Dawning Point Learning Center

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

“Repeat Violation Complaint Related Areas and equipment inside the center shall be maintained in a clean, safe and operable condition. 1. On 3/5/2025, a large cabinet door in the Twos room, measuring approximately eight feet in height and 20 inches in width, fell on Child #1 (Age Two) while sitting at a table. 2. During onsite inspections on 3/10/2025 an 3/31/2025, the middle cabinet door that fell had been reattached with three hinges. However, the door is not fully operable as it cannot open completely without first opening the adjacent door. 3. During an onsite inspection on 3/10/2025, there was a nail protruding from the front of the same middle cabinet door, approximately three feet from the ground, that could entangle clothing or snag skin. During a follow up inspection on 3/31/2025, a sharp nail was protruding at the very bottle of the front of the middle cabinet door, that also could entangle clothing or snag skin. There was a child napping on a cot directly up against this cabinet door during both dates. 4. During an onsite inspection on 3/10/2025 and 3/31/2025, a piece of wood trim on the front of the middle cabinet door was broken at the bottom exposing jagged and splintered wood. A child was napping on a cot directly up against the cabinet door during both dates.”

8VAC20-780-80-B-2 Complaint related: Yes

“Complaint Related The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On 3/5/2025, Child #1 sustained a head injury and fractured hand while under the supervision of the center. The center was made aware that same day that Child #1 was taken to the hospital and did not submit a serious injury report to the Department.”

8VAC20-780-280-B Complaint related: No

“Repeat Violation Hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. A mop bucket full of cleaning solution and water along with one box containing multiple bottles of bleach and one box containing multiple bottles of a disinfectant solution was observed sitting inside the kitchen with the door wide open and easily accessible to children walking by.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 2/25/2025, Staff #1 notified Staff #4 the large cabinet door in the Twos room was broken and connected by only one hinge which allowed the door to freely swing side to side. On 3/3/2025, Staff #4 put in a work order for the door to be repaired. On 3/5/2025, Staff #2 was opening the door to obtain diapering supplies when the hinge came off and the door fell onto Child #1 (Age Two). Child #1 sustained a head injury and a fractured hand. The door narrowly missed falling on another child sitting at the table and a child that had just walked by the door.”

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

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. On 3/5/2025, Staff #1, Staff #2, and Staff #3 were the only staff present in the Twos classroom and none of the staff have documentation of lead teacher qualifications. The Twos classroom has not had a lead teacher for at least one month.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after a diaper change. In the Toddler room, Staff #2 did not wash their hands before or after changing a child's diaper.”

22.1-289.036-A

“The center is required to have all applicants for licensure as a child day center undergo repeat background checks every five years. The Sworn Disclosure Statements maintained on site for Applicant #1 and Applicant #2 have been expired for one year and 10 months and 11 months, respectively.”

8VAC20-780-80-A

“Repeat Violation The center shall maintain a written record of daily attendance with each group of children that documents the arrival and departure of each child in care as it occurs. In the Toddler Room, there were 6 children present and only 4 were signed in. In the Infant Room, there were 6 children present and only 5 were signed in.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. In the Threes classroom, there were three disinfectant spray bottles and two carpet cleaning spray bottles located on a shelf, out of the reach of children, in an unlocked cabinet.”

8VAC20-780-560-G

“Repeat Violation When food is brought from home, the container must be clearly dated. In the Infant room, there were three bottles of breast milk that were not dated.”

8VAC20-780-520-C

“Repeat Violation When diaper ointment or cream is used it shall be stored in a way that is inaccessible to children. In the Toddler room, multiple diaper creams were stored underneath the changing table in an open and accessible area and 6 toddlers were present in the room at the time. One toddler was observed reaching in and pulling out one of the tubes of diaper cream.”

8VAC20-780-270-A

“Repeat Violation Areas inside the center shall be maintained in a clean, safe, and operable condition. 1. Multiple areas of peeling blue wall paint were observed in the Four's classroom bathroom. 2. In the Toddler room, the bottom door on the changing table was broken exposing diaper creams to the children present in the classroom. In addition, a section of cove base has detached from the wall by the exterior door exposing a layer of dirt and dust. 3. In the Twos room, there was an approximately four inch by two inch sized hole in the wall near the door.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 and Staff #3 have not yet completed the VDOE sponsored orientation course and it is overdue by one month.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. Staff #2 and Staff #3, both employed for over four months, have not had a central registry search requested. Staff #2 was working alone with children at the time of inspection.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after a diaper change. In the Toddler room, Staff #2 did not wash their hands before or after changing a child's diaper.”

22.1-289.036-A

“The center is required to have all applicants for licensure as a child day center undergo repeat background checks every five years. The Sworn Disclosure Statements maintained on site for Applicant #1 and Applicant #2 have been expired for one year and 10 months and 11 months, respectively.”

8VAC20-780-80-A

“Repeat Violation The center shall maintain a written record of daily attendance with each group of children that documents the arrival and departure of each child in care as it occurs. In the Toddler Room, there were 6 children present and only 4 were signed in. In the Infant Room, there were 6 children present and only 5 were signed in.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. In the Threes classroom, there were three disinfectant spray bottles and two carpet cleaning spray bottles located on a shelf, out of the reach of children, in an unlocked cabinet.”

8VAC20-780-560-G

“Repeat Violation When food is brought from home, the container must be clearly dated. In the Infant room, there were three bottles of breast milk that were not dated.”

8VAC20-780-520-C

“Repeat Violation When diaper ointment or cream is used it shall be stored in a way that is inaccessible to children. In the Toddler room, multiple diaper creams were stored underneath the changing table in an open and accessible area and 6 toddlers were present in the room at the time. One toddler was observed reaching in and pulling out one of the tubes of diaper cream.”

8VAC20-780-270-A

“Repeat Violation Areas inside the center shall be maintained in a clean, safe, and operable condition. 1. Multiple areas of peeling blue wall paint were observed in the Four's classroom bathroom. 2. In the Toddler room, the bottom door on the changing table was broken exposing diaper creams to the children present in the classroom. In addition, a section of cove base has detached from the wall by the exterior door exposing a layer of dirt and dust. 3. In the Twos room, there was an approximately four inch by two inch sized hole in the wall near the door.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 and Staff #3 have not yet completed the VDOE sponsored orientation course and it is overdue by one month.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. Staff #2 and Staff #3, both employed for over four months, have not had a central registry search requested. Staff #2 was working alone with children at the time of inspection.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after a diaper change. In the Toddler room, Staff #2 did not wash their hands before or after changing a child's diaper.”

22.1-289.036-A

“The center is required to have all applicants for licensure as a child day center undergo repeat background checks every five years. The Sworn Disclosure Statements maintained on site for Applicant #1 and Applicant #2 have been expired for one year and 10 months and 11 months, respectively.”

8VAC20-780-80-A

“Repeat Violation The center shall maintain a written record of daily attendance with each group of children that documents the arrival and departure of each child in care as it occurs. In the Toddler Room, there were 6 children present and only 4 were signed in. In the Infant Room, there were 6 children present and only 5 were signed in.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. In the Threes classroom, there were three disinfectant spray bottles and two carpet cleaning spray bottles located on a shelf, out of the reach of children, in an unlocked cabinet.”

8VAC20-780-560-G

“Repeat Violation When food is brought from home, the container must be clearly dated. In the Infant room, there were three bottles of breast milk that were not dated.”

8VAC20-780-520-C

“Repeat Violation When diaper ointment or cream is used it shall be stored in a way that is inaccessible to children. In the Toddler room, multiple diaper creams were stored underneath the changing table in an open and accessible area and 6 toddlers were present in the room at the time. One toddler was observed reaching in and pulling out one of the tubes of diaper cream.”

8VAC20-780-270-A

“Repeat Violation Areas inside the center shall be maintained in a clean, safe, and operable condition. 1. Multiple areas of peeling blue wall paint were observed in the Four's classroom bathroom. 2. In the Toddler room, the bottom door on the changing table was broken exposing diaper creams to the children present in the classroom. In addition, a section of cove base has detached from the wall by the exterior door exposing a layer of dirt and dust. 3. In the Twos room, there was an approximately four inch by two inch sized hole in the wall near the door.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #2 and Staff #3 have not yet completed the VDOE sponsored orientation course and it is overdue by one month.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. Staff #2 and Staff #3, both employed for over four months, have not had a central registry search requested. Staff #2 was working alone with children at the time of inspection.”

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 for staff hired after 7/1/2024. Staff #3, who had been employed for two months, did not have a central registry search request sent until more than five weeks of employment. The results were still not on file at the time of inspection.”

8VAC20-780-80-A

“The center shall maintain a written record of daily attendance with each group of children that documents the arrival and departure of each child in care as it occurs. There were 11 children present in the Four's classroom but only two children were signed in on the written attendance record.”

8VAC20-780-560-G

“Food brought from home must be labeled with the child's name and dated. In the Toddler's room, there was a blue bottle containing milk that was not labeled or dated.”

8VAC20-780-520-C

“Repeat Violation When diaper ointment or cream is used it shall be stored in a way that is inaccessible to children. In the Toddler room, multiple diaper creams were stored in an open and accessible area underneath the changing table and 5 toddlers were present in the room at the time.”

8VAC20-780-270-A

“Repeat Violation Areas inside the center shall be maintained in a clean and safe condition. 1. Multiple areas of peeling blue wall paint were observed in the Four's classroom bathroom. Also, peeling wall paint was observed on the wall near the book corner in the Four's classroom. 2. In the Toddler's room, the bottom door on the changing table was broken exposing diaper creams to the children present in the classroom. The broken door was leaning on the wall nearby. 3. In the Two's classroom, the carpet wall siding had a three inch hole in the fabric and the top section of the siding was observed to be started to detach from the wall.”

8VAC20-780-520-B

“Sunscreen shall be maintained in the original container and labeled with the child's name. In the Infant room, there was one sunscreen that was not labeled with the child's name.”

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 for staff hired after 7/1/2024. Staff #3, who had been employed for two months, did not have a central registry search request sent until more than five weeks of employment. The results were still not on file at the time of inspection.”

8VAC20-780-80-A

“The center shall maintain a written record of daily attendance with each group of children that documents the arrival and departure of each child in care as it occurs. There were 11 children present in the Four's classroom but only two children were signed in on the written attendance record.”

8VAC20-780-560-G

“Food brought from home must be labeled with the child's name and dated. In the Toddler's room, there was a blue bottle containing milk that was not labeled or dated.”

8VAC20-780-520-C

“Repeat Violation When diaper ointment or cream is used it shall be stored in a way that is inaccessible to children. In the Toddler room, multiple diaper creams were stored in an open and accessible area underneath the changing table and 5 toddlers were present in the room at the time.”

8VAC20-780-270-A

“Repeat Violation Areas inside the center shall be maintained in a clean and safe condition. 1. Multiple areas of peeling blue wall paint were observed in the Four's classroom bathroom. Also, peeling wall paint was observed on the wall near the book corner in the Four's classroom. 2. In the Toddler's room, the bottom door on the changing table was broken exposing diaper creams to the children present in the classroom. The broken door was leaning on the wall nearby. 3. In the Two's classroom, the carpet wall siding had a three inch hole in the fabric and the top section of the siding was observed to be started to detach from the wall.”

8VAC20-780-520-B

“Sunscreen shall be maintained in the original container and labeled with the child's name. In the Infant room, there was one sunscreen that was not labeled with the child's name.”

8VAC20-780-80-A Complaint related: No

“The center shall maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. In the Two's classroom on 9/4/2024, there were 12 children present and only 11 children signed in on the attendance record.”

8VAC20-780-350-B-2 Complaint related: Yes

“Complaint Related The required ratio for children ages 16 months to 24 months is one staff per five children. On 9/5/2024 at 7:00am there were two staff supervising 18 children in the Four's classroom. The youngest child in the group was age 21 months. The classroom had been out of ratio for approximately one hour.”

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

“Complaint Related The required ratio for children ages three years to school age eligible is one staff per 10 children. On 9/5/2024 from approximately 7:13am through 7:43am there were 11 children with two staff in the Four's room. The youngest child in the classroom was age four years. The classroom was left out of ratio every few minutes during this timeframe as one staff from the Four's would go to receive children arriving to the program leaving 11 children with one staff.”

8VAC20-780-570-B Complaint related: No

“Bottles shall not be used while the child in their designated sleeping location. In the Infant room on 9/4/2024, Child #1 was observed drinking a bottle while laying in their crib which is their designated sleeping location.”

8VAC20-780-160-A

“Based on record review, the center did not ensure each staff member submits documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: Staff #5 (Date of Hire: 2/15/2024) and Staff #2 (Date of Hire: 5/12/2023) have TB tests on file dated 2/19/2024 and 3/14/2024, respectively.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for each child within 30 days after the child's first day of attendance. Evidence: Child #3 (Start Date: 11/10/2023) had a physical examination on file dated 3/21/2024.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the bathroom attached to the 4's classroom there was chipping and peeling paint on the wall next to the sink.”

8VAC20-780-520-C

“Based on observation, the center did not ensure requirements regarding diaper ointment and cream were met. Evidence: In the Toddler room there were three diaper creams that were not labeled with the child's name and stored in bins underneath the changing table that was unlocked and accessible to children.”

8VAC20-780-550-H

“Based on documentation review and staff interview, the center did not maintain a record of each monthly emergency evacuation drill. Evidence: There was no emergency evacuation drill documented for the month of March 2024.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation of the physical plant, the center did not ensure hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler room, there was a spray bottle of bleach next to the children's sink and two disinfectant spray bottles on the table by the changing table that was within reach of children. 2. In the 2's classroom, there was a sanitizing spray bottle and disinfectant cleaning wipes stored in an unlocked cabinet.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation of diapering procedures, the center did not ensure that disposable diapers are disposed 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. Evidence: In the Infant room, staff was observed completing a diaper change and used their hands to open the lid of the trash can to dispose of the soiled diaper.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that all medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler room, Child #6 had a prescription medication stored in a bin underneath the changing table that was unlocked and accessible to children.”

8VAC20-780-510-P

“Based on medication review, the center did not ensure that when medication authorization expires that the parent is notified to pick up within 14 days or the center will dispose of the medication. Evidence: Child #9 has two medications on site that had accompanying medication authorizations that expired 1/27/2024.”

8VAC20-780-160-A

“Based on record review, the center did not ensure each staff member submits documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: Staff #5 (Date of Hire: 2/15/2024) and Staff #2 (Date of Hire: 5/12/2023) have TB tests on file dated 2/19/2024 and 3/14/2024, respectively.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for each child within 30 days after the child's first day of attendance. Evidence: Child #3 (Start Date: 11/10/2023) had a physical examination on file dated 3/21/2024.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the bathroom attached to the 4's classroom there was chipping and peeling paint on the wall next to the sink.”

8VAC20-780-520-C

“Based on observation, the center did not ensure requirements regarding diaper ointment and cream were met. Evidence: In the Toddler room there were three diaper creams that were not labeled with the child's name and stored in bins underneath the changing table that was unlocked and accessible to children.”

8VAC20-780-550-H

“Based on documentation review and staff interview, the center did not maintain a record of each monthly emergency evacuation drill. Evidence: There was no emergency evacuation drill documented for the month of March 2024.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation of the physical plant, the center did not ensure hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler room, there was a spray bottle of bleach next to the children's sink and two disinfectant spray bottles on the table by the changing table that was within reach of children. 2. In the 2's classroom, there was a sanitizing spray bottle and disinfectant cleaning wipes stored in an unlocked cabinet.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation of diapering procedures, the center did not ensure that disposable diapers are disposed 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. Evidence: In the Infant room, staff was observed completing a diaper change and used their hands to open the lid of the trash can to dispose of the soiled diaper.”

8VAC20-780-510-L

“Based on observation, the center did not ensure that all medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Toddler room, Child #6 had a prescription medication stored in a bin underneath the changing table that was unlocked and accessible to children.”

8VAC20-780-510-P

“Based on medication review, the center did not ensure that when medication authorization expires that the parent is notified to pick up within 14 days or the center will dispose of the medication. Evidence: Child #9 has two medications on site that had accompanying medication authorizations that expired 1/27/2024.”

8VAC20-780-350-B-3 Complaint related: No

“Based on staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: On 10/25/2023 from approximately 3:29pm to 3:31pm there were 10 children present with Staff #1. However, the youngest child in the Threes group at that time was Child #1 (Age 2) making the ratio 1 staff to 8 children.”

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

“Based on staff interviews, the center did not ensure that activities and services were maintained in compliance with the licensing standards and the center's own policies and procedures that are required by the licensing standards. Evidence: 1. Staff #1, Staff #2, and Staff #3 reported the center's policy for identifying where children are at all times requires staff to complete head counts at each threshold. 2. On 10/25/2023, Staff #1 did not not do head counts at each threshold when bringing in the Threes room from their afternoon outdoor play time and a child was left behind on the playground. Staff #1 stated "It was an accident, I forgot to do head counts."”

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

“Based on staff interview and review of the center's own video recording, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff. Evidence: On October 25, 2023 Child #1 (Age 2) was left on the playground after the Threes room went back inside after their outside play time. Staff #1 took the other children in the Threes room back into the center at approximately 3:29pm while Child #1 remained on the playground. Child #1 ran to the front door of the center and began knocking on the glass approximately 30 seconds after the class entered the building. At approximately 3:30pm, a parent of another child at the center found Child #1 standing at the front door and rang the doorbell. Staff #2 answered the door at approximately 3:31pm and then escorted Child #1 to their classroom. Child #1 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 in each room or area where children are present. Evidence: There was no posted allergy list in the Fours classroom.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the Twos classroom there was a strip of wood framing approximately 8 feet tall that was dangling from the tall cabinet door.”

8VAC20-780-280-B

“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: In the Fours classroom, there were two disinfectant spray bottles stored in the tall unlocked cabinet.”

8VAC20-780-340-D

“Based on staff interview and record review, the center did not ensure there is at least one staff member who meets the qualifications of a program leader or program director regularly present in each grouping of children. Evidence: 1. Staff #4 (Date of Hire: 11/14/22) is the lead teacher in the Toddler classroom and does not have documentation on file they meet qualifications of a program leader or program director. 2. Staff #2 (Date of Hire: 12/5/19) is the staff regularly present in the Twos classroom and does not have documentation on file they meet the qualifications of a program leader or program director. Staff #5 stated there is no lead teacher in the Twos classroom.”

8VAC20-780-350-B-3

“Based on observation and staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: The youngest child present in the Threes classroom was Child #8 (Age 2) making the ratio in the classroom 1 staff to 8 children. There was 1 staff present with 10 children at the time of inspection.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period had linens consisting of a top cover and a bottom cover. Evidence: In the Toddler room, one child was observed laying on a cot with only a blanket on top of them and no bottom cover.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center did not ensure that disposable diapers were 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. Evidence: In the Twos room, the foot-operated mechanism on the trash can was not functioning. Staff demonstrated how they dispose of diapers which requires their hands to touch the trash can by lifting the lid.”

8VAC20-780-510-I

“Based on medication review, the center did not obtain current parental authorization for children's medication. Evidence: Child #7 had an emergency medication on site and the parental authorization on file expired 12/1/2022.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home is dated and labeled to identify the owner. Evidence: In the Infant classroom, there were two containers of food in the refrigerator and one container of food sitting on top of the refrigerator that was not dated or labeled with a child's name.”

8VAC20-780-440-N

“Based on observation, it was determined a crib used by an infant over the age of 5 months was equipped with toys hanging over the sleeping area. Evidence: Child #3 (Age 6 months) was observed sleeping in a crib with a stuffed spiral activity toy attached to the side of the crib. The toy was dangling in the crib next to the sleeping infant.”

8VAC20-780-350-B-3 Complaint related: No

“Based on staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: On 10/25/2023 from approximately 3:29pm to 3:31pm there were 10 children present with Staff #1. However, the youngest child in the Threes group at that time was Child #1 (Age 2) making the ratio 1 staff to 8 children.”

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

“Based on staff interviews, the center did not ensure that activities and services were maintained in compliance with the licensing standards and the center's own policies and procedures that are required by the licensing standards. Evidence: 1. Staff #1, Staff #2, and Staff #3 reported the center's policy for identifying where children are at all times requires staff to complete head counts at each threshold. 2. On 10/25/2023, Staff #1 did not not do head counts at each threshold when bringing in the Threes room from their afternoon outdoor play time and a child was left behind on the playground. Staff #1 stated "It was an accident, I forgot to do head counts."”

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

“Based on staff interview and review of the center's own video recording, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff. Evidence: On October 25, 2023 Child #1 (Age 2) was left on the playground after the Threes room went back inside after their outside play time. Staff #1 took the other children in the Threes room back into the center at approximately 3:29pm while Child #1 remained on the playground. Child #1 ran to the front door of the center and began knocking on the glass approximately 30 seconds after the class entered the building. At approximately 3:30pm, a parent of another child at the center found Child #1 standing at the front door and rang the doorbell. Staff #2 answered the door at approximately 3:31pm and then escorted Child #1 to their classroom. Child #1 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 in each room or area where children are present. Evidence: There was no posted allergy list in the Fours classroom.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the Twos classroom there was a strip of wood framing approximately 8 feet tall that was dangling from the tall cabinet door.”

8VAC20-780-280-B

“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: In the Fours classroom, there were two disinfectant spray bottles stored in the tall unlocked cabinet.”

8VAC20-780-340-D

“Based on staff interview and record review, the center did not ensure there is at least one staff member who meets the qualifications of a program leader or program director regularly present in each grouping of children. Evidence: 1. Staff #4 (Date of Hire: 11/14/22) is the lead teacher in the Toddler classroom and does not have documentation on file they meet qualifications of a program leader or program director. 2. Staff #2 (Date of Hire: 12/5/19) is the staff regularly present in the Twos classroom and does not have documentation on file they meet the qualifications of a program leader or program director. Staff #5 stated there is no lead teacher in the Twos classroom.”

8VAC20-780-350-B-3

“Based on observation and staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: The youngest child present in the Threes classroom was Child #8 (Age 2) making the ratio in the classroom 1 staff to 8 children. There was 1 staff present with 10 children at the time of inspection.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period had linens consisting of a top cover and a bottom cover. Evidence: In the Toddler room, one child was observed laying on a cot with only a blanket on top of them and no bottom cover.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center did not ensure that disposable diapers were 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. Evidence: In the Twos room, the foot-operated mechanism on the trash can was not functioning. Staff demonstrated how they dispose of diapers which requires their hands to touch the trash can by lifting the lid.”

8VAC20-780-510-I

“Based on medication review, the center did not obtain current parental authorization for children's medication. Evidence: Child #7 had an emergency medication on site and the parental authorization on file expired 12/1/2022.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home is dated and labeled to identify the owner. Evidence: In the Infant classroom, there were two containers of food in the refrigerator and one container of food sitting on top of the refrigerator that was not dated or labeled with a child's name.”

8VAC20-780-440-N

“Based on observation, it was determined a crib used by an infant over the age of 5 months was equipped with toys hanging over the sleeping area. Evidence: Child #3 (Age 6 months) was observed sleeping in a crib with a stuffed spiral activity toy attached to the side of the crib. The toy was dangling in the crib next to the sleeping infant.”

8VAC20-780-350-B-3 Complaint related: No

“Based on staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: On 10/25/2023 from approximately 3:29pm to 3:31pm there were 10 children present with Staff #1. However, the youngest child in the Threes group at that time was Child #1 (Age 2) making the ratio 1 staff to 8 children.”

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

“Based on staff interviews, the center did not ensure that activities and services were maintained in compliance with the licensing standards and the center's own policies and procedures that are required by the licensing standards. Evidence: 1. Staff #1, Staff #2, and Staff #3 reported the center's policy for identifying where children are at all times requires staff to complete head counts at each threshold. 2. On 10/25/2023, Staff #1 did not not do head counts at each threshold when bringing in the Threes room from their afternoon outdoor play time and a child was left behind on the playground. Staff #1 stated "It was an accident, I forgot to do head counts."”

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

“Based on staff interview and review of the center's own video recording, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff. Evidence: On October 25, 2023 Child #1 (Age 2) was left on the playground after the Threes room went back inside after their outside play time. Staff #1 took the other children in the Threes room back into the center at approximately 3:29pm while Child #1 remained on the playground. Child #1 ran to the front door of the center and began knocking on the glass approximately 30 seconds after the class entered the building. At approximately 3:30pm, a parent of another child at the center found Child #1 standing at the front door and rang the doorbell. Staff #2 answered the door at approximately 3:31pm and then escorted Child #1 to their classroom. Child #1 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 in each room or area where children are present. Evidence: There was no posted allergy list in the Fours classroom.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the Twos classroom there was a strip of wood framing approximately 8 feet tall that was dangling from the tall cabinet door.”

8VAC20-780-280-B

“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: In the Fours classroom, there were two disinfectant spray bottles stored in the tall unlocked cabinet.”

8VAC20-780-340-D

“Based on staff interview and record review, the center did not ensure there is at least one staff member who meets the qualifications of a program leader or program director regularly present in each grouping of children. Evidence: 1. Staff #4 (Date of Hire: 11/14/22) is the lead teacher in the Toddler classroom and does not have documentation on file they meet qualifications of a program leader or program director. 2. Staff #2 (Date of Hire: 12/5/19) is the staff regularly present in the Twos classroom and does not have documentation on file they meet the qualifications of a program leader or program director. Staff #5 stated there is no lead teacher in the Twos classroom.”

8VAC20-780-350-B-3

“Based on observation and staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: The youngest child present in the Threes classroom was Child #8 (Age 2) making the ratio in the classroom 1 staff to 8 children. There was 1 staff present with 10 children at the time of inspection.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period had linens consisting of a top cover and a bottom cover. Evidence: In the Toddler room, one child was observed laying on a cot with only a blanket on top of them and no bottom cover.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center did not ensure that disposable diapers were 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. Evidence: In the Twos room, the foot-operated mechanism on the trash can was not functioning. Staff demonstrated how they dispose of diapers which requires their hands to touch the trash can by lifting the lid.”

8VAC20-780-510-I

“Based on medication review, the center did not obtain current parental authorization for children's medication. Evidence: Child #7 had an emergency medication on site and the parental authorization on file expired 12/1/2022.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home is dated and labeled to identify the owner. Evidence: In the Infant classroom, there were two containers of food in the refrigerator and one container of food sitting on top of the refrigerator that was not dated or labeled with a child's name.”

8VAC20-780-440-N

“Based on observation, it was determined a crib used by an infant over the age of 5 months was equipped with toys hanging over the sleeping area. Evidence: Child #3 (Age 6 months) was observed sleeping in a crib with a stuffed spiral activity toy attached to the side of the crib. The toy was dangling in the crib next to the sleeping infant.”

8VAC20-780-350-B-3 Complaint related: No

“Based on staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: On 10/25/2023 from approximately 3:29pm to 3:31pm there were 10 children present with Staff #1. However, the youngest child in the Threes group at that time was Child #1 (Age 2) making the ratio 1 staff to 8 children.”

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

“Based on staff interviews, the center did not ensure that activities and services were maintained in compliance with the licensing standards and the center's own policies and procedures that are required by the licensing standards. Evidence: 1. Staff #1, Staff #2, and Staff #3 reported the center's policy for identifying where children are at all times requires staff to complete head counts at each threshold. 2. On 10/25/2023, Staff #1 did not not do head counts at each threshold when bringing in the Threes room from their afternoon outdoor play time and a child was left behind on the playground. Staff #1 stated "It was an accident, I forgot to do head counts."”

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

“Based on staff interview and review of the center's own video recording, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff. Evidence: On October 25, 2023 Child #1 (Age 2) was left on the playground after the Threes room went back inside after their outside play time. Staff #1 took the other children in the Threes room back into the center at approximately 3:29pm while Child #1 remained on the playground. Child #1 ran to the front door of the center and began knocking on the glass approximately 30 seconds after the class entered the building. At approximately 3:30pm, a parent of another child at the center found Child #1 standing at the front door and rang the doorbell. Staff #2 answered the door at approximately 3:31pm and then escorted Child #1 to their classroom. Child #1 was out of sight and sound supervision for approximately two minutes.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 in each room or area where children are present. Evidence: There was no posted allergy list in the Fours classroom.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a clean and safe condition. Evidence: In the Twos classroom there was a strip of wood framing approximately 8 feet tall that was dangling from the tall cabinet door.”

8VAC20-780-280-B

“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: In the Fours classroom, there were two disinfectant spray bottles stored in the tall unlocked cabinet.”

8VAC20-780-340-D

“Based on staff interview and record review, the center did not ensure there is at least one staff member who meets the qualifications of a program leader or program director regularly present in each grouping of children. Evidence: 1. Staff #4 (Date of Hire: 11/14/22) is the lead teacher in the Toddler classroom and does not have documentation on file they meet qualifications of a program leader or program director. 2. Staff #2 (Date of Hire: 12/5/19) is the staff regularly present in the Twos classroom and does not have documentation on file they meet the qualifications of a program leader or program director. Staff #5 stated there is no lead teacher in the Twos classroom.”

8VAC20-780-350-B-3

“Based on observation and staff interview, the center did not ensure that ratios were maintained in the Threes classroom. Evidence: The youngest child present in the Threes classroom was Child #8 (Age 2) making the ratio in the classroom 1 staff to 8 children. There was 1 staff present with 10 children at the time of inspection.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period had linens consisting of a top cover and a bottom cover. Evidence: In the Toddler room, one child was observed laying on a cot with only a blanket on top of them and no bottom cover.”

8VAC20-780-500-B

“REPEAT VIOLATION Based on observation, the center did not ensure that disposable diapers were 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. Evidence: In the Twos room, the foot-operated mechanism on the trash can was not functioning. Staff demonstrated how they dispose of diapers which requires their hands to touch the trash can by lifting the lid.”

8VAC20-780-510-I

“Based on medication review, the center did not obtain current parental authorization for children's medication. Evidence: Child #7 had an emergency medication on site and the parental authorization on file expired 12/1/2022.”

8VAC20-780-560-G

“Based on observation, the center did not ensure that food brought from home is dated and labeled to identify the owner. Evidence: In the Infant classroom, there were two containers of food in the refrigerator and one container of food sitting on top of the refrigerator that was not dated or labeled with a child's name.”

8VAC20-780-440-N

“Based on observation, it was determined a crib used by an infant over the age of 5 months was equipped with toys hanging over the sleeping area. Evidence: Child #3 (Age 6 months) was observed sleeping in a crib with a stuffed spiral activity toy attached to the side of the crib. The toy was dangling in the crib next to the sleeping infant.”

8VAC20-780-80-A

“Based on record review, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the Fours room, there were 6 children present and 7 children were signed in on the attendance sheet. 2. In the Toddler room, there were 4 children present and 3 children were signed in on the attendance sheet.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children's hands were washed with soap and running water or disposable wipes before eating snacks. Evidence: In the Threes room, the children were observed playing in centers and then cleaning up from centers when morning snack arrived to the classroom. The children were then seated at the tables and began eating morning snack which consisted of oranges and pretzels and did not wash their hands before beginning to eat.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering was used. Evidence: The changing pad in the Twos room had approximately a 1" tear in the material exposing the foam filling making the changing pad absorbent.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child's name. Evidence: In the Infant room, there was one bottle of prepared infant formula in the refrigerator that was not dated or labeled with the child's name.”

8VAC20-780-80-A

“Based on record review, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. Evidence: 1. In the Fours room, there were 6 children present and 7 children were signed in on the attendance sheet. 2. In the Toddler room, there were 4 children present and 3 children were signed in on the attendance sheet.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children's hands were washed with soap and running water or disposable wipes before eating snacks. Evidence: In the Threes room, the children were observed playing in centers and then cleaning up from centers when morning snack arrived to the classroom. The children were then seated at the tables and began eating morning snack which consisted of oranges and pretzels and did not wash their hands before beginning to eat.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering was used. Evidence: The changing pad in the Twos room had approximately a 1" tear in the material exposing the foam filling making the changing pad absorbent.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child's name. Evidence: In the Infant room, there was one bottle of prepared infant formula in the refrigerator that was not dated or labeled with the child's name.”

22.1-289.035-B-4

“Based on record review, the center did not conduct a follow up inquiry on an out of state child abuse and neglect search within 45 days after request to search for all staff who have lived outside the state of Virginia within the last 5 years. Evidence: The center submitted a Maryland Child Abuse and Neglect Central Registry search for Staff #1 (Date of Hire: 5/11/2022) on 5/11/2022, however, no follow up was completed within 45 days after request to search.”

8VAC20-780-500-B

“Based on observation, disposable diapers were not disposed in a way that prevents the staff member's hand from touching the exterior surface of the storage system during disposal. Evidence: In the Infant room, Staff #1 used their hand to lift the lid of the trash can to dispose of their gloves and an infant's diaper instead of using the foot operated mechanism.”

8VAC20-780-280-B

“Based on record review and staff interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: On 11/4/2022, between approximately 5:30pm and 6:00pm, Staff #1 had approximately 8 children in the 4's classroom. Staff #1 had taken their keys, containing a cannister of pepper spray on an attached keychain, from the locked cabinet and sat them on a plastic tote bin by the door within reach of the children. Staff #1 was tending to another child and then they "heard the spray, turned and saw Child #1 with the pepper spray cannister and keys". Staff #1 immediately called management who began to administer first aid. Child #1 (Age 4) complained of burning hands and eyes. Staff also noted the child's hands appeared red.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Twos room, there was a bottle of disinfectant on the changing table. 2. In the Threes room, there were bottles of bleach, disinfectant, and air freshener sprays, in an unlocked tall cabinet.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 that is dated and kept in each classroom or area where children are present. Evidence: There was no allergy list posted in the Twos, Threes, Infants, or Fours classrooms.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination for each enrolled child by the 30th day of enrollment. Evidence: Child #4 (Start Date: 6/27/2022) did not have a physical on file.”

22.1-289.035-B-4

“Based on record review, the center did not request the results of an out of state Child Abuse and Neglect Central Registry search for all staff who have lived outside the state of Virginia within the last 5 years by the staff's 30th day of employment. Evidence: Staff #5 (Date of Hire: 5/11/2022) has resided in the state of Maryland within the last 5 years and the center has not submitted a search request for the staff's Maryland Child Abuse and Neglect Central Registry search.”

8VAC20-780-330-B

“Based on observation of the playground areas, the center did not ensure that the required amount of resilient surfacing is located underneath and surrounding play structures on the playground. Evidence: 1. On the small playground, there were two slides, approximately 2 feet in height, located on grass and no resilient surfacing was present. 2. On the larger playground with the composite play structure, there were two slides, approximately 3-4 feet off the ground and there was only dirt and no resilient surfacing located at the bottom of the slides.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Twos room, there was a bottle of disinfectant on the changing table. 2. In the Threes room, there were bottles of bleach, disinfectant, and air freshener sprays, in an unlocked tall cabinet.”

8VAC20-780-40-M

“Based on observation and staff interview, the center did not 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 that is dated and kept in each classroom or area where children are present. Evidence: There was no allergy list posted in the Twos, Threes, Infants, or Fours classrooms.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination for each enrolled child by the 30th day of enrollment. Evidence: Child #4 (Start Date: 6/27/2022) did not have a physical on file.”

22.1-289.035-B-4

“Based on record review, the center did not request the results of an out of state Child Abuse and Neglect Central Registry search for all staff who have lived outside the state of Virginia within the last 5 years by the staff's 30th day of employment. Evidence: Staff #5 (Date of Hire: 5/11/2022) has resided in the state of Maryland within the last 5 years and the center has not submitted a search request for the staff's Maryland Child Abuse and Neglect Central Registry search.”

8VAC20-780-330-B

“Based on observation of the playground areas, the center did not ensure that the required amount of resilient surfacing is located underneath and surrounding play structures on the playground. Evidence: 1. On the small playground, there were two slides, approximately 2 feet in height, located on grass and no resilient surfacing was present. 2. On the larger playground with the composite play structure, there were two slides, approximately 3-4 feet off the ground and there was only dirt and no resilient surfacing located at the bottom of the slides.”

8VAC20-790-570-2

“Based on record review and staff interviews, the center did not inform the department’s representative as soon as practicable, but not more than two business days, of an injury to a child while under the center’s supervision when a referral is made for treatment from a medical professional. Evidence: Child #1 (Age 6) sustained an injury to their foot on 8/17/2021 while using the bathroom. The injury report dated 8/17/2021 reads ?Child #1 went into the restroom to use it and when the child went to flush the toilet it did not flush so Child #1 picked the back part up and it slipped out of Child #1?s hand and fell on the floor and cut Child #1?s foot. The shattered pieces cut Child #1?s foot open.? Staff #2 called 911 and the child was taken to the hospital via ambulance and received several stitches. This incident was not reported to the department’s representative and was discovered during the course of a complaint investigation.”

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

“Based on interviews, the center did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: On approximately Thursday 7/28/2022 or Friday 7/29/2022, Staff #3 and Staff #4 were ?sampling alcoholic beverages? in the center office while children were in care. Staff #4 reportedly put some alcoholic beverage into a Sprite can and took it into the Infant room. Staff #4 then stated ?I need to pour this out, I?m a light weight.?”

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

“Based on interviews, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff or that staff check on children who have not returned from the restroom after 5 minutes. Evidence: On 8/17/2021, Child #1 (Age 6) was in the bathroom for approximately 10-12 minutes and was not checked on by staff. When Child #1 left the bathroom after approximately 10-12 minutes Staff #1 noticed that the child had sustained an injury to Child #1?s foot and there was ?blood everywhere? and the ceramic toilet lid was shattered.”

8VAC20-790-570-2

“Based on record review and staff interviews, the center did not inform the department’s representative as soon as practicable, but not more than two business days, of an injury to a child while under the center’s supervision when a referral is made for treatment from a medical professional. Evidence: Child #1 (Age 6) sustained an injury to their foot on 8/17/2021 while using the bathroom. The injury report dated 8/17/2021 reads ?Child #1 went into the restroom to use it and when the child went to flush the toilet it did not flush so Child #1 picked the back part up and it slipped out of Child #1?s hand and fell on the floor and cut Child #1?s foot. The shattered pieces cut Child #1?s foot open.? Staff #2 called 911 and the child was taken to the hospital via ambulance and received several stitches. This incident was not reported to the department’s representative and was discovered during the course of a complaint investigation.”

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

“Based on interviews, the center did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: On approximately Thursday 7/28/2022 or Friday 7/29/2022, Staff #3 and Staff #4 were ?sampling alcoholic beverages? in the center office while children were in care. Staff #4 reportedly put some alcoholic beverage into a Sprite can and took it into the Infant room. Staff #4 then stated ?I need to pour this out, I?m a light weight.?”

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

“Based on interviews, the center did not ensure that children under 10 years of age were always within sight and sound supervision of staff or that staff check on children who have not returned from the restroom after 5 minutes. Evidence: On 8/17/2021, Child #1 (Age 6) was in the bathroom for approximately 10-12 minutes and was not checked on by staff. When Child #1 left the bathroom after approximately 10-12 minutes Staff #1 noticed that the child had sustained an injury to Child #1?s foot and there was ?blood everywhere? and the ceramic toilet lid was shattered.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cribs have a bottom cover when being used by infants. Evidence: In the Infants room, an infant was observed laying on a crib mattress with no crib sheet.”

8VAC20-780-500-A

“Based on observation, staff did not wash hands with soap and running water before and after diaper changes. Evidence: In the Toddlers room, Staff #1 was observed completing four children's diaper changes and the staff did not wash hands between diaper changes.”

22.1-289.058

“Based on staff interview, the center has not ensured that at least one carbon monoxide detector is installed in the facility. Evidence: The center does not have a carbon monoxide detector.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cribs have a bottom cover when being used by infants. Evidence: In the Infants room, an infant was observed laying on a crib mattress with no crib sheet.”

8VAC20-780-500-A

“Based on observation, staff did not wash hands with soap and running water before and after diaper changes. Evidence: In the Toddlers room, Staff #1 was observed completing four children's diaper changes and the staff did not wash hands between diaper changes.”

22.1-289.058

“Based on staff interview, the center has not ensured that at least one carbon monoxide detector is installed in the facility. Evidence: The center does not have a carbon monoxide detector.”

8VAC20-780-570-E Complaint related: No

“Based on observation, the center did not ensure that prepared infant formula is dated and labeled with the child's name. Evidence: Two of five bottles observed in the refrigerator in the Infant room were not dated or labeled with the child's name.”

22.1-289.035-B-3

“Based on record review, the center did not obtain repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years on all staff. Evidence: Staff #3's most recent Virginia Child Abuse and Neglect Central Registry search results on file was 9/26/2016.”

22.1-289.035-B-3

“Based on record review, the center did not obtain repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years on all staff. Evidence: Staff #3's most recent Virginia Child Abuse and Neglect Central Registry search results on file was 9/26/2016.”