is dated 9/30/20.”

8VAC20-780-240-B

“Based on a review of four staff files and interview with the director, it was determined that staff had not completed orientation training prior to working alone with children or within seven days of the date of assuming job responsibilities. Evidence: There was no documentation on file of orientation for staff A, B or D.”

8VAC20-780-80-A

“Based on observation and interview, it was determined that there was no written record of daily attendance documenting arrival and departure of each child as it occurs. Evidence: The Licensing Inspector observed 3 infants present in the Infant B classroom, however there were only 2 children signed in on the attendance.”

8VAC20-780-70

“Based on a review of four staff files and an interview with the director, it was determined that staff A, B and D did not have references on file at the time of employment.”

8VAC20-780-60-A-8

“Based on a review of five children's files and an interview with the director, it was determined that there was no written care plan for child B, who has a allergy to dairy, eggs, fish and grain.”

8VAC20-780-40-M

“Based on observation and interviews, it was determined that the center did not maintain a current written list of all children with allergies, sensitivities and dietary restrictions accessible to the staff. Evidence: Child A had an allergy to milk however the allergy list did not include this child's allergy.”

8VAC20-780-160-A

“Based on a review of four staff files and an interview with the director, it was determined that there was no tuberculosis test/screening/x-ray on file at the time of employment. Evidence: Staff A was hired on 6/14/22, staff B was hired on 6/13/22 and staff D was hired on 11/8/21. None of the staff had documentation of a negative tuberculosis screening.”

8VAC20-770-60-B

“Based on a review of 4 staff files and an interview with the director, it was determined that there were no sworn disclosure statement s on file prior to employment. Evidence: There were no sworn disclosure statements on file for Staff B ( hired 6/12/22), staff C ( hired 7/11/22) and Staff D ( hired on 11/8/21).”

8VAC20-780-510-B

“Based on a review of the center's medication and interview with the director, it was determined that the center had not obtained parental authorization for a prescription medication. Evidence: There was no parental authorization on file for the Child C's Albuterol Sulfate.”

8VAC20-780-280-G

“Based on observation and interview, it was determined that hazardous substances were kept in a substitute container but did not clearly indicate their contents. Evidence: 1. In the Preschool IA classroom there was a blue solution cleaning agent in a spray bottle above the sink, the spray bottle did not list the contents; 2. In the Two's A classroom were spray bottles of pink and blue cleaning solutions, the spray bottles did not list the contents. It was later determined that the pink bottle was a soap solution and the blue bottle was a disinfectant solution.”

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked in order to prevent access by children. Evidence: The Licensing Inspector observed the following: 1. Disinfectant cleaning solution in a cabinet above the sink in the Preschool IA ( 2s) room; 2. Disinfectant deodorant in the kitchen on the counter; 3. Two containers of disinfectant spay on a shelf accessible to children and hand sanitizers in a cubby accessible to children in the Pre-K A ( 4/5) classroom ; 4. Sanitizing tablets above the sink as well and disinfectant deodorant on top of the paper towel dispenser above the sink in the Two A ( 2/3 year old ) classroom; 5. 20 containers of disinfectant deodorizer, 12 containers of floor finish gloss cleaner, high power stripper remover, cleaning detergent, bleach, 4 containers of commercial paint, chemical detergent and hydrogen peroxide in a closet with the door open next to the Two A classroom; 6. Sanitizing tablets above the sink, disinfectant deodorant, air freshener spray above the sink in the Preschool IIA ( 2/3 year old) classroom; and 7. Disinfectant deodorant on counter near the sink in the school age A classroom.”

8VAC20-780-260-B

“Based on interview and a review of the health inspection report, it was determined that the health inspection had not been obtained annually. The most recent health inspection is dated 9/30/20.”

8VAC20-780-240-B

“Based on a review of four staff files and interview with the director, it was determined that staff had not completed orientation training prior to working alone with children or within seven days of the date of assuming job responsibilities. Evidence: There was no documentation on file of orientation for staff A, B or D.”

8VAC20-780-80-A

“Based on observation and interview, it was determined that there was no written record of daily attendance documenting arrival and departure of each child as it occurs. Evidence: The Licensing Inspector observed 3 infants present in the Infant B classroom, however there were only 2 children signed in on the attendance.”

8VAC20-780-70

“Based on a review of four staff files and an interview with the director, it was determined that staff A, B and D did not have references on file at the time of employment.”

8VAC20-780-60-A-8

“Based on interview and a review of children's records, it was determined that there were no allergy care plans for 5 children with diagnosed food allergies. Evidence: Child A has an allergy to eggs and diary, child B has an allergy to dairy, eggs, fish and grains, child C has an allergy to milk, child D has an allergy to milk and child E has an allergy to gluten. The center was unable to provide an allergy care plan for these five children.”

8VAC20-780-260-B

“Based on interview and a review of the record keeping, it was determined that the center failed to obtain an annual approval from the health department. Evidence: The health inspection report is dated 9/30/20.”

22.1-289-036-B-4

“Based on interview, it was determined that an agent of the business entity did not have an out of state sex offender name search for Florida. This background check search was required by 9/30/20.”

8VAC20-780-550-D

“Based on interview and a review of the escape drill log, it was determined that the center is not conducting monthly evacuation drills. Evidence: The center did not conduct escape drills in April, May, June, July, August and October 2021.”

8VAC20-780-60-A-8

“Based on interview and a review of children's records, it was determined that there were no allergy care plans for 5 children with diagnosed food allergies. Evidence: Child A has an allergy to eggs and diary, child B has an allergy to dairy, eggs, fish and grains, child C has an allergy to milk, child D has an allergy to milk and child E has an allergy to gluten. The center was unable to provide an allergy care plan for these five children.”

8VAC20-780-260-B

“Based on interview and a review of the record keeping, it was determined that the center failed to obtain an annual approval from the health department. Evidence: The health inspection report is dated 9/30/20.”

22.1-289-036-B-4

“Based on interview, it was determined that an agent of the business entity did not have an out of state sex offender name search for Florida. This background check search was required by 9/30/20.”

8VAC20-780-550-D

“Based on interview and a review of the escape drill log, it was determined that the center is not conducting monthly evacuation drills. Evidence: The center did not conduct escape drills in April, May, June, July, August and October 2021.”