Children of America Woodbridge II

8VAC20-780-530-A-1

“The center is required to ensure that at least one staff in each classroom or area where children are present have current certification in cardiopulmonary resuscitation (CPR). On 8/20/25, Staff #1 was observed to be working alone in a classroom with children. Staff #1 does not have current certification in CPR.”

22.1-289.035-B-2

“The center is required to obtain the results of a national, fingerprint-based criminal history check prior to employment for each staff. The fingerprints on record for Staff #2 were dated two weeks after employment.”

8VAC20-780-530-A-1

“The center is required to ensure that at least one staff in each classroom or area where children are present have current certification in cardiopulmonary resuscitation (CPR). On 8/20/25, Staff #1 was observed to be working alone in a classroom with children. Staff #1 does not have current certification in CPR.”

22.1-289.035-B-2

“The center is required to obtain the results of a national, fingerprint-based criminal history check prior to employment for each staff. The fingerprints on record for Staff #2 were dated two weeks after employment.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a separate record for each child enrolled. On 5/12/25 the record for Child G was requested for review. There was no record available on-site for Child G.”

8VAC20-780-550-F

“Lockdown procedures are required to be practiced at least annually. An annual lockdown drill was more than two months past due.”

8VAC20-780-80-A

“The center is required to maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. 1. At approximately 11:05am on 5/12/25, there were 14 children observed in the Preschool 2B classroom for children three- to four-years-old. The attendance record contained documentation of 13 children present. 2. At approximately 11:20am on 5/12/25, there were eight children observed in the 2-A classroom for children two-years-old. The attendance record contained documentation of six children present. A staff member updated the attendance to include the two missing children. The same staff then brought another child to the classroom and did not add the child to the attendance record. 3. At approximately 11:38am on 5/12/25, two children were observed in the Toddler-B classroom for children 12- to 18-months old. The attendance record contained documentation of three children present. 4. At approximately 11:20am on 5/12/25, the attendance record for the Preschool 1-B classroom for children two- to three-years-old contained documentation of children present. There were no children in the classroom. The children had been divided between several classrooms and were not transferred to the attendance in those classrooms.”

8VAC20-780-510-B

“(Systemic Violation) Written authorization from the parent is required for prescription and nonprescription medication. One prescription medication was observed on-site for Child G and one nonprescription medication was observed on-site for Child F. There were no written authorizations from the parent for either medication.”

8VAC20-780-510-L

“(Systemic Violation) Medication, except for prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, is required to be kept in a locked place using a safe locking method that prevents access by children. 1. On 5/12/25, two medications were observed in an upper unlocked cabinet in the Preschool 1-B classroom for children two- to three-years-old. 2. Three other medications were observed in unlocked desk drawers in the center lobby.”

8VAC20-780-260-A

“The center is required to provide to the licensing inspector an annual fire inspection report. The annual fire inspection was more than 5 months past due.”

8VAC20-780-510-G

“(Systemic Violation) Medication is required to be labeled with the child’s name, the dosage amount, and the time or times to be given. On 5/12/25 a medication was observed on-site without a label indicating for which child the medication belonged. Staff indicated the medication was for Child F.”

8VAC20-780-40-M

“The center is required to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions in each room or area where children are present. On 5/12/25 in the Preschool 2A classroom, the Toddler B classroom, and the Toddler A classroom, the posted allergy list was dated 2/3/25 and contained documentation that there were no allergies in the classroom. The current allergy list for the center was dated 5/4/25 and included dietary restrictions and sensitivities for children in the Toddler B and Toddler A classrooms.”

8VAC20-780-260-B

“Annual approval from the health department is required. The health inspection was more than two months past due.”

8VAC20-780-60-A

“The center is required to maintain and keep at the center a separate record for each child enrolled. On 5/12/25 the record for Child G was requested for review. There was no record available on-site for Child G.”

8VAC20-780-550-F

“Lockdown procedures are required to be practiced at least annually. An annual lockdown drill was more than two months past due.”

8VAC20-780-80-A

“The center is required to maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. 1. At approximately 11:05am on 5/12/25, there were 14 children observed in the Preschool 2B classroom for children three- to four-years-old. The attendance record contained documentation of 13 children present. 2. At approximately 11:20am on 5/12/25, there were eight children observed in the 2-A classroom for children two-years-old. The attendance record contained documentation of six children present. A staff member updated the attendance to include the two missing children. The same staff then brought another child to the classroom and did not add the child to the attendance record. 3. At approximately 11:38am on 5/12/25, two children were observed in the Toddler-B classroom for children 12- to 18-months old. The attendance record contained documentation of three children present. 4. At approximately 11:20am on 5/12/25, the attendance record for the Preschool 1-B classroom for children two- to three-years-old contained documentation of children present. There were no children in the classroom. The children had been divided between several classrooms and were not transferred to the attendance in those classrooms.”

8VAC20-780-510-B

“(Systemic Violation) Written authorization from the parent is required for prescription and nonprescription medication. One prescription medication was observed on-site for Child G and one nonprescription medication was observed on-site for Child F. There were no written authorizations from the parent for either medication.”

8VAC20-780-510-L

“(Systemic Violation) Medication, except for prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, is required to be kept in a locked place using a safe locking method that prevents access by children. 1. On 5/12/25, two medications were observed in an upper unlocked cabinet in the Preschool 1-B classroom for children two- to three-years-old. 2. Three other medications were observed in unlocked desk drawers in the center lobby.”

8VAC20-780-260-A

“The center is required to provide to the licensing inspector an annual fire inspection report. The annual fire inspection was more than 5 months past due.”

8VAC20-780-510-G

“(Systemic Violation) Medication is required to be labeled with the child’s name, the dosage amount, and the time or times to be given. On 5/12/25 a medication was observed on-site without a label indicating for which child the medication belonged. Staff indicated the medication was for Child F.”

8VAC20-780-40-M

“The center is required to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions in each room or area where children are present. On 5/12/25 in the Preschool 2A classroom, the Toddler B classroom, and the Toddler A classroom, the posted allergy list was dated 2/3/25 and contained documentation that there were no allergies in the classroom. The current allergy list for the center was dated 5/4/25 and included dietary restrictions and sensitivities for children in the Toddler B and Toddler A classrooms.”

8VAC20-780-260-B

“Annual approval from the health department is required. The health inspection was more than two months past due.”

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

“The following actions are forbidden: restricting movement through binding or tying, forcing a child to assume an uncomfortable position, enclosure in a space that the child cannot freely exit himself. On 7/16/2024 staff #1 engaged in restraining child #1 so that they assumed an uncomfortable position and their movement was restricted for 1-2 minutes.”

8VAC20-780-420-B Complaint related: Yes

“Staff are required to notify parents of disciplinary steps taken in response to persistent behavior problems. On 7/16/2024 staff notified parents of behavior issues but did not notify them of disciplinary steps taken.”

8VAC20-780-80-A

“Based on observation, and a review of documentation, the facility failed to maintain a written record of attendance, for each group of children, that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance in the toddler A classroom listed 11 children however 10 children were observed in care. The attendance in the school age classroom listed 19 children however 21 children were observed in care.”

8VAC20-780-350-B-5

“Based on observation, the facility failed to maintain the ratio of one staff for every 18 children, school age eligible up to nine years of age. Evidence: 21 children (ages 6-12) were observed on the playground with one staff when the second staff went inside the building.”

8VAC20-780-80-A

“Based on observation, and a review of documentation, the facility failed to maintain a written record of attendance, for each group of children, that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance in the toddler A classroom listed 11 children however 10 children were observed in care. The attendance in the school age classroom listed 19 children however 21 children were observed in care.”

8VAC20-780-350-B-5

“Based on observation, the facility failed to maintain the ratio of one staff for every 18 children, school age eligible up to nine years of age. Evidence: 21 children (ages 6-12) were observed on the playground with one staff when the second staff went inside the building.”

8VAC20-780-500-B

“Based on observation and interview, the facility failed to ensure that all diapering procedures were followed, as required. Evidence: 1) a nonabsorbent surface (changing table) was not used to diaper/change all children younger than three years. Diapers/pullups were observed in trashcans in both the Two A and Preschool IA bathrooms. Staff stated that they change children standing up, there were chairs and baskets of pullups by the toilets, and the rosters indicate that children in attendance are two years old. 2) not all disposable diapers were disposed of in a leakproof storage system. There were diapers/pullups observed in a trashcan that had no lid in the Two A bathroom, thus is not leakproof. There were diapers/pullups observed in a trashcan with a swinging lid in the Preschool IA bathroom. This type of trash can requires that the exterior surface be touched in order to dispose of something.”

8VAC20-780-500-B

“Based on observation and interview, the facility failed to ensure that all diapering procedures were followed, as required. Evidence: 1) a nonabsorbent surface (changing table) was not used to diaper/change all children younger than three years. Diapers/pullups were observed in trashcans in both the Two A and Preschool IA bathrooms. Staff stated that they change children standing up, there were chairs and baskets of pullups by the toilets, and the rosters indicate that children in attendance are two years old. 2) not all disposable diapers were disposed of in a leakproof storage system. There were diapers/pullups observed in a trashcan that had no lid in the Two A bathroom, thus is not leakproof. There were diapers/pullups observed in a trashcan with a swinging lid in the Preschool IA bathroom. This type of trash can requires that the exterior surface be touched in order to dispose of something.”

8VAC20-780-80-A

“Based on observation, interview and a review of documentation, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no attendance list with the Before/After A class located in the gym. Staff acknowledged that they didn?t have it. In the preschool B classroom there were 11 children listed on the attendance record but only 10 children observed in the classroom.”

8VAC20-780-80-A

“Based on observation, interview and a review of documentation, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no attendance list with the Before/After A class located in the gym. Staff acknowledged that they didn?t have it. In the preschool B classroom there were 11 children listed on the attendance record but only 10 children observed in the classroom.”

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

“Based on interviews with staff, and a review of documentation, it was determined that staff supervising children did not always ensure their care, protection and guidance. Evidence: 1) On 4/19/2023, from approximately 4:47-4:53pm staff were unaware of child #1's location, or that they were left sleeping on the bus. 2) Staff #1 did not take attendance or count children as they exited the bus and entered the facility. 3) Two management staff taking attendance, and signing children in, realized that child #1 was not with the group and immediately began to search for the missing child inside the building. 3) Child #1, age five, awoke on the bus, realized they were alone, and "pressed a button" to exit the bus, walked through the parking lot and arrived at the front door all by themself. 4) Staff in the prek B classroom noticed child #1 arrive at the door, unlocked and opened it, taking the child into the prek B class until management arrived. 5) Child #1 stated they were sad; staff reported that child #1 looked confused but was not crying. 6) Management then took child #1 to join their school age classroom at approximately 4:53pm. 7) The temperature on 4/19/23 was approximately 76 degrees at 4:47pm.”

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

“Based on review of the center's policies and procedures, and multiple staff interviews, it was determined that the center failed to ensure that staff followed the center's own policies and procedures required by the standards for verifying that all children have been removed from the vehicle at the conclusion of any trip. Evidence: The center's policy (Vehicle Inspection with Attendance Sheet) states, "When arriving at the destination, the driver is responsible for taking a complete walk from the front to the back of the bus, looking in all aisles and touching the back of the vehicle to ensure that the check has been complete and that no child is left on the vehicle." On the incident date of April 19, 2023, at approximately 4:47pm, staff #1 did not follow the center's policy, which resulted in leaving a five year old child alone on the bus for approximately three to five minutes.”

8VAC20-780-580-B Complaint related: No

“Based on observation, and a review of documentation, the center failed to ensure that vehicles meet the safety standards set by the Department of Motor Vehicles. Evidence: bus #1510, used to transport children on 4/19/23 from the local elementary school to the center, had expired Illinois tags (expired 6/22) and an expired state inspection sticker (expired 5/22.)”

8VAC20-780-580-K Complaint related: Yes

“Based on interviews, the center failed to ensure that staff verify that all children have been removed from the vehicle at the conclusion of any trip. Evidence: At approximately 4:47pm on 4/19/23, staff #1 did not verify that all children had been removed from the vehicle after returning from the local elementary school. Staff #1 parked the bus, locked the door, and left child #1 (age 5) on the bus.”

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

“Based on interviews with staff, and a review of documentation, the center failed to ensure that all children under ten years of age were always in sight and sound supervision of staff. Evidence: 1) On April 19, 2023, at approximately 4:47pm, staff #1 arrived at the center with a bus load of approximately 14 children from local elementary schools. 2) Staff #1 dropped off the children at the front door, handed the clipboard to management, and proceeded to park the bus. 3) Staff #1 exited the bus, locked it, clocked out, and left for the day. 4) Management staff signed the children in, realized child #1 was missing, and proceeded to walk them to their school age classroom while also searching for child #1. 3) At approximately 4:53pm, child #1 arrived at the center’s front door alone, and was brought inside by prek B staff. 4) Child #1 was alone, outside of the building and out of sight and sound supervision, from approximately 4:47 - 4:53pm.”

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

“Based on interviews with staff, and a review of documentation, it was determined that staff supervising children did not always ensure their care, protection and guidance. Evidence: 1) On 4/19/2023, from approximately 4:47-4:53pm staff were unaware of child #1's location, or that they were left sleeping on the bus. 2) Staff #1 did not take attendance or count children as they exited the bus and entered the facility. 3) Two management staff taking attendance, and signing children in, realized that child #1 was not with the group and immediately began to search for the missing child inside the building. 3) Child #1, age five, awoke on the bus, realized they were alone, and "pressed a button" to exit the bus, walked through the parking lot and arrived at the front door all by themself. 4) Staff in the prek B classroom noticed child #1 arrive at the door, unlocked and opened it, taking the child into the prek B class until management arrived. 5) Child #1 stated they were sad; staff reported that child #1 looked confused but was not crying. 6) Management then took child #1 to join their school age classroom at approximately 4:53pm. 7) The temperature on 4/19/23 was approximately 76 degrees at 4:47pm.”

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

“Based on review of the center's policies and procedures, and multiple staff interviews, it was determined that the center failed to ensure that staff followed the center's own policies and procedures required by the standards for verifying that all children have been removed from the vehicle at the conclusion of any trip. Evidence: The center's policy (Vehicle Inspection with Attendance Sheet) states, "When arriving at the destination, the driver is responsible for taking a complete walk from the front to the back of the bus, looking in all aisles and touching the back of the vehicle to ensure that the check has been complete and that no child is left on the vehicle." On the incident date of April 19, 2023, at approximately 4:47pm, staff #1 did not follow the center's policy, which resulted in leaving a five year old child alone on the bus for approximately three to five minutes.”

8VAC20-780-580-B Complaint related: No

“Based on observation, and a review of documentation, the center failed to ensure that vehicles meet the safety standards set by the Department of Motor Vehicles. Evidence: bus #1510, used to transport children on 4/19/23 from the local elementary school to the center, had expired Illinois tags (expired 6/22) and an expired state inspection sticker (expired 5/22.)”

8VAC20-780-580-K Complaint related: Yes

“Based on interviews, the center failed to ensure that staff verify that all children have been removed from the vehicle at the conclusion of any trip. Evidence: At approximately 4:47pm on 4/19/23, staff #1 did not verify that all children had been removed from the vehicle after returning from the local elementary school. Staff #1 parked the bus, locked the door, and left child #1 (age 5) on the bus.”

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

“Based on interviews with staff, and a review of documentation, the center failed to ensure that all children under ten years of age were always in sight and sound supervision of staff. Evidence: 1) On April 19, 2023, at approximately 4:47pm, staff #1 arrived at the center with a bus load of approximately 14 children from local elementary schools. 2) Staff #1 dropped off the children at the front door, handed the clipboard to management, and proceeded to park the bus. 3) Staff #1 exited the bus, locked it, clocked out, and left for the day. 4) Management staff signed the children in, realized child #1 was missing, and proceeded to walk them to their school age classroom while also searching for child #1. 3) At approximately 4:53pm, child #1 arrived at the center’s front door alone, and was brought inside by prek B staff. 4) Child #1 was alone, outside of the building and out of sight and sound supervision, from approximately 4:47 - 4:53pm.”

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

“Based on interviews with staff, and a review of documentation, it was determined that staff supervising children did not always ensure their care, protection and guidance. Evidence: 1) On 4/19/2023, from approximately 4:47-4:53pm staff were unaware of child #1's location, or that they were left sleeping on the bus. 2) Staff #1 did not take attendance or count children as they exited the bus and entered the facility. 3) Two management staff taking attendance, and signing children in, realized that child #1 was not with the group and immediately began to search for the missing child inside the building. 3) Child #1, age five, awoke on the bus, realized they were alone, and "pressed a button" to exit the bus, walked through the parking lot and arrived at the front door all by themself. 4) Staff in the prek B classroom noticed child #1 arrive at the door, unlocked and opened it, taking the child into the prek B class until management arrived. 5) Child #1 stated they were sad; staff reported that child #1 looked confused but was not crying. 6) Management then took child #1 to join their school age classroom at approximately 4:53pm. 7) The temperature on 4/19/23 was approximately 76 degrees at 4:47pm.”

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

“Based on review of the center's policies and procedures, and multiple staff interviews, it was determined that the center failed to ensure that staff followed the center's own policies and procedures required by the standards for verifying that all children have been removed from the vehicle at the conclusion of any trip. Evidence: The center's policy (Vehicle Inspection with Attendance Sheet) states, "When arriving at the destination, the driver is responsible for taking a complete walk from the front to the back of the bus, looking in all aisles and touching the back of the vehicle to ensure that the check has been complete and that no child is left on the vehicle." On the incident date of April 19, 2023, at approximately 4:47pm, staff #1 did not follow the center's policy, which resulted in leaving a five year old child alone on the bus for approximately three to five minutes.”

8VAC20-780-580-B Complaint related: No

“Based on observation, and a review of documentation, the center failed to ensure that vehicles meet the safety standards set by the Department of Motor Vehicles. Evidence: bus #1510, used to transport children on 4/19/23 from the local elementary school to the center, had expired Illinois tags (expired 6/22) and an expired state inspection sticker (expired 5/22.)”

8VAC20-780-580-K Complaint related: Yes

“Based on interviews, the center failed to ensure that staff verify that all children have been removed from the vehicle at the conclusion of any trip. Evidence: At approximately 4:47pm on 4/19/23, staff #1 did not verify that all children had been removed from the vehicle after returning from the local elementary school. Staff #1 parked the bus, locked the door, and left child #1 (age 5) on the bus.”

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

“Based on interviews with staff, and a review of documentation, the center failed to ensure that all children under ten years of age were always in sight and sound supervision of staff. Evidence: 1) On April 19, 2023, at approximately 4:47pm, staff #1 arrived at the center with a bus load of approximately 14 children from local elementary schools. 2) Staff #1 dropped off the children at the front door, handed the clipboard to management, and proceeded to park the bus. 3) Staff #1 exited the bus, locked it, clocked out, and left for the day. 4) Management staff signed the children in, realized child #1 was missing, and proceeded to walk them to their school age classroom while also searching for child #1. 3) At approximately 4:53pm, child #1 arrived at the center’s front door alone, and was brought inside by prek B staff. 4) Child #1 was alone, outside of the building and out of sight and sound supervision, from approximately 4:47 - 4:53pm.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: two children in the infant B classroom were observed laying on a boppy pillow drinking a bottle. Staff did not wash the children’s hands with soap and water afterwards.”

8VAC20-780-500-B

“Based on observation, the facility failed to ensure that the diapering surface shall be used only for diapering. Evidence: Artwork, scissors, and the attendance clipboard were observed sitting on a diaper changing table in the two’s classroom.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant B class, four children were observed, however five children were listed on the attendance sheet; 2) in the pre-k A class, 10 children were observed, however 11 children were listed on the attendance sheet; 3) in the pre-k B class, 13 children were observed, however 14 children were listed on the attendance sheet.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #5, (date of hire: 9/21/2022) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment/follow up completed or an Out Of State Criminal History Name Check prior to employment for all states indicated on the sworn disclosure statement.”

8VAC20-780-270-A

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

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant B class, four children were observed, however five children were listed on the attendance sheet; 2) in the pre-k A class, 10 children were observed, however 11 children were listed on the attendance sheet; 3) in the pre-k B class, 13 children were observed, however 14 children were listed on the attendance sheet.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #5, (date of hire: 9/21/2022) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment/follow up completed or an Out Of State Criminal History Name Check prior to employment for all states indicated on the sworn disclosure statement.”

8VAC20-780-270-A

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

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 1) in the infant B class, four children were observed, however five children were listed on the attendance sheet; 2) in the pre-k A class, 10 children were observed, however 11 children were listed on the attendance sheet; 3) in the pre-k B class, 13 children were observed, however 14 children were listed on the attendance sheet.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #5, (date of hire: 9/21/2022) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment/follow up completed or an Out Of State Criminal History Name Check prior to employment for all states indicated on the sworn disclosure statement.”

8VAC20-780-270-A

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

8VAC20-780-270-A

“Based on observation, review of a video tape, and interviews with staff, not all areas of the center outside the facility were maintained in a safe and operable condition. Evidence: The gate in the outside play space had a latch that was not functioning properly and an alarm that did not work, allowing a two year old child to open the gate and exit the play space.”

8VAC20-780-340-A

“Based on observation and interviews with staff, the facility did not ensure the care, protection and guidance of children in care. Evidence: 1) On September 12, 2022 between approximately 3:40-3:50 pm, child #1, age two, exited the outdoor play space through a gate that was not latched properly. Staff #2 stated they did not see child #1 exit the outdoor play space because they were sitting on the ground, legs crossed, with their back to the gate. Staff #1 stated they didn?t see child #1 exit the outdoor play space because they went inside to get balls and hoola hoops for the children to play with. Staff #1 stated they were not aware that the child was missing until a bystander peeked through the open gate and stated ?I think one of your kids got out.? Child #1 was retrieved by a bystander, approximately 50 feet from a road next to the facility, and taken to staff in the front office.”

8VAC20-780-340-F

“Based on staff interviews, the facility failed to ensure that all children under ten years of age were within actual sight and sound supervision of staff at all times. Evidence: On September 12, 2022 between approximately 3:40-3:50pm, child #1, age two, exited the outdoor play space through a gate and wandered outside the fenced area near a parking lot and road. Staff #2, who had just reentered the outdoor play space from inside the facility stated they were informed by a bystander that one of their children was missing. Staff #2 then proceeded out the gate and walked to the front office where they found child #1, who had been retrieved, and returned to the facility, by a bystander. Child #1 was out of staff sight and sound supervision for approximately 1-5 minutes.”

8VAC20-780-350-B-3

“Based on review of documentation and interviews with staff, the facility failed to maintain the ratio of one staff for every eight children, two years of age. Evidence: On September 12, 2022 between approximately 3:40-3:50pm, one staff member was alone with 11 children in the outdoor play space for approximately 1-3 minutes. The youngest child in the group was two years old.”

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

“Based on interviews and a review of documentation, the facility failed to ensure at least one staff member who meets the qualifications of program leader or director is regularly present in each grouping of children. Evidence: interviews revealed that staff #1 supervises approximately five children in the toddler room daily from approximately 2:30 ? 6:00pm. The record for staff #1 indicated that they are an assistant and they do not have documentation that they have lead teacher qualifications.”

8VAC20-780-70 Complaint related: No

“Based on review of documentation, the facility failed to properly document that two references as to character and reputation as well as competency were checked before employment. Evidence: two references in the record for staff #1 did not identify the full name of the person contacted or who the reference was for.”

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

“Based on interviews and a review of documentation and photos, the facility failed to maintain a written record of children’s minor injuries as required. Evidence: child #1 sustained multiple minor injuries between February ? June, 2022, and the record contained no documentation of the injuries.”

8VAC20-780-350-B-2

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: There were 8 children observed with one teacher and the youngest child in the class was 23 months old.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, the facility failed to ensure all children were included on the written attendance record. Evidence: 1) in the infant B class, 7 children were listed on the attendance record and 8 children were observed in the class; 2) in the toddler A class, 9 children were listed on the attendance record and 8 children were observed; 3) in the 2?s class, 7 children were listed on the attendance record and 8 children were observed; 4) in the Preschool IIA class, which was combined with the preschool IIB class, 21 children were listed on the attendance record and 20 children were observed; and 5) in the PreKA class, 7 children were listed on the attendance record and 10 children were observed.”

8VAC20-780-40-M

“Based on observation, and interviews with staff, the facility failed to maintain, in a way that is accessible to all staff, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: there was no written list posted in the infant room, toddler A room, or 2?s room, and the list that was posted in the 2?s B class, Preschool IIA class, and the PreK A class was dated 12/10/21 and was not current, per staff.”

8VAC20-780-160-A-1

“Based on review of five staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 5/9/22) did not have documentation of a TB test/screening and was observed working with children in the toddler class.”

8VAC20-780-350-B-2

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: There were 8 children observed with one teacher and the youngest child in the class was 23 months old.”

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, the facility failed to ensure all children were included on the written attendance record. Evidence: 1) in the infant B class, 7 children were listed on the attendance record and 8 children were observed in the class; 2) in the toddler A class, 9 children were listed on the attendance record and 8 children were observed; 3) in the 2?s class, 7 children were listed on the attendance record and 8 children were observed; 4) in the Preschool IIA class, which was combined with the preschool IIB class, 21 children were listed on the attendance record and 20 children were observed; and 5) in the PreKA class, 7 children were listed on the attendance record and 10 children were observed.”

8VAC20-780-40-M

“Based on observation, and interviews with staff, the facility failed to maintain, in a way that is accessible to all staff, a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: there was no written list posted in the infant room, toddler A room, or 2?s room, and the list that was posted in the 2?s B class, Preschool IIA class, and the PreK A class was dated 12/10/21 and was not current, per staff.”

8VAC20-780-160-A-1

“Based on review of five staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 5/9/22) did not have documentation of a TB test/screening and was observed working with children in the toddler class.”

8VAC20-780-340-A

“Based on interviews, and review of documentation, it was determined staff did not always ensure the care and protection of all children. Evidence: On 4/4/2022, at approximately 4:30pm, a 3 month old infant was given another infant's bottle containing breast milk. Staff #1 stated both infants had the same bottle and the label came off in the bottle warmer. Staff #1 admitted they inadvertently fed infant #1 the other infant's breastmilk rather than the bottle of formula provided by the parents.”

8VAC20-780-410-1

“Based on multiple interviews, it was determined that a forbidden action was used on a child in care. Evidence: On 3/8/2022 at approximately 4:20 pm, staff #2 witnessed child #1 arrive on the playground wearing handcuffs on both hands. Child #1 proceeded to remove the handcuffs and run away. Staff #1 then chased child #1, caught them, and placed the handcuffs back on. Staff #1 then walked child #1 by the arm, in handcuffs, over to the fence and removed the handcuff from the child's right hand and attached the handcuff to the fence. Child #1 removed the handcuffs and staff #1 replaced them repeatedly. Staff #2 stated that they observed child #1 going back into the classroom approximately 20 minutes later still in handcuffs. Staff #1 admitted that they handcuffed the child because the child was hitting and kicking and not listening.”

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

“Based on interviews, not all children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: On 1/20/22, between approximately 3:30-4:30pm, when staff #1 was transitioning child #1 from the Infant B to Infant A classroom, they put the infant on the carpet in the infant A room while holding their foot in the doorway. Staff #1 then unstrapped and picked up infant #2 from the swing and took the infant into the Infant B classroom. For approximately 1-2 minutes, when the staff's foot was in the doorway, staff did not maintain sight and sound supervision of the three remaining infants in the infant B classroom.”