Children of America (Winchester)

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

“REPEAT VIOALTION SYSTEMIC VIOLATION The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. The record shall include the required information. 71 of 81 incident reports were incomplete as they were missing required information, 61 of those were missing any future actions to prevent recurrence of injury.”

8VAC20-821-260 Complaint related: No

“An applicant or licensee shall produce any records to the superintendent during an inspection or within the timeframe specified by the superintendent. All written records of serious and minor injuries for the month of June were requested during the June 30 inspection. All records were not provided at that time. On July 15, the Licensing Inspector requested all records again. As of July 20, 2026, at least three records were not provided. The three missing records were crucial to the complaint investigation.”

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

“REPEAT VIOLATION SYSTEMIC VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. At least 81 injuries occurred at the center over a six-week period, 36 of which were head injuries. The center had not documented any future actions to prevent recurrence of 61 of those injuries as required. Within a five-week period, Child #1 sustained five injuries to the head while in the care of the center resulting in bruising, bumps, broken skin and a bloody nose.”

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

“SYSTEMIC VIOLATION The required ratio for ages 16 months to 24 months is one staff per five children. On June 30, 2026, there were six toddlers (youngest was 17 months) with only one staff member for five minutes.”

8VAC20-780-570-A Complaint related: No

“When a child is placed in a high chair, the protective belt shall be fastened securely. On June 30, 2026, four infants were placed in highchairs and none of the infants were secured in protective belts.”

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

“REPEAT VIOLATION SYSTEMIC VIOLATION The required ratio for ages birth up to 16 months is one staff per four children. On June 25, 2026, there were ten infants (youngest was two months old) with only two staff for thirteen minutes.”

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

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. On June 25, 2026, there were 10 children and two staff in Room 2 (Infant B) for thirteen minutes. The terms of the current license indicates ?There may be no more than 8 children in each of rooms 1 and 2?.”

8VAC20-821-270-6-c Complaint related: No

“Notice of the superintendent’s intent to revoke the license of the child day program shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. The program did not have the Notice of Intent to Revoke License (dated May 21, 2026) posted at the public entrance of the center.”

8VAC20-780-390-B Complaint related: Yes

“For school age children, on non-school days, the daily activity shall include opportunity for at least one hour of outdoor activity. Although air quality allowed, other than two field trips to the park, school age children had not been provided at least one hour of outdoor activity on non-school days for more than two weeks.”

8VAC20-780-370-3 Complaint related: Yes

“During the day, infants shall be provided with outdoor time if weather and air quality allow. Although air quality allowed, the infants had not been provided outdoor time for over two weeks.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On June 4, 2026, staff were not aware that Child #1 (two years old) exited the fenced playground until staff observed the child pulling the bars of the fence apart squeezing through to re-enter the playground. The playground is adjacent to a parking lot and active construction site.”

8VAC20-780-380-A-1 Complaint related: Yes

“The daily schedule for toddlers and preschoolers shall include opportunities for outdoor activity, weather and air quality allowing, for at least one-hour per day. Although air quality allowed, the toddlers and preschoolers had not been provided outdoor time for over two weeks.”

8VAC20-780-330-A Complaint related: Yes

“Playgrounds shall be designed to protect children from hazards. The playground is located adjacent to a parking lot and active construction site. The bars of the playground fencing measure four inches apart. The Consumer Product Safety Commission Public Playground Safety Handbook indicates "A part or a group of parts should not form openings that could trap a child’s head" and "Certain openings could present an entrapment hazard if the distance between any interior opposing surfaces is greater than 3.5 inches and less than 9 inches." The bars of the playground fencing are pliable and were able to be stretched to being six inches apart. A two-year old stretched the bars enough to exit the playground between the bars.”

8VAC20-780-490-C Complaint related: No

“REPEAT VIOLATION When children at the center have been exposed to a communicable disease listed on the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center's having been informed. On June 17, 2026, a child was sent home from the center after being discovered that the child had lice. Parents of exposed children in the classroom had not been notified as of the date of this inspection.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances shall be kept in a locked place using a safety locking method that prevents access by children. In the Infant C classroom, there was an unlock cabinet with sanitizing spray, air freshener, bleach solution and sanitizing wipes. A cleaning cart containing hazardous materials was by an emergency exit and not in a locked place.”

8VAC20-780-340-D

“In each group of children at least one staff member who meets qualifications of program leader or program director shall be regularly present. Staff #1 did not meet program leader or program director qualifications and was the only staff member in the Preschool 2 classroom. Staff #6 did not meet program leader or program director qualifications and was the only staff member in the Infant C classroom.”

8VAC20-780-40-M

“The center shall maintain in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities and dietary restrictions. Three classrooms did not have a current list of all children’s allergies, sensitivities and dietary restrictions.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s annual approval from the health department was more than six months past due.”

8VAC20-780-560-G

“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. In the school age classroom, there were four water bottles brought from home without a date and two without a name or date.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The lockdown procedure practice was more than three months past due and had not been conducted.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both cardiopulmonary resuscitation (CPR) and first aid. Staff #6 did not have current certification in CPR and first and was the only staff member present in the Infant C classroom.”

8VAC20-780-520-A

“All nonprescription over-the-counter skin products shall not be kept beyond the expiration date of the product. Three expired diaper creams were in the two year old classroom and one expired diaper cream was in the Infant A classroom.”

8VAC20-821-270-6-c Complaint related: No

“Notice of the superintendent’s intent to revoke the license of the child day program shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. The program did not have the Notice of Intent to Revoke License (dated May 21, 2026) posted at the public entrance of the center.”

8VAC20-780-390-B Complaint related: Yes

“For school age children, on non-school days, the daily activity shall include opportunity for at least one hour of outdoor activity. Although air quality allowed, other than two field trips to the park, school age children had not been provided at least one hour of outdoor activity on non-school days for more than two weeks.”

8VAC20-780-370-3 Complaint related: Yes

“During the day, infants shall be provided with outdoor time if weather and air quality allow. Although air quality allowed, the infants had not been provided outdoor time for over two weeks.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On June 4, 2026, staff were not aware that Child #1 (two years old) exited the fenced playground until staff observed the child pulling the bars of the fence apart squeezing through to re-enter the playground. The playground is adjacent to a parking lot and active construction site.”

8VAC20-780-380-A-1 Complaint related: Yes

“The daily schedule for toddlers and preschoolers shall include opportunities for outdoor activity, weather and air quality allowing, for at least one-hour per day. Although air quality allowed, the toddlers and preschoolers had not been provided outdoor time for over two weeks.”

8VAC20-780-330-A Complaint related: Yes

“Playgrounds shall be designed to protect children from hazards. The playground is located adjacent to a parking lot and active construction site. The bars of the playground fencing measure four inches apart. The Consumer Product Safety Commission Public Playground Safety Handbook indicates "A part or a group of parts should not form openings that could trap a child’s head" and "Certain openings could present an entrapment hazard if the distance between any interior opposing surfaces is greater than 3.5 inches and less than 9 inches." The bars of the playground fencing are pliable and were able to be stretched to being six inches apart. A two-year old stretched the bars enough to exit the playground between the bars.”

8VAC20-780-490-C Complaint related: No

“REPEAT VIOLATION When children at the center have been exposed to a communicable disease listed on the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center's having been informed. On June 17, 2026, a child was sent home from the center after being discovered that the child had lice. Parents of exposed children in the classroom had not been notified as of the date of this inspection.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances shall be kept in a locked place using a safety locking method that prevents access by children. In the Infant C classroom, there was an unlock cabinet with sanitizing spray, air freshener, bleach solution and sanitizing wipes. A cleaning cart containing hazardous materials was by an emergency exit and not in a locked place.”

8VAC20-780-340-D

“In each group of children at least one staff member who meets qualifications of program leader or program director shall be regularly present. Staff #1 did not meet program leader or program director qualifications and was the only staff member in the Preschool 2 classroom. Staff #6 did not meet program leader or program director qualifications and was the only staff member in the Infant C classroom.”

8VAC20-780-40-M

“The center shall maintain in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities and dietary restrictions. Three classrooms did not have a current list of all children’s allergies, sensitivities and dietary restrictions.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s annual approval from the health department was more than six months past due.”

8VAC20-780-560-G

“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. In the school age classroom, there were four water bottles brought from home without a date and two without a name or date.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The lockdown procedure practice was more than three months past due and had not been conducted.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both cardiopulmonary resuscitation (CPR) and first aid. Staff #6 did not have current certification in CPR and first and was the only staff member present in the Infant C classroom.”

8VAC20-780-520-A

“All nonprescription over-the-counter skin products shall not be kept beyond the expiration date of the product. Three expired diaper creams were in the two year old classroom and one expired diaper cream was in the Infant A classroom.”

8VAC20-821-270-6-c Complaint related: No

“Notice of the superintendent’s intent to revoke the license of the child day program shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. The program did not have the Notice of Intent to Revoke License (dated May 21, 2026) posted at the public entrance of the center.”

8VAC20-780-390-B Complaint related: Yes

“For school age children, on non-school days, the daily activity shall include opportunity for at least one hour of outdoor activity. Although air quality allowed, other than two field trips to the park, school age children had not been provided at least one hour of outdoor activity on non-school days for more than two weeks.”

8VAC20-780-370-3 Complaint related: Yes

“During the day, infants shall be provided with outdoor time if weather and air quality allow. Although air quality allowed, the infants had not been provided outdoor time for over two weeks.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On June 4, 2026, staff were not aware that Child #1 (two years old) exited the fenced playground until staff observed the child pulling the bars of the fence apart squeezing through to re-enter the playground. The playground is adjacent to a parking lot and active construction site.”

8VAC20-780-380-A-1 Complaint related: Yes

“The daily schedule for toddlers and preschoolers shall include opportunities for outdoor activity, weather and air quality allowing, for at least one-hour per day. Although air quality allowed, the toddlers and preschoolers had not been provided outdoor time for over two weeks.”

8VAC20-780-330-A Complaint related: Yes

“Playgrounds shall be designed to protect children from hazards. The playground is located adjacent to a parking lot and active construction site. The bars of the playground fencing measure four inches apart. The Consumer Product Safety Commission Public Playground Safety Handbook indicates "A part or a group of parts should not form openings that could trap a child’s head" and "Certain openings could present an entrapment hazard if the distance between any interior opposing surfaces is greater than 3.5 inches and less than 9 inches." The bars of the playground fencing are pliable and were able to be stretched to being six inches apart. A two-year old stretched the bars enough to exit the playground between the bars.”

8VAC20-780-490-C Complaint related: No

“REPEAT VIOLATION When children at the center have been exposed to a communicable disease listed on the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center's having been informed. On June 17, 2026, a child was sent home from the center after being discovered that the child had lice. Parents of exposed children in the classroom had not been notified as of the date of this inspection.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances shall be kept in a locked place using a safety locking method that prevents access by children. In the Infant C classroom, there was an unlock cabinet with sanitizing spray, air freshener, bleach solution and sanitizing wipes. A cleaning cart containing hazardous materials was by an emergency exit and not in a locked place.”

8VAC20-780-340-D

“In each group of children at least one staff member who meets qualifications of program leader or program director shall be regularly present. Staff #1 did not meet program leader or program director qualifications and was the only staff member in the Preschool 2 classroom. Staff #6 did not meet program leader or program director qualifications and was the only staff member in the Infant C classroom.”

8VAC20-780-40-M

“The center shall maintain in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities and dietary restrictions. Three classrooms did not have a current list of all children’s allergies, sensitivities and dietary restrictions.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s annual approval from the health department was more than six months past due.”

8VAC20-780-560-G

“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. In the school age classroom, there were four water bottles brought from home without a date and two without a name or date.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. The lockdown procedure practice was more than three months past due and had not been conducted.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both cardiopulmonary resuscitation (CPR) and first aid. Staff #6 did not have current certification in CPR and first and was the only staff member present in the Infant C classroom.”

8VAC20-780-520-A

“All nonprescription over-the-counter skin products shall not be kept beyond the expiration date of the product. Three expired diaper creams were in the two year old classroom and one expired diaper cream was in the Infant A classroom.”

8VAC20-780-80-A Complaint related: Yes

“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. On May 12, 2026, the attendance record for the Infant B classroom had three children marked as present but they were not in the group. The record for the Infant C classroom had two children marked present but they were not with the group. The record for the Preschool 1 classroom had one child marked present that was not with the group. Some of these children had left the center and others were present in different classrooms. On June 12, 2026, the attendance record for the school age classroom had one child marked present but they were not with the group. The attendance record for June 9-11, 2026 for the school age classroom was blank.”

8VAC20-780-290-3 Complaint related: No

“Electrical outlets shall have protective covers. In the Toddler room, there were two outlets without protective covers. An awake toddler was on a cot within reach of one of the unprotected outlets.”

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

“The center shall notify parents by the end of the day of any known minor injuries. On May 7, 2026, Child #1 sustained an injury resulting in bruises on the child’s face and the center did not notify the parent.”

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

“REPEAT VIOLATION The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the required components. On May 7, 2026, Child #1 sustained an injury resulting in bruises on the child’s face. There was no documentation of the incident. Fourteen injury reports were reviewed: eleven were missing further action to prevent recurrence; seven were missing date and time parents were notified; four were missing staff and parent signatures or two staff signatures; two were missing names of staff present; one was missing documentation on how parents were notified; and two were missing circumstance of the injury. Six observation reports were reviewed regarding injuries that occurred at the center that were not witnessed by staff: five were missing further action to prevent reoccurrence; six were missing date and time parents were notified; two were missing names of staff present; two were missing treatment; six were missing documentation on how parents were notified; and four were missing circumstance of the injury.”

8VAC20-780-80-A Complaint related: Yes

“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. On May 12, 2026, the attendance record for the Infant B classroom had three children marked as present but they were not in the group. The record for the Infant C classroom had two children marked present but they were not with the group. The record for the Preschool 1 classroom had one child marked present that was not with the group. Some of these children had left the center and others were present in different classrooms. On June 12, 2026, the attendance record for the school age classroom had one child marked present but they were not with the group. The attendance record for June 9-11, 2026 for the school age classroom was blank.”

8VAC20-780-290-3 Complaint related: No

“Electrical outlets shall have protective covers. In the Toddler room, there were two outlets without protective covers. An awake toddler was on a cot within reach of one of the unprotected outlets.”

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

“The center shall notify parents by the end of the day of any known minor injuries. On May 7, 2026, Child #1 sustained an injury resulting in bruises on the child’s face and the center did not notify the parent.”

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

“REPEAT VIOLATION The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the required components. On May 7, 2026, Child #1 sustained an injury resulting in bruises on the child’s face. There was no documentation of the incident. Fourteen injury reports were reviewed: eleven were missing further action to prevent recurrence; seven were missing date and time parents were notified; four were missing staff and parent signatures or two staff signatures; two were missing names of staff present; one was missing documentation on how parents were notified; and two were missing circumstance of the injury. Six observation reports were reviewed regarding injuries that occurred at the center that were not witnessed by staff: five were missing further action to prevent reoccurrence; six were missing date and time parents were notified; two were missing names of staff present; two were missing treatment; six were missing documentation on how parents were notified; and four were missing circumstance of the injury.”

8VAC20-780-500-B Complaint related: No

“There shall be sight and sound supervision for all children when a child is being diapered. In the two-year-old classroom, the changing table is located in the bathroom and less than half of the room is visible while a diaper is being changed. Numerous incidents of biting and aggression have happened out of view when there is only one staff in the classroom and that staff is changing a diaper. On April 14, 2026, Staff #1, the only staff working the two-year old classroom, was observed changing diapers in the bathroom of the two-year-old classroom and three children were out of sight and sound supervision.”

8VAC20-780-280-B Complaint related: No

“Hazardous substances such as cleaning materials, shall be kept in a locked place. If a key is used, the key shall not be accessible to the children. The key to the laundry room was in the laundry room door within reach of the children. There were four bottles of bleach and one bottle of all-purpose cleaner on the floor of the laundry room.”

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

“The center shall maintain a written record of children’s serious and minor injury in which entries are made on the day of occurrence and include the required components. Of the 29 incident reports reviewed, 23 were missing the time the parents were notified; two were missing how the parent was notified; and 19 were missing any future actions to prevent reoccurrence of the injury, and several of these incidents were repeated and resulted in injuries.”

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

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection and guidance. There were at least five children with behavior plans regarding safety concerns. Plans addressed various behaviors that included biting, hitting, aggression, and eloping; however, only three of the nine staff interviewed were aware of and knew the plans to address the behaviors. Multiple injuries occurred while children were in the care of staff that were unaware of the safety plans. Between April 1 and 10, 2026 there were seven reports of one child biting others (two-year old classroom). On April 21, 2026, administration stated there would be two staff in this classroom to prevent the biting; however, two staff supervised for only approximately 1.5 hours, leaving one staff supervising eight children for the majority of the day. Multiple bites occurred on this date. On April 14, 2026, in Infant A room, two infants were sleeping in cribs that were labelled that the child could roll over but none of the two children could roll. On April 21, 2026, in Infant A room, one infant (three months old) was asleep in a beanbag chair. Staff stated that the child had been asleep for about five minutes.”

8VAC20-780-430-B Complaint related: No

“Materials and equipment available shall include an adequate supply as appropriate for each age group of arts and crafts materials, texture materials, construction materials, music and sound, books, social living equipment and manipulative equipment. The Preschool 2 classroom did not have an adequate supply of arts and crafts materials, books and social living equipment for the 20 enrolled children.”

8VAC20-780-370-5 Complaint related: Yes

“Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes. On multiple occasions, awake infants were kept on the buggy for more than 30 minutes at a time, typically at least 40 minutes to an hour.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On April 8, 2026, Staff #1 left four infants, youngest was 13 months old, alone in a buggy in the hallway for approximately four minutes.”

8VAC20-780-170-A Complaint related: Yes

“Systemic Violation When there is evidence that the safety of children may be jeopardized by contact with a staff member or volunteer because of the physical health or mental health of such staff member or volunteer, the licensee shall, at a minimum, prohibit the employee or volunteer from engaging in contact with the children or participation in the food service program until a physician or a clinical psychologist skilled in the diagnosis and treatment of mental illness confirms that any risk has been eliminated or can be reduced to an acceptable level by reasonable accommodations. At least three staff were required or permitted to work directly with children after being diagnosed with a communicable disease. For at least two weeks, multiple classrooms throughout the center had at least 19 cases of children and staff with conjunctivitis, influenza, Group A Streptococcal (GAS) Diseases (impetigo and strep throat).”

8VAC20-780-490-C Complaint related: Yes

“Systemic Violation When children at the center have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center having been informed. Parents were not notified within 24 hours or within the next business day after multiple classrooms throughout the center had been exposed to conjunctivitis (conjunctivitis), influenza, COVID-19, and Group A Streptococcal (GAS) Diseases (impetigo and strep throat). As of the date of inspection, on multiple occasions, the parents of children in only one classroom had been notified of illnesses when multiple classrooms had been exposed.”

8VAC20-780-490-B Complaint related: Yes

“Systemic Violation If a child needs to be excluded due to a communicable disease, arrangements shall be made for the child to leave the center as soon as possible after the signs or symptoms are noticed and the child shall remain in the designated quiet area until leaving the center. Staff noticed that Child #1 had signs and symptoms of a communicable disease in the morning on March 26, 2026. Parents were not immediately informed, and Child #1 remained in the classroom engaging in all activities and interacting with other children until they were picked up at the end of the day. The child was diagnosed with impetigo. Staff noticed that Child #2 had signs and symptoms of a communicable disease in the morning on March 27, 2026. The child remained in the classroom engaging in all activities and interacting with other children until parents picked up around 9:30 a.m. Child #3 had symptoms of conjunctivitis on April 1, 2026, and remained in the classroom all day participating in activities and engaging with the other children. Child #3 began treatment for conjunctivitis in the evening of April 1, 2026, and returned to the classroom all day on April 2, 2026, participating in activities and engaging with the other children. Child #3 again had symptoms of conjunctivitis on April 8, 2026, and stayed in the classroom all day participating in activities and engaging without children. Multiple staff stated that on several additional occasions children who have symptoms of a communicable disease are not picked up or removed from the classroom. Administrative staff stated that when children have signs of a communicable disease, they remain in the classroom and are allowed to participate in all activities and engage with other children until they are picked up.”

8VAC20-780-245-L Complaint related: No

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Although given an extension of three business days after the inspection, the center could not produce evidence of any staff having had instruction in performing daily health observation of children within the last three years.”

8VAC20-780-370-5 Complaint related: Yes

“Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes. On multiple occasions, awake infants were kept on the buggy for more than 30 minutes at a time, typically at least 40 minutes to an hour.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On April 8, 2026, Staff #1 left four infants, youngest was 13 months old, alone in a buggy in the hallway for approximately four minutes.”

8VAC20-780-170-A Complaint related: Yes

“Systemic Violation When there is evidence that the safety of children may be jeopardized by contact with a staff member or volunteer because of the physical health or mental health of such staff member or volunteer, the licensee shall, at a minimum, prohibit the employee or volunteer from engaging in contact with the children or participation in the food service program until a physician or a clinical psychologist skilled in the diagnosis and treatment of mental illness confirms that any risk has been eliminated or can be reduced to an acceptable level by reasonable accommodations. At least three staff were required or permitted to work directly with children after being diagnosed with a communicable disease. For at least two weeks, multiple classrooms throughout the center had at least 19 cases of children and staff with conjunctivitis, influenza, Group A Streptococcal (GAS) Diseases (impetigo and strep throat).”

8VAC20-780-490-C Complaint related: Yes

“Systemic Violation When children at the center have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center having been informed. Parents were not notified within 24 hours or within the next business day after multiple classrooms throughout the center had been exposed to conjunctivitis (conjunctivitis), influenza, COVID-19, and Group A Streptococcal (GAS) Diseases (impetigo and strep throat). As of the date of inspection, on multiple occasions, the parents of children in only one classroom had been notified of illnesses when multiple classrooms had been exposed.”

8VAC20-780-490-B Complaint related: Yes

“Systemic Violation If a child needs to be excluded due to a communicable disease, arrangements shall be made for the child to leave the center as soon as possible after the signs or symptoms are noticed and the child shall remain in the designated quiet area until leaving the center. Staff noticed that Child #1 had signs and symptoms of a communicable disease in the morning on March 26, 2026. Parents were not immediately informed, and Child #1 remained in the classroom engaging in all activities and interacting with other children until they were picked up at the end of the day. The child was diagnosed with impetigo. Staff noticed that Child #2 had signs and symptoms of a communicable disease in the morning on March 27, 2026. The child remained in the classroom engaging in all activities and interacting with other children until parents picked up around 9:30 a.m. Child #3 had symptoms of conjunctivitis on April 1, 2026, and remained in the classroom all day participating in activities and engaging with the other children. Child #3 began treatment for conjunctivitis in the evening of April 1, 2026, and returned to the classroom all day on April 2, 2026, participating in activities and engaging with the other children. Child #3 again had symptoms of conjunctivitis on April 8, 2026, and stayed in the classroom all day participating in activities and engaging without children. Multiple staff stated that on several additional occasions children who have symptoms of a communicable disease are not picked up or removed from the classroom. Administrative staff stated that when children have signs of a communicable disease, they remain in the classroom and are allowed to participate in all activities and engage with other children until they are picked up.”

8VAC20-780-245-L Complaint related: No

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Although given an extension of three business days after the inspection, the center could not produce evidence of any staff having had instruction in performing daily health observation of children within the last three years.”

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

“SYSTEMIC VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. On February 3, 2026, four staff saw scratches on Child #1?s back and bruises on the child’s leg. Per one staff, the marks looked like four red welts that were wrapped around the child’s leg. Another staff said the marks looked like a handprint. Although abuse was suspected, none of the four staff reported the incident to the Department of Social Services, as required. On February 4, 2026, a fifth staff saw marks on Child #1, showed the marks to two staff who noted they had seen the same marks the day before and was told it was ?being handled?. On February 27, 2026, A staff person saw new marks on Child #1 and reported both the new marks and the marks found previously to The Department of Social Services.”

63.2-1509-A Complaint related: Yes

“SYSTEMIC VIOLATION The Code of Virginia requires persons employed in a child day program that have reason to suspect that a child is abused or neglected shall report the matter immediately to the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department's toll-free child abuse and neglect hotline. In early February 2026 five staff saw marks on Child #1 and suspected an incident of child abuse but did not report to the Department of Social Services.”

8VAC20-780-240-C Complaint related: Yes

“SYSTEMIC VIOLATION Orientation shall include recognizing child abuse and neglect and the legal requirement for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia. The orientation provided to staff did not include the legal requirements for reporting suspected abuse and neglect.”

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

“REPEAT VIOLATION Areas and equipment of the center shall be maintained in a clean, safer and operable condition. In the School Age Classroom, the wood on the cabinet above the counter was broken and had rough edges, exposing the hinge from the outside which had sharp edges both create a scratching hazard. There is a bookcase with a broken area on the top exposing the wood material inside that has rough edges and creates a scratching hazard.”

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

“SYSTEMIC VIOLATION When staff are supervising children, they shall always ensure their care, protection, and guidance. On February 3, 2026, four staff saw scratches on Child #1?s back and bruises on the child’s leg. Per one staff, the marks looked like four red welts that were wrapped around the child’s leg. Another staff said the marks looked like a handprint. Although abuse was suspected, none of the four staff reported the incident to the Department of Social Services, as required. On February 4, 2026, a fifth staff saw marks on Child #1, showed the marks to two staff who noted they had seen the same marks the day before and was told it was ?being handled?. On February 27, 2026, A staff person saw new marks on Child #1 and reported both the new marks and the marks found previously to The Department of Social Services.”

63.2-1509-A Complaint related: Yes

“SYSTEMIC VIOLATION The Code of Virginia requires persons employed in a child day program that have reason to suspect that a child is abused or neglected shall report the matter immediately to the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department's toll-free child abuse and neglect hotline. In early February 2026 five staff saw marks on Child #1 and suspected an incident of child abuse but did not report to the Department of Social Services.”

8VAC20-780-240-C Complaint related: Yes

“SYSTEMIC VIOLATION Orientation shall include recognizing child abuse and neglect and the legal requirement for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia. The orientation provided to staff did not include the legal requirements for reporting suspected abuse and neglect.”

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

“REPEAT VIOLATION Areas and equipment of the center shall be maintained in a clean, safer and operable condition. In the School Age Classroom, the wood on the cabinet above the counter was broken and had rough edges, exposing the hinge from the outside which had sharp edges both create a scratching hazard. There is a bookcase with a broken area on the top exposing the wood material inside that has rough edges and creates a scratching hazard.”

8VAC20-780-430-I Complaint related: Yes

“If combs, toothbrushes or other personal items are used, they shall be individually assigned. Staff stated that pacifiers are individually assigned by labeling the pacifier with the child’s name. In the 2?s classroom, there were two pacifiers that were not labeled with a name. In the toddler room, there was one pacifier that was not labeled with a name.”

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

“REPEAT VIOLATION Behavioral guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. On January 21, 2026, Staff #4 was heard shouting at the children in the Preschool II classroom several times.”

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

“The staff-to-children ratio for children Birth to 16 months is one staff to four children. On January 21, 2026, there were nine children with two for staff for approximately ten minutes. Then two additional children arrived and there were eleven children with two staff for an additional 15 minutes. The youngest child was ten months old.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. Around 9:30 a.m. on January 21, 2026, the temperature in the Preschool classroom was 59 degrees Fahrenheit. One child had a coat on with the hood up, one child had a sweatshirt with a hood on, and the other ten children had long sleeves, sweatshirts and jackets. The staff were both wearing jackets. One child stated that he was cold, and staff told him to put his coat on. Staff stated that the classroom had been cold all morning. At 9:25 a.m. on February 3, 2026, the temperature in the School Age room was 65 degree Fahrenheit. There were four children present in long sleeves and one staff member wearing a jacket. The center’s thermometer on the wall was showing 62-64 degrees Fahrenheit during the inspection.”

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

“REPEAT VIOLATION Areas and equipment of the center shall be maintained in a clean, safer and operable condition. In the Infant C room, a child age pulled an unsecured wooden play kitchen over and onto that child and another which knocked both children to the ground. Staff had to pull the kitchen off of the children. There were six chairs in the Preschool classroom and six chairs in the Preschool II classroom that were cracked on the backrest under the bolts which created a pinching hazard. In the School Age Classroom, the wood on one cabinet was broken and the hinge was visible from the outside.”

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

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure as it occurs. On January 21, 2026, there were 15 children present in the Preschool classroom, but the attendance sheet showed arrival of 16 children. One child had left, and the departure was not recorded. On February 3, 2026, four children were present in the School Age classroom, and the attendance sheet showed only three children had arrived. There were 14 children present in the Preschool classroom, but the attendance sheet showed arrival 15 children. One child had left, and the departure was not recorded.”

8VAC20-780-430-I Complaint related: Yes

“If combs, toothbrushes or other personal items are used, they shall be individually assigned. Staff stated that pacifiers are individually assigned by labeling the pacifier with the child’s name. In the 2?s classroom, there were two pacifiers that were not labeled with a name. In the toddler room, there was one pacifier that was not labeled with a name.”

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

“REPEAT VIOLATION Behavioral guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. On January 21, 2026, Staff #4 was heard shouting at the children in the Preschool II classroom several times.”

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

“The staff-to-children ratio for children Birth to 16 months is one staff to four children. On January 21, 2026, there were nine children with two for staff for approximately ten minutes. Then two additional children arrived and there were eleven children with two staff for an additional 15 minutes. The youngest child was ten months old.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. Around 9:30 a.m. on January 21, 2026, the temperature in the Preschool classroom was 59 degrees Fahrenheit. One child had a coat on with the hood up, one child had a sweatshirt with a hood on, and the other ten children had long sleeves, sweatshirts and jackets. The staff were both wearing jackets. One child stated that he was cold, and staff told him to put his coat on. Staff stated that the classroom had been cold all morning. At 9:25 a.m. on February 3, 2026, the temperature in the School Age room was 65 degree Fahrenheit. There were four children present in long sleeves and one staff member wearing a jacket. The center’s thermometer on the wall was showing 62-64 degrees Fahrenheit during the inspection.”

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

“REPEAT VIOLATION Areas and equipment of the center shall be maintained in a clean, safer and operable condition. In the Infant C room, a child age pulled an unsecured wooden play kitchen over and onto that child and another which knocked both children to the ground. Staff had to pull the kitchen off of the children. There were six chairs in the Preschool classroom and six chairs in the Preschool II classroom that were cracked on the backrest under the bolts which created a pinching hazard. In the School Age Classroom, the wood on one cabinet was broken and the hinge was visible from the outside.”

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

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure as it occurs. On January 21, 2026, there were 15 children present in the Preschool classroom, but the attendance sheet showed arrival of 16 children. One child had left, and the departure was not recorded. On February 3, 2026, four children were present in the School Age classroom, and the attendance sheet showed only three children had arrived. There were 14 children present in the Preschool classroom, but the attendance sheet showed arrival 15 children. One child had left, and the departure was not recorded.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children’s hands shall be washed with soap and water after toileting and any contact with blood, feces, or urine. In the Two’s classroom, eleven of the sixteen children did not have their hands washed after lunch. In the Infant room, Staff changed an infant’s diaper and the infant’s hands were not washed afterwards.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers. There were four electrical outlets in the Preschool Two room that did not have a protective cover.”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a clean, safe and operable condition. In the City Play Place room, there was a sprinkler head in the ceiling of a playhouse that was missing the cover which exposed sharp edges within reach of the children. In the Preschool Two room, there was visible dirt on the wall around the light switch in the bathroom. In the Two’s room, within reach of the children, there was a piece of the shelf missing exposing the particle board and a wood dowel.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children’s hands shall be washed with soap and water after toileting and any contact with blood, feces, or urine. In the Two’s classroom, eleven of the sixteen children did not have their hands washed after lunch. In the Infant room, Staff changed an infant’s diaper and the infant’s hands were not washed afterwards.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers. There were four electrical outlets in the Preschool Two room that did not have a protective cover.”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a clean, safe and operable condition. In the City Play Place room, there was a sprinkler head in the ceiling of a playhouse that was missing the cover which exposed sharp edges within reach of the children. In the Preschool Two room, there was visible dirt on the wall around the light switch in the bathroom. In the Two’s room, within reach of the children, there was a piece of the shelf missing exposing the particle board and a wood dowel.”

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

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. The following occurred on July 30, 2025: Staff #1 and Staff #2 required thirteen two-year-old children to stay seated at their tables for approximately ten minutes while staff cleaned up after an activity. Staff #1 forced children onto chairs on seven occasions, got within an inch of a child's face to correct behavior on ten occasions, and pulled children by the top of their arms on three occasions. During one of those occasions, Staff #1 held the top of a child's arm for approximately 30 seconds while the child tried to get away and then while holding the top of the child's arm pulled the child around the room and forced the child onto a chair. Staff #2 put their face within an inch of a child's face in attempt to correct behavior on four occasions and forced a child onto a chair. Children had to stand in line for approximately two minutes before leaving the room, during which one child grabbed another. Staff #2 grabbed both of the child's hands and held them together above the child's head for at least one minute. Staff #2 pulled a child by the ankle to prevent the child from leaving the group.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. Child #1, age 14 months, had been left alone in the bathroom for a nap on at least two occasions, April 21, 2025 and April 22, 2025, and was out of sight and sound supervision while staff cleaned up from lunch and tended to other children.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The water fountains on the playground were not working.”

8VAC20-780-520-C Complaint related: Yes

“If diaper cream is used, written parent authorization noting any know adverse reactions shall be obtained. On April 14, 2025 and April 16, 2025, diaper was used on Child #1 and the center did not have parent authorization.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The water fountains on the playground were not working.”

8VAC20-780-520-C Complaint related: Yes

“If diaper cream is used, written parent authorization noting any know adverse reactions shall be obtained. On April 14, 2025 and April 16, 2025, diaper was used on Child #1 and the center did not have parent authorization.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner. In Classroom #2, there were two bottles that contained food from home, without a date. In Classroom #3, there were four bottles that contained food from home, without a date and one sippy cup that contained food from home without a name or a date.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. Two children were observed eating breakfast in Classroom #1. After eating the two children joined the group for circle time and did not wash their hands.”

8VAC20-780-440-I

“Cribs shall be placed where objects outside of the crib are not within reach of the infants or toddlers. In Classroom #3, there was a sound machine that was on and in use plugged into an outlet next to an occupied crib. The sound machine and cord were within reach of the child.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. In Classroom #2, there was one uncovered outlet within reach of the children. In Classroom #3, there was one uncovered outlet by an unoccupied crib and one uncovered outlet by an occupied crib and within reach of the child. In Classroom #4, there was one uncovered outlet within reach of the children.”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a clean, safe and operable condition. In Classroom #4, there was visible dirt on the bottom counter cabinets, on the countertop, on the top of the half shelves and on the walls including the wall next to the changing table.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The following was observed within the reach of children in the City Play Place: three light fixtures inside the playhouses with off centered cover plates resulting in gaps between the wall and fixtures; open light socket (no bulb); hole in the inside wall of one of the playhouses; three sprinkler heads with sharp edges and missing caps; two missing sections of the wood trim of a window; and a missing trim piece exposing the sharp tips of six screws.”

8VAC20-780-490-E Complaint related: No

“When any surface has been contaminated with body fluids, it shall be cleaned and sanitized. A child busted their lip leaving blood on the floor of the City Play Place. Staff #1 wiped up some of the blood with a tissue but did not clean nor sanitize the surface. After the group left the room, the Licensing Inspector observed additional blood on the floor and in one of the playhouses. The blood on the floor had been stepped in and tracked through the room. The blood was neither cleaned nor sanitized until after the Licensing Inspector intervened.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On January 29, 2025, Classroom #1 was in the City Play Place play area. There were 13 children, ages 2 years old, and three staff present. Staff #2 left City Play Place. Staff # 3 and #4 remained in an area where they did not have sight supervision of the children playing in the City Play Place houses for a period of more than five minutes.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In Classroom #1, one of the two toilets was broken and had been two weeks.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The following was observed within the reach of children in the City Play Place: three light fixtures inside the playhouses with off centered cover plates resulting in gaps between the wall and fixtures; open light socket (no bulb); hole in the inside wall of one of the playhouses; three sprinkler heads with sharp edges and missing caps; two missing sections of the wood trim of a window; and a missing trim piece exposing the sharp tips of six screws.”

8VAC20-780-490-E Complaint related: No

“When any surface has been contaminated with body fluids, it shall be cleaned and sanitized. A child busted their lip leaving blood on the floor of the City Play Place. Staff #1 wiped up some of the blood with a tissue but did not clean nor sanitize the surface. After the group left the room, the Licensing Inspector observed additional blood on the floor and in one of the playhouses. The blood on the floor had been stepped in and tracked through the room. The blood was neither cleaned nor sanitized until after the Licensing Inspector intervened.”

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

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On January 29, 2025, Classroom #1 was in the City Play Place play area. There were 13 children, ages 2 years old, and three staff present. Staff #2 left City Play Place. Staff # 3 and #4 remained in an area where they did not have sight supervision of the children playing in the City Play Place houses for a period of more than five minutes.”

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

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In Classroom #1, one of the two toilets was broken and had been two weeks.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. On November 21, 2024, the temperature in the Infant B room was 66 degrees Fahrenheit. The temperature in the Toddler room was 67 degrees Fahrenheit. The temperature in the Two’s room was 62 degrees Fahrenheit. Portable heaters had been in use for a couple weeks and they were not sufficient in maintaining the rooms at 68 degrees Fahrenheit.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s health inspection was almost two months past due.”

8VAC20-780-320-B

“Each restroom area for children shall have sinks that are supplied with running warm water. The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two’s classroom did not have warm water.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months. The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.”

8VAC20-780-500-A

“Repeat Violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 1 changed a child’s diaper in the Infant A room and did not wash the child's hands.”

8VAC20-780-130-E

“Repeat Violation The center shall obtain documentation of additional immunizations every six months for children under the age of two years. The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due. The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. On November 21, 2024, the temperature in the Infant B room was 66 degrees Fahrenheit. The temperature in the Toddler room was 67 degrees Fahrenheit. The temperature in the Two’s room was 62 degrees Fahrenheit. Portable heaters had been in use for a couple weeks and they were not sufficient in maintaining the rooms at 68 degrees Fahrenheit.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s health inspection was almost two months past due.”

8VAC20-780-320-B

“Each restroom area for children shall have sinks that are supplied with running warm water. The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two’s classroom did not have warm water.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months. The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.”

8VAC20-780-500-A

“Repeat Violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 1 changed a child’s diaper in the Infant A room and did not wash the child's hands.”

8VAC20-780-130-E

“Repeat Violation The center shall obtain documentation of additional immunizations every six months for children under the age of two years. The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due. The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. On November 21, 2024, the temperature in the Infant B room was 66 degrees Fahrenheit. The temperature in the Toddler room was 67 degrees Fahrenheit. The temperature in the Two’s room was 62 degrees Fahrenheit. Portable heaters had been in use for a couple weeks and they were not sufficient in maintaining the rooms at 68 degrees Fahrenheit.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s health inspection was almost two months past due.”

8VAC20-780-320-B

“Each restroom area for children shall have sinks that are supplied with running warm water. The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two’s classroom did not have warm water.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months. The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.”

8VAC20-780-500-A

“Repeat Violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 1 changed a child’s diaper in the Infant A room and did not wash the child's hands.”

8VAC20-780-130-E

“Repeat Violation The center shall obtain documentation of additional immunizations every six months for children under the age of two years. The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due. The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.”

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

“In inside areas occupied by children, the temperature shall be maintained no lower than 68 degrees Fahrenheit. On November 21, 2024, the temperature in the Infant B room was 66 degrees Fahrenheit. The temperature in the Toddler room was 67 degrees Fahrenheit. The temperature in the Two’s room was 62 degrees Fahrenheit. Portable heaters had been in use for a couple weeks and they were not sufficient in maintaining the rooms at 68 degrees Fahrenheit.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The center’s health inspection was almost two months past due.”

8VAC20-780-320-B

“Each restroom area for children shall have sinks that are supplied with running warm water. The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two’s classroom did not have warm water.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months. The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.”

8VAC20-780-500-A

“Repeat Violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 1 changed a child’s diaper in the Infant A room and did not wash the child's hands.”

8VAC20-780-130-E

“Repeat Violation The center shall obtain documentation of additional immunizations every six months for children under the age of two years. The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due. The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.”

22.1-289.023-A

“A copy of the notice of the Superintendent's intent to take action shall be posted in a prominent place at each public entrance. The Notice of Intent dated 07/31/2024 was not posted.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that staff complete the department’s health and safety update course annually. Evidence: 1. The date that Staff #7 most recently completed the department’s health and safety update was 03/22/2023. 2. The date that Staff #8 most recently completed the department’s health and safety update was 03/11/2023.”

8VAC20-780-80-A

“Based on observation and interview, the center failed to maintain a written record of daily attendance the documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant B classroom, one child was not on the attendance sheet but was in the classroom. 2. In the 2?s classroom, 3 children were in the classroom and the arrival time was not on the attendance sheet. 3. In the Pre-School 2 room, one child was not on the attendance sheet but was in the classroom. 4. Staff #1 confirmed that the children and times were missing from the attendance sheets.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff during the entire time it is effective. Evidence: 1. Child #11?s medication authorization expired on 06/30/2023. Staff #7 confirmed that the medication was still effective and that the form was expired.”

22.1-289.035-B-4

“Based on review of records and interview, the center failed to complete an out of state sex offender registry check, prior to the first day of employment, for each state a staff person has resided in within the past five years. Evidence: 1. Staff #1?s sworn disclosure stated that Staff #1 lived in West Virginia within the past five years. There was no sex offender registry check on file for Staff #1 at the time of the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home, the containers are clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the Infant C classroom, there were six bottles and six sippy cups without a date.”

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

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting. Evidence: 1. In the 2?s classroom, Staff #5 was observed changing a child’s diaper. After the diaper change, the child’s hands were not washed. Staff #5 confirmed that the child’s hands were not washed after the diaper change.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that staff complete the department’s health and safety update course annually. Evidence: 1. The date that Staff #7 most recently completed the department’s health and safety update was 03/22/2023. 2. The date that Staff #8 most recently completed the department’s health and safety update was 03/11/2023.”

8VAC20-780-80-A

“Based on observation and interview, the center failed to maintain a written record of daily attendance the documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant B classroom, one child was not on the attendance sheet but was in the classroom. 2. In the 2?s classroom, 3 children were in the classroom and the arrival time was not on the attendance sheet. 3. In the Pre-School 2 room, one child was not on the attendance sheet but was in the classroom. 4. Staff #1 confirmed that the children and times were missing from the attendance sheets.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff during the entire time it is effective. Evidence: 1. Child #11?s medication authorization expired on 06/30/2023. Staff #7 confirmed that the medication was still effective and that the form was expired.”

22.1-289.035-B-4

“Based on review of records and interview, the center failed to complete an out of state sex offender registry check, prior to the first day of employment, for each state a staff person has resided in within the past five years. Evidence: 1. Staff #1?s sworn disclosure stated that Staff #1 lived in West Virginia within the past five years. There was no sex offender registry check on file for Staff #1 at the time of the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home, the containers are clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the Infant C classroom, there were six bottles and six sippy cups without a date.”

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

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting. Evidence: 1. In the 2?s classroom, Staff #5 was observed changing a child’s diaper. After the diaper change, the child’s hands were not washed. Staff #5 confirmed that the child’s hands were not washed after the diaper change.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that staff complete the department’s health and safety update course annually. Evidence: 1. The date that Staff #7 most recently completed the department’s health and safety update was 03/22/2023. 2. The date that Staff #8 most recently completed the department’s health and safety update was 03/11/2023.”

8VAC20-780-80-A

“Based on observation and interview, the center failed to maintain a written record of daily attendance the documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the Infant B classroom, one child was not on the attendance sheet but was in the classroom. 2. In the 2?s classroom, 3 children were in the classroom and the arrival time was not on the attendance sheet. 3. In the Pre-School 2 room, one child was not on the attendance sheet but was in the classroom. 4. Staff #1 confirmed that the children and times were missing from the attendance sheets.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff during the entire time it is effective. Evidence: 1. Child #11?s medication authorization expired on 06/30/2023. Staff #7 confirmed that the medication was still effective and that the form was expired.”

22.1-289.035-B-4

“Based on review of records and interview, the center failed to complete an out of state sex offender registry check, prior to the first day of employment, for each state a staff person has resided in within the past five years. Evidence: 1. Staff #1?s sworn disclosure stated that Staff #1 lived in West Virginia within the past five years. There was no sex offender registry check on file for Staff #1 at the time of the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that when food is brought from home, the containers are clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the Infant C classroom, there were six bottles and six sippy cups without a date.”

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

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting. Evidence: 1. In the 2?s classroom, Staff #5 was observed changing a child’s diaper. After the diaper change, the child’s hands were not washed. Staff #5 confirmed that the child’s hands were not washed after the diaper change.”

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

“Based on interviews, the center failed to ensure that behavior guidance is constructive in nature, age and stage appropriate and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Three staff have witnessed Staff #1 smacking the children’s hands as a form of discipline on numerous occasions. Two witnessed some of the children crying afterwards. 2. Five staff who had worked directly with Staff #1 had witnessed Staff #1 yelling at the children on numerous occasions. One staff member who did not work directly with Staff #1 heard, Staff #1 yelling at the children from another room.”

63.2-1509-A Complaint related: No

“Based on interviews, the staff failed to report any suspected abuse or neglect to the local Department of Social Services or the department’s toll-free child abuse and neglect hotline. 1. Staff #1 was observed smacking children’s hands on numerous occasions, sometimes resulting in the children crying. None of the three witnesses reported this to the local Department of Social Services or the department’s toll-free child abuse and neglect hotline.”

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

“Repeat Violation The center failed to ensure that behavior guidance is constructive in nature and age and stage appropriate. 1. On 04/19/2024, Staff #1, who was in the Preschool 2 classroom, yelled ?Hey, you don?t throw food!?, ?Get down!? ?Sit down!?, ?Stop!? and ?Get out of there!?. This yelling was heard from the School Age classroom.”

8VAC20-780-550-A

“Based on observation and interview, the center failed to wash staff and children’s hands after diapering. Evidence: 1. In the Infant A room, Staff #13 did not wash their hands or the child’s hands after a diaper change. Staff #13 confirmed that they did not wash their hands or the child’s hands after the diaper change. 2. In the Infant B room, Staff #9 did not wash the child’s hands after a diaper change. Staff #9 confirmed that they did not wash the child’s hands after the diaper change.”

8VAC20-780-550-A

“Based on observation and interview, the center failed to wash staff and children’s hands after diapering. Evidence: 1. In the Infant A room, Staff #13 did not wash their hands or the child’s hands after a diaper change. Staff #13 confirmed that they did not wash their hands or the child’s hands after the diaper change. 2. In the Infant B room, Staff #9 did not wash the child’s hands after a diaper change. Staff #9 confirmed that they did not wash the child’s hands after the diaper change.”

8VAC20-780-350-F Complaint related: Yes

“Based on interview, the center did not have a written policy and procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff. Evidence: 1. A copy of the center’s written policy and procedures procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff was requested at the time of the inspection. 2. Administration confirmed that the plan had been developed.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation and interview, the center failed to ensure that children under the age of 10 years old are always within actual sight and sound supervision of staff. Evidence: 1. Four children were observed in the upper part of the City Play Place while all four staff members were observed on the floor level of the playroom. 3. Staff #1 confirmed that the children in the upper part of the City Play Place could not be seen when from the floor level where the four staff members were. 4. Staff #1 confirmed that all the children in the group were two years old.”

8VAC20-780-140-B

“Based on document review and interview, the center failed to ensure that a physical examination was within three months prior to attendance for a child aged seven months through 18 months. Evidence: 1. The record for Child #4 indicated the child’s first date of attendance was 02/02/2023. The physical examination for Child #4 was dated 10/17/2022. 2. Interview with Staff #14 confirmed this was the only physical examination in the record.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, an electrical outlet had protective covers. Evidence: 1. In the Infant Care A room, the top receptacle of an outlet located on the left wall did not have a protective cover. This outlet was accessible from a crib in which child #8 was sleeping.”

8VAC20-770-60-B

“Based on review of records and interview, the center failed to ensure that the sworn disclosure was completed before the first day of employment. Evidence: 1. Staff #11?s first day of employment was 04/11/2023. The sworn disclosure on file was dated 04/17/2023. 2. Staff #14 confirmed that the sworn disclosure was dated after Staff #11?s first day of employment.”

8VAC20-780-130-E

“Based on review of documentation and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (DOB 10/24/2018) indicated the first date of attendance at the center was 01/17/2019 and contained only two immunization records, dated 12/19/2018 and 07/23/2019. 2. The record for Child #6 (DOB 09/13/2019) indicated the first date of attendance at the center was 12/09/2019 and contained only three immunization records, dated 11/26/2019, 09/16/2020 and 04/26/2021. 3. The record for Child #7 (DOB 03/17/2021) indicated the first date of attendance at the center was 06/16/2021 and contained only two immunization records, dated 06/10/2021 and 11/02/2021. 4. Interview with Staff #14 confirmed additional immunization records were not obtained.”

8VAC20-780-430-B

“Based on observation and interview, the center failed to provide an adequate supply of materials for each age group. Evidence: 1. In the toddler classroom, all four shelves were turned around and against the wall, making all of the materials and toys, except for the soft climbers, inaccessible to the eight children in care. Staff #18 confirmed that the shelves were turned around and that the children did not have access to the materials. 2. In the 2?s classroom, seven of the eight shelves were turned around and against the wall, making the materials inaccessible to the children. There were 18 children in the room and less than 10 toy vehicles available for the children to play with. No other toys were available for the children to play with. 3. In the preschool 1 classroom, five of the seven shelves were turned around and against the wall making the materials in accessible to the children. There were eight children in the room.”

8VAC20-780-440-B

“Based on observation and interview, the center failed to ensure that cribs were identified for use by a specific child. Evidence: 1. On 05/08/2023, in Infant Care A, Staff #15 was observed getting ready to place Child #9 in a crib labeled with Child #9?s name when Staff #16 told her Child #9 had been sleeping in the crib beside that one, which was labeled with Child #10?s name. Staff #15 then placed Child #9 on a floor mat. 2. On 05/08/2023, in Infant Care A, Child #8 was observed sleeping in a crib labeled with Child #8?s name and with the name of Child #9, both of whom were in attendance at that time. 3. Interview with Staff #17 revealed that Child #10 had been sleeping in the crib labeled with Child #11?s name.”

8VAC20-780-430-B

“Based on observation and interview, the center failed to provide an adequate supply of materials for each age group. Evidence: 1. In the toddler classroom, all four shelves were turned around and against the wall, making all of the materials and toys, except for the soft climbers, inaccessible to the eight children in care. Staff #18 confirmed that the shelves were turned around and that the children did not have access to the materials. 2. In the 2?s classroom, seven of the eight shelves were turned around and against the wall, making the materials inaccessible to the children. There were 18 children in the room and less than 10 toy vehicles available for the children to play with. No other toys were available for the children to play with. 3. In the preschool 1 classroom, five of the seven shelves were turned around and against the wall making the materials in accessible to the children. There were eight children in the room.”

8VAC20-780-140-B

“Based on document review and interview, the center failed to ensure that a physical examination was within three months prior to attendance for a child aged seven months through 18 months. Evidence: 1. The record for Child #4 indicated the child’s first date of attendance was 02/02/2023. The physical examination for Child #4 was dated 10/17/2022. 2. Interview with Staff #14 confirmed this was the only physical examination in the record.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, an electrical outlet had protective covers. Evidence: 1. In the Infant Care A room, the top receptacle of an outlet located on the left wall did not have a protective cover. This outlet was accessible from a crib in which child #8 was sleeping.”

8VAC20-770-60-B

“Based on review of records and interview, the center failed to ensure that the sworn disclosure was completed before the first day of employment. Evidence: 1. Staff #11?s first day of employment was 04/11/2023. The sworn disclosure on file was dated 04/17/2023. 2. Staff #14 confirmed that the sworn disclosure was dated after Staff #11?s first day of employment.”

8VAC20-780-130-E

“Based on review of documentation and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (DOB 10/24/2018) indicated the first date of attendance at the center was 01/17/2019 and contained only two immunization records, dated 12/19/2018 and 07/23/2019. 2. The record for Child #6 (DOB 09/13/2019) indicated the first date of attendance at the center was 12/09/2019 and contained only three immunization records, dated 11/26/2019, 09/16/2020 and 04/26/2021. 3. The record for Child #7 (DOB 03/17/2021) indicated the first date of attendance at the center was 06/16/2021 and contained only two immunization records, dated 06/10/2021 and 11/02/2021. 4. Interview with Staff #14 confirmed additional immunization records were not obtained.”

8VAC20-780-430-B

“Based on observation and interview, the center failed to provide an adequate supply of materials for each age group. Evidence: 1. In the toddler classroom, all four shelves were turned around and against the wall, making all of the materials and toys, except for the soft climbers, inaccessible to the eight children in care. Staff #18 confirmed that the shelves were turned around and that the children did not have access to the materials. 2. In the 2?s classroom, seven of the eight shelves were turned around and against the wall, making the materials inaccessible to the children. There were 18 children in the room and less than 10 toy vehicles available for the children to play with. No other toys were available for the children to play with. 3. In the preschool 1 classroom, five of the seven shelves were turned around and against the wall making the materials in accessible to the children. There were eight children in the room.”

8VAC20-780-440-B

“Based on observation and interview, the center failed to ensure that cribs were identified for use by a specific child. Evidence: 1. On 05/08/2023, in Infant Care A, Staff #15 was observed getting ready to place Child #9 in a crib labeled with Child #9?s name when Staff #16 told her Child #9 had been sleeping in the crib beside that one, which was labeled with Child #10?s name. Staff #15 then placed Child #9 on a floor mat. 2. On 05/08/2023, in Infant Care A, Child #8 was observed sleeping in a crib labeled with Child #8?s name and with the name of Child #9, both of whom were in attendance at that time. 3. Interview with Staff #17 revealed that Child #10 had been sleeping in the crib labeled with Child #11?s name.”

8VAC20-780-430-B

“Based on observation and interview, the center failed to provide an adequate supply of materials for each age group. Evidence: 1. In the toddler classroom, all four shelves were turned around and against the wall, making all of the materials and toys, except for the soft climbers, inaccessible to the eight children in care. Staff #18 confirmed that the shelves were turned around and that the children did not have access to the materials. 2. In the 2?s classroom, seven of the eight shelves were turned around and against the wall, making the materials inaccessible to the children. There were 18 children in the room and less than 10 toy vehicles available for the children to play with. No other toys were available for the children to play with. 3. In the preschool 1 classroom, five of the seven shelves were turned around and against the wall making the materials in accessible to the children. There were eight children in the room.”

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

“Based on interviews and documentation, the center failed to ensure that when staff are supervising children, they always ensure their care, protection and guidance. Evidence: 1. A video, taken by the parents on 4/30/2023, shows Child #1 telling her parents that her (vagina) hurt and that (her teacher) touched her vagina with a magnetic block. 2. During a medical examination on 04/28/2023, Child #1 stated that Staff #1 had touched her (vagina) while in the bathroom with his hand and a block ?inside?. 3. During a forensic interview conducted by the Child Advocacy Center on 04/30/2023, Child #1 identified Staff #1 by photograph, confirming Staff #1 was the person who ?touched? her (vagina), also stating, ?he touched harder?. When asked if he touched her on the inside or outside of the (vagina), she replied, ?inside?. 4. During a forensic interview conducted by the Child Advocacy Center on 05/01/2023, when shown a photograph of Staff #1, Child #1 again stated that he touched her (vagina). When asked if this happened at her school, Child #1 nodded yes. 5. During an interview with Staff #1 on 05/01/2023, Staff #1 stated that co-workers leave him alone at naptime to go on break and when they get back, he goes on break. Staff #2 and Staff #3 confirmed that on 04/29/2023, Staff #1 had been left alone with the children (including Child #1) for one hour during naptime. Documentation shows that during an interview with child protective services, Child #2 stated that she saw Staff #1 in the bathroom with Child #1 during nap time.”

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

“Based on interview, the center failed to ensure that children under the age of 10 years old are always within actual sight and sound supervision of staff. Evidence 1. On 05/01/2023, an interview with Staff #1 revealed that staff do not always maintain sight and sound supervision of children under the age of 10 years. Staff #1 stated that staff remain on the floor and cannot see the children who go in the upper part of the City Play Place. 2. On 05/01/2023, interview with Staff #3 revealed that staff check on the children when they are in the upper level of City Play Place, but they do not stay up there with the children. 2. The licensing inspector confirmed by observation that the children cannot be seen in the upper level of the City Play Place. Staff #2 confirmed that the children cannot be seen in the upper level of the City Play Place.”

8VAC20-780-270-A

“Based on interview and observation, the center failed to ensure that areas and equipment of the center are maintained in a clean, safe and operable condition. Evidence: 1. The inspector observed the metal blinds in the infant room to have several bent slats. 2. Staff #2 confirmed that the bent blinds were the blinds that Child #1 had grabbed and cut her finger on.”

8VAC20-780-440-I

“Based on interview, observation and review of record, the center failed to ensure cribs were placed where objects outside of the crib are not within reach of the infants or toddlers. Evidence: 1. An incident/accident report provided by the center on 04/04/2023 stated that on 04/04/2023 Child #1 ?was in her crib for nap. She stood up and cut her finger on the blinds?. The report was signed by Staff #1. 2. On 04/04/2023 Staff #2 showed the inspector on the blind where Child #1 cut her finger on the blind. Staff #2 confirmed that the child could reach the blind from the crib. The inspector observed blood on the metal blinds and the crib to be close enough that an infant could reach the blinds from the crib. 3. Staff #3 stated during interview that Child #1 required three stitches for the cut that Child #1 received from the blind.”

8VAC20-780-270-A

“Based on interview and observation, the center failed to ensure that areas and equipment of the center are maintained in a clean, safe and operable condition. Evidence: 1. The inspector observed the metal blinds in the infant room to have several bent slats. 2. Staff #2 confirmed that the bent blinds were the blinds that Child #1 had grabbed and cut her finger on.”

8VAC20-780-440-I

“Based on interview, observation and review of record, the center failed to ensure cribs were placed where objects outside of the crib are not within reach of the infants or toddlers. Evidence: 1. An incident/accident report provided by the center on 04/04/2023 stated that on 04/04/2023 Child #1 ?was in her crib for nap. She stood up and cut her finger on the blinds?. The report was signed by Staff #1. 2. On 04/04/2023 Staff #2 showed the inspector on the blind where Child #1 cut her finger on the blind. Staff #2 confirmed that the child could reach the blind from the crib. The inspector observed blood on the metal blinds and the crib to be close enough that an infant could reach the blinds from the crib. 3. Staff #3 stated during interview that Child #1 required three stitches for the cut that Child #1 received from the blind.”

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

“Based on interview and review of documents, the center failed to ensure that behavior guidance is constructive in nature and age and stage appropriate. Evidence: 1. The ?Notice of Second Warning [Final Warning]? regarding Staff #1 dated 1/12/2023 stated that Staff #1 "was witnessed yelling and using inappropriate language toward the children in her classroom". The notice was signed by Staff #1 and Staff #2. 2. One staff member interviewed stated that Staff #1 ?yells? at the children, noting that when they are crying, ?yells? things such as ?That’s enough?, ?Stop. I?ve had enough? and ?you?ve got to stop.? 3. A second staff member interviewed stated that Staff #1 ?yells? at the children, noting she says things like ?you better not do that? when they get toys out to play. 4. A third staff member interviewed stated that their only concern with Staff #1 is that they ?yell? at the children. 5. Two additional staff stated during interviews that they are concerned about Staff #1?s tone with the children.”

8VAC20-780-50-A Complaint related: Yes

“8VAC20-780-50-A: A2 Based on observation and interview, the center failed to ensure that children's information was treated confidentially. Evidence: 1. The inspector observed an accessible list of all children’s first and last names on the front desk. 2. The inspector observed seven accessible injury reports on the front desk that contained confidential information. 3. Staff #1 confirmed that these items are regularly kept on the front desk and that they are accessible to all parents.”

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

“Based on observation and interview, the center failed to notify parents by the end of the day of known minor injuries. Evidence: 1. The inspector observed four injury reports that were not signed by parents and did not indicate that the parents had been informed of the injuries. The injury reports were dated 12/28/2022, 12/27/2022, 12/14/2022 and 12/14/2022. 1. Staff #2 and Staff #1 confirmed that the parents had not signed the reports.”

8VAC20-780-530-A-2

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom where children are present had current first aid certification. Evidence: 1. Staff #5 was observed to be the only staff member in Classroom # 2. 2. Staff #5 did not have first aid certification on file. 3. Staff #6 confirmed that Staff #5 did not have first aid certification and was the only staff member in Classroom #2.”

8VAC20-780-520-B

“Based on observation and interview, the center failed to ensure that sunscreen containers were labeled with the child’s names. Evidence: 1. In Classroom #1, 11 containers of sunscreen were not labeled with a child’s name. 2. Staff #6 confirmed the sunscreens were not labeled with a child’s name.”

8VAC20-780-280-B

“Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place. Evidence: 1. In Classroom #1, Equate shaving cream was observed in the bottom shelf of an unlocked storage closet. Staff #7 confirmed the shaving cream was not in a locked place. 2. In Classroom #2, commercial air freshener, water cleaning tablets and [name] floor cleaner were observed in an unlocked lower cabinet. Commercial air freshener and commercial disinfectant spray were observed in an upper unlocked cabinet. Staff #5 confirmed that the cabinets were not locked.”

8VAC20-780-240-A

“Based on review of records and interview, the center failed to ensure that all staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #3?s start date was 04/18/2022. 2. The date of completion for the Virginia Department of Education-sponsored orientation course for Staff #3 was 09/20/2022. 3. Staff #6 confirmed that Staff #3 did not complete the Virginia Department of Education-sponsored orientation course within 90 days of employment.”

8VAC20-780-90-A

“Based on observation and interview, the center failed to ensure that the parent agreement was signed by the child’s first day of attendance. Evidence: 1. Child #1?s first day of attendance was 09/26/2022 and the parent agreement was signed on 09/15/2022. 2. Staff #6 confirmed that the parent agreement for Child #1 was not signed by the child’s first day of attendance.”

8VAC20-780-60-A

“Based on review of records and interview, the center failed to ensure that each child’s record. contained all required information. Evidence: 1. Child #1?s record did not contain a work phone number for one of the parents. Staff #6 confirmed the record did not contain a work number for one for the parents. 2. Child #2?s record did not contain a work phone number for one of the parents, name of the physician or a number for the child’s physician. Staff #6 confirmed the child’s record did contain a work phone number for one of the parents, name of the physician or a number for the child’s physician. 3. Child #4?s record did not contain a work phone number for one of the parents. Staff #6 confirmed the record did not contain a work number for one for the parents.”

8VAC20-780-40-E

“Based on observation and interview, the licensee failed to ensure that the center maintained compliance with the center’s own policy regarding safe sleep. Evidence: 1. In Classroom #2, 1 child was observed sleeping in a bouncer chair. 2. In Classroom #3, 2 children were observed sleeping in bouncer chairs. 3. Staff #6 provided the center’s safe sleep policy for review and confirmed that the center’s policy included that children should be placed for sleep ?in a supine position? and ?on a firm sleep surface?.”

8VAC20-780-530-A-1

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom where children are present had current cardiopulmonary resuscitation (CPR) certification. Evidence: 1. Staff #5 was observed to be the only staff member in Classroom #2. 2. Staff #5 did not have CPR certification on file. 3. Staff #6 confirmed that Staff #5 did not have CPR certification and was the only staff member in Classroom #2.”

8VAC20-780-410-2

“Based on interviews, review of documents and observation, the center allowed a forbidden action to occur by confining children into a space that they could not freely exit themselves. Evidence: 1. On 08/25/2022, the Licensing Inspector observed 2 children strapped into a stroller near the front desk at 7:55 a.m. Child #1 was observed in the 5 point harness wiggling and had the left arm partially out of the strap. 2. Interviews with 5 staff revealed that each day, at the time of drop off, children that are assigned to classroom #1 are placed in the stroller until the staff assigned to classroom #1 arrives. 3. Staff #3, who was assigned to Classroom #1, was observed walking child #1 and child #2 into classroom # 1 at approximately 8:10 a.m. 4. Review of the timesheet shows staff #3 clocked in at 8:05 a.m. on 08/25/2022. 5. Review of attendance sheets revealed that on 08/25/2022, child #1 was dropped off at 7:20 a.m. and child #2 was dropped off at 7:54 a.m.”

22.1-289.036

“Based on interviews and review of records, the organization failed to ensure fingerprint background checks were completed for new board members within 30 days of appointment. Evidence: 1. Staff #1 and Board Member #2 confirmed that Board Member #1?s last day of appointment to the Board was 04/04/4022. 2. Staff #1 and Board Member #2 confirmed that Board Member #2 assumed the responsibilities for Board Member #1 on 04/05/2022. 3. Board Member #2 confirmed that they had not completed a fingerprint background check.”

8VAC20-780-520-B

“Based on observation, the center failed to ensure that all sunscreen was labeled with the child’s name. Evidence: In classroom #1, nine sunscreens were observed to be without names.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain an out of state Abuse and Neglect Registry Check within 30 days of employment. Evidence: 1. Staff #3?s address on file confirmed that the staff member live in another state. 2. Staff #3 confirmed that they currently resided in another state. 3. Staff #3?s first day of employment was 05/17/2022. 4. There was no out of state Central Registry check in the employees file for the state they currently reside in. 5. Staff #8 confirmed that the background check was not complete.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that all sunscreen was not kept beyond the expiration date of the product. Evidence 1. In classroom #3, four sunscreens were expired and being kept at the center.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #1, a can of shaving cream was observed on the bottom shelf of an unlocked cabinet. Staff #1 confirmed that shaving cream with not in a locked place. 2. In classroom #4, the cabinet that contained the bleach spray bottles was unlocked and sanitizing wipes were on the counter. 3. In classroom #6, a can of shaving cream was not in a locked place and was within reach of the children. Staff #9 confirmed that the shaving cream was not in a locked place.”

8VAC20-780-40-G

“Based on observation and interview, the center failed to obtain a birth certificate or reliable proof of birth of the child’s identity and age within two days of enrollment. Evidence: 1. Child #3?s file did not contain the appropriate documentation of the child’s identity. 2. The child’s first day of attendance was 03/17/2021. 3. Staff #8 confirmed that the required documenting was not obtained within two days of the child’s start date.”

8VAC20-780-520-B

“Based on observation, the center failed to ensure that all sunscreen was labeled with the child’s name. Evidence: In classroom #1, nine sunscreens were observed to be without names.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain an out of state Abuse and Neglect Registry Check within 30 days of employment. Evidence: 1. Staff #3?s address on file confirmed that the staff member live in another state. 2. Staff #3 confirmed that they currently resided in another state. 3. Staff #3?s first day of employment was 05/17/2022. 4. There was no out of state Central Registry check in the employees file for the state they currently reside in. 5. Staff #8 confirmed that the background check was not complete.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that all sunscreen was not kept beyond the expiration date of the product. Evidence 1. In classroom #3, four sunscreens were expired and being kept at the center.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #1, a can of shaving cream was observed on the bottom shelf of an unlocked cabinet. Staff #1 confirmed that shaving cream with not in a locked place. 2. In classroom #4, the cabinet that contained the bleach spray bottles was unlocked and sanitizing wipes were on the counter. 3. In classroom #6, a can of shaving cream was not in a locked place and was within reach of the children. Staff #9 confirmed that the shaving cream was not in a locked place.”

8VAC20-780-40-G

“Based on observation and interview, the center failed to obtain a birth certificate or reliable proof of birth of the child’s identity and age within two days of enrollment. Evidence: 1. Child #3?s file did not contain the appropriate documentation of the child’s identity. 2. The child’s first day of attendance was 03/17/2021. 3. Staff #8 confirmed that the required documenting was not obtained within two days of the child’s start date.”

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

“Based on review of children's records, the center failed to ensure that an acceptable form of proof of the child's identity and age was reviewed. Evidence: 1. Child #1's record did not contain an acceptable form of documentation of proof of age and identity. 2. Staff confirmed that the proof of age and identity was not an official document.”