Children of America Salem Church

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children's hands were washed as required. Evidence: In the infant classroom, one infant was observed drinking a bottle and their hands were not washed afterwards and a second infant didn?t have their hands washed before being given a bottle.”

8VAC20-820-120-E-3

“Based on observation, and staff interview, the facility failed to post documents immediately upon receipt in a prominent place at each public entrance, as required. Evidence: the Notice of Intent to Deny a Renewal Application for a License and attached Violation Notices were not posted on site. Staff acknowledged they were not posted.”

8VAC20-770-60-B

“Based on review of 12 staff records, the facility did not have a complete sworn statement for all staff. Evidence: the record for staff #9 had a sworn statement that did not indicate whether or not the staff has lived out of the state of Virginia in the past five years.”

8VAC20-780-70

“(Repeat Violation) Based on review of twelve staff records, not all records contained all required information. Evidence: the record for staff #1 and staff #6 did not contain their date of employment. The record for staff #8 (date of hire: 6/13/2022) did not have complete documentation that two or more references were checked before employment. References cannot be from relatives.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: nine children were observed in the preschool IIA classroom, however only 8 children were included on the attendance sheet.”

8VAC20-780-270-A

“Based on observation, not all areas and equipment inside and outside were maintained in a clean, safe and operable condition. Evidence: there is a rug with curling corners in the preschool IIB classroom that is a tripping hazard; there are divots/rips/gaps in the artificial turf on both playgrounds which are tripping hazards and diminish the resilient surfacing; there is a ?whale on a spring? with a deteriorating face protection buffer system.”

8VAC20-780-400-B

“(Repeat Violation) Based on observation, the facility failed to use behavioral guidance that was intended to redirect children to appropriate behavior. Evidence: in the preschool IIA classroom, children were observed running, throwing toys, climbing on, and jumping off of furniture. One child was observed stepping on top of another child (who was laying on the carpet) three times. Staff did not intervene, or redirect the children to appropriate behavior.”

8VAC20-780-140-A

“(Repeat Violation) Based on a review of seven child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 6/27/2022), child #5 (date of first attendance: 7/5/2022 and child #6 (date of first enrollment: 9/6/2022) did not have documentation of a physical examination.”

8VAC20-820-120-E-3

“Based on observation, and staff interview, the facility failed to post documents immediately upon receipt in a prominent place at each public entrance, as required. Evidence: the Notice of Intent to Deny a Renewal Application for a License and attached Violation Notices were not posted on site. Staff acknowledged they were not posted.”

8VAC20-770-60-B

“Based on review of 12 staff records, the facility did not have a complete sworn statement for all staff. Evidence: the record for staff #9 had a sworn statement that did not indicate whether or not the staff has lived out of the state of Virginia in the past five years.”

8VAC20-780-70

“(Repeat Violation) Based on review of twelve staff records, not all records contained all required information. Evidence: the record for staff #1 and staff #6 did not contain their date of employment. The record for staff #8 (date of hire: 6/13/2022) did not have complete documentation that two or more references were checked before employment. References cannot be from relatives.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: nine children were observed in the preschool IIA classroom, however only 8 children were included on the attendance sheet.”

8VAC20-780-270-A

“Based on observation, not all areas and equipment inside and outside were maintained in a clean, safe and operable condition. Evidence: there is a rug with curling corners in the preschool IIB classroom that is a tripping hazard; there are divots/rips/gaps in the artificial turf on both playgrounds which are tripping hazards and diminish the resilient surfacing; there is a ?whale on a spring? with a deteriorating face protection buffer system.”

8VAC20-780-400-B

“(Repeat Violation) Based on observation, the facility failed to use behavioral guidance that was intended to redirect children to appropriate behavior. Evidence: in the preschool IIA classroom, children were observed running, throwing toys, climbing on, and jumping off of furniture. One child was observed stepping on top of another child (who was laying on the carpet) three times. Staff did not intervene, or redirect the children to appropriate behavior.”

8VAC20-780-140-A

“(Repeat Violation) Based on a review of seven child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 6/27/2022), child #5 (date of first attendance: 7/5/2022 and child #6 (date of first enrollment: 9/6/2022) did not have documentation of a physical examination.”

8VAC20-780-240-B

“Based on review of one staff record, it was determined that not all staff completed orientation training no later than seven days of the date of assuming job responsibilities, as required. Evidence: the record for staff #1 (date of hire: 7/24/2023) contained documentation of orientation training that was dated: 8/22/2023.”

8VAC20-770-60-B

“Based on review of one staff record, the facility did not have a sworn statement completed prior to employment for all staff. Evidence: the record for staff #1 (date of hire: 7/24/2023) had a sworn statement dated: 8/22/2023.”

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

“Based on interviews, the center failed to ensure that all behavioral guidance is constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On 5/24/23, between approximately 5:10-5:50pm, staff #1 lifted child #1, by their arms, causing the child's feet to leave the ground, and placed them into a chair. Staff #1 admitted that this happened because child #1 wasn?t listening and wouldn?t sit down. Interviews revealed that child #1, age 4, did not cry in response.”

8VAC20-780-40-M

“Based on review of the written allergy list, the facility did not maintain a current list of all children's allergies. Evidence: child #2, with a diagnosed food allergy, was not included on the allergy list.”

8VAC20-780-60-A

“Based on review of five child records, it was determined that not all records contain all required information. Evidence: the record for child #2, with a diagnosed food allergy, did not contain a written care plan to include the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-80-A

“Based on review of the written attendance record, observation, and an interview with staff, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that clearly and accurately documents the arrival and departure of children in care as it occurs. Evidence: 1) In the preschool 1A classroom there were 11 children listed on the attendance record, ten children observed, and, per staff, one child who had left and one child from another classroom.”

8VAC20-780-160-A

“Based on review of eight staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff # 2 (date of employment: 3/27/2023) had documentation of a negative TB test/screening dated: 1/19/2023.”

8VAC20-780-500-B

“Based on observation, not all disposable diapers were disposed of in a leakproof storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: in the infant B classroom the foot-operated trash can was broken, and staff stated that they used their hand to open up the trash can. In the two's classroom and the preschool IIA classroom, diapers were observed discarded in trash cans that were not foot-operated.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: in the infant A classroom, one child was observed drinking a bottle and their hands were not washed with soap and water afterwards.”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there was a can of disinfectant spray on a high, open shelf in the two's classroom.”

8VAC20-780-40-M

“Based on review of the written allergy list, the facility did not maintain a current list of all children's allergies. Evidence: child #2, with a diagnosed food allergy, was not included on the allergy list.”

8VAC20-780-60-A

“Based on review of five child records, it was determined that not all records contain all required information. Evidence: the record for child #2, with a diagnosed food allergy, did not contain a written care plan to include the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-80-A

“Based on review of the written attendance record, observation, and an interview with staff, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that clearly and accurately documents the arrival and departure of children in care as it occurs. Evidence: 1) In the preschool 1A classroom there were 11 children listed on the attendance record, ten children observed, and, per staff, one child who had left and one child from another classroom.”

8VAC20-780-160-A

“Based on review of eight staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff # 2 (date of employment: 3/27/2023) had documentation of a negative TB test/screening dated: 1/19/2023.”

8VAC20-780-500-B

“Based on observation, not all disposable diapers were disposed of in a leakproof storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: in the infant B classroom the foot-operated trash can was broken, and staff stated that they used their hand to open up the trash can. In the two's classroom and the preschool IIA classroom, diapers were observed discarded in trash cans that were not foot-operated.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: in the infant A classroom, one child was observed drinking a bottle and their hands were not washed with soap and water afterwards.”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there was a can of disinfectant spray on a high, open shelf in the two's classroom.”

8VAC20-780-350-Q

“Based on observation, staff interview and documentation review, it was determined that the center is casually reassigning children from their regular group for reasons other than administrative necessity disrupting the children's schedule and attachment to their regular group. Evidence: 1) The LI observed four crying infants being reassigned from the infant B classroom to the infant A classroom at approximately 9:50am when the second Infant A teacher arrived at the center. 2) Staff interviews revealed that children are reassigned regularly, whenever necessary to maintain ratios. 3) Approximately 24 children were moved on 2/28/2023 before 10:00am. Approximately six children were reassigned to a different classroom and then moved back to their original classroom, four less than 30 minutes later.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: in the infant A and infant B classrooms, two children were observed drinking a bottle and their hands were not washed with soap and water before and afterwards. In both the infant A and Toddler classrooms, children were observed having a diaper change and the children's hands were not washed with soap and water afterwards.”

8VAC20-780-80-A

“Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that clearly and accurately documents the arrival and departure of children in care as it occurs. Evidence: 1) 4 children were observed in the infant A classroom, however only 3 children were included on the attendance sheet. 2) In the infant B classroom, 7 children were listed on the attendance sheet but only 4 children were observed. In both classrooms children were moved back and forth without clear and accurate documentation on the attendance sheet, indicating who was or was not in attendance in each classroom at any given time. 3) similarly, the attendance records for the other six classrooms also did not clearly state who was present and who was not based on the number of children who had moved from one class to another class, (and sometimes back again), and the children listed on the front and back of the attendance roster.”

8VAC20-780-340-D

“Based on observation and a review of documentation, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader is regularly present. Evidence: The records for Staff #1 and staff #2, who were observed working in the infant A classroom together, do not have documentation of program leader qualifications. The records for Staff #3 and staff #4, who were observed working in the toddler A classroom together, do not have documentation of program leader qualifications. The record for Staff #5, who was observed working alone in the two’s classroom, does not have documentation of program leader qualifications. The records for Staff #6 and staff #7, who were observed working in the preschool II A classroom together, do not have documentation of program leader qualifications. The records for Staff #8 and staff #9, who were observed working in the pre-K classroom together, do not have documentation of program leader qualifications.”

8VAC20-780-570-D Complaint related: Yes

“Based on multiple interviews and a review of documentation, the center failed to ensure that infants were fed in accordance with parental instructions. Evidence: on 2/6/2023, staff were instructed during drop off to feed child #1 (age 10 weeks) every two hours, or earlier if needed. Child #1 arrived at approximately 7:20am, having last eaten at home at approximately 6:00am, and left at approximately 2:27pm. Six bottles with approximately three ounces each were provided, and at least four bottles were returned with approximately three ounces in each. There is no documentation that feedings, or attempted feedings, occurred every two hours as requested.”

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

“Based on interviews and a review of documentation, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader is regularly present. Evidence: Staff #1 and staff #2, who are regularly assigned to work together in the infant A classroom, do not have program leader qualifications. On 2/6/2023, staff #1 worked alone in the infant A classroom from approximately 7:00 ? 8:30am and from approximately 2:30 ? 4:00pm.”

8VAC20-780-420-E-1 Complaint related: Yes

“Based on multiple interviews and a review of documentation, the facility failed to maintain a record accessible to parents and staff, that contained all required information. Evidence: there was no record for child #1 on 2/6/2023 indicating a) the amount of time the infant slept; b) the amount of food consumed and the time; c) a description and time of bowel movements; d) the amount of time spent on their stomach (tummy time.)”

8VAC20-780-340-A

“Based on interviews with staff, and a review of documentation, it was determined that staff supervising children did not always ensure their care, protection and guidance. Evidence: 1) On 1/12/2023, from approximately 5:20 - 6:33pm staff were unaware that child #1 (age three) was sleeping on the floor in the back of the preschool II B classroom. 2) Three staff had responsibility for the supervision of child #1, and the three staff did not observe child #1, check the attendance roster, count the children, or take attendance during this time. 3) Staff #2 entered the preschool II B classroom at approximately 5:20pm, to relieve Staff #1, and proceeded to sit down and color with the children at the table. Staff #2 did not check the attendance roster, or walk through the classroom, therefore was unaware that child #1 was asleep in the back of the classroom. 4) Management #3 was not aware that child #1 was asleep in the back of the preschool II B classroom when they "peeked" into the classroom and told staff #2 to transition the five children to the school age classroom. 5) Staff #4 was not aware that child #1 was supposed to be in their classroom when five children transitioned from the preschool II B classroom to the school age classroom at approximately 5:30pm. Staff #4 did not take attendance, check the attendance roster or count the children entering their classroom. 6) Staff were unaware that child #1 was asleep in the preschool II B classroom until staff #5, accompanied by a set of parents, discovered the child at approximately 6:33pm.”

8VAC20-780-40-E

“Based on review of the center's policies and procedures, and multiple staff interviews, it was determined that the center failed to ensure that staff followed the center's own policies and procedures required by the standards for identifying where attending children are at all times. Evidence: The center's policy on classroom attendance states, "When a class is moved from their room for any reason, attendance is taken by matching faces to names on the attendance sheet. Before leaving any location, employees are to check the area, including bathrooms, behind furniture, doors and learning equipment for children. Employees document this procedure on the Classroom Movement Log, and then have it verified by management, before children leave the room." On the incident date of January 12, 2023, staff #2 and management #3 did not follow the center's attendance policy, which resulted in leaving a three year old child alone in a classroom for approximately one hour.”

8VAC20-780-340-F

“Based on multiple interviews with staff, and a review of documentation, the center failed to ensure that all children under ten years of age were always in sight and sound supervision of staff. Evidence: 1) On January 12, 2023, at approximately 5:20pm, Staff #2 entered the preschool IIB classroom to relieve Staff #1, and stated that they never saw child #1, (age three). 2) Staff #2 did not know that child #1 was asleep in the back of the classroom, therefore did not have sight supervision from approximately 5:20 ? 5:30pm 3) At approximately 5:30pm, Staff #2 moved five children from the preschool II B classroom to the school age classroom. Staff #2 stated that they turned off the lights and closed the preschool II B classroom door. Child #1 was left alone in the classroom. 4) Staff #4 entered the preschool IIB classroom at approximately 6:33 pm on January 12, 2023, with a set of parents, and discovered child #1 asleep on the floor, behind a book shelf in the back of the preschool II B classroom. Staff #4 stated that they picked up the child, and handed the child to management #3. Child #1 had been alone in the classroom, out of sight and sound supervision, from approximately 5:30 - 6:33pm.”

8VAC20-780-340-D

“Based on multiple interviews with staff, and a review of documentation, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: Staff # 1 was alone with a group of children in the preschool II B classroom from approximately 4:40 ? 5:20pm and Staff #2 was alone with a group of children in the preschool II B classroom from approximately 5:20 ? 5:30pm. Interviews reveal that these staff are alone with children several times a week. The records for Staff #1 and Staff #2 do not have documentation of program leader qualifications.”

8VAC20-780-350-B-4

“Based on multiple interviews with staff, and a review of documentation, the center failed to maintain the ratio of one staff for every ten children, ages three up to school age eligible. Evidence: On January 12, 2023 at approximately 5:20pm, there was one staff member alone with 17 children in the school age classroom. The youngest child in the room (Date of birth: 9/3/18) was four years old. At approximately 5:30pm, five additional children were transitioned to the school age classroom, leaving 20 children with one staff member (two children had left). The youngest child in the room (Date of birth 8/5/19) was three years old.”

22.1-289.035-B-4

“Based on review of eleven staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment or Criminal History Name Check prior to employment was obtained for staff who indicated they have lived outside of Virginia in the past five years and/or follow up as required. Evidence: the record for staff #10 (Date of hire: 7/11/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state child abuse and neglect search request. The record for staff #7, (Date of hire: 11/8/2021) who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state child abuse and neglect search request or criminal history name check.”

8VAC20-780-70

“Based on review of eleven staff records, not all records contained all required information. Evidence: the record for staff #5 (date of hire: 9/16/2020), staff #8 (date of hire: 3/7/2022) and staff #10 (date of hire: 7/11/2022) did not have complete documentation that two or more references were checked before employment.”

8VAC20-780-340-A

“Based on observation, the facility failed to ensure the children’s care, protection and guidance regarding safe sleep practices. Evidence: 1) an infant was observed sleeping with a pacifier attached to a ribbon and wearing a bib which is a choking hazard. 2) there were multiple blankets hanging from the sides of cribs, and blankets and bibs observed inside cribs that staff stated were in use by infants. 3) unsafe sleep conditions increase the risk of sudden unexplained infant death.”

8VAC20-780-500-A

“Based on observation, and an interview with staff, not all handwashing procedures were followed, as required. Evidence: staff in the infant A classroom was observed changing a child's diaper and staff did not wash the child’s hands with soap and water afterwards. Staff stated that they used a baby wipe.”

8VAC20-780-510-E

“Based on review of five medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #9 did not contain written authorization from the parent for long term medication observed on site.”

8VAC20-780-160-C

“Based on review of eleven staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #11 had a TB test/screening dated: 5/26/2020.”

8VAC20-780-510-P

“Based on review of five medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Two medication authorization forms for child #8 expired 10/2021 and one medication authorization form for child #9 expired on 9/15/2022. The medication has not been returned to the parents nor have the parent renewed the medication authorization forms.”

8VAC20-780-520-C

“Based on review of diaper ointment observed on site, the facility failed to maintain a record that includes the child’s name, date of use, frequency of application and any adverse reactions. Evidence: the record for child #10, with diaper ointment on site, did not contain a record of use. Staff stated that the ointment was used but they did not maintain a record of use, as required.”

8VAC20-780-140-A

“Based on a review of seven child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 6/27/2022), child #6 (date of first attendance: 7/5/2022 and child #6 (date of first enrollment: 9/6/2022) did not have documentation of a physical examination.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/7/2021.”

8VAC20-780-130-A

“Based on a review of seven child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #5 (date of first attendance: 7/5/2022 did not have documentation of immunizations.”

8VAC20-770-60-C-2

“Based on review of eleven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment and/or follow up conducted as required. Evidence: The record for staff #1 (Date of hire: 11/10/2021), staff #6 (Date of hire: 10/31/2022), staff #8 (Date of hire: 3/7/2022) did not have documentation of a Central Registry search report or evidence that follow up was conducted in the required time frame.”

8VAC20-780-60-A

“Based on review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #2 and child #3 did not have complete information for two emergency contacts.”

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

“Based on observation, interviews, and a review of photos and documentation it was determined that the facility failed to ensure the children's care, protection, and guidance. Evidence: 1) from 11/1/2022 -11/3/2022 there were approximately 7 documented incidents in the toddler classroom including four bites and two scratches. 2) from 10/12/2022 - 10/31/2022 there were approximately 14 documented incidents in the toddler classroom including 6 bites and eight scratches to the face and neck area. 3) interviews revealed that one staff member in the toddler classroom is typically seated on the floor while the second staff walks around supervising.”

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

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: 1) Four children in the preschool IA classroom were observed having a diaper/pull-up change/using the bathroom and they did not wash their hands afterwards with soap and running water or before eating snack. The four children went straight to the table and ate snack. 2) Two children in the preschool IIA classroom were observed having a pull-up change/using the bathroom and they did not wash their hands afterwards with soap and water. 3) Staff were observed assisting children with toileting procedures and did not wash their hands before and after helping each child.”

8VAC20-780-140-A

“Based on a review of five children's records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) did not have documentation of a physical examination.”

8VAC20-780-160-C

“Based on review of six staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated: 5/26/2020.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #1 and child #5 did not have the names address and phone number for two emergency contacts. The record for child #5 (date of first attendance: 3/29/2021) did not have signed parental authorization to obtain emergency medical care, or documentation of viewing proof of the child's identity and age.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/7/2021.”

8VAC20-780-70

“Based on review of seven staff records, it was determined that not all records contained all required information. Evidence: The records for staff #2, #3, #5, and #6 did not contain complete documentation of two reference checks. The records for staff #3 and staff #5 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position and were observed acting as lead teachers in a classroom.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant A class, six children were observed, however seven children were listed on the attendance sheet; 2) in the infant B class, five children were observed, however only four children were listed on the attendance sheet; 3) in the pre-k class, 13 children were observed, however only 11 children were listed on the attendance sheet; 4) in the toddler class, five children were observed, however six children were listed on the attendance sheet; 5) in the two’s class, eight children were observed, however only seven children were listed on the attendance sheet 6) in the preschool IIB class, nine children were observed, however ten children were listed on the attendance sheet.”

8VAC20-780-240-B

“Based on review of seven staff records, the facility did not have documentation that all staff received orientation training as required no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #3 (date of hire: 5/24/22) and staff #5 (date of hire: 11/1/21) did not contain documentation of orientation training.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant A classroom, there were four cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-770-60-C-2

“Based on review of seven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 12/6/2021), staff #2 (Date of hire: 3/7/2022), staff #3 (Date of hire: 5/24/2022), staff #4 (Date of hire: 11/1/2021) and staff #6 (Date of hire: 7/14/2022) did not have documentation of a Central Registry search report.”

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

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

8VAC20-780-350-B-1

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every four children, ages birth through 16 months. Evidence: In the infant B classroom there was one staff member alone with five children. The youngest child in the room (Date of birth: 11/1/21) was ten months old.”

8VAC20-780-510-E

“Based on review of ten emergency medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #7, #8, #9, #11, and #12 did not contain written authorization from the physician or parent for long term medication observed on site.”

8VAC20-780-130-A

“Based on a review of four children's records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) and child #2 (date of first attendance: 9/6/2022) did not have documentation of immunizations.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: Documented shelter-in-place drills were conducted on: 7/6/21 and 8/16/22.”

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

22.1-289.035-B-4

“Based on review of seven staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #6, (Date of hire: 7/14/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state search request.”

8VAC20-780-510-P

“Based on review of ten emergency medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #6 expired 01/11/2022. The medication has not been returned to the parent nor has the parent renewed the medication authorization form.”

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant A classroom, a bottle of sanitizing solution was observed on top of the diaper changing table and sanitizing tablets were in an unlocked cabinet. In the infant B classroom spray paint with a warning label that stated ?keep out of reach of children? and ?flammable? was observed in an unlocked cabinet. Bleach water solution was observed sitting on a counter accessible to children in the school age classroom though no children were in the class at the time.”

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

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: 1) Four children in the preschool IA classroom were observed having a diaper/pull-up change/using the bathroom and they did not wash their hands afterwards with soap and running water or before eating snack. The four children went straight to the table and ate snack. 2) Two children in the preschool IIA classroom were observed having a pull-up change/using the bathroom and they did not wash their hands afterwards with soap and water. 3) Staff were observed assisting children with toileting procedures and did not wash their hands before and after helping each child.”

8VAC20-780-140-A

“Based on a review of five children's records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) did not have documentation of a physical examination.”

8VAC20-780-160-C

“Based on review of six staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated: 5/26/2020.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #1 and child #5 did not have the names address and phone number for two emergency contacts. The record for child #5 (date of first attendance: 3/29/2021) did not have signed parental authorization to obtain emergency medical care, or documentation of viewing proof of the child's identity and age.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/7/2021.”

8VAC20-780-70

“Based on review of seven staff records, it was determined that not all records contained all required information. Evidence: The records for staff #2, #3, #5, and #6 did not contain complete documentation of two reference checks. The records for staff #3 and staff #5 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position and were observed acting as lead teachers in a classroom.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant A class, six children were observed, however seven children were listed on the attendance sheet; 2) in the infant B class, five children were observed, however only four children were listed on the attendance sheet; 3) in the pre-k class, 13 children were observed, however only 11 children were listed on the attendance sheet; 4) in the toddler class, five children were observed, however six children were listed on the attendance sheet; 5) in the two’s class, eight children were observed, however only seven children were listed on the attendance sheet 6) in the preschool IIB class, nine children were observed, however ten children were listed on the attendance sheet.”

8VAC20-780-240-B

“Based on review of seven staff records, the facility did not have documentation that all staff received orientation training as required no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #3 (date of hire: 5/24/22) and staff #5 (date of hire: 11/1/21) did not contain documentation of orientation training.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant A classroom, there were four cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-770-60-C-2

“Based on review of seven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 12/6/2021), staff #2 (Date of hire: 3/7/2022), staff #3 (Date of hire: 5/24/2022), staff #4 (Date of hire: 11/1/2021) and staff #6 (Date of hire: 7/14/2022) did not have documentation of a Central Registry search report.”

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

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

8VAC20-780-350-B-1

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every four children, ages birth through 16 months. Evidence: In the infant B classroom there was one staff member alone with five children. The youngest child in the room (Date of birth: 11/1/21) was ten months old.”

8VAC20-780-510-E

“Based on review of ten emergency medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #7, #8, #9, #11, and #12 did not contain written authorization from the physician or parent for long term medication observed on site.”

8VAC20-780-130-A

“Based on a review of four children's records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) and child #2 (date of first attendance: 9/6/2022) did not have documentation of immunizations.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: Documented shelter-in-place drills were conducted on: 7/6/21 and 8/16/22.”

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

22.1-289.035-B-4

“Based on review of seven staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #6, (Date of hire: 7/14/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state search request.”

8VAC20-780-510-P

“Based on review of ten emergency medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #6 expired 01/11/2022. The medication has not been returned to the parent nor has the parent renewed the medication authorization form.”

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant A classroom, a bottle of sanitizing solution was observed on top of the diaper changing table and sanitizing tablets were in an unlocked cabinet. In the infant B classroom spray paint with a warning label that stated ?keep out of reach of children? and ?flammable? was observed in an unlocked cabinet. Bleach water solution was observed sitting on a counter accessible to children in the school age classroom though no children were in the class at the time.”

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

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: 1) Four children in the preschool IA classroom were observed having a diaper/pull-up change/using the bathroom and they did not wash their hands afterwards with soap and running water or before eating snack. The four children went straight to the table and ate snack. 2) Two children in the preschool IIA classroom were observed having a pull-up change/using the bathroom and they did not wash their hands afterwards with soap and water. 3) Staff were observed assisting children with toileting procedures and did not wash their hands before and after helping each child.”

8VAC20-780-140-A

“Based on a review of five children's records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) did not have documentation of a physical examination.”

8VAC20-780-160-C

“Based on review of six staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated: 5/26/2020.”

8VAC20-780-60-A

“Based on review of five children's records, it was determined that not all records contained all required information. Evidence: the records for child #1 and child #5 did not have the names address and phone number for two emergency contacts. The record for child #5 (date of first attendance: 3/29/2021) did not have signed parental authorization to obtain emergency medical care, or documentation of viewing proof of the child's identity and age.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/7/2021.”

8VAC20-780-70

“Based on review of seven staff records, it was determined that not all records contained all required information. Evidence: The records for staff #2, #3, #5, and #6 did not contain complete documentation of two reference checks. The records for staff #3 and staff #5 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position and were observed acting as lead teachers in a classroom.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant A class, six children were observed, however seven children were listed on the attendance sheet; 2) in the infant B class, five children were observed, however only four children were listed on the attendance sheet; 3) in the pre-k class, 13 children were observed, however only 11 children were listed on the attendance sheet; 4) in the toddler class, five children were observed, however six children were listed on the attendance sheet; 5) in the two’s class, eight children were observed, however only seven children were listed on the attendance sheet 6) in the preschool IIB class, nine children were observed, however ten children were listed on the attendance sheet.”

8VAC20-780-240-B

“Based on review of seven staff records, the facility did not have documentation that all staff received orientation training as required no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #3 (date of hire: 5/24/22) and staff #5 (date of hire: 11/1/21) did not contain documentation of orientation training.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant A classroom, there were four cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-770-60-C-2

“Based on review of seven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 12/6/2021), staff #2 (Date of hire: 3/7/2022), staff #3 (Date of hire: 5/24/2022), staff #4 (Date of hire: 11/1/2021) and staff #6 (Date of hire: 7/14/2022) did not have documentation of a Central Registry search report.”

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

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

8VAC20-780-350-B-1

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every four children, ages birth through 16 months. Evidence: In the infant B classroom there was one staff member alone with five children. The youngest child in the room (Date of birth: 11/1/21) was ten months old.”

8VAC20-780-510-E

“Based on review of ten emergency medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #7, #8, #9, #11, and #12 did not contain written authorization from the physician or parent for long term medication observed on site.”

8VAC20-780-130-A

“Based on a review of four children's records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #1 (date of first attendance: 7/5/2022) and child #2 (date of first attendance: 9/6/2022) did not have documentation of immunizations.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: Documented shelter-in-place drills were conducted on: 7/6/21 and 8/16/22.”

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

22.1-289.035-B-4

“Based on review of seven staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #6, (Date of hire: 7/14/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state search request.”

8VAC20-780-510-P

“Based on review of ten emergency medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent was notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for child #6 expired 01/11/2022. The medication has not been returned to the parent nor has the parent renewed the medication authorization form.”

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant A classroom, a bottle of sanitizing solution was observed on top of the diaper changing table and sanitizing tablets were in an unlocked cabinet. In the infant B classroom spray paint with a warning label that stated ?keep out of reach of children? and ?flammable? was observed in an unlocked cabinet. Bleach water solution was observed sitting on a counter accessible to children in the school age classroom though no children were in the class at the time.”

8VAC20-780-500-B

“Based on observation, and an interview with staff, the facility failed to ensure that diapers are disposed of in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1) in the toddler/2's classoom, the foot operated trash can didn't work. Staff stated that they dispose of diapers in the bathroom trash can, which was not foot operated. 2) in the preschool 1A classroom, staff were observed using their hand to lift a trash can lid to dispose of gloves after changing/assisting a child in the restroom.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a clean, safe and operable condition. Evidence: In the infant A classroom, there were cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-80-A

“Based on observation and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record Evidence: 1) In the infant A class, five infants were observed and only two were listed on the attendance record. 2) In the toddler/2's class, eight children were observed and only six were listed on the attendance record. 3) In the preschool 1A class, 14 children were observed and only 12 were listed on the attendance record. 4) In the preschool IIB class, 20 children were observed and only 15 were listed on one attendance record and 11 on the second attendance record as two classes were combined.”

8VAC20-780-140-A

“Based on a review of five children's records, the center did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of a physical examination.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that the facility failed to obtain a copy of the results of a criminal history record information check and a sex offender registry check (prior to employment) and a search of the child abuse and neglect registry or equivalent registry (by the end of the 30th day of employment) from any state in which the individual has resided in the preceding five years. Evidence: the record for staff #1, (date of hire: 11/8/2021), who indicated that they have lived in two other states in the past five years, had no documentation of any out of state search requests.”

22.1-289.058

“Based on observation, and an interview with staff, it was determined that the facility does not have a carbon monoxide detector as required. Evidence: there was no carbon monoxide detector in the facility.”

8VAC20-780-130-A

“Based on a review of five children's records, the center did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of immunizations.”

8VAC20-780-570-B

“Based on observation, the facility failed to ensure that bottle-fed infants who cannot hold their own bottle are held when fed. Evidence: staff were observed holding a bottle to feed an infant who was sitting in a baby swing.”

8VAC20-780-280-B

“Based on observation, not all hazardous substance were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There was a bottle of bleach water/sanitizing solution in an unlocked cabinet in the infant A, toddler A, and toddler/2's classrooms.”

8VAC20-780-500-B

“Based on observation, and an interview with staff, the facility failed to ensure that diapers are disposed of in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1) in the toddler/2's classoom, the foot operated trash can didn't work. Staff stated that they dispose of diapers in the bathroom trash can, which was not foot operated. 2) in the preschool 1A classroom, staff were observed using their hand to lift a trash can lid to dispose of gloves after changing/assisting a child in the restroom.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a clean, safe and operable condition. Evidence: In the infant A classroom, there were cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-80-A

“Based on observation and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record Evidence: 1) In the infant A class, five infants were observed and only two were listed on the attendance record. 2) In the toddler/2's class, eight children were observed and only six were listed on the attendance record. 3) In the preschool 1A class, 14 children were observed and only 12 were listed on the attendance record. 4) In the preschool IIB class, 20 children were observed and only 15 were listed on one attendance record and 11 on the second attendance record as two classes were combined.”

8VAC20-780-140-A

“Based on a review of five children's records, the center did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of a physical examination.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that the facility failed to obtain a copy of the results of a criminal history record information check and a sex offender registry check (prior to employment) and a search of the child abuse and neglect registry or equivalent registry (by the end of the 30th day of employment) from any state in which the individual has resided in the preceding five years. Evidence: the record for staff #1, (date of hire: 11/8/2021), who indicated that they have lived in two other states in the past five years, had no documentation of any out of state search requests.”

22.1-289.058

“Based on observation, and an interview with staff, it was determined that the facility does not have a carbon monoxide detector as required. Evidence: there was no carbon monoxide detector in the facility.”

8VAC20-780-130-A

“Based on a review of five children's records, the center did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of immunizations.”

8VAC20-780-570-B

“Based on observation, the facility failed to ensure that bottle-fed infants who cannot hold their own bottle are held when fed. Evidence: staff were observed holding a bottle to feed an infant who was sitting in a baby swing.”

8VAC20-780-280-B

“Based on observation, not all hazardous substance were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There was a bottle of bleach water/sanitizing solution in an unlocked cabinet in the infant A, toddler A, and toddler/2's classrooms.”