Childtime Learning Center

8VAC20-780-420-E-3

“Repeat Violation The center shall request at lease annually parent confirmation that the required information in the child's record is up to date. Shall sharing of information shall be documented. There was no written documentation of annual review and update for the enrollment records of child 2 and child 3. Both children have been in care for more than 12 months.”

8VAC20-780-550-P

“The record of children's minor injuries shall contain all of the required elements. Five of five injury reports reviewed lacked the following required documentation: * Any future action to prevent recurrence of the injury; * A second signature form a staff person.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: One working, battery-operated radio. The battery-operated was not working during the inspection.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: The product shall be labeled with the child's name. One diaper ointment, for child 5, was not labeled with her name.”

22.1-289.035-B-4

“Repeat Violation The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. 1. There was no central registry check for a state, outside of Virginia, that staff 1 has resided in within the past five years. Staff 1 has been employed at the center for more than 6 months. 2. There was no out-of-state central registry check and sex offender check for two states that staff 2 has resided in within the past five years. Additionally, an out-of-state criminal record check is not on file for one of these states. Staff 2 has been employed at the center for more than seven months. 3. There was no out-of-state central registry check from one state that staff 3 has resided in within the past five years. Additionally, there was no out-of-state criminal record check for a second state that staff 3 has resided in within the past five years. Staff 3 has been employed for more than 30 days.”

8VAC20-780-160-B

“Acceptable forms of documentation of tuberculosis screening shall be signed by a physician and include the date the test or screening was conducted and the results for the individual. The TB screening for staff 6 lacked the signature of the physician or his designee and any identifying information to confirm who the test had been conducted for. Staff 6 has been employed for more than four months.”

8VAC20-780-60-A

“Repeat Violation / Systemic Deficiency Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. 1. The enrollment record for child 1 lacked a second emergency contact. The enrollment record for child 3 did not include an address for both emergency contacts and the enrollment record for child 4 lacked documentation of 2 emergency contacts. 2. The enrollment record for child 2 did not include a work phone number for either parent. No work phone number was listed for one parent of child 3. 3. Child 1 did not have any documentation of verification of age and identity.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all of the required elements. There was no written documentation of a second reference check for staff 3 who has been employed for more than 30 days.”

22.1-289.035-B-3

“Repeat Violation The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. 1. The results of a central registry check were not on file for staff 3 who has been employed for more than 30 days. Staff 3 was observed alone with a group of children during the inspection. 2. The results of a central registry check were not on file for staff 4 and staff 5. Both staff have been employed for more than 60 days.”

8VAC20-780-420-E-3

“Repeat Violation The center shall request at lease annually parent confirmation that the required information in the child's record is up to date. Shall sharing of information shall be documented. There was no written documentation of annual review and update for the enrollment records of child 2 and child 3. Both children have been in care for more than 12 months.”

8VAC20-780-550-P

“The record of children's minor injuries shall contain all of the required elements. Five of five injury reports reviewed lacked the following required documentation: * Any future action to prevent recurrence of the injury; * A second signature form a staff person.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: One working, battery-operated radio. The battery-operated was not working during the inspection.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: The product shall be labeled with the child's name. One diaper ointment, for child 5, was not labeled with her name.”

22.1-289.035-B-4

“Repeat Violation The child day center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. 1. There was no central registry check for a state, outside of Virginia, that staff 1 has resided in within the past five years. Staff 1 has been employed at the center for more than 6 months. 2. There was no out-of-state central registry check and sex offender check for two states that staff 2 has resided in within the past five years. Additionally, an out-of-state criminal record check is not on file for one of these states. Staff 2 has been employed at the center for more than seven months. 3. There was no out-of-state central registry check from one state that staff 3 has resided in within the past five years. Additionally, there was no out-of-state criminal record check for a second state that staff 3 has resided in within the past five years. Staff 3 has been employed for more than 30 days.”

8VAC20-780-160-B

“Acceptable forms of documentation of tuberculosis screening shall be signed by a physician and include the date the test or screening was conducted and the results for the individual. The TB screening for staff 6 lacked the signature of the physician or his designee and any identifying information to confirm who the test had been conducted for. Staff 6 has been employed for more than four months.”

8VAC20-780-60-A

“Repeat Violation / Systemic Deficiency Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. 1. The enrollment record for child 1 lacked a second emergency contact. The enrollment record for child 3 did not include an address for both emergency contacts and the enrollment record for child 4 lacked documentation of 2 emergency contacts. 2. The enrollment record for child 2 did not include a work phone number for either parent. No work phone number was listed for one parent of child 3. 3. Child 1 did not have any documentation of verification of age and identity.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all of the required elements. There was no written documentation of a second reference check for staff 3 who has been employed for more than 30 days.”

22.1-289.035-B-3

“Repeat Violation The child day center shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. 1. The results of a central registry check were not on file for staff 3 who has been employed for more than 30 days. Staff 3 was observed alone with a group of children during the inspection. 2. The results of a central registry check were not on file for staff 4 and staff 5. Both staff have been employed for more than 60 days.”

8VAC20-780-130-E

“Repeat Violation: Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations for child 1, age 32 months, were administered on 04/14/2022. a. There was no documentation to confirm that child 1 received all immunizations required for children between the age of 6 months and 2 years. 2. The most recent immunizations for child 5, age 11 months, were administered on 12/04/2023. 3. The most recent immunizations for child 6, age 10 months, were administered on 12/14/2023. 3. The program director stated that updated immunization documentation could not be located for child 1, child 5 and child 6.”

8VAC20-780-420-E-3

“Based on record review and interview, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented. Evidence: 1. There was no written documentation to confirm annual review and update of the record for child 1. Child 1 has an enrollment date of 4/18/2022. 2. There was no written documentation to confirm annual review and update of the record for child 2. Child 2 has an enrollment date of 9/6/2022. 3. There was no written documentation to confirm annual review and update of the record for child 3. Child 3 has an enrollment date of 9/6/2022. 4. The program director confirmed that documentation was not available of an annual review and update by each child's parent.”

8VAC20-780-70

“Repeat Violation Based on staff record review and interview, the center failed to ensure that staff records contain all of the required elements: 1. The employment file for staff 1, hire date 06/17/2024, lacked written documentation that two reference checks were completed prior to employment.”

22.1-289.035-B-3

“Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. Evidence: 1. Staff 1, hire date 06/17/2024, lacks the results of a central registry check. 2. Staff 2, hire date 06/13/2024, lacks the results of a central registry check. 3. The program director stated she did not have the results of a central registry check for staff 1 and staff 2.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 3 has resided in within the past 5 years were not on file. a. Staff 3 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 3 has a hire date of 10/20/2023. 2. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 4 has resided in within the past 5 years were not on file. a. Staff 4 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 4 has a hire date of 7/1/2024. 3. The program director stated that out-of-state background checks were not on file for staff 3 and staff 4.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: 1. There is an area of sidewalk that no longer meets flush with the ground on the preschool outdoor play area. This gap is a trip hazard.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that the documentation of the required TB screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 5 was completed on 4/4/2024 which is after her hire date of 3/25/2024. 2. The TB screening for staff 6 was completed on 5/16/2023 which is after her hire date of 5/8/2023. 3. The TB screening for staff 7 was completed on 12/19/2023 which is after her hire date of 8/21/2023. 4. The program director confirmed that the TB screening for these staff had been obtained after employment.”

8VAC20-780-330-B

“Based on observation, the center to ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The mulch surrounding the outdoor play structure on the preschool playground measured between 2 and 3 inches in depth in all areas of the fall zone. a. A depth of 6 inches is required.”

8VAC20-780-140-A

“Repeat Violation Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 04/18/2022, lacked documentation of a physical exam. 2. Child 2, enrollment date 09/06/2022, lacked documentation of a physical exam. 3. Both children were in care during the inspection and the director confirmed that a physical exam was not on file for child 1 and child 2.”

8VAC20-780-60-A

“Repeat Violation Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1, enrollment date 4/18/2022, lacked documentation of two designated emergency contacts and viewing proof of age and identity. 2. The enrollment record for child 2, enrollment date 9/6/2022, lacked documentation of an address for the two emergency contacts and viewing proof of age and identity. 3. The enrollment record for child 3, enrollment date 09/06/2022, lacked documentation of the home address for one parent and one parent's place of employment and work telephone number. Additionally, documentation of viewing proof of child 3's age and identity was not on file. 4. The enrollment record for child 4, enrollment date 06/03/2024, lacked documentation of a second emergency contact. 5. The enrollment record for child 5, enrollment date 12/18/2023, lacked documentation of a second emergency contact and verification of viewing proof of the child's identity and age. 6. The enrollment record for child 6 lacked documentation of the place of employment and a work telephone number for both parents. 6. The program director confirmed that the above information was not available.”

8VAC20-780-130-E

“Repeat Violation: Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations for child 1, age 32 months, were administered on 04/14/2022. a. There was no documentation to confirm that child 1 received all immunizations required for children between the age of 6 months and 2 years. 2. The most recent immunizations for child 5, age 11 months, were administered on 12/04/2023. 3. The most recent immunizations for child 6, age 10 months, were administered on 12/14/2023. 3. The program director stated that updated immunization documentation could not be located for child 1, child 5 and child 6.”

8VAC20-780-420-E-3

“Based on record review and interview, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented. Evidence: 1. There was no written documentation to confirm annual review and update of the record for child 1. Child 1 has an enrollment date of 4/18/2022. 2. There was no written documentation to confirm annual review and update of the record for child 2. Child 2 has an enrollment date of 9/6/2022. 3. There was no written documentation to confirm annual review and update of the record for child 3. Child 3 has an enrollment date of 9/6/2022. 4. The program director confirmed that documentation was not available of an annual review and update by each child's parent.”

8VAC20-780-70

“Repeat Violation Based on staff record review and interview, the center failed to ensure that staff records contain all of the required elements: 1. The employment file for staff 1, hire date 06/17/2024, lacked written documentation that two reference checks were completed prior to employment.”

22.1-289.035-B-3

“Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. Evidence: 1. Staff 1, hire date 06/17/2024, lacks the results of a central registry check. 2. Staff 2, hire date 06/13/2024, lacks the results of a central registry check. 3. The program director stated she did not have the results of a central registry check for staff 1 and staff 2.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 3 has resided in within the past 5 years were not on file. a. Staff 3 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 3 has a hire date of 10/20/2023. 2. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 4 has resided in within the past 5 years were not on file. a. Staff 4 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 4 has a hire date of 7/1/2024. 3. The program director stated that out-of-state background checks were not on file for staff 3 and staff 4.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: 1. There is an area of sidewalk that no longer meets flush with the ground on the preschool outdoor play area. This gap is a trip hazard.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that the documentation of the required TB screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 5 was completed on 4/4/2024 which is after her hire date of 3/25/2024. 2. The TB screening for staff 6 was completed on 5/16/2023 which is after her hire date of 5/8/2023. 3. The TB screening for staff 7 was completed on 12/19/2023 which is after her hire date of 8/21/2023. 4. The program director confirmed that the TB screening for these staff had been obtained after employment.”

8VAC20-780-330-B

“Based on observation, the center to ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The mulch surrounding the outdoor play structure on the preschool playground measured between 2 and 3 inches in depth in all areas of the fall zone. a. A depth of 6 inches is required.”

8VAC20-780-140-A

“Repeat Violation Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 04/18/2022, lacked documentation of a physical exam. 2. Child 2, enrollment date 09/06/2022, lacked documentation of a physical exam. 3. Both children were in care during the inspection and the director confirmed that a physical exam was not on file for child 1 and child 2.”

8VAC20-780-60-A

“Repeat Violation Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1, enrollment date 4/18/2022, lacked documentation of two designated emergency contacts and viewing proof of age and identity. 2. The enrollment record for child 2, enrollment date 9/6/2022, lacked documentation of an address for the two emergency contacts and viewing proof of age and identity. 3. The enrollment record for child 3, enrollment date 09/06/2022, lacked documentation of the home address for one parent and one parent's place of employment and work telephone number. Additionally, documentation of viewing proof of child 3's age and identity was not on file. 4. The enrollment record for child 4, enrollment date 06/03/2024, lacked documentation of a second emergency contact. 5. The enrollment record for child 5, enrollment date 12/18/2023, lacked documentation of a second emergency contact and verification of viewing proof of the child's identity and age. 6. The enrollment record for child 6 lacked documentation of the place of employment and a work telephone number for both parents. 6. The program director confirmed that the above information was not available.”

8VAC20-780-130-E

“Repeat Violation: Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations for child 1, age 32 months, were administered on 04/14/2022. a. There was no documentation to confirm that child 1 received all immunizations required for children between the age of 6 months and 2 years. 2. The most recent immunizations for child 5, age 11 months, were administered on 12/04/2023. 3. The most recent immunizations for child 6, age 10 months, were administered on 12/14/2023. 3. The program director stated that updated immunization documentation could not be located for child 1, child 5 and child 6.”

8VAC20-780-420-E-3

“Based on record review and interview, the center failed to request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented. Evidence: 1. There was no written documentation to confirm annual review and update of the record for child 1. Child 1 has an enrollment date of 4/18/2022. 2. There was no written documentation to confirm annual review and update of the record for child 2. Child 2 has an enrollment date of 9/6/2022. 3. There was no written documentation to confirm annual review and update of the record for child 3. Child 3 has an enrollment date of 9/6/2022. 4. The program director confirmed that documentation was not available of an annual review and update by each child's parent.”

8VAC20-780-70

“Repeat Violation Based on staff record review and interview, the center failed to ensure that staff records contain all of the required elements: 1. The employment file for staff 1, hire date 06/17/2024, lacked written documentation that two reference checks were completed prior to employment.”

22.1-289.035-B-3

“Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. Evidence: 1. Staff 1, hire date 06/17/2024, lacks the results of a central registry check. 2. Staff 2, hire date 06/13/2024, lacks the results of a central registry check. 3. The program director stated she did not have the results of a central registry check for staff 1 and staff 2.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 3 has resided in within the past 5 years were not on file. a. Staff 3 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 3 has a hire date of 10/20/2023. 2. The results of a criminal record check and a search of the child abuse and neglect registry for another state that staff 4 has resided in within the past 5 years were not on file. a. Staff 4 had provided written information on the sworn statement or affirmation that stated a residence outside of Virginia within the past 5 years. b. Staff 4 has a hire date of 7/1/2024. 3. The program director stated that out-of-state background checks were not on file for staff 3 and staff 4.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition. Evidence: 1. There is an area of sidewalk that no longer meets flush with the ground on the preschool outdoor play area. This gap is a trip hazard.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that the documentation of the required TB screening shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The TB screening for staff 5 was completed on 4/4/2024 which is after her hire date of 3/25/2024. 2. The TB screening for staff 6 was completed on 5/16/2023 which is after her hire date of 5/8/2023. 3. The TB screening for staff 7 was completed on 12/19/2023 which is after her hire date of 8/21/2023. 4. The program director confirmed that the TB screening for these staff had been obtained after employment.”

8VAC20-780-330-B

“Based on observation, the center to ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The mulch surrounding the outdoor play structure on the preschool playground measured between 2 and 3 inches in depth in all areas of the fall zone. a. A depth of 6 inches is required.”

8VAC20-780-140-A

“Repeat Violation Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 04/18/2022, lacked documentation of a physical exam. 2. Child 2, enrollment date 09/06/2022, lacked documentation of a physical exam. 3. Both children were in care during the inspection and the director confirmed that a physical exam was not on file for child 1 and child 2.”

8VAC20-780-60-A

“Repeat Violation Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1, enrollment date 4/18/2022, lacked documentation of two designated emergency contacts and viewing proof of age and identity. 2. The enrollment record for child 2, enrollment date 9/6/2022, lacked documentation of an address for the two emergency contacts and viewing proof of age and identity. 3. The enrollment record for child 3, enrollment date 09/06/2022, lacked documentation of the home address for one parent and one parent's place of employment and work telephone number. Additionally, documentation of viewing proof of child 3's age and identity was not on file. 4. The enrollment record for child 4, enrollment date 06/03/2024, lacked documentation of a second emergency contact. 5. The enrollment record for child 5, enrollment date 12/18/2023, lacked documentation of a second emergency contact and verification of viewing proof of the child's identity and age. 6. The enrollment record for child 6 lacked documentation of the place of employment and a work telephone number for both parents. 6. The program director confirmed that the above information was not available.”

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

“Based on staff interviews and a review of center video, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Staff 2 stated that she observed staff 1, who was caring for children in the school age classroom state, "I quit," and then pick up a sealed bottle of Gatorade and throw it at the wall. a. Staff 2 stated the children in the classroom appeared startled. b. Staff 2 stated she felt she needed to get staff 1 "away from the kids" therefore she intervened and asked staff 1 to come to the office with her. c. While enroute to the office staff 2 indicated that staff 1 "shoved a cart" sitting in the hallway, into the kitchen and then proceeded to enter the office where he began "throwing stuff." d. Staff 2 stated that staff 1's demeanor was "agitated and angry" therefore, she took him outside and offered to call a spouse or relative to come and take him home. e. Staff 1 declined assistance and stated he needed to take the children to school. Staff 1 proceeded to reenter the facility and gathered multiple children that he transported to school in the facility bus. 2. A review of center video for 04/18/2024 at approximately 7:36 am shows staff 1 throwing a plastic bottle of a liquid beverage at the wall of the school age classroom. a. The bottle is thrown up agains the wall in a sudden and forceful manner. b. The children in the classroom appear startled and surprised. 3. Staff 3 stated that when she arrived at approximately 8:00 am on 04/18/2024 the office was in disarray and she learned from staff 2 that staff 1 was "upset" and had thrown a bottle of Gatorade up against the wall of the school age classroom. She additionally was told that staff 1 had thrown objects around the office afterward. a. Staff 3 confirmed that staff 1 had taken several children to public school in the center bus after this incident.”

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

“Based on staff interviews, the center failed to ensure that personal articles shall be individually assigned. Evidence: 1. Staff 2 stated there was no system in place to ensure that infants pacifier's were individually assigned when she began working at the facility in late February 2024. a. Staff 1, who is a caregiver in the infant classroom, confirmed there was no system to ensure that pacifiers were individual assigned. b. Staff 1 stated that that on one occasion, the first week of March 2024, she observed a child with another child's pacifier in his mouth.”

8VAC20-780-540-C

“Based on review and interview, the center failed to ensure that the required first aid kit contain all of the required elements. Evidence: 1. The first aid kit for the facility lacked triangular bandages. 2. The program director stated there were no triangular bandages in the facility first aid kit.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 2, enrollment date 03/11/2024, lacked documentation of viewing proof of the child's age and identity. 2. The Program Director confirmed that verification of proof of age and identity was not on file for child 2.”

8VAC20-780-540-E

“Based on observation, the center failed to ensure there was one working, battery operated radio in each building used by children. Evidence: The battery operated radio was not working and the director stated she lacked working batteries for the radio.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 07/22/2022, does not have documentation of a physical exam on file. 2. The Program Director confirmed that a physical exam was not on file for child 1.”

8VAC20-780-130-E

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child 3, age 23 months, were administered on 01/20/2023. 2. The most recent immunizations on file for child 4, age 22 months, were administered on 03/27/2023. 3. The most recent immunizations on file for child 6, age 19 months, were administered on 11/04/2022. 3. The program director confirmed that updated immunization records were not on file for child 3, child 4 and child 6.”

8VAC20-780-340-A

“Based on staff interviews and record review, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 04/04/2024 at approximately 10:00 am, staff 2 fed a 15 week old child, child 2, another child's bottle containing breast milk. a. Administrative staff reported to the inspector, on 04/08/2024, that staff 2 had mistakenly given child 5's bottle to child 2. 2. The program director and staff 1 confirmed that staff 2 fed child 2 4 ounces of child 5's breast milk. a. Staff 1 stated that staff 2 told her that she had fed child 2 the wrong bottle after completion of the feeding. b. Staff 1 stated that staff 2 additionally stated that she did not look at the name label on the bottle before feeding child 2. 3. Staff 1 stated that while both bottles were similar in color, both were dated and labeled with each child's name. a. Staff 1 and the program director stated that staff 2 failed to follow center policy by failing to check the name label before feeding.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The employment file for staff 1, hire date 02/08/2024 lacked documentation of orientation training which is required within seven days of employment. 2. The employment file for staff 2, hire date 03/11/2024, lacked documentation of orientation training. 2. The Program Director confirmed that she did not have documentation that staff 1 and staff 2 had completed orientation training.”

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

“Based on staff interviews and a review of center video, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Staff 2 stated that she observed staff 1, who was caring for children in the school age classroom state, "I quit," and then pick up a sealed bottle of Gatorade and throw it at the wall. a. Staff 2 stated the children in the classroom appeared startled. b. Staff 2 stated she felt she needed to get staff 1 "away from the kids" therefore she intervened and asked staff 1 to come to the office with her. c. While enroute to the office staff 2 indicated that staff 1 "shoved a cart" sitting in the hallway, into the kitchen and then proceeded to enter the office where he began "throwing stuff." d. Staff 2 stated that staff 1's demeanor was "agitated and angry" therefore, she took him outside and offered to call a spouse or relative to come and take him home. e. Staff 1 declined assistance and stated he needed to take the children to school. Staff 1 proceeded to reenter the facility and gathered multiple children that he transported to school in the facility bus. 2. A review of center video for 04/18/2024 at approximately 7:36 am shows staff 1 throwing a plastic bottle of a liquid beverage at the wall of the school age classroom. a. The bottle is thrown up agains the wall in a sudden and forceful manner. b. The children in the classroom appear startled and surprised. 3. Staff 3 stated that when she arrived at approximately 8:00 am on 04/18/2024 the office was in disarray and she learned from staff 2 that staff 1 was "upset" and had thrown a bottle of Gatorade up against the wall of the school age classroom. She additionally was told that staff 1 had thrown objects around the office afterward. a. Staff 3 confirmed that staff 1 had taken several children to public school in the center bus after this incident.”

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

“Based on staff interviews, the center failed to ensure that personal articles shall be individually assigned. Evidence: 1. Staff 2 stated there was no system in place to ensure that infants pacifier's were individually assigned when she began working at the facility in late February 2024. a. Staff 1, who is a caregiver in the infant classroom, confirmed there was no system to ensure that pacifiers were individual assigned. b. Staff 1 stated that that on one occasion, the first week of March 2024, she observed a child with another child's pacifier in his mouth.”

8VAC20-780-540-C

“Based on review and interview, the center failed to ensure that the required first aid kit contain all of the required elements. Evidence: 1. The first aid kit for the facility lacked triangular bandages. 2. The program director stated there were no triangular bandages in the facility first aid kit.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 2, enrollment date 03/11/2024, lacked documentation of viewing proof of the child's age and identity. 2. The Program Director confirmed that verification of proof of age and identity was not on file for child 2.”

8VAC20-780-540-E

“Based on observation, the center failed to ensure there was one working, battery operated radio in each building used by children. Evidence: The battery operated radio was not working and the director stated she lacked working batteries for the radio.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 07/22/2022, does not have documentation of a physical exam on file. 2. The Program Director confirmed that a physical exam was not on file for child 1.”

8VAC20-780-130-E

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child 3, age 23 months, were administered on 01/20/2023. 2. The most recent immunizations on file for child 4, age 22 months, were administered on 03/27/2023. 3. The most recent immunizations on file for child 6, age 19 months, were administered on 11/04/2022. 3. The program director confirmed that updated immunization records were not on file for child 3, child 4 and child 6.”

8VAC20-780-340-A

“Based on staff interviews and record review, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 04/04/2024 at approximately 10:00 am, staff 2 fed a 15 week old child, child 2, another child's bottle containing breast milk. a. Administrative staff reported to the inspector, on 04/08/2024, that staff 2 had mistakenly given child 5's bottle to child 2. 2. The program director and staff 1 confirmed that staff 2 fed child 2 4 ounces of child 5's breast milk. a. Staff 1 stated that staff 2 told her that she had fed child 2 the wrong bottle after completion of the feeding. b. Staff 1 stated that staff 2 additionally stated that she did not look at the name label on the bottle before feeding child 2. 3. Staff 1 stated that while both bottles were similar in color, both were dated and labeled with each child's name. a. Staff 1 and the program director stated that staff 2 failed to follow center policy by failing to check the name label before feeding.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The employment file for staff 1, hire date 02/08/2024 lacked documentation of orientation training which is required within seven days of employment. 2. The employment file for staff 2, hire date 03/11/2024, lacked documentation of orientation training. 2. The Program Director confirmed that she did not have documentation that staff 1 and staff 2 had completed orientation training.”

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

“Based on staff interviews and a review of center video, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Staff 2 stated that she observed staff 1, who was caring for children in the school age classroom state, "I quit," and then pick up a sealed bottle of Gatorade and throw it at the wall. a. Staff 2 stated the children in the classroom appeared startled. b. Staff 2 stated she felt she needed to get staff 1 "away from the kids" therefore she intervened and asked staff 1 to come to the office with her. c. While enroute to the office staff 2 indicated that staff 1 "shoved a cart" sitting in the hallway, into the kitchen and then proceeded to enter the office where he began "throwing stuff." d. Staff 2 stated that staff 1's demeanor was "agitated and angry" therefore, she took him outside and offered to call a spouse or relative to come and take him home. e. Staff 1 declined assistance and stated he needed to take the children to school. Staff 1 proceeded to reenter the facility and gathered multiple children that he transported to school in the facility bus. 2. A review of center video for 04/18/2024 at approximately 7:36 am shows staff 1 throwing a plastic bottle of a liquid beverage at the wall of the school age classroom. a. The bottle is thrown up agains the wall in a sudden and forceful manner. b. The children in the classroom appear startled and surprised. 3. Staff 3 stated that when she arrived at approximately 8:00 am on 04/18/2024 the office was in disarray and she learned from staff 2 that staff 1 was "upset" and had thrown a bottle of Gatorade up against the wall of the school age classroom. She additionally was told that staff 1 had thrown objects around the office afterward. a. Staff 3 confirmed that staff 1 had taken several children to public school in the center bus after this incident.”

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

“Based on staff interviews, the center failed to ensure that personal articles shall be individually assigned. Evidence: 1. Staff 2 stated there was no system in place to ensure that infants pacifier's were individually assigned when she began working at the facility in late February 2024. a. Staff 1, who is a caregiver in the infant classroom, confirmed there was no system to ensure that pacifiers were individual assigned. b. Staff 1 stated that that on one occasion, the first week of March 2024, she observed a child with another child's pacifier in his mouth.”

8VAC20-780-540-C

“Based on review and interview, the center failed to ensure that the required first aid kit contain all of the required elements. Evidence: 1. The first aid kit for the facility lacked triangular bandages. 2. The program director stated there were no triangular bandages in the facility first aid kit.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 2, enrollment date 03/11/2024, lacked documentation of viewing proof of the child's age and identity. 2. The Program Director confirmed that verification of proof of age and identity was not on file for child 2.”

8VAC20-780-540-E

“Based on observation, the center failed to ensure there was one working, battery operated radio in each building used by children. Evidence: The battery operated radio was not working and the director stated she lacked working batteries for the radio.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 07/22/2022, does not have documentation of a physical exam on file. 2. The Program Director confirmed that a physical exam was not on file for child 1.”

8VAC20-780-130-E

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child 3, age 23 months, were administered on 01/20/2023. 2. The most recent immunizations on file for child 4, age 22 months, were administered on 03/27/2023. 3. The most recent immunizations on file for child 6, age 19 months, were administered on 11/04/2022. 3. The program director confirmed that updated immunization records were not on file for child 3, child 4 and child 6.”

8VAC20-780-340-A

“Based on staff interviews and record review, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 04/04/2024 at approximately 10:00 am, staff 2 fed a 15 week old child, child 2, another child's bottle containing breast milk. a. Administrative staff reported to the inspector, on 04/08/2024, that staff 2 had mistakenly given child 5's bottle to child 2. 2. The program director and staff 1 confirmed that staff 2 fed child 2 4 ounces of child 5's breast milk. a. Staff 1 stated that staff 2 told her that she had fed child 2 the wrong bottle after completion of the feeding. b. Staff 1 stated that staff 2 additionally stated that she did not look at the name label on the bottle before feeding child 2. 3. Staff 1 stated that while both bottles were similar in color, both were dated and labeled with each child's name. a. Staff 1 and the program director stated that staff 2 failed to follow center policy by failing to check the name label before feeding.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The employment file for staff 1, hire date 02/08/2024 lacked documentation of orientation training which is required within seven days of employment. 2. The employment file for staff 2, hire date 03/11/2024, lacked documentation of orientation training. 2. The Program Director confirmed that she did not have documentation that staff 1 and staff 2 had completed orientation training.”

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

“Based on staff interviews and a review of center video, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Staff 2 stated that she observed staff 1, who was caring for children in the school age classroom state, "I quit," and then pick up a sealed bottle of Gatorade and throw it at the wall. a. Staff 2 stated the children in the classroom appeared startled. b. Staff 2 stated she felt she needed to get staff 1 "away from the kids" therefore she intervened and asked staff 1 to come to the office with her. c. While enroute to the office staff 2 indicated that staff 1 "shoved a cart" sitting in the hallway, into the kitchen and then proceeded to enter the office where he began "throwing stuff." d. Staff 2 stated that staff 1's demeanor was "agitated and angry" therefore, she took him outside and offered to call a spouse or relative to come and take him home. e. Staff 1 declined assistance and stated he needed to take the children to school. Staff 1 proceeded to reenter the facility and gathered multiple children that he transported to school in the facility bus. 2. A review of center video for 04/18/2024 at approximately 7:36 am shows staff 1 throwing a plastic bottle of a liquid beverage at the wall of the school age classroom. a. The bottle is thrown up agains the wall in a sudden and forceful manner. b. The children in the classroom appear startled and surprised. 3. Staff 3 stated that when she arrived at approximately 8:00 am on 04/18/2024 the office was in disarray and she learned from staff 2 that staff 1 was "upset" and had thrown a bottle of Gatorade up against the wall of the school age classroom. She additionally was told that staff 1 had thrown objects around the office afterward. a. Staff 3 confirmed that staff 1 had taken several children to public school in the center bus after this incident.”

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

“Based on staff interviews, the center failed to ensure that personal articles shall be individually assigned. Evidence: 1. Staff 2 stated there was no system in place to ensure that infants pacifier's were individually assigned when she began working at the facility in late February 2024. a. Staff 1, who is a caregiver in the infant classroom, confirmed there was no system to ensure that pacifiers were individual assigned. b. Staff 1 stated that that on one occasion, the first week of March 2024, she observed a child with another child's pacifier in his mouth.”

8VAC20-780-540-C

“Based on review and interview, the center failed to ensure that the required first aid kit contain all of the required elements. Evidence: 1. The first aid kit for the facility lacked triangular bandages. 2. The program director stated there were no triangular bandages in the facility first aid kit.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 2, enrollment date 03/11/2024, lacked documentation of viewing proof of the child's age and identity. 2. The Program Director confirmed that verification of proof of age and identity was not on file for child 2.”

8VAC20-780-540-E

“Based on observation, the center failed to ensure there was one working, battery operated radio in each building used by children. Evidence: The battery operated radio was not working and the director stated she lacked working batteries for the radio.”

8VAC20-780-140-A

“Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance. Evidence: 1. Child 1, enrollment date 07/22/2022, does not have documentation of a physical exam on file. 2. The Program Director confirmed that a physical exam was not on file for child 1.”

8VAC20-780-130-E

“Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child 3, age 23 months, were administered on 01/20/2023. 2. The most recent immunizations on file for child 4, age 22 months, were administered on 03/27/2023. 3. The most recent immunizations on file for child 6, age 19 months, were administered on 11/04/2022. 3. The program director confirmed that updated immunization records were not on file for child 3, child 4 and child 6.”

8VAC20-780-340-A

“Based on staff interviews and record review, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 04/04/2024 at approximately 10:00 am, staff 2 fed a 15 week old child, child 2, another child's bottle containing breast milk. a. Administrative staff reported to the inspector, on 04/08/2024, that staff 2 had mistakenly given child 5's bottle to child 2. 2. The program director and staff 1 confirmed that staff 2 fed child 2 4 ounces of child 5's breast milk. a. Staff 1 stated that staff 2 told her that she had fed child 2 the wrong bottle after completion of the feeding. b. Staff 1 stated that staff 2 additionally stated that she did not look at the name label on the bottle before feeding child 2. 3. Staff 1 stated that while both bottles were similar in color, both were dated and labeled with each child's name. a. Staff 1 and the program director stated that staff 2 failed to follow center policy by failing to check the name label before feeding.”

8VAC20-780-70

“Based on record review and interview, the center failed to ensure that staff records contain all of the required elements. Evidence: 1. The employment file for staff 1, hire date 02/08/2024 lacked documentation of orientation training which is required within seven days of employment. 2. The employment file for staff 2, hire date 03/11/2024, lacked documentation of orientation training. 2. The Program Director confirmed that she did not have documentation that staff 1 and staff 2 had completed orientation training.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. A current allergy list was not available in each classroom where children were in care during the inspection. 2. The Program Director confirmed that an allergy list was not on file in any of the classrooms.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. Four areas of exposed landscape fabric was observed on the preschool playground. a. This is a trip hazard. 2. An exposed tree root , measuring approximately seven feet, was observed near the sidewalk area of the preschool playground. a. This is a trip hazard. 3. A fold up step ladder, measuring approximately four feet in height, was observed stored against the wall - beside a toilet in the three-year old bathroom. a. Injury could occur if the ladder were to fall on a child. 4. Two pairs of adult scissors and three pieces of wrapped candy were observed in an unlocked drawer in the two-year old classroom. This drawer was accessible to the children in this class. a. The adult scissors are not safe for children in this age group and the candy is of the size to be a choking hazard for children under the age of four years. 5. Standing water was observed inside of the water play table located outside near the Pre-K classroom door. a. Standing water is a breeding ground for insects.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: Grass and weeds were observed growing in the mulch around the outer fall zone perimeter of the two-year old outdoor play structure.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. A current allergy list was not available in each classroom where children were in care during the inspection. 2. The Program Director confirmed that an allergy list was not on file in any of the classrooms.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Evidence: 1. Four areas of exposed landscape fabric was observed on the preschool playground. a. This is a trip hazard. 2. An exposed tree root , measuring approximately seven feet, was observed near the sidewalk area of the preschool playground. a. This is a trip hazard. 3. A fold up step ladder, measuring approximately four feet in height, was observed stored against the wall - beside a toilet in the three-year old bathroom. a. Injury could occur if the ladder were to fall on a child. 4. Two pairs of adult scissors and three pieces of wrapped candy were observed in an unlocked drawer in the two-year old classroom. This drawer was accessible to the children in this class. a. The adult scissors are not safe for children in this age group and the candy is of the size to be a choking hazard for children under the age of four years. 5. Standing water was observed inside of the water play table located outside near the Pre-K classroom door. a. Standing water is a breeding ground for insects.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: Grass and weeds were observed growing in the mulch around the outer fall zone perimeter of the two-year old outdoor play structure.”