Creative Gardens Ashburn Village

8VAC20-780-500-B

“Based on observation, the center did not meet all diapering requirements. Evidence: 1. In the Tator Tots classroom, a trash can was being used for disposable diapers. The foot operated trash can was not working properly and the lid was not opening by stepping on the foot pedal.”

8VAC20-780-270-A

“Repeat Violation Based on observation, Areas of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Butterflies classroom, a wood shelf fabric backing was unattached approximately 36 inches long. The play kitchen was missing a piece creating 2 small holes on the top surface. 2. In the Jumping Beans classroom, a sink was missing from the play kitchen and the easel was missing 2 paint cups. 3. The toddler playground tree structure had a large crack in it approximately 6 inches going horizontal and approximately 6 inches going perpendicular in the shape of a 7). 4. The school age playground large structure had a large crack approximately 12 inches long on the 4th step and the rubber coating was peeling off one of the higher steps and also was peeling on the above platform.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 and Staff #2 had the person listed to be notified in an emergency with their phone number, but did not have the emergency contact's address.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Garden Gnomes classroom, a spray bottle of sanitizer and floor cleaner were inside a high cabinet in the classroom that was not locked.”

22.1-289.035-B-4

“Based on review of staff records, the center did not obtain a copy of the results of a sex offender registry check (prior to the 1st day of employment) and a search of the child abuse and neglect registry (requested by the end of 30th Day of Employment) from any state in which the individual had resided in the preceding five years. Evidence: 1. Staff #1 (Date of hire 11/20/2023 and last date of employment 2/21/2024) lived in another State in the last 5 years and the center received the Sex offender registry check on 12/13/2023 after the date of hire. 2. Staff #2 (Date of hire 10/09/2023 and last date of employment 2/07/2024) lived in another State in the last 5 years and the center did not have record of the Sex offender registry check or the request for the child abuse and neglect registry or the results.”

8VAC20-780-240-I

“Repeat Violation Based on review of the orientation documentation kept by the center, the document did not include all required information. Evidence: 1. The orientation form for staff #1 and staff #2 did not include the training delivery method and did not include the entity or individual providing the training.”

8VAC20-780-500-B

“Based on observation, the center did not meet all diapering requirements. Evidence: 1. In the Tator Tots classroom, a trash can was being used for disposable diapers. The foot operated trash can was not working properly and the lid was not opening by stepping on the foot pedal.”

8VAC20-780-270-A

“Repeat Violation Based on observation, Areas of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Butterflies classroom, a wood shelf fabric backing was unattached approximately 36 inches long. The play kitchen was missing a piece creating 2 small holes on the top surface. 2. In the Jumping Beans classroom, a sink was missing from the play kitchen and the easel was missing 2 paint cups. 3. The toddler playground tree structure had a large crack in it approximately 6 inches going horizontal and approximately 6 inches going perpendicular in the shape of a 7). 4. The school age playground large structure had a large crack approximately 12 inches long on the 4th step and the rubber coating was peeling off one of the higher steps and also was peeling on the above platform.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 and Staff #2 had the person listed to be notified in an emergency with their phone number, but did not have the emergency contact's address.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Garden Gnomes classroom, a spray bottle of sanitizer and floor cleaner were inside a high cabinet in the classroom that was not locked.”

22.1-289.035-B-4

“Based on review of staff records, the center did not obtain a copy of the results of a sex offender registry check (prior to the 1st day of employment) and a search of the child abuse and neglect registry (requested by the end of 30th Day of Employment) from any state in which the individual had resided in the preceding five years. Evidence: 1. Staff #1 (Date of hire 11/20/2023 and last date of employment 2/21/2024) lived in another State in the last 5 years and the center received the Sex offender registry check on 12/13/2023 after the date of hire. 2. Staff #2 (Date of hire 10/09/2023 and last date of employment 2/07/2024) lived in another State in the last 5 years and the center did not have record of the Sex offender registry check or the request for the child abuse and neglect registry or the results.”

8VAC20-780-240-I

“Repeat Violation Based on review of the orientation documentation kept by the center, the document did not include all required information. Evidence: 1. The orientation form for staff #1 and staff #2 did not include the training delivery method and did not include the entity or individual providing the training.”

8VAC20-780-500-B

“Based on observation, the center did not meet all diapering requirements. Evidence: 1. In the Tator Tots classroom, a trash can was being used for disposable diapers. The foot operated trash can was not working properly and the lid was not opening by stepping on the foot pedal.”

8VAC20-780-270-A

“Repeat Violation Based on observation, Areas of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Butterflies classroom, a wood shelf fabric backing was unattached approximately 36 inches long. The play kitchen was missing a piece creating 2 small holes on the top surface. 2. In the Jumping Beans classroom, a sink was missing from the play kitchen and the easel was missing 2 paint cups. 3. The toddler playground tree structure had a large crack in it approximately 6 inches going horizontal and approximately 6 inches going perpendicular in the shape of a 7). 4. The school age playground large structure had a large crack approximately 12 inches long on the 4th step and the rubber coating was peeling off one of the higher steps and also was peeling on the above platform.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 and Staff #2 had the person listed to be notified in an emergency with their phone number, but did not have the emergency contact's address.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Garden Gnomes classroom, a spray bottle of sanitizer and floor cleaner were inside a high cabinet in the classroom that was not locked.”

22.1-289.035-B-4

“Based on review of staff records, the center did not obtain a copy of the results of a sex offender registry check (prior to the 1st day of employment) and a search of the child abuse and neglect registry (requested by the end of 30th Day of Employment) from any state in which the individual had resided in the preceding five years. Evidence: 1. Staff #1 (Date of hire 11/20/2023 and last date of employment 2/21/2024) lived in another State in the last 5 years and the center received the Sex offender registry check on 12/13/2023 after the date of hire. 2. Staff #2 (Date of hire 10/09/2023 and last date of employment 2/07/2024) lived in another State in the last 5 years and the center did not have record of the Sex offender registry check or the request for the child abuse and neglect registry or the results.”

8VAC20-780-240-I

“Repeat Violation Based on review of the orientation documentation kept by the center, the document did not include all required information. Evidence: 1. The orientation form for staff #1 and staff #2 did not include the training delivery method and did not include the entity or individual providing the training.”

8VAC20-780-40-H

“Based on interview and review of records, the center did not provide evidence of insurance coverage for public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: 1. Staff stated they did not have the insurance certificate to show the evidence of the required liability insurance.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain documentation of a negative tuberculosis screening for each staff member at the time of employment. Evidence: 1. Staff #3 (start date 2/21/2023) did not have documentation of a negative tuberculosis screening in the staff file.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1's file (start date 8/07/2023) did not have record of the child's immunizations.”

8VAC20-780-270-A

“Repeat Violation Based on observation, Areas of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. Two black borders had large cracks (approximately 1/2 the length of each border) in them that hold the mulch inside the playground area. 2. In Classroom 4, the paint was chipping near the allergy list. 3. In Classroom 1, the paint was chipping approximately the size of a quarter on the back wall. 4. In Classroom 5, the paint was chipping under the cubbies and to the right of the cubbies. 5. The base of the 4th step on the school age playground equipment had a large crack approximately 7 inches long.”

8VAC20-780-290-A-3

“Based on observation, the center failed to cover all unused electrical outlets with protective covers. Evidence: 1. One unused electrical outlet in Classroom 5 was not covered with a protective cover.”

8VAC20-780-520-C

“Based on observation, the center did not meet all requirements when using diaper ointment or cream. Evidence: 1. In Classroom 3, a Balmex ointment was inside a drawer in the bathroom children use and was not kept inaccessible to children.”

8VAC20-780-260-A

“Based on review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last fire inspection report was dated 3/31/2022.”

8VAC20-780-240-I

“Based on review of the orientation documentation kept by the center, the document did not include all required information. Evidence: 1. The orientation form did not include the training delivery method and did not include all training topics. One topic missing was the CPR training withing 30 days. The other topic was the shaken baby syndrome and abusive head trauma.”

8VAC20-780-240-C

“Based on review of the orientation document, the orientation training did not include all of the required topics. Evidence: 1. The orientation form for all three staff did not include topics on prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1, Staff #2 and Staff #3 had the person listed to be notified in an emergency with their phone number, but did not have the emergency contact's address.”

8VAC20-780-40-G

“Based on record review, the center did not meet the proof of child identity and age requirements in ? 22.1-289.049 of the Code of Virginia. Evidence: 1. Child #1 (start date 8/07/2023) did not have record of providing the center proof of the child's identity.”

8VAC20-780-40-H

“Based on interview and review of records, the center did not provide evidence of insurance coverage for public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: 1. Staff stated they did not have the insurance certificate to show the evidence of the required liability insurance.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain documentation of a negative tuberculosis screening for each staff member at the time of employment. Evidence: 1. Staff #3 (start date 2/21/2023) did not have documentation of a negative tuberculosis screening in the staff file.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1's file (start date 8/07/2023) did not have record of the child's immunizations.”

8VAC20-780-270-A

“Repeat Violation Based on observation, Areas of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. Two black borders had large cracks (approximately 1/2 the length of each border) in them that hold the mulch inside the playground area. 2. In Classroom 4, the paint was chipping near the allergy list. 3. In Classroom 1, the paint was chipping approximately the size of a quarter on the back wall. 4. In Classroom 5, the paint was chipping under the cubbies and to the right of the cubbies. 5. The base of the 4th step on the school age playground equipment had a large crack approximately 7 inches long.”

8VAC20-780-290-A-3

“Based on observation, the center failed to cover all unused electrical outlets with protective covers. Evidence: 1. One unused electrical outlet in Classroom 5 was not covered with a protective cover.”

8VAC20-780-520-C

“Based on observation, the center did not meet all requirements when using diaper ointment or cream. Evidence: 1. In Classroom 3, a Balmex ointment was inside a drawer in the bathroom children use and was not kept inaccessible to children.”

8VAC20-780-260-A

“Based on review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last fire inspection report was dated 3/31/2022.”

8VAC20-780-240-I

“Based on review of the orientation documentation kept by the center, the document did not include all required information. Evidence: 1. The orientation form did not include the training delivery method and did not include all training topics. One topic missing was the CPR training withing 30 days. The other topic was the shaken baby syndrome and abusive head trauma.”

8VAC20-780-240-C

“Based on review of the orientation document, the orientation training did not include all of the required topics. Evidence: 1. The orientation form for all three staff did not include topics on prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1, Staff #2 and Staff #3 had the person listed to be notified in an emergency with their phone number, but did not have the emergency contact's address.”

8VAC20-780-40-G

“Based on record review, the center did not meet the proof of child identity and age requirements in ? 22.1-289.049 of the Code of Virginia. Evidence: 1. Child #1 (start date 8/07/2023) did not have record of providing the center proof of the child's identity.”

8VAC20-780-50-A

“Based on observation, staff and children's records werenot treated confidentially. Evidence: 1. In the Pre-K classroom, a list of children's allergies and dietary restrictions/preferences were posted on the wall in the classroom and were not kept confidential. 2. The supplemental page of the inspection dated 9/28/2023 was posted on the parent bulletin board and is considered confidential.”

8VAC20-780-550-F

“Based on interview and review of the drill records, the center did not practice the lock down procedures at least annually. Evidence: 1. The center did not have documentation of practicing the lock down drill procedure in 2022.”

8VAC20-780-420-E-3

“Based on interview, the center did not obtain parent confirmation that the required information in the child's record is up to date. Evidence: 1. Staff E stated they did not have parent confirmation that the required information in Child #1(start date 8/10/2020) or Child #3 (start date 6/01/2021) files were up to date.”

8VAC20-780-270-A

“Based on observation, Areas of the center outside were not maintained in a safe and operable condition. Evidence: 1. Two black borders had large cracks in them that hold the mulch inside the playground area.”

8VAC20-780-550-E

“Based on review of the shelter in place drill record, the center did not practice Shelter in place procedures twice a year. Evidence: 1. The center practiced the Shelter in place procedures on 1/24/2022, but did not practice the drill a 2nd time in 2022.”

8VAC20-790-600-F

“Based on record review, the ten staff did not take the annual safety update course. Evidence: 1. Staff A-Last update 11/28/2021, Staff C-Last update 11/27/2021, Staff D-Last update 10/11/2021, Staff E-Last update 3/05/2021, Staff F-last update 11/28/2021, Staff H-last update 11/24/2021, Staff I-last update 4/15/2021, Staff J-last update 10/26/2018, Staff K-last update 11/27/2021 and Staff L-last update 11/25/2021.”

8VAC20-780-50-A

“Based on observation, staff and children's records werenot treated confidentially. Evidence: 1. In the Pre-K classroom, a list of children's allergies and dietary restrictions/preferences were posted on the wall in the classroom and were not kept confidential. 2. The supplemental page of the inspection dated 9/28/2023 was posted on the parent bulletin board and is considered confidential.”

8VAC20-780-550-F

“Based on interview and review of the drill records, the center did not practice the lock down procedures at least annually. Evidence: 1. The center did not have documentation of practicing the lock down drill procedure in 2022.”

8VAC20-780-420-E-3

“Based on interview, the center did not obtain parent confirmation that the required information in the child's record is up to date. Evidence: 1. Staff E stated they did not have parent confirmation that the required information in Child #1(start date 8/10/2020) or Child #3 (start date 6/01/2021) files were up to date.”

8VAC20-780-270-A

“Based on observation, Areas of the center outside were not maintained in a safe and operable condition. Evidence: 1. Two black borders had large cracks in them that hold the mulch inside the playground area.”

8VAC20-780-550-E

“Based on review of the shelter in place drill record, the center did not practice Shelter in place procedures twice a year. Evidence: 1. The center practiced the Shelter in place procedures on 1/24/2022, but did not practice the drill a 2nd time in 2022.”

8VAC20-790-600-F

“Based on record review, the ten staff did not take the annual safety update course. Evidence: 1. Staff A-Last update 11/28/2021, Staff C-Last update 11/27/2021, Staff D-Last update 10/11/2021, Staff E-Last update 3/05/2021, Staff F-last update 11/28/2021, Staff H-last update 11/24/2021, Staff I-last update 4/15/2021, Staff J-last update 10/26/2018, Staff K-last update 11/27/2021 and Staff L-last update 11/25/2021.”

8VAC20-790-600-D-1

“Based on record review, two staff do not currently have certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1. Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) do not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-600-D-2

“Based on record review, two staff do not currently have certification in first aid appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1.Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) do not have current certification in first aid training.”

8VAC20-790-600-F

“Based on record review, the four staff did not take the annual safety update course. Evidence: 1. Staff A (start date 6/20/2020) took the annual safety update course on 8/20/2021. 2. Staff E(start date 4/08/2021) took the annual safety update course on 4/15/2021. 4. Staff F (start date 6/01/2020) took the annual safety update course on 3/05/2021. 5. Staff G (start date 8/17/2021) took the annual safety update course on 9/15/2021.”

8VAC20-780-270-A

“Based on observation, Areas and equipment of the center outside were not maintained in a safe and operable condition. Evidence: 1. A blue riding toy was missing a piece on the back. 2. The splash pad blue carpet had approximately 15 areas of missing carpet. 3. A stake around the tree that holds the black border was protruding. 4. Rust was visible on two steps to the purple and green slide. 5. The swing set had one broken swing that was in two pieces. 6. The large play structure had a step that was peeling.”

8VAC20-780-240-E

“Based on review of staff training, one staff member did not complete orientation training in first aid. Evidence: 1. Staff #1 (date of hire 8/22/2022) completed cardiopulmonary resuscitation (CPR) training on 9/20/2022, but did not complete training in First Aid. 2. Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) did not compete orientation training in first aid and CPR within 30 days of the first day of employment.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence; 1. The 1st page of the violation report from the inspection dated 3/15/2022 was not posted on the bulletin board.”

8VAC20-780-150-B

“Based on review of children's records, the center did not have reports of a physical examination and immunization signed by a physician, his designee, or an official of a local health department and was not dated. Evidence: 1. Child #4's file (start date 7/06/2022) had an immunization record, but it was not signed and did not have the child's physical signed.”

8VAC20-780-40-G

“Based on review, the center did not obtain proof of child identity and age within 7 days of attendance for two children. Evidence: 1. Child #1 (start date 6/01/2022) and Child #4 (start date 7/06/2022) did not have documentation of proof of child identity.”

8VAC20-770-60-C-2

“Based on review of staff records, the center did not obtain the central registry findings for a staff member within 30 days of employment. Evidence: 1. Staff #1 (Date of hire 8/22/2022) had documentation that a request was sent 8/22/2022, but the center did not have the findings in the record and did not follow up within 30 days.”

8VAC20-780-240-A

“Based on training review, three staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #5(12/15/2021 hire date), Staff #6 (3/17/2022 hire date) and Staff #7 (5/26/2022 hire date) did not complete the 10 hour Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.”

8VAC20-780-420-E-3

“Based on review, the center did not obtain parent confirmation that the required information in the child's record is up to date. Evidence: 1. Child #1 (Start date 6/01/2021) did not have documentation that the required information in the child's record is up to date. 2. Child #3 (Start date 4/26/2021) did not have documentation that the required information in the child's record is up to date. The last allergy action plan was dated 4/26/2021.”

8VAC20-780-500-B

“Based on observation, the center did not meet all requirements for diapering. Evidence: 1. Classroom #3 had a diaper changing pad that had a 2 inch (approximately) crack on the surface and was considered absorbent. The diapering surface also had a cup of children's milk on the table. 2. Classroom #4 had a trash can in the bathroom with diapers in it. It was not foot operated. The lid was under the trashcan and not connected. 3. Classroom 7 had a foot operated trashcan, but it was broke and not connected on one side.”

8VAC20-780-40-M

“Based on observation and interview, the center did not maintain a current dated written list of all children's allergies, sensitivities, and dietary restrictions and did not keep it in each room or area where children are present. Evidence: 1. The center did not have a current written list of all children's allergies, sensitivities, and dietary restrictions. Rm. 6 classroom had a list, but it was dated 2/01/2022 and was not up to date.”

8VAC20-780-140-A

“Based on review of children's records, the center did not obtain a physical examination for a child within 30 days of the child's start date. Evidence: 1. Child #4's file (start date 7/06/2022) did not have a copy of the child's physical examination.”

8VAC20-780-50-A

“Based on observation, children's records were not treated confidentially. Evidence: 1. In the Pre-K classroom, three children's allergies and dietary restrictions/preferences were posted on the wall in the classroom and were not kept confidential.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1, Staff #2, Staff #3 and Staff #4 did not have the address of a person to be notified in an emergency at the center. 2. Staff #1 (date of hire 8/22/2022) and Staff #3 (date of hire 9/05/2022) were missing two references. Staff #2 (date of hire 8/24/2022) and Staff #4 (date of hire 9/07/2022) were missing one reference.”

8VAC20-780-520-B

“Based on observation, the center did not meet all requirements when using sunscreen. Evidence: 1. Classroom #3 had 2 sunscreens in bins in the classroom and were within reach of children.”

8VAC20-780-510-P

“Based on review of medication, the center did not dispose of medication within 14 days when a parent did not pick up medication that had an expired authorization. Evidence: 1. Child #5 had two medications with authorizations dated 3/17/2022 and the center did not dispose of them. The medications had also expired in August 2022. 2. Child #6 had two medications with authorizations dated 7/23/2022 and the center did not dispose of them.”

8VAC20-780-60-A-8

“Based on review of children with allergies, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child #2, Child #4 and Child #5 had a diagnosed food allergy and the center did not have a written care plan for each child with instructions from a physician..”

8VAC20-780-60-A

“Based on record review, children's records did not have complete information. Evidence: 1. Child #1 (start date 6/01/2021) did not have an annual update or proof of birth documented in the record. 2. Child #3 (start date 11/30/2020) did not have the parent's place of employment, work address, work phone number, two emergency contact addresses and the annual update. 3. Child #4 (start date 7/06/2022) did not have proof of birth documented, documentation of immunizations and physical signed by a physician, his designee or local health department. 4. Child #5 (start date ?) did not have the parent's address, work information, one emergency contact address and one emergency contact name, address and telephone number, previous schools attended and the parent agreement.”

8VAC20-780-520-C

“Based on observation, the center did not meet all requirements when using diaper ointment or cream. Evidence: 1. Classroom 4 had 5 diaper creams in low bins in the bathroom children use and were within reach of children.”

8VAC20-790-600-D-1

“Based on record review, two staff do not currently have certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1. Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) do not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-790-600-D-2

“Based on record review, two staff do not currently have certification in first aid appropriate to the ages of children in care and did not receive within 90 days of employment. Evidence: 1.Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) do not have current certification in first aid training.”

8VAC20-790-600-F

“Based on record review, the four staff did not take the annual safety update course. Evidence: 1. Staff A (start date 6/20/2020) took the annual safety update course on 8/20/2021. 2. Staff E(start date 4/08/2021) took the annual safety update course on 4/15/2021. 4. Staff F (start date 6/01/2020) took the annual safety update course on 3/05/2021. 5. Staff G (start date 8/17/2021) took the annual safety update course on 9/15/2021.”

8VAC20-780-270-A

“Based on observation, Areas and equipment of the center outside were not maintained in a safe and operable condition. Evidence: 1. A blue riding toy was missing a piece on the back. 2. The splash pad blue carpet had approximately 15 areas of missing carpet. 3. A stake around the tree that holds the black border was protruding. 4. Rust was visible on two steps to the purple and green slide. 5. The swing set had one broken swing that was in two pieces. 6. The large play structure had a step that was peeling.”

8VAC20-780-240-E

“Based on review of staff training, one staff member did not complete orientation training in first aid. Evidence: 1. Staff #1 (date of hire 8/22/2022) completed cardiopulmonary resuscitation (CPR) training on 9/20/2022, but did not complete training in First Aid. 2. Staff #6 (date of hire 3/17/2022) and Staff #7 (date of hire 5/26/2022) did not compete orientation training in first aid and CPR within 30 days of the first day of employment.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence; 1. The 1st page of the violation report from the inspection dated 3/15/2022 was not posted on the bulletin board.”

8VAC20-780-150-B

“Based on review of children's records, the center did not have reports of a physical examination and immunization signed by a physician, his designee, or an official of a local health department and was not dated. Evidence: 1. Child #4's file (start date 7/06/2022) had an immunization record, but it was not signed and did not have the child's physical signed.”

8VAC20-780-40-G

“Based on review, the center did not obtain proof of child identity and age within 7 days of attendance for two children. Evidence: 1. Child #1 (start date 6/01/2022) and Child #4 (start date 7/06/2022) did not have documentation of proof of child identity.”

8VAC20-770-60-C-2

“Based on review of staff records, the center did not obtain the central registry findings for a staff member within 30 days of employment. Evidence: 1. Staff #1 (Date of hire 8/22/2022) had documentation that a request was sent 8/22/2022, but the center did not have the findings in the record and did not follow up within 30 days.”

8VAC20-780-240-A

“Based on training review, three staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #5(12/15/2021 hire date), Staff #6 (3/17/2022 hire date) and Staff #7 (5/26/2022 hire date) did not complete the 10 hour Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.”

8VAC20-780-420-E-3

“Based on review, the center did not obtain parent confirmation that the required information in the child's record is up to date. Evidence: 1. Child #1 (Start date 6/01/2021) did not have documentation that the required information in the child's record is up to date. 2. Child #3 (Start date 4/26/2021) did not have documentation that the required information in the child's record is up to date. The last allergy action plan was dated 4/26/2021.”

8VAC20-780-500-B

“Based on observation, the center did not meet all requirements for diapering. Evidence: 1. Classroom #3 had a diaper changing pad that had a 2 inch (approximately) crack on the surface and was considered absorbent. The diapering surface also had a cup of children's milk on the table. 2. Classroom #4 had a trash can in the bathroom with diapers in it. It was not foot operated. The lid was under the trashcan and not connected. 3. Classroom 7 had a foot operated trashcan, but it was broke and not connected on one side.”

8VAC20-780-40-M

“Based on observation and interview, the center did not maintain a current dated written list of all children's allergies, sensitivities, and dietary restrictions and did not keep it in each room or area where children are present. Evidence: 1. The center did not have a current written list of all children's allergies, sensitivities, and dietary restrictions. Rm. 6 classroom had a list, but it was dated 2/01/2022 and was not up to date.”

8VAC20-780-140-A

“Based on review of children's records, the center did not obtain a physical examination for a child within 30 days of the child's start date. Evidence: 1. Child #4's file (start date 7/06/2022) did not have a copy of the child's physical examination.”

8VAC20-780-50-A

“Based on observation, children's records were not treated confidentially. Evidence: 1. In the Pre-K classroom, three children's allergies and dietary restrictions/preferences were posted on the wall in the classroom and were not kept confidential.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1, Staff #2, Staff #3 and Staff #4 did not have the address of a person to be notified in an emergency at the center. 2. Staff #1 (date of hire 8/22/2022) and Staff #3 (date of hire 9/05/2022) were missing two references. Staff #2 (date of hire 8/24/2022) and Staff #4 (date of hire 9/07/2022) were missing one reference.”

8VAC20-780-520-B

“Based on observation, the center did not meet all requirements when using sunscreen. Evidence: 1. Classroom #3 had 2 sunscreens in bins in the classroom and were within reach of children.”

8VAC20-780-510-P

“Based on review of medication, the center did not dispose of medication within 14 days when a parent did not pick up medication that had an expired authorization. Evidence: 1. Child #5 had two medications with authorizations dated 3/17/2022 and the center did not dispose of them. The medications had also expired in August 2022. 2. Child #6 had two medications with authorizations dated 7/23/2022 and the center did not dispose of them.”

8VAC20-780-60-A-8

“Based on review of children with allergies, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child #2, Child #4 and Child #5 had a diagnosed food allergy and the center did not have a written care plan for each child with instructions from a physician..”

8VAC20-780-60-A

“Based on record review, children's records did not have complete information. Evidence: 1. Child #1 (start date 6/01/2021) did not have an annual update or proof of birth documented in the record. 2. Child #3 (start date 11/30/2020) did not have the parent's place of employment, work address, work phone number, two emergency contact addresses and the annual update. 3. Child #4 (start date 7/06/2022) did not have proof of birth documented, documentation of immunizations and physical signed by a physician, his designee or local health department. 4. Child #5 (start date ?) did not have the parent's address, work information, one emergency contact address and one emergency contact name, address and telephone number, previous schools attended and the parent agreement.”

8VAC20-780-520-C

“Based on observation, the center did not meet all requirements when using diaper ointment or cream. Evidence: 1. Classroom 4 had 5 diaper creams in low bins in the bathroom children use and were within reach of children.”

8VAC20-780-140-A

“Based on review of four children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of first attendance. Evidence: 1. Child #2 (Start date 1/31/2022) did not have a physical on file at the center.”

8VAC20-780-160-A-2

“Based on review of five staff records, the center did not documentation that a tuberculosis (TB) test or screening had been completed within the last 30 calendar days of the date of employment for two staff. Evidence: 1. Staff #1 (Date of hire 3/15/2022) had a TB test or screening dated 11/18/2021. 2. Staff #2 (Date of hire 2/08/2022) had a TB test or screening dated 8/12/2008.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of a sex offender registry check and the criminal history record from any state in which the individual has resided in the preceding five years prior to the 1st day of employment. Evidence: 1. Staff #3 (Date of hire 1/24/2022) lived in another state (PA) in the last 5 years and had the results of a criminal history record information check (received on 1/25/2022) and sex offender registry check (received on 1/25/2022) from PA.”

8VAC20-780-140-A

“Based on review of four children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of first attendance. Evidence: 1. Child #2 (Start date 1/31/2022) did not have a physical on file at the center.”

8VAC20-780-160-A-2

“Based on review of five staff records, the center did not documentation that a tuberculosis (TB) test or screening had been completed within the last 30 calendar days of the date of employment for two staff. Evidence: 1. Staff #1 (Date of hire 3/15/2022) had a TB test or screening dated 11/18/2021. 2. Staff #2 (Date of hire 2/08/2022) had a TB test or screening dated 8/12/2008.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of a sex offender registry check and the criminal history record from any state in which the individual has resided in the preceding five years prior to the 1st day of employment. Evidence: 1. Staff #3 (Date of hire 1/24/2022) lived in another state (PA) in the last 5 years and had the results of a criminal history record information check (received on 1/25/2022) and sex offender registry check (received on 1/25/2022) from PA.”

63.2(17)-1720.1-B-4

“Based on record review, the center did not obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years prior to the 1st day of employment. Evidence: 1. Staff #6 (Date of hire 8/17/2021) lived in another state (NY) in the last 5 years and had the results of a sex offender registry check from NY dated 8/19/2021. 2. Staff #8 (Date of hire 9/21/2021) lived in another state (NC) and (OH) in the last 5 years and had the results of a sex offender registry check from NC on 10/12/2021 and OH on 10/07/2021.”

22VAC40-191-60-C-2

“Based on review of 10 staff records, the center did not have a central registry finding within 30 days of employment. Evidence: 1. Staff #8 (Date of hire 9/21/2021) had the central registry results dated 11/19/2021.”

22VAC40-191-60-B

“Based on review of 10 staff records, the center did not have a completed sworn disclosure statement prior to date of hire. Evidence: 1. Staff #6 (Date of hire 8/17/2021) had a sworn disclosure statement signed 8/24/2021. 2. Staff #9 (Date of hire 10/29/2021) had a sworn disclosure statement signed 11/01/2021.”

63.2(17)-1720.1-B-4

“Based on record review, the center did not obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years prior to the 1st day of employment. Evidence: 1. Staff #6 (Date of hire 8/17/2021) lived in another state (NY) in the last 5 years and had the results of a sex offender registry check from NY dated 8/19/2021. 2. Staff #8 (Date of hire 9/21/2021) lived in another state (NC) and (OH) in the last 5 years and had the results of a sex offender registry check from NC on 10/12/2021 and OH on 10/07/2021.”

22VAC40-191-60-C-2

“Based on review of 10 staff records, the center did not have a central registry finding within 30 days of employment. Evidence: 1. Staff #8 (Date of hire 9/21/2021) had the central registry results dated 11/19/2021.”

22VAC40-191-60-B

“Based on review of 10 staff records, the center did not have a completed sworn disclosure statement prior to date of hire. Evidence: 1. Staff #6 (Date of hire 8/17/2021) had a sworn disclosure statement signed 8/24/2021. 2. Staff #9 (Date of hire 10/29/2021) had a sworn disclosure statement signed 11/01/2021.”