Childtime Learning Centers - Memory Lane

8VAC20-780-400-B Complaint related: No

“Repeat Violation: Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 05/07/2025, Staff #1 made child #1, age six years, help unclog a toilet after toileting. Staff #1 had child #1 put gloves on to help clear material from the toilet. Staff #1 stated they saw it as a teaching opportunity for child #1.”

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. There was no physical examination in the record of child #2, who had been enrolled for over three months.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #5 TB was dated three months prior to date of employment and has been employed for one month.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. On the Toddler/Pre-K Playground, paint was peeling and chipping off from the swing set where children were playing.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3 had a central registry search requested one day after their date of employment.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the older infant room, the foot-operated trashcan was not working, requiring staff to touch the exterior surface of the trash can.”

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. There was no physical examination in the record of child #2, who had been enrolled for over three months.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #5 TB was dated three months prior to date of employment and has been employed for one month.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. On the Toddler/Pre-K Playground, paint was peeling and chipping off from the swing set where children were playing.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3 had a central registry search requested one day after their date of employment.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the older infant room, the foot-operated trashcan was not working, requiring staff to touch the exterior surface of the trash can.”

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

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 12/16/2024, child #1 threw their cup on the floor during snack time. Staff #1 took the child and placed them back in the chair, grabbed the hand of child #1 and tapped the hand of the child to redirect behavior stating to the child, "that's not what we do."”

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

“The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by the standards. The center’s policy for inappropriate redirection states, ?No staff member is permitted to utilize any of the following means of punishment or redirection towards any child: Hitting, shaking, biting, pinching, pulling, pushing, the use of physical force, or inflicting any other form of corporal punishment to hurt a child.? On 12/16/2024, staff #1 and staff #2 were supervising a group of toddlers during snack time. Child #1 threw their cup on the floor where staff #1 grabbed the hand of child #1 and tapped the child’s hand.”

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

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On 12/16/2024, child #1 threw their cup on the floor during snack time where staff #1 grabbed the hand of child #1 and tapped the child’s hand and stated ?that's not what we do?.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #5, enrolled for 58 days, was missing the following required component: documentation of viewing proof of the child’s identity and age.”

8VAC20-780-70

“Staff records shall be kept for each staff person showing documentation that demonstrates that an individual possesses the education, certification, and experience required by the job position. Staff #2 did not have documentation of certification to evidence program lead qualifications. Staff #3 did not have documentation of certification to evidence program lead qualifications. Staff #5 did not have documentation of certification to evidence program lead qualifications.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. In the school age restroom, a bucket of paint and primer was located on the floor unlocked.”

8VAC20-780-140-A

“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. There was no physical examination in the record of child #5, who has been enrolled for 58 days.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #5, enrolled for 58 days, was missing the following required component: documentation of viewing proof of the child’s identity and age.”

8VAC20-780-70

“Staff records shall be kept for each staff person showing documentation that demonstrates that an individual possesses the education, certification, and experience required by the job position. Staff #2 did not have documentation of certification to evidence program lead qualifications. Staff #3 did not have documentation of certification to evidence program lead qualifications. Staff #5 did not have documentation of certification to evidence program lead qualifications.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. In the school age restroom, a bucket of paint and primer was located on the floor unlocked.”

8VAC20-780-140-A

“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. There was no physical examination in the record of child #5, who has been enrolled for 58 days.”

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

“Based on review of documentation and interview, the center did not ensure to maintain a written record of children's injuries that included the required information. Evidence: 1. The record of child #1 (date of enrollment: 8/27/2022) contained three incomplete injury reports. Two reports were missing the time of injury and one report was missing the date and time of injury. 2. Administration acknowledged that the reports were incomplete.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure that two staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #4 (date of employment: 9/20/2022) contained a health and safety update certificate dated 11/7/2022. The record did not contain the 2023 update training. The record of staff #5 (date of employment: 8/31/2022) contained a health and safety update certificate dated 8/25/2022. The record did not contain the 2023 update training. 2. The vendor acknowledged that the two staff had not completed the department's health and safety update course annually as required.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure that two staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #4 (date of employment: 9/20/2022) contained a health and safety update certificate dated 11/7/2022. The record did not contain the 2023 update training. The record of staff #5 (date of employment: 8/31/2022) contained a health and safety update certificate dated 8/25/2022. The record did not contain the 2023 update training. 2. The vendor acknowledged that the two staff had not completed the department's health and safety update course annually as required.”

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

“Based on interview, the center did not ensure that the threat of physical punishment was forbidden. Evidence: 1. In interview, staff #1 (date of employment: 9/5/2023) stated that she told child #1 (date of enrollment: 6/5/2023) that she was going to call the child’s father and he was going to spank him. Staff #1 acknowledged that her statement was a threat of physical punishment.”

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

“Based on review of documentation and interview, the center did not ensure that the center’s activities and services were maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. On 12/21/2023, the department received a complaint regarding allegations of inappropriate behavior guidance. In an interview on 1/11/2024, staff #1 (date of employment: 9/5/2023) stated that she told child #1 (age two) that she would call his father which would result in a spanking. She stated that child #1 was not listening and following directions when she threatened him. 2. The center’s family handbook contains a policy titled Positive Behavior Support. The policy reads: ?When children struggle with making appropriate behavior choices, our approach is to embrace these teachable moments by helping children learn social-emotional skills, through teaching, modeling, and coaching in the moment. Our teachers respond to children’s challenging behaviors, including physical aggression, in a manner that: provides for the safety of the child; provides for the safety of others in the classroom; is calm; is respectful to the child; and provides the child with information on acceptable behavior. Specifically, they will: use encouragement of good choices or behavior rather than focus only upon unacceptable behavior; remind a child of behavior expectations by using clear, positive statements, and modeling the desired behavior; use environmental modifications, activity modifications, adult or peer support, and other teaching strategies to support the child’s appropriate behavior; redirect behavior using positive statements; and reinforce children when they make good choices. 3. Staff #1 and administration acknowledged that the threat of physical punishment was in violation of the company’s discipline policies.”

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

“Based on interview, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. In interview, staff #1 (date of employment: 9/5/2023) stated that child #1 (age two) was not listening to instruction. Staff #1 stated that she said, ?Do I need to call daddy? Daddy and mommy are watching. If you do not listen, I am going to call daddy and he’s going to spank you.? 2. Administration acknowledged that staff #1?s actions were not constructive in nature or age and stage appropriate.”

8VAC20-790-600-F

“Based on a review of six staff records and interview, the vendor did not ensure that four staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #1 (date of hire 5/11/2018) did not contain a 2022 or 2023 annual health and safety update certificate. The record of staff #3 (date of employment: 3/7/2022) contained a health and safety update dated 3/2/2022. The record of staff #4 (date of employment: 11/6/2019) contained a health and safety update dated 3/13/2022. The record of staff #6 (date of employment: 8/17/2017) did not contain a 2022 or 2023 annual health and safety update certificate. 2. The vendor acknowledged that the certificates were not in the records and believed the most recently required annual updates to not have been completed by the 4 staff.”

8VAC20-780-60-A

“Based on a review of six children's records and interview, the center did not ensure that five children had records that contained the required information. Evidence: 1. The records of child #2 (date of enrollment: 8/7/2023), child #3 (date of enrollment: 8/1/2023), child #4 (date of enrollment: 8/3/2023), and child #5 (date of enrollment: 6/5/2023) contained incomplete emergency contact information. Children's records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The record of child #1 (date of enrollment: 3/15/2023) did not contain documentation of viewing proof of the child's identity and age. 3. Administration acknowledged that the records were incomplete.”

22.1-289.035-A

“Based on a review of six staff records and interview, the center did not ensure to obtain repeat background checks every five years for two staff as required. Evidence: 1. The record of staff #1 (date of employment: 5/11/2018) contained a central registry finding dated 7/2/2018, a sworn statement dated 4/24/2018 and a fingerprint background check dated 5/9/2018. The record of staff #6 (date of employment: 8/17/2017) contained a fingerprint background check dated 6/7/2018. 2. Administration acknowledged that the repeat background checks had not been conducted for staff #1 and staff #6.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. 16 children were observed in the care of two teachers in the two year old classroom. Of the 16 children in attendance, 11 children were signed in. 2. Administration acknowledged that five children were not signed in.”

8VAC20-780-140-A

“Based on a review of six children's records and interview, the center did not ensure that one child had physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of staff #5 (date of attendance: 6/5/2023) did not contain a physical. 2. Administration acknowledged that they did not have a physical record for child #5.”

8VAC20-790-600-F

“Based on a review of six staff records and interview, the vendor did not ensure that four staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #1 (date of hire 5/11/2018) did not contain a 2022 or 2023 annual health and safety update certificate. The record of staff #3 (date of employment: 3/7/2022) contained a health and safety update dated 3/2/2022. The record of staff #4 (date of employment: 11/6/2019) contained a health and safety update dated 3/13/2022. The record of staff #6 (date of employment: 8/17/2017) did not contain a 2022 or 2023 annual health and safety update certificate. 2. The vendor acknowledged that the certificates were not in the records and believed the most recently required annual updates to not have been completed by the 4 staff.”

8VAC20-780-60-A

“Based on a review of six children's records and interview, the center did not ensure that five children had records that contained the required information. Evidence: 1. The records of child #2 (date of enrollment: 8/7/2023), child #3 (date of enrollment: 8/1/2023), child #4 (date of enrollment: 8/3/2023), and child #5 (date of enrollment: 6/5/2023) contained incomplete emergency contact information. Children's records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The record of child #1 (date of enrollment: 3/15/2023) did not contain documentation of viewing proof of the child's identity and age. 3. Administration acknowledged that the records were incomplete.”

22.1-289.035-A

“Based on a review of six staff records and interview, the center did not ensure to obtain repeat background checks every five years for two staff as required. Evidence: 1. The record of staff #1 (date of employment: 5/11/2018) contained a central registry finding dated 7/2/2018, a sworn statement dated 4/24/2018 and a fingerprint background check dated 5/9/2018. The record of staff #6 (date of employment: 8/17/2017) contained a fingerprint background check dated 6/7/2018. 2. Administration acknowledged that the repeat background checks had not been conducted for staff #1 and staff #6.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. 16 children were observed in the care of two teachers in the two year old classroom. Of the 16 children in attendance, 11 children were signed in. 2. Administration acknowledged that five children were not signed in.”

8VAC20-780-140-A

“Based on a review of six children's records and interview, the center did not ensure that one child had physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of staff #5 (date of attendance: 6/5/2023) did not contain a physical. 2. Administration acknowledged that they did not have a physical record for child #5.”

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

“Based on observation and interview, the center did not ensure that children under the age of three years were changed on a changing table or countertop designated for changing. Evidence: 1. In interview, staff #1 stated that the children in the toddler classroom (ages 16-24 months) were sometimes changed while standing up. Two additional staff stated that they had observed toddler aged children not being changed on a table. 2. Administration acknowledged that the children in the toddler room were not being changed on the table as required.”

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

“Based on interview, the center did not ensure that behavior guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. On 4/17/2023, it was reported that staff #1 was speaking to an administrator about an incident that had occurred between themselves and child #1?s parent earlier that morning. Child #1?s parent had reportedly requested that her child be separated from specific other children due to a conflict that had occurred on 4/10/2023 and staff #1 was upset about the confrontation. Child #1 reported that she said she knew that staff #1 was speaking about her parent and that staff #1 said, ?Go tell your mom, I don?t care.? In an interview, staff #1 confirmed that when she heard child #1 state that she was talking about her mom, she did say, ?You can go tell her that, I don?t care.? Staff #1 acknowledged that the statement was inappropriate and not constructive and stated she was ?overwhelmed.? 2. Administration acknowledged that the statement that staff #1 made to the child was not appropriate.”

8VAC20-790-600-D-1

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current CPR certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-790-600-D-2

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current first aid certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-780-420-E-3

“Based on a review of six (6) child records and interview, the center did not ensure that two (2) records contained documentation of parent confirmation that the required information in the child's record was up to date at least annually as required. Evidence: 1. The records of child #5 (date of attendance: 1/29/21) and child #6 (date of attendance: 1/29/21) did not contain documentation of an annual review/update. 2. Administration acknowledged that there was not documentation of the review.”

8VAC20-780-160-A

“Based on a review of six (6) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one (1) staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained a TB screening dated 11/27/21. 2. Administration acknowledged that the TB screening did not occur within the required time frame.”

8VAC20-780-70

“Based on a review of six (6) staff records and interview, the center did not ensure that one (1) staff record was kept that contained the required information. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained references dated 4/12/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were obtained after employment.”

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

“Based on interview, the center did not ensure that behavior guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. On 4/17/2023, it was reported that staff #1 was speaking to an administrator about an incident that had occurred between themselves and child #1?s parent earlier that morning. Child #1?s parent had reportedly requested that her child be separated from specific other children due to a conflict that had occurred on 4/10/2023 and staff #1 was upset about the confrontation. Child #1 reported that she said she knew that staff #1 was speaking about her parent and that staff #1 said, ?Go tell your mom, I don?t care.? In an interview, staff #1 confirmed that when she heard child #1 state that she was talking about her mom, she did say, ?You can go tell her that, I don?t care.? Staff #1 acknowledged that the statement was inappropriate and not constructive and stated she was ?overwhelmed.? 2. Administration acknowledged that the statement that staff #1 made to the child was not appropriate.”

8VAC20-790-600-D-1

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current CPR certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-790-600-D-2

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current first aid certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-780-420-E-3

“Based on a review of six (6) child records and interview, the center did not ensure that two (2) records contained documentation of parent confirmation that the required information in the child's record was up to date at least annually as required. Evidence: 1. The records of child #5 (date of attendance: 1/29/21) and child #6 (date of attendance: 1/29/21) did not contain documentation of an annual review/update. 2. Administration acknowledged that there was not documentation of the review.”

8VAC20-780-160-A

“Based on a review of six (6) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one (1) staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained a TB screening dated 11/27/21. 2. Administration acknowledged that the TB screening did not occur within the required time frame.”

8VAC20-780-70

“Based on a review of six (6) staff records and interview, the center did not ensure that one (1) staff record was kept that contained the required information. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained references dated 4/12/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were obtained after employment.”

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

“Based on interview, the center did not ensure that behavior guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. On 4/17/2023, it was reported that staff #1 was speaking to an administrator about an incident that had occurred between themselves and child #1?s parent earlier that morning. Child #1?s parent had reportedly requested that her child be separated from specific other children due to a conflict that had occurred on 4/10/2023 and staff #1 was upset about the confrontation. Child #1 reported that she said she knew that staff #1 was speaking about her parent and that staff #1 said, ?Go tell your mom, I don?t care.? In an interview, staff #1 confirmed that when she heard child #1 state that she was talking about her mom, she did say, ?You can go tell her that, I don?t care.? Staff #1 acknowledged that the statement was inappropriate and not constructive and stated she was ?overwhelmed.? 2. Administration acknowledged that the statement that staff #1 made to the child was not appropriate.”

8VAC20-790-600-D-1

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current CPR certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-790-600-D-2

“Based on a review of six (6) staff records and interview, the vendor did not ensure that two (2) staff who worked directly with children had within 90 days of the date of employment: current certification in first aid appropriate to the ages of children in care. Evidence: 1. The records of staff #5 (date of employment: 8/31/2022) and staff #6 (date of employment: 8/31/2022) did not contain documentation of a current first aid certification. 2. The vendor acknowledged that the two staff were not certified.”

8VAC20-780-420-E-3

“Based on a review of six (6) child records and interview, the center did not ensure that two (2) records contained documentation of parent confirmation that the required information in the child's record was up to date at least annually as required. Evidence: 1. The records of child #5 (date of attendance: 1/29/21) and child #6 (date of attendance: 1/29/21) did not contain documentation of an annual review/update. 2. Administration acknowledged that there was not documentation of the review.”

8VAC20-780-160-A

“Based on a review of six (6) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one (1) staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained a TB screening dated 11/27/21. 2. Administration acknowledged that the TB screening did not occur within the required time frame.”

8VAC20-780-70

“Based on a review of six (6) staff records and interview, the center did not ensure that one (1) staff record was kept that contained the required information. Evidence: 1. The record of staff #4 (date of employment: 4/10/2023) contained references dated 4/12/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were obtained after employment.”

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

“Based on observation and interview, the center did not ensure that in inside areas occupied by children, the temperature was maintained no lower than 68?F. Evidence: 1. On 3/13/2023 at approximately 9:30 am, the department received a complaint that the toddler classroom had a thermostat reading of 67 degrees. The inspector arrived on site at approximately 9:38 am. Upon arrival, the thermostat reading was 68 degrees. In interview, staff and administration confirmed that it was brought to their attention from a parent that the room "felt cold" and the thermostat reading was 67 degrees. There were 5 children present in the classroom. During the investigation, the center's maintenance arrived to fix the issue and the children were relocated to another classroom. 2. Administration acknowledged that the temperature was 67 degrees at the time the issue was brought to their attention.”

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

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside were maintained in a clean, safe and operable condition. Evidence: 1. On 2/22/2023, over 10 areas of chipped and peeling paint were observed in the school age classroom and hallway. 2. Administration acknowledged that areas required maintenance.”

8VAC20-780-560-F Complaint related: Yes

“Based on review of documentation and interview, the center did not ensure that when choosing to serve meals, they follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. A menu was observed that was dated 1/30-2/3/2023. On Wednesday 2/1/2023, the afternoon snack consisted of pretzels and water. Snacks are required to contain two (2) of the five (5) food components. 2. Administration acknowledged that the snack only contained one (1) of the two (2) required components.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on review of documentation and interview, the center did not ensure to maintain the staff-to-children ratio of 1:10 for children aged three (3) up to school age eligible as required. Evidence: 1. In interview, the director stated that the preschool classroom was out of ratio on 2/16/2023 from approximately 8:27 am to 8:36 am. 2. In interview with staff, two (2) staff stated that they had been one (1) to three (3) children over ratio on multiple occasions over the preceding two (2) months in the preschool room. In interview, one (1) of the staff stated that they had been ?out of the ratio for an hour or so at times." 3. Administration acknowledged that the preschool classroom had been over the 1:10 ratio in the preschool room due to staffing issues.”

8VAC20-780-540-C

“Based on observation and interview, the center's first aid kit used for field trips and transportation did not contain the required supplies. Evidence: 1. The first aid kit on the center's bus was inspected on 11/15/2022. The kit was missing an instructional manual, thermometer, antiseptic and tweezers. 2. Administration acknowledged that the kit was not complete.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Rust was observed on the fence in the infant playground and on two cabinet handles in the toddler classroom. 2. Administration acknowledged that the areas contained rust.”

8VAC20-780-540-C

“Based on observation and interview, the center's first aid kit used for field trips and transportation did not contain the required supplies. Evidence: 1. The first aid kit on the center's bus was inspected on 11/15/2022. The kit was missing an instructional manual, thermometer, antiseptic and tweezers. 2. Administration acknowledged that the kit was not complete.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Rust was observed on the fence in the infant playground and on two cabinet handles in the toddler classroom. 2. Administration acknowledged that the areas contained rust.”

22VAC40-185-340-F

“Based on review of documentation, video review and interview, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. On 5/9/2022, it was determined that child #1 (13 months old) was not within sight and sound of a staff member for approximately 18 minutes when the child left the classroom and entered the playground through an unsecured door. 2. Administration acknowledged in writing on 5/17/2022 that the staff members failed to comply with safety policies by ensuring to properly supervise a child by ensuring direct line of sight, auditory awareness, or knowledge of the physical proximity of the child.”

22VAC40-185-340-A

“Based on review of documentation, video review and interview, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On 5/9/2022, child #1 (DOE: 1/10/2022) pushed open an unsecured door in the infant classroom and entered a playground area. After child #1 was observed entering the playground, Teacher #1 (DOH: 3/28/2022) noticed that the door was not secure when another child was playing by the door and she heard clicking noises. She moved the child and pulled the door completely shut, leaving child #1 locked outside. Teacher #2 (DOH: 11/6/2019) noticed that child #1 was missing and brought it to teacher #1?s attention. After searching the classroom, teacher #1 opened the back door to the playground and found child #1 outside. It was determined through video that the child was unsupervised outside for approximately 18 minutes. 2. Administration acknowledged that the door was not secure which resulted in the child’s unsupervised separation from her caregivers.”

22.1-289.035-B-4 Complaint related: No

“Based on record review and interview, the center did not ensure to obtain a criminal history record check, sex offender registry check, and child abuse and neglect registry check from any state in which the individual had resided within the preceding five years. Evidence: 1. The record of staff # 1 (DOH: 10/11/2021) contained the results of a sworn statement that indicated that the staff resided outside of Virginia within the preceding 5 years. The record did not contain the results of an out of state criminal history record check, sex offender name check or child abuse and neglect registry for 1 of the 2 states listed. 2. Administration acknowledged that the out of state background checks were missing.”

8VAC20-780-160-A Complaint related: No

“Based on record review and interview, the center did not ensure to obtain the results of a tuberculosis screening for each staff within the required time frame. Evidence: 1. The record of staff #1 (DOH: 10/11/2021) did not contain the results of a tuberculosis screening. 2. Administration acknowledged that the screening was missing.”

8VAC20-780-70 Complaint related: No

“Based on record review and interview, the center did not ensure to obtain documentation of two or more references as to character and reputation as well as competency were checked before employment for each staff as required. Evidence: 1. The record of staff #2 (DOH: 10/22/2021) contained documentation of 2 references dated 11/1/2021. 2. Administration acknowledged that the references were received after hire.”

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

“Based on record review and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: 1. During interview, it was stated that staff #2 was the lead teacher of the preschool/pre Kindergarten classroom. The record of staff #2 did not contain documentation of lead teacher qualifications. 2. Administration acknowledged that neither staff in the classroom met the lead teacher qualifications.”

8VAC20-780-350-C Complaint related: No

“Based on observation and interview, the center did not ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1.On 2/8/2022, the Preschool/Pre-Kindergarten classroom had 2 staff supervising 24 children ranging in age from 3-11 years for approximately 15 minutes. 2. Staff and center administration were interviewed and acknowledged that the school age children joined the classroom each afternoon which resulted in the classroom being over ratio by 5-15 children.”

8VAC20-770-60-C-2 Complaint related: No

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment as required. Evidence: 1. The records of staff #1 (DOH:10/11/2021) and staff #2 (DOH: 10/22/2021) did not contain the results of a central registry background check. 2. Administration acknowledged that the central registry background checks had not been received.”

22VAC40-185-280-B Complaint related: No

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Cleaning chemicals were observed in an unlocked classroom. The disinfecting wipes contained the warnings: hazard to humans, and the alcohol wipes contained the warnings: flammable and keep out of the reach of children. 2. Administration acknowledged that the classroom was unlocked.”

22VAC40-185-350-C Complaint related: No

“Based on observation and interview, the center did not ensure that when children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. The licensing inspector arrived on site at 7:33 am. At 7:40 am, one staff was observed with 11 children ranging in ages from 2 to 9 years in the preschool gathering room. At 7:48 am one staff was observed with 19 children ranging in ages from 2-9 years. At 7:58 am, two staff were observed with 24 children ranging from ages 2-9 years. At 8:00 am, two additional staff arrived and the ratio was able to be maintained. 2. Staff were interviewed and acknowledged that there have been mornings where ratio could not be maintained in the gathering room due to staff calls outs or unexpected changes in child arrival times. Administration stated that they were reviewing arrival times and making necessary adjustments to the schedule so ratio could be maintained.”