Childtime Learning Center

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #3, who works directly with children, completed the CPR certification 4 months late.”

8VAC20-790-600-F

“(Repeat Violation) Staff who work directly with children shall complete the department's health and safety update course annually. Staff #4, who has been employed for approximately 20 months and works directly with children, does not have documentation of completing the department's health and safety update course.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #3, who works directly with children, completed the first aid certification 4 months late.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child’s name. The bottles in the fridge in the Infant 1 classroom were observed without a date. Some of the bottles were prepared infant formula.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There is no documentation indicating the center practiced the shelter-in-place procedures more than once in 2024. The last documented shelter-in-place drill was on 01/16/24.”

8VAC20-780-550-D

“(Repeat Violation) The center shall implement a monthly practice evacuation drill. An evacuation drill was not practiced in November or December 2024.”

8VAC20-780-340-A

“(Repeat Violation) When staff are supervising children, they shall always ensure their care, protection, and guidance. On 05/22/25, an emergency medication for Child #1 was reportedly on-site, but staff were not able to open the medication box during the inspection. Child #1 was present at center at the time of the inspection.”

8VAC20-780-280-B

“(Repeat Violation) Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the Toddler classroom, the cleaning materials were observed in an unlocked cabinet, out of reach of children. In the Preschool classroom, the cleaning materials were in an unlocked cabinet under a sink used by children.”

8VAC20-780-70

“(Repeat Violation) Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. The references in the following staff records were obtained after employment: Staff #1 (obtained more than seven months late); Staff #2 (obtained two days late); Staff #4 (obtained nine days late); and Staff #5 (obtained 11 days late).”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record of Child #2, enrolled for more than a week, was missing a second emergency contact. The record of Child #3, enrolled for more than two months, was missing two emergency contacts.”

8VAC20-780-140-A

“(Repeat Violation) Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical examination in the record of Child #1 was completed more than a year and nine months after the first day of attendance.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 11/25/24, were not posted in a conspicuous place on the premises.”

22.1-289.035-B-4

“(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than nine months, did not have documentation of requesting a sex offender registry check or a central registry check from one state.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunizations in the record of Child #1 were obtained 21 days after their first day of attendance.”

22.1-289.058

“Each building that was built before 2015 and that houses a child day program that is licensed that serves preschool-age children shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide available in the building during the inspection.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There is no documentation indicating the center practiced the lockdown procedures in 2024.”

8VAC20-790-600-F

“Staff who work directly with children shall complete the department's health and safety update course annually. Staff #1 and Staff #3, who have been employed for approximately 17 months and work directly with children, do not have documentation of completing the department's health and safety update course.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of employment. Staff #3, employed for more than 17 months, did not have documentation that they have completed the course.”

8VAC20-780-550-D

“(Repeat Violation) The center shall implement a monthly practice evacuation drill. An evacuation drill was not practiced in September 2024.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than four months, did not have documentation of requesting a central registry check from one state. Staff #3, employed for more than 17 months, did not have documentation of requesting a central registry check from one state.”

8VAC20-780-70

“(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment, if a reference is taken over the telephone it shall include the required information. The references in the records of Staff #1, Staff #3, and Staff #4, were checked over the telephone, but the documentation did not include the dates of contact. For Staff #4, they did not include the signature of the person making the call. Staff #1 and Staff #3 have been employed for more than 17 months, and Staff #4 has been employed for 13 days. The records of Staff #2, employed for more than five months, and Staff #5, employed for eight days, did not have any completed reference verifications on file.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search within 30 days of employment. The central registry search results in the record of Staff #3, who is currently employed, was obtained five months after the date of employment.”

8VAC20-790-600-F

“Staff who work directly with children shall complete the department's health and safety update course annually. Staff #1 and Staff #3, who have been employed for approximately 17 months and work directly with children, do not have documentation of completing the department's health and safety update course.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of employment. Staff #3, employed for more than 17 months, did not have documentation that they have completed the course.”

8VAC20-780-550-D

“(Repeat Violation) The center shall implement a monthly practice evacuation drill. An evacuation drill was not practiced in September 2024.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than four months, did not have documentation of requesting a central registry check from one state. Staff #3, employed for more than 17 months, did not have documentation of requesting a central registry check from one state.”

8VAC20-780-70

“(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment, if a reference is taken over the telephone it shall include the required information. The references in the records of Staff #1, Staff #3, and Staff #4, were checked over the telephone, but the documentation did not include the dates of contact. For Staff #4, they did not include the signature of the person making the call. Staff #1 and Staff #3 have been employed for more than 17 months, and Staff #4 has been employed for 13 days. The records of Staff #2, employed for more than five months, and Staff #5, employed for eight days, did not have any completed reference verifications on file.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search within 30 days of employment. The central registry search results in the record of Staff #3, who is currently employed, was obtained five months after the date of employment.”

8VAC20-780-450-B Complaint related: Yes

“Linens shall be assigned for individual use. On 07/05/24, Child #1 was given a blanket belonging to Child #2 for rest time.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 06/27/24, Child #1 was given a snack containing an allergen. The child’s record contained documentation dated 05/30/24 requesting that the child is not offered meals/snacks that contain the allergen.”

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

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. On 07/25/24, the list in the school age room was dated 03/12/24. The center received notification on 05/30/24 that Child #1 had a dietary restriction and sensitivity, and the list was not updated.”

8VAC20-780-450-B Complaint related: Yes

“Linens shall be assigned for individual use. On 07/05/24, Child #1 was given a blanket belonging to Child #2 for rest time.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 06/27/24, Child #1 was given a snack containing an allergen. The child’s record contained documentation dated 05/30/24 requesting that the child is not offered meals/snacks that contain the allergen.”

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

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. On 07/25/24, the list in the school age room was dated 03/12/24. The center received notification on 05/30/24 that Child #1 had a dietary restriction and sensitivity, and the list was not updated.”

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

“Based on interviews and documentation it was determined that children are repeatedly reassigned from their regular group in effort to maintain the required ratio. Evidence: The LI (Licensing Inspector) observed that six children were moved from their regularly assigned group to different classrooms to maintain the required ratios. Staff report that children are regularly moved to support ratios due to a shortage in staffing.”

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

“Based on interviews and review of documentation it was determined that a one to 4 staff/child ratio was not always maintained. Evidence: Upon interviews and review of the attendance record it was determined that Staff A was caring for five infants beginning at 7:13 a.m. the sixth child arrived at 7:23 a.m. Two children were then moved to the toddler room at 7:38 a.m. decreasing the number of children back to four. Three additional children arrived at 7:45, 7:55, and 7:55 a.m. increasing the number of children with staff A to seven. At 8:05 a.m. staff B arrived to the classroom.”

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

“Based on interviews and documentation it was determined that children are repeatedly reassigned from their regular group in effort to maintain the required ratio. Evidence: Staff reported that children are moved routinely from 8:00 am - 9:00 am in order to maintain ratios.”

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

“Based on interviews and observation it was determined that a one to eight staff/child ratio was not always maintained. Evidence: The LI (licensing inspector) observed the two year old classroom to have 17 children in care being supervised by two staff. At 9:00 a.m. four children were moved to the Pre-School 1 classroom.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: The record for staff A (start date: 03/11/24) did not contain documentation of a TB screening on file.”

8VAC20-780-70

“Based on review of four staff records it was determined that not all records were complete. The record for staff A (start date: 03/11/24), staff B (start date: 01/17/24), and staff C (start date: 01/22/24) did not have documentation of at least two references on file as required.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all hazardous substances were kept in a locked place. Evidence: Two buckets of paint were observed on the far right side of the hallway floor. The paint labels indicated to keep out of reach of children.”

8VAC20-780-510-P

“Based on observation of one medication it was determined that not all medication was picked up by the parent within 14 days of the written authorization's expiration. Evidence: The medication on site for child C was accompanied by an authorization form which expired on 12/23/23.”

8VAC20-780-550-D

“Based on review of the center's emergency drills it was determined that not all evacuation drills were not practiced monthly. Evidence: The most recent documentation of an evacuation drill was conducted 10/31/23.”

8VAC20-780-140-A

“Based on review of six children's records it was determined that not all records contained documentation of a physical within the first thirty days of enrollment. Evidence: The records for child A and child B (start date: 01/30/24) did not have documentation of a physical on file.”

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

“Based on interviews and review of documentation it was determined that a one to 4 staff/child ratio was not always maintained. Evidence: Upon interviews and review of the attendance record it was determined that Staff A was caring for five infants beginning at 7:13 a.m. the sixth child arrived at 7:23 a.m. Two children were then moved to the toddler room at 7:38 a.m. decreasing the number of children back to four. Three additional children arrived at 7:45, 7:55, and 7:55 a.m. increasing the number of children with staff A to seven. At 8:05 a.m. staff B arrived to the classroom.”

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

“Based on interviews and documentation it was determined that children are repeatedly reassigned from their regular group in effort to maintain the required ratio. Evidence: Staff reported that children are moved routinely from 8:00 am - 9:00 am in order to maintain ratios.”

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

“Based on interviews and observation it was determined that a one to eight staff/child ratio was not always maintained. Evidence: The LI (licensing inspector) observed the two year old classroom to have 17 children in care being supervised by two staff. At 9:00 a.m. four children were moved to the Pre-School 1 classroom.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: The record for staff A (start date: 03/11/24) did not contain documentation of a TB screening on file.”

8VAC20-780-70

“Based on review of four staff records it was determined that not all records were complete. The record for staff A (start date: 03/11/24), staff B (start date: 01/17/24), and staff C (start date: 01/22/24) did not have documentation of at least two references on file as required.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all hazardous substances were kept in a locked place. Evidence: Two buckets of paint were observed on the far right side of the hallway floor. The paint labels indicated to keep out of reach of children.”

8VAC20-780-510-P

“Based on observation of one medication it was determined that not all medication was picked up by the parent within 14 days of the written authorization's expiration. Evidence: The medication on site for child C was accompanied by an authorization form which expired on 12/23/23.”

8VAC20-780-550-D

“Based on review of the center's emergency drills it was determined that not all evacuation drills were not practiced monthly. Evidence: The most recent documentation of an evacuation drill was conducted 10/31/23.”

8VAC20-780-140-A

“Based on review of six children's records it was determined that not all records contained documentation of a physical within the first thirty days of enrollment. Evidence: The records for child A and child B (start date: 01/30/24) did not have documentation of a physical on file.”

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

“Based on interviews and review of documentation it was determined that a one to 4 staff/child ratio was not always maintained. Evidence: Upon interviews and review of the attendance record it was determined that Staff A was caring for five infants beginning at 7:13 a.m. the sixth child arrived at 7:23 a.m. Two children were then moved to the toddler room at 7:38 a.m. decreasing the number of children back to four. Three additional children arrived at 7:45, 7:55, and 7:55 a.m. increasing the number of children with staff A to seven. At 8:05 a.m. staff B arrived to the classroom.”

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

“Based on interviews and documentation it was determined that children are repeatedly reassigned from their regular group in effort to maintain the required ratio. Evidence: Staff reported that children are moved routinely from 8:00 am - 9:00 am in order to maintain ratios.”

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

“Based on interviews and observation it was determined that a one to eight staff/child ratio was not always maintained. Evidence: The LI (licensing inspector) observed the two year old classroom to have 17 children in care being supervised by two staff. At 9:00 a.m. four children were moved to the Pre-School 1 classroom.”

8VAC20-780-160-A

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: The record for staff A (start date: 03/11/24) did not contain documentation of a TB screening on file.”

8VAC20-780-70

“Based on review of four staff records it was determined that not all records were complete. The record for staff A (start date: 03/11/24), staff B (start date: 01/17/24), and staff C (start date: 01/22/24) did not have documentation of at least two references on file as required.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all hazardous substances were kept in a locked place. Evidence: Two buckets of paint were observed on the far right side of the hallway floor. The paint labels indicated to keep out of reach of children.”

8VAC20-780-510-P

“Based on observation of one medication it was determined that not all medication was picked up by the parent within 14 days of the written authorization's expiration. Evidence: The medication on site for child C was accompanied by an authorization form which expired on 12/23/23.”

8VAC20-780-550-D

“Based on review of the center's emergency drills it was determined that not all evacuation drills were not practiced monthly. Evidence: The most recent documentation of an evacuation drill was conducted 10/31/23.”

8VAC20-780-140-A

“Based on review of six children's records it was determined that not all records contained documentation of a physical within the first thirty days of enrollment. Evidence: The records for child A and child B (start date: 01/30/24) did not have documentation of a physical on file.”

8VAC20-780-550-E

“Based on review of emergency drill documentation it was determined that a shelter in place drill was not conducted at least twice per year. Evidence: There was no record of a shelter in place drill conducted for 2022 or 2023.”

8VAC20-780-260-A

“Based on observation and interviews it was determined that a fire inspection was not conducted annually. Evidence: The most recent fire inspection on file is dated 06/14/2021.”

8VAC20-780-260-B

“Based on observation and interviews it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection on file is dated 10/31/2022.”

8VAC20-780-550-E

“Based on review of emergency drill documentation it was determined that a shelter in place drill was not conducted at least twice per year. Evidence: There was no record of a shelter in place drill conducted for 2022 or 2023.”

8VAC20-780-260-A

“Based on observation and interviews it was determined that a fire inspection was not conducted annually. Evidence: The most recent fire inspection on file is dated 06/14/2021.”

8VAC20-780-260-B

“Based on observation and interviews it was determined that a health inspection was not conducted annually. Evidence: The most recent health inspection on file is dated 10/31/2022.”

8VAC20-780-400-B

“Based on interviews and review of video footage it was determined that behavioral guidance was not always constructive in nature and age and stage appropriate. Evidence: On 08/17/2023 at approximately 4:00 pm the children in the two's class are seen sitting at the table for an art activity. Child A (Age two years) is seen running away from the table. Staff A is seen chasing after the child. Staff A gets down on the child's level and grabs them by the arms. Staff A then speaks to the child while putting their face close to the child's face in an intimidating manner, what was said was unable to be determined. Staff A then grabs the child by the left arm, lifting their legs off of the ground, places the child in the classroom bathroom and closes the door for over two minutes. Staff A enters the bathroom for less than one minute and then both staff A and child A are seen leaving the bathroom. It was unable to be determined what happened while staff A and child A were in the restroom. Staff A reported that they did not know why they placed child A in the restroom.”

8VAC20-780-410-1

“Based on interviews and review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: On 08/17/2023 at approximately 4:00 pm the children in the two's class are seen sitting at the table for an art activity. Child A (Age two years) is seen running away from the table. Staff A is seen chasing after the child. Staff A gets down on the child's level and roughly grabs them by the arms. Staff A then speaks to the child while putting their face close to the child's face. Staff A then grabs the child roughly by the left arm, lifting their legs off of the ground, places the child in the classroom bathroom and closes the door for over two minutes. Staff A enters the bathroom for less than one minute and then both staff A and child A are seen leaving the bathroom.”

8VAC20-780-340-F

“Based on interviews and review of video footage it was determined that children under 10 years did not always remain in sight and sound supervision of staff as required. Evidence: On 03/21/2023 the Toddler classroom was preparing to go outside to the playground with five children being supervised by one staff. As the toddler class and teacher exit the exterior door they are seen walking down the fenced in sidewalk area to the playground gate. Staff A is seen opening and walking through the gate while 2 children immediately enter the playground with 3 remaining children on the sidewalk by the gate. Two additional children enter the playground. The gate is seen being closed while Child A (Age: 20 Months) is still in the fenced in sidewalk area. Staff A was not aware that child A was not on the playground with the rest of the class. Child A remains in the fenced-in sidewalk area from 3:43 pm - 3:47 pm. At 3:47 pm the gate is seen being opened and staff A retrieves child A and brings them to the playground.”

8VAC20-780-130-A

“Based on review of six children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence: The record for child A (start date: 03/13/2023) did not have documentation of immunizations on file.”

8VAC20-780-340-F

“Based on interviews and review of video footage it was determined that children under 10 years did not always remain in sight and sound supervision of staff as required. Evidence: On 03/21/2023 the Toddler classroom was preparing to go outside to the playground with five children being supervised by one staff. As the toddler class and teacher exit the exterior door they are seen walking down the fenced in sidewalk area to the playground gate. Staff A is seen opening and walking through the gate while 2 children immediately enter the playground with 3 remaining children on the sidewalk by the gate. Two additional children enter the playground. The gate is seen being closed while Child A (Age: 20 Months) is still in the fenced in sidewalk area. Staff A was not aware that child A was not on the playground with the rest of the class. Child A remains in the fenced-in sidewalk area from 3:43 pm - 3:47 pm. At 3:47 pm the gate is seen being opened and staff A retrieves child A and brings them to the playground.”

8VAC20-780-130-A

“Based on review of six children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence: The record for child A (start date: 03/13/2023) did not have documentation of immunizations on file.”

8VAC20-780-340-F

“Based on interviews and review of video footage it was determined that children under 10 years did not always remain in sight and sound supervision of staff as required. Evidence: On 03/21/2023 the Toddler classroom was preparing to go outside to the playground with five children being supervised by one staff. As the toddler class and teacher exit the exterior door they are seen walking down the fenced in sidewalk area to the playground gate. Staff A is seen opening and walking through the gate while 2 children immediately enter the playground with 3 remaining children on the sidewalk by the gate. Two additional children enter the playground. The gate is seen being closed while Child A (Age: 20 Months) is still in the fenced in sidewalk area. Staff A was not aware that child A was not on the playground with the rest of the class. Child A remains in the fenced-in sidewalk area from 3:43 pm - 3:47 pm. At 3:47 pm the gate is seen being opened and staff A retrieves child A and brings them to the playground.”

8VAC20-780-130-A

“Based on review of six children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence: The record for child A (start date: 03/13/2023) did not have documentation of immunizations on file.”

8VAC20-780-340-A

“Based on interviews and review of video footage it was determined that staff did not always ensure the care, protection, and guidance of children in their care. Evidence: On 12/19/2022 Child A (age 3 yrs) was left alone in the STEAM Classroom from approximately 3:50 pm - 4:05 pm. During the time child A was in the STEAM classroom they are seen trying to open the door, kicking the door, and at one point got their hand stuck in the door while trying to open the door. Child A was later found by a parent who was entering the facility and returned to administration. Staff in the toddler classroom were not aware that child A was not in their care from the time of 3:50 pm - 4:05 pm.”

8VAC20-780-340-F

“Based on interview and review of video footage it was determined that children under 10 years were not always within sight and sound supervision of staff. Evidence: On 12/19/2022 the toddler classroom was leaving the STEAM lab classroom to go back to the Toddler classroom. There were 10 children in care with 2 staff supervising. Children began to line up by the door to exit. Staff were assisting two other children who were running away from the door. The children and staff began to exit. Child A (Age 3 yrs) goes behind the door and is not seen by staff who exit with the children. Child A was left alone in the STEAM classroom from approximately 3:50 pm - 4:05 pm. Child A was found by a parent entering the facility and was brought to administration.”

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

“Based on interviews it was determined that not all procedures for handwashing were followed. Evidence: On 11/15/2022 a parent observed through video surveillance staff who was diapering three children. During the series of diapering staff are observed not washing their hands, not washing the children's hands, and handling sippy cups. Staff is observed utilizing the same set of gloves for three children. The video surveillance regarding this incident was later corroborated by center administration.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were maintained in safe condition. Evidence: A large amount of peeling paint was observed on the infant room door as well as the supply closet door in the entryway of the facility.”

8VAC20-780-280-B

“Based on observation of the toddler room it was determined that not all hazardous substances were kept locked. Evidence: Dish soap and cleaning solution was observed in an unlocked cabinet under the sink of the Toddler room.”

8VAC20-780-500-B

“Based on observation of the facility it was determined that not all procedures for diapering were followed. Evidence: 1. The foot operated trash can in the two year old room was not being utilized. Diapers were observed in an uncovered trash can. 2. Three backpacks and jackets were observed on the changing table in the two year old room. 3. A tablet, basket, and papers were observed on the changing table of the second two year old room.”

8VAC20-780-160-C

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening every two years. Evidence: The most recent TB screening on file for staff A is dated 03/10/2020.”

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

“Based on interviews it was determined that not all procedures for handwashing were followed. Evidence: On 11/15/2022 a parent observed through video surveillance staff who was diapering three children. During the series of diapering staff are observed not washing their hands, not washing the children's hands, and handling sippy cups. Staff is observed utilizing the same set of gloves for three children. The video surveillance regarding this incident was later corroborated by center administration.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were maintained in safe condition. Evidence: A large amount of peeling paint was observed on the infant room door as well as the supply closet door in the entryway of the facility.”

8VAC20-780-280-B

“Based on observation of the toddler room it was determined that not all hazardous substances were kept locked. Evidence: Dish soap and cleaning solution was observed in an unlocked cabinet under the sink of the Toddler room.”

8VAC20-780-500-B

“Based on observation of the facility it was determined that not all procedures for diapering were followed. Evidence: 1. The foot operated trash can in the two year old room was not being utilized. Diapers were observed in an uncovered trash can. 2. Three backpacks and jackets were observed on the changing table in the two year old room. 3. A tablet, basket, and papers were observed on the changing table of the second two year old room.”

8VAC20-780-160-C

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening every two years. Evidence: The most recent TB screening on file for staff A is dated 03/10/2020.”

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

“Based on interviews it was determined that not all procedures for handwashing were followed. Evidence: On 11/15/2022 a parent observed through video surveillance staff who was diapering three children. During the series of diapering staff are observed not washing their hands, not washing the children's hands, and handling sippy cups. Staff is observed utilizing the same set of gloves for three children. The video surveillance regarding this incident was later corroborated by center administration.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were maintained in safe condition. Evidence: A large amount of peeling paint was observed on the infant room door as well as the supply closet door in the entryway of the facility.”

8VAC20-780-280-B

“Based on observation of the toddler room it was determined that not all hazardous substances were kept locked. Evidence: Dish soap and cleaning solution was observed in an unlocked cabinet under the sink of the Toddler room.”

8VAC20-780-500-B

“Based on observation of the facility it was determined that not all procedures for diapering were followed. Evidence: 1. The foot operated trash can in the two year old room was not being utilized. Diapers were observed in an uncovered trash can. 2. Three backpacks and jackets were observed on the changing table in the two year old room. 3. A tablet, basket, and papers were observed on the changing table of the second two year old room.”

8VAC20-780-160-C

“Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening every two years. Evidence: The most recent TB screening on file for staff A is dated 03/10/2020.”

8VAC20-780-290-A-3

“Based on observation of the toddler room it was determined that not all electrical outlets were secured with protective covers. Evidence: There were three electrical outlets observed without protective covers in the Toddler room.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all cleaning materials were kept locked. Evidence: 1. There was bleach and disinfectant solution in an unlocked cabinet below the sink of the Junior Kindergarten room, two year old room, and Pre-K room. 2. There was disinfectant and bleach in an unlocked utility closet in the hallway.”

8VAC20-780-160-A-1

“Based on review of three staff records it was determined that not all records contained documentation of a tuberculosis (TB) screening at the time of employment, prior to coming into contact with children. Evidence: Staff A (start date: 03/28/2022) did not have documentation of a TB screening on file.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were in safe and operable condition. Evidence: 1. The school age bathroom was observed to have floor tiles and new equipment making it crowded and unsafe for children to utilize the restroom. 2. The door of the infant B room has peeling and chipped paint.”

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

“Based on interviews it was determined that not all behavioral guidance was appropriate and constructive in nature. Evidence: On 03/10/2022 child A was not complying with directions and was attempting to move to another classroom. Staff B removed the child from the classroom bringing them to the school age classroom. Staff B can be seen on video roughly holding onto the arm of child A, and speaking closely into the child's face in an intimidating manner.”

8VAC20-780-290-A-3

“Based on observation of the toddler room it was determined that not all electrical outlets were secured with protective covers. Evidence: There were three electrical outlets observed without protective covers in the Toddler room.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all cleaning materials were kept locked. Evidence: 1. There was bleach and disinfectant solution in an unlocked cabinet below the sink of the Junior Kindergarten room, two year old room, and Pre-K room. 2. There was disinfectant and bleach in an unlocked utility closet in the hallway.”

8VAC20-780-160-A-1

“Based on review of three staff records it was determined that not all records contained documentation of a tuberculosis (TB) screening at the time of employment, prior to coming into contact with children. Evidence: Staff A (start date: 03/28/2022) did not have documentation of a TB screening on file.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were in safe and operable condition. Evidence: 1. The school age bathroom was observed to have floor tiles and new equipment making it crowded and unsafe for children to utilize the restroom. 2. The door of the infant B room has peeling and chipped paint.”

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

“Based on interviews it was determined that not all behavioral guidance was appropriate and constructive in nature. Evidence: On 03/10/2022 child A was not complying with directions and was attempting to move to another classroom. Staff B removed the child from the classroom bringing them to the school age classroom. Staff B can be seen on video roughly holding onto the arm of child A, and speaking closely into the child's face in an intimidating manner.”

8VAC20-780-290-A-3

“Based on observation of the toddler room it was determined that not all electrical outlets were secured with protective covers. Evidence: There were three electrical outlets observed without protective covers in the Toddler room.”

8VAC20-780-280-B

“Based on observation of the facility it was determined that not all cleaning materials were kept locked. Evidence: 1. There was bleach and disinfectant solution in an unlocked cabinet below the sink of the Junior Kindergarten room, two year old room, and Pre-K room. 2. There was disinfectant and bleach in an unlocked utility closet in the hallway.”

8VAC20-780-160-A-1

“Based on review of three staff records it was determined that not all records contained documentation of a tuberculosis (TB) screening at the time of employment, prior to coming into contact with children. Evidence: Staff A (start date: 03/28/2022) did not have documentation of a TB screening on file.”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas were in safe and operable condition. Evidence: 1. The school age bathroom was observed to have floor tiles and new equipment making it crowded and unsafe for children to utilize the restroom. 2. The door of the infant B room has peeling and chipped paint.”

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

“Based on interviews it was determined that not all behavioral guidance was appropriate and constructive in nature. Evidence: On 03/10/2022 child A was not complying with directions and was attempting to move to another classroom. Staff B removed the child from the classroom bringing them to the school age classroom. Staff B can be seen on video roughly holding onto the arm of child A, and speaking closely into the child's face in an intimidating manner.”

8VAC20-780-245-J-1-b

“Based on review of training documentation it was determined that staff who were required to have Medication Administration Training (MAT) were not retrained at three-year intervals. Evidence: The most recent MAT certification on file for Staff A was dated 08/11/2021.”

8VAC20-780-245-J-1-b

“Based on review of training documentation it was determined that staff who were required to have Medication Administration Training (MAT) were not retrained at three-year intervals. Evidence: The most recent MAT certification on file for Staff A was dated 08/11/2021.”