Creative World River Walk

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

“When staff are supervising children, they shall always ensure their care and protection. On 2/16/26, child 1 (age 15 months) was served a food during lunch to which she has a known and diagnosed allergy.”

8VAC20-780-490-C Complaint related: Yes

“When children at the center have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center’s having been informed of the exposure. On 2/3/26, the center was notified of a confirmed case of Hand, Foot and Mouth disease. The center did not notify all parents of exposed children within 24 hours or the next business day.”

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

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence and shall contain all the required information. Nine out of sixteen injury reports reviewed did not include the time when parents were notified. None of the injury reports reviewed included future action to prevent recurrence of the injury.”

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

“When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. During the week of December 1, 2025, the toddler and two’s classrooms were out of ratio for varying periods of time throughout the week. 1. The required ratio for children aged 16 months to 24 months is 1 staff per 5 children. The youngest child in the toddler classroom was 14 months old, reducing the ratio to 1 staff per 4 children, which is the required ratio for birth up to 16 months. Throughout the week of 12/1/25, there were often only 2 staff with up to 12 children in care. The amount of time the classroom was out of ratio during the week varied from 10 minutes up to 68 minutes. 2. The required ratio for 2-year-old children is 1 staff per 8 children. The youngest child in the two’s classroom was 21 months old, reducing the ratio to 1 staff per 5 children, which is the required ratio for children aged 16 months to 24 months. Throughout the week of 12/1/25, there were times when there were up to 11 children in care with only 1 staff and times with up to 14 children in care with only 2 staff. The amount of time the classroom was out of ratio during the week varied from 35 minutes up to 1 hour and 42 minutes.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of 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. The diaper disposal containers used by the center do not prevent the staff member's hand or the soiled diaper from touching the exterior surface of the of the storage system during disposal.”

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

“When children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. During the week of December 1, 2025, the toddler and two’s classrooms were out of ratio for varying periods of time throughout the week. 1. The required ratio for children aged 16 months to 24 months is 1 staff per 5 children. The youngest child in the toddler classroom was 14 months old, reducing the ratio to 1 staff per 4 children, which is the required ratio for birth up to 16 months. Throughout the week of 12/1/25, there were often only 2 staff with up to 12 children in care. The amount of time the classroom was out of ratio during the week varied from 10 minutes up to 68 minutes. 2. The required ratio for 2-year-old children is 1 staff per 8 children. The youngest child in the two’s classroom was 21 months old, reducing the ratio to 1 staff per 5 children, which is the required ratio for children aged 16 months to 24 months. Throughout the week of 12/1/25, there were times when there were up to 11 children in care with only 1 staff and times with up to 14 children in care with only 2 staff. The amount of time the classroom was out of ratio during the week varied from 35 minutes up to 1 hour and 42 minutes.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of 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. The diaper disposal containers used by the center do not prevent the staff member's hand or the soiled diaper from touching the exterior surface of the of the storage system during disposal.”

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 1, enrolled for two months, was missing documentation of viewing proof of the child's identity and age.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child 1, who has been attending for two months, did not have documentation of an immunization record on file.”

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. The national criminal background check results for staff 1 were obtained two weeks after their first day of employment.”

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 1, who has been enrolled for two months.”