Childtime Learning Center

8VAC20-780-160-A

“Based on staff record review, the center failed to ensure that the tuberculosis documentation was completed in the correct timeframe. Evidence: Staff #1?s date of hire was 05/22/2023 the tuberculosis documentation in the record was 3/1/2023. This date was more than 30 days prior to hire date. 2. Director acknowledged the test was done more than 30 days prior to start date.”

8VAC20-780-280-B

“Based on classroom observations, hazardous materials were not kept in a locked location. Evidence: 1. In the school age classroom, there were three bottles of bleach water mixed cleaning solution left in an unlocked closet. There was no lock on the door to signify that it is kept locked through the day.”

8VAC20-780-420-E-3

“Based on child record review, annual updates were not documented or signed in a child’s record. Evidence: 1.Child #6 did not have an annual update noted for 2024. The last documented annual update was dated 5/12/2023. 2. Director stated they have spoken to the caregiver’s for Child #6 about the annual update and have not received a signature or response from parent.”

8VAC20-780-160-A

“Based on staff record review, the center failed to ensure that the tuberculosis documentation was completed in the correct timeframe. Evidence: Staff #1?s date of hire was 05/22/2023 the tuberculosis documentation in the record was 3/1/2023. This date was more than 30 days prior to hire date. 2. Director acknowledged the test was done more than 30 days prior to start date.”

8VAC20-780-280-B

“Based on classroom observations, hazardous materials were not kept in a locked location. Evidence: 1. In the school age classroom, there were three bottles of bleach water mixed cleaning solution left in an unlocked closet. There was no lock on the door to signify that it is kept locked through the day.”

8VAC20-780-420-E-3

“Based on child record review, annual updates were not documented or signed in a child’s record. Evidence: 1.Child #6 did not have an annual update noted for 2024. The last documented annual update was dated 5/12/2023. 2. Director stated they have spoken to the caregiver’s for Child #6 about the annual update and have not received a signature or response from parent.”

8VAC20-780-160-A

“Based on staff record review, the center failed to ensure that the tuberculosis documentation was completed in the correct timeframe. Evidence: Staff #1?s date of hire was 05/22/2023 the tuberculosis documentation in the record was 3/1/2023. This date was more than 30 days prior to hire date. 2. Director acknowledged the test was done more than 30 days prior to start date.”

8VAC20-780-280-B

“Based on classroom observations, hazardous materials were not kept in a locked location. Evidence: 1. In the school age classroom, there were three bottles of bleach water mixed cleaning solution left in an unlocked closet. There was no lock on the door to signify that it is kept locked through the day.”

8VAC20-780-420-E-3

“Based on child record review, annual updates were not documented or signed in a child’s record. Evidence: 1.Child #6 did not have an annual update noted for 2024. The last documented annual update was dated 5/12/2023. 2. Director stated they have spoken to the caregiver’s for Child #6 about the annual update and have not received a signature or response from parent.”

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

“Based on interviews, documentation, and review of video footage, the center failed to ensure that behavioral guidance shall be constructive in nature, age & stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On 06/03/2024, staff S2 was observed on video attempting to wake C1 from a nap. S2 was observed lifting the long side of the cot and rolling C1 off the cot onto the floor. C1 reported that she was sleeping, and it was scary, and that the lady at the school woke her up, and that it hurt”

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

“Based on observation, the provider failed to fasten the protective belt securely when a child is placed in an infant seat or high chair. Evidence: Three infants were observed seated in highchairs. None of the protective belts were fastened.”

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

“Complaint Related Based on documentation and interview, the center did not ensure compliance with ratios of staff to children as required. Evidence: (Repeat Violation) On 03/27/2024, the licensing inspector entered the Infant I room at approximately 8:39 a.m. and reviewed the ?Face-To-Name Transition Sheet?. The Face-To-Name Transition Sheet documented S1 being in the classroom by herself between 7:22 a.m. and 7:43 a.m. with 10 children until S2 removed 4 children from the classroom at 7:43 a.m. The Face-To-Name Transition Sheet documented S1 being in the classroom alone again between 7:43 a.m. and 8:00 a.m. with between 6 and 11 children when S3 removed 7 children from the classroom. S1 acknowledged the room was out of ratio several times that morning as well as other times on other days. S4 reviewed the Face-To-Name Transition Sheet and acknowledged the Infant I room was out of compliance with the allowed ratio of 1 staff to 5 children due to the ratio waiver being granted.”

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

“Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required. On 2/13/2024, the licensing inspector entered the Infant I room at approximately 8:42 a.m. and observed 8 infants being cared for by 1 staff member (S1). The infant classroom is allowed a ratio of 1 staff to 5 children due to the ratio waiver being granted. S1 acknowledged the room was out of ratio when licensing inspector entered the room as well as other times on other days. The ?Face-To-Name Transition Sheet? documented S1 being in the classroom by herself between 8:14 a.m. and 8:44 with 7 children. A second staff (S3) entered the classroom at approximately 8:44 a.m. On 2/13/2024, the licensing inspector entered the Infant 2 room at approximately 8:47 a.m. and observed 8 children being cared for by 1 staff member (S2). The infant classroom is allowed a ratio of 1 staff to 5 children due to the ratio waiver being granted. S2 acknowledged the room was out of ratio at that time as well as other times on other days. The ?Face-To-Name Transition Sheet? documented S2 being in the classroom by herself between 8:16 a.m. and 8:57 a.m. with eight children. S3 entered the classroom at approximately 8:57 a.m. and removed five children from the classroom. The S4 was interviewed and reported that the center had multiple staff members call out due to illness the morning of 02/13/2024.”

8VAC20-780-340-F

“8VAC20-780-(5)-340-F (Repeat Violation) Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 3, was observed by licensing inspector walking down the hallway by himself. He entered a hallway bathroom without staff providing actual sight and sound supervision.”

8VAC20-780-340-F

“8VAC20-780-(5)-340-F (Repeat Violation) Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 3, was observed by licensing inspector walking down the hallway by himself. He entered a hallway bathroom without staff providing actual sight and sound supervision.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure the care, protection, and guidance of children. 1) Staff interviewed reported: A) That the center implemented a monthly fire evacuation drill at approximately 11:30 a.m. on 08/07/2023. After the drill was completed, the fire alarm in the building serving the school age children would not silence. B) The alarm continued to sound all day between approximately 11:30AM until approximately 5:00 p.m. C) That the children enrolled in the school age program remained on site with staff at the center for the day while the alarm continued to sound for approximately five(5) and one half (1/2) hours. D) That staff rotated the children between the outside playground and the inside of the building for lunch, snacks, water, and bathroom breaks with the alarm sounding between approximately 11:30 a.m. and 5:00 p.m. E) That the fire alarm sound was extremely loud in the building. 2) A parent interviewed reported that that their child after extended exposure to the fire alarm is complaining of ear pain requiring medical assessment. 3) On 08/07/2023 between approximately 11:30AM and 5:00PM and while the alarm continued to sound, staff had the children outside in between the times they were in the building for lunch, snacks, water, and bathroom breaks. The outside temperature ranged between 85 and 92 degrees.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff shall complete annually the Virginia Department of Education-sponsored health and safety update course. Evidence: The records for S6, employed 02/28/2022 and S7, employed 08/15/2022 did not contain a certificate of showing completion of the 2023 annual health and safety update course.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S5, employed 08/29/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/13/2023. The record for S7, employed 08/15/2022 did not contain findings of a central registry search within 30 days. The results are dated 01/03/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S7, employed 08/15/2022 documented a sworn statement dated 11/22/2021 (more than 90 days prior to employment).”

22.1-289.035-B-4

“Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out of state in the last five years. Record for S5, employed 08/29/2022 did not contain a sex offender registry check prior to the 1st day of employment.”

22.1-289.035-B-2

“The licensee failed to ensure that all applicants for employment shall undergo a background check prior to employment. Evidence: The record for S7, employed 08/15/2022 documented background check results being received on 08/17/2022. The record for S8, employed 02/06/2023 documented background check results being received on 02/10/2023.”

8VAC20-780-450-A

“Based on observation, the provider failed to ensure that a child in the preschool classroom had cots with linens consisting of a top cover and a bottom cover. Evidence: One cot used by a child during the rest period did not have a bottom covering.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector and assistant program director observed sliding boards in the pre-K and school age playgrounds that had less than 6 inches of resilient surfacing.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing access by children. Evidence: The school age building hallway closet, custodian closet, and hallway cabinet were open and accessible to children contained cleaning supplies and liquid hand soap with warning labels to keep out of reach of children and hazardous to humans.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S9, employed 03/20/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the provider did not keep the required documentation for four of nine staff. Evidence: Records for S7, did not document orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D. The records did not contain orientation and training log. The records for S2 and S6, did not document information about any health problems that may interfere with fulfilling the job responsibilities. The record for S5 and did not document an emergency contact.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on child record review, the provider failed to ensure that one of eleven records contained the required information for each child enrolled. Evidence: The record for child, C8 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420.E-3.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that three of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 07/24/2023, contained a screening completed 07/26/2023. The record for S7, employed 08/15/2022, contained a screening completed 12/05/2021. The record for S9, employed 03/20/2023, contained a screening completed 02/09/2023.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain immunizations due January 2023 before the child became 2 years old.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 5, was observed by licensing inspector and assistant program director alone in the hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway. The teacher reported that the child had a toileting accident and was waiting in the bathroom for replacement clothing to be brought from the other building.”

8VAC20-780-520-C

“Based on child record review, interview, and observation, the provider failed to ensure if diaper ointment or cream is used written parent authorization noting any adverse reactions shall be obtained. Evidence: A container of Boogie Diaper Rash Spray was observed in the infant room labeled with C11?s name. Licensing inspector requested to see the written parent authorization for the product. The parental authorization was for a different brand of diaper cream for C11 . Staff acknowledged using the Boogie Diaper Rash Spray earlier in the day and that there was no written parental authorization for this product.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Poison ivy was observed on the pre-K age playground where children were playing. The deck area in the school age playground used by children is missing multiple railing balusters creating a fall hazard off the deck. A plastic storage building in the school age playground was not secured and a gas can and oil can were observed in the building. Broken bags of trash were observed on the pre-k and school age playgrounds. Two toilets located in the boys? and girls? bathrooms in the school age building were inoperable and were caked with debris and feces.”

8VAC20-780-245-A

“Based on record review, the provider did not ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for S7, employed 08/15/2022 documented 4 hours of the required 16 hours of annual training.”

8VAC20-780-340-F

“Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 6 was observed by licensing inspector and program director coming out of a hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway with the door closed. The program director intervened and escorted the child to the classroom to be reunited with the class and teachers. The child’s teacher reported to the program director that she counted her in the hallway when they were moving the class but did not realize the child had gone into the bathroom.”

8VAC20-780-560-G

“Based on observation, the provider failed to ensure food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: Licensing inspector observed infant bottles for three infants in the Infant I room refrigerator that were not dated.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 (under the age of 2 years) did not contain documentation of immunizations every six months. The immunizations documented in the record were dated 03/14/2022 and 05/24/2023.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S3, employed 03/27/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 01/19/2023. The record for S6, employed 03/14/2023 did not document a tuberculosis (TB) screening.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that five of 10 records contained required documentation. Evidence: Record for C3, enrolled 02/15/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b. Record for C8, enrolled 02/25/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b within the required annual time frame. The last update was completed 04/04/2022. Record for C10, enrolled 01/10/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 4 of 9 records contained required information. Evidence: Record for S1, employed 04/10/2023, S3, employed 03/27/2023, S4, employed 03/21/2023, and S9, employed 05/22/2023 did not contain name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with filling the job responsibilities.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The records for S2, employed 09/28/2020 and S8, employed 03/06/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-340-D

“Based on interview, the provider failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: During an observation in the pre-school classroom, the licensing inspector asked the program director to identify the program leader in the classroom. The program director reported that the classroom did not have a program leader due to the teacher leaving employment.”

8VAC20-780-340-F

“Based on observation the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: A child, age 6 was observed by licensing inspector and program director coming out of a hallway bathroom in the school age building while her teachers and classmates were in a classroom down the hallway with the door closed. The program director intervened and escorted the child to the classroom to be reunited with the class and teachers. The child’s teacher reported to the program director that she counted her in the hallway when they were moving the class but did not realize the child had gone into the bathroom.”

8VAC20-780-560-G

“Based on observation, the provider failed to ensure food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: Licensing inspector observed infant bottles for three infants in the Infant I room refrigerator that were not dated.”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 (under the age of 2 years) did not contain documentation of immunizations every six months. The immunizations documented in the record were dated 03/14/2022 and 05/24/2023.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of nine staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S3, employed 03/27/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 01/19/2023. The record for S6, employed 03/14/2023 did not document a tuberculosis (TB) screening.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that five of 10 records contained required documentation. Evidence: Record for C3, enrolled 02/15/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b. Record for C8, enrolled 02/25/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b within the required annual time frame. The last update was completed 04/04/2022. Record for C10, enrolled 01/10/2019, did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that 4 of 9 records contained required information. Evidence: Record for S1, employed 04/10/2023, S3, employed 03/27/2023, S4, employed 03/21/2023, and S9, employed 05/22/2023 did not contain name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with filling the job responsibilities.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The records for S2, employed 09/28/2020 and S8, employed 03/06/2023 did not contain a certificate of showing completion of the Virginia Preservice Training.”

8VAC20-780-340-D

“Based on interview, the provider failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: During an observation in the pre-school classroom, the licensing inspector asked the program director to identify the program leader in the classroom. The program director reported that the classroom did not have a program leader due to the teacher leaving employment.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff has current certification in CPR. 2) During interview, a member of management reported Staff #4 does not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff has current certification in first aid. 2) During interview, a member of management reported Staff #4 does not have current certification in first aid.”

22.1-289.035-B-4

“Based on a review of five staff records, the center did not obtain the results of a criminal history record information check, the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frames. Evidence: 1) The record for Staff #1, hired on 02/21/22, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 02/24/2022. The record did not contain an out-of-state criminal history record of information check from the state Staff #1 had resided. 2) The record for Staff #3, hired on 11/29/21, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 11/30/21. The out-of-state criminal history record of information check was obtained on 12/06/21. The out-of-state search for founded complaints of child abuse or neglect was requested on 12/01/21, but the results had not been received to date. 3) During interview, a member of management confirmed the required out-of-state background checks for Staff #1 and Staff #3 were not obtained within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-530-A

“Based on a review of documentation and interviews, the center did not ensure that each area where children are present had at least one staff member with current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid as appropriate to the age of the children in care. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff had current certification in CPR and current certification in first aid. The record indicated Staff #4 is a bus driver. 2) During interviews, a member of management reported Staff #4 does not have current certification in CPR or current certification in first aid. Staff #4 is a driver and is the only staff member present with children during transportation.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that two staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record for Staff #3, hired on 11/29/21, was dated 01/10/22. The record did not contain documentation of any further contact, and the staff was continuously employed. 2) The central registry finding in the record for Staff #4, hired on 11/22/21, was dated 01/03/22. The record did not contain documentation of any further contact, and the staff was continuously employed. 3) During interviews, a member of management confirmed the central registry finding for Staff #3 and Staff #4 were not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, the center did not ensure that one child's record contained all the required information. Evidence: 1) The record for Child #1, enrolled on 02/28/22, did not contain a second emergency contact. 2) During interview, a member of management confirmed the record for Child #1 did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff has current certification in CPR. 2) During interview, a member of management reported Staff #4 does not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure that one staff had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff has current certification in first aid. 2) During interview, a member of management reported Staff #4 does not have current certification in first aid.”

22.1-289.035-B-4

“Based on a review of five staff records, the center did not obtain the results of a criminal history record information check, the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frames. Evidence: 1) The record for Staff #1, hired on 02/21/22, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 02/24/2022. The record did not contain an out-of-state criminal history record of information check from the state Staff #1 had resided. 2) The record for Staff #3, hired on 11/29/21, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 11/30/21. The out-of-state criminal history record of information check was obtained on 12/06/21. The out-of-state search for founded complaints of child abuse or neglect was requested on 12/01/21, but the results had not been received to date. 3) During interview, a member of management confirmed the required out-of-state background checks for Staff #1 and Staff #3 were not obtained within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-530-A

“Based on a review of documentation and interviews, the center did not ensure that each area where children are present had at least one staff member with current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid as appropriate to the age of the children in care. Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff had current certification in CPR and current certification in first aid. The record indicated Staff #4 is a bus driver. 2) During interviews, a member of management reported Staff #4 does not have current certification in CPR or current certification in first aid. Staff #4 is a driver and is the only staff member present with children during transportation.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that two staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in the record for Staff #3, hired on 11/29/21, was dated 01/10/22. The record did not contain documentation of any further contact, and the staff was continuously employed. 2) The central registry finding in the record for Staff #4, hired on 11/22/21, was dated 01/03/22. The record did not contain documentation of any further contact, and the staff was continuously employed. 3) During interviews, a member of management confirmed the central registry finding for Staff #3 and Staff #4 were not received within the required time frame.”

8VAC20-780-60-A

“Based on a review of five children's records and interview, the center did not ensure that one child's record contained all the required information. Evidence: 1) The record for Child #1, enrolled on 02/28/22, did not contain a second emergency contact. 2) During interview, a member of management confirmed the record for Child #1 did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”